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Volume 84, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

The accessibility of potable water is fundamental to public health. A private for-profit company is installing kiosk-based drinking-water systems in rural and peri-urban villages in Ghana, and we evaluated their performance. Preceding an observational study to measure the effect of these kiosks on the incidence of water-related disease in recipient communities, we conducted ethnographic research to assess local water-related practices and the ways these practices would affect adoption of the new technology. We conducted fieldwork in two communities in Ghana and interviewed stakeholders throughout the water sector. Our findings illustrate the complexity of water-related behaviors and indicate several factors that may sustain disease transmission despite the presence of the new technology. This formative ethnographic research also improved the precision of our subsequent evaluation of the intervention by providing a site-specific, culturally-appropriate knowledge base. This study demonstrates the value of incorporating qualitative research techniques into evaluations of water-related projects.

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References

  1. World Health Organization, United Nation Children's Fund (UNICEF), 2010. Progress on Sanitation and Drinking Water–2010 Update. Geneva: World Health Organization.
  2. Biswas AK, , ed, 1978. United Nations Water Conference, Summary and Main Documents. New York: Pergamon Press.
  3. Clasen T, Schmidt WP, Rabie T, Roberts I, Cairncross S, , 2007. Interventions to improve water quality for preventing diarrhoea: systematic review and meta-analysis. BMJ 334: 782791.[Crossref]
  4. Luby SP, Mendoza C, Kewsick BW, Chiller TM, Hoekstra RM, , 2008. Difficulties in bringing point-of-use water treatment to scale in rural Guatemala. Am J Trop Med Hyg 78: 382387.
  5. Coreil J, Augustin A, Holt E, Halsey NA, , 1989. Use of ethnographic research for instrument development in a case–control study of immunization use in Haiti. Int J Epidemiol 18 (Suppl 2): S33S37.[Crossref]
  6. Victora CG, Habicht JP, Bryce J, , 2004. Evidence-based public health: moving beyond randomized trials. Am J Public Health 94: 400405.[Crossref]
  7. The Inter-agency Group for Child Mortality Estimation (IGME), 2009. Child Mortality Estimation Information – Ghana. Available at: http://www.childmortality.org/. Accessed July 6, 2010.
  8. Demographic and Health Surveys (DHS), 2003. Ghana 2003. Calverton, MD: ORC Macro.
  9. World Health Organization Collaborating Center for Research, Training, and Eradication of Dracunculiasis, 2011. Guinea Worm Wrapup. Available at: http://www.cartercenter.org/resources/pdfs/news/health_publications/guinea_worm/wrap-up/202.pdf. Accessed January 30, 2011.
  10. Ghana Statistical Service, Ghana Ministry of Health, United States Agency for International Development (USAID), UNICEF, 2006. Multiple Indicator Cluster Survey.
  11. WaterHealth International (WHI). Better Technology Means Better Water. Available at: http://www.waterhealth.com/water-solutions/technology.php. Accessed July 6, 2010.
  12. deWilde CK, Milman A, Flores Y, Salmeron J, Ray I, , 2008. An integrated method for evaluating community-based safe water programmes and an application in rural Mexico. Health Policy Plan 452464.[Crossref]
  13. Crewell JW, , 1998. Qualitative Inquiry and Research Design; Choosing Among Five Traditions. Thousand Oaks, CA: Sage Publications.
  14. Mu X, Whittington D, Briscoe J, , 1990. Modeling village water demand behavior: a discrete choice approach. Water Resour Res 26: 521529.[Crossref]
  15. Janz NK, Champion VL, Strecher VJ, Glanz K, Rimer BK, Lewis FM, , 2002. The health belief model. , eds. Health Behavior and Health Education: Theory, Research, and Practice. Third edition. San Francisco, CA: Jossey-Bass: 4566.
  16. Jensen PK, Ensink JHJ, Jayasinghe G, van der Hoek W, Cairncross S, Dalsgaard A, , 2002. Domestic transmission route of pathogens: the problem of in-house contamination of drinking water during storage in developing countries. Trop Med Int Health 7: 604609.[Crossref]
  17. Wright J, Gundry S, Conroy R, , 2004. Household drinking water in developing countries: a systematic review of microbiological contamination between source and point-of-use. Trop Med Int Health 9: 106117.[Crossref]
  18. Kremer M, Leino J, Miguel E, Zwane AP, . NBER Working Paper 15280: Spring Cleaning: Rural Water Impacts, Valuation and Property Rights Institutions. Available at: http://www.nber.org/papers/w15280. Updated August 2009. Accessed September 26, 2010.
  19. Nauges C, Whittington D, , 2010. Estimation of water demand in developing countries: an overview. World Bank Res Obs 25: 263294.[Crossref]
  20. Ghana Statistical Service, Ghana Ministry of Health, USAID, UNICEF, 2006.
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  • Received : 17 Aug 2010
  • Accepted : 31 Jan 2011

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