Safe access to safe water in low income countries: water fetching in current times.

A substantial portion of the world's population does not have ready access to safe water. Moreover, obtaining water may involve great expense of time and energy for those who have no water sources in or near home. From an historical perspective, with the invention of piped water, fetching water has only recently become largely irrelevant in many locales. In addition, in most instances, wells and clean surface water were so close by that fetching was not considered a problem. However, population growth, weather fluctuations and social upheavals have made the daily chore of carrying water highly problematic and a public health problem of great magnitude for many, especially women, in the poor regions and classes of the world. In this paper, we consider gender differences in water carrying and summarize data about water access and carrying from 44 countries that participated in the Multiple Indicator Cluster Survey (MICS) program. Women and children are the most common water carriers, and they spend considerable time (many trips take more than an hour) supplying water to their households. Time is but one measure of the cost of fetching water; caloric expenditures, particularly during droughts, and other measures that affect health and quality of life must be considered. The full costs of fetching water must be considered when measuring progress toward two Millennium Development Goals--increasing access to safe drinking water and seeking an end to poverty.

[1]  Marcel Tanner,et al.  Schistosomiasis and water resources development: systematic review, meta-analysis, and estimates of people at risk. , 2006, The Lancet. Infectious diseases.

[2]  V. Walters,et al.  "You just look at our work and see if you have any freedom on earth": Ghanaian women's accounts of their work and their health. , 1999, Social science & medicine.

[3]  Ndow As,et al.  The Gambia Multiple Indicator Cluster Survey 2005 / 2006 report. Monitoring the situation of children and women. , 2007 .

[4]  M. Burris,et al.  Seeking women's voices: setting the context for women's health interventions in two rural counties in Yunnan, China. , 1995, Social science & medicine.

[5]  D. Buor,et al.  Water needs and women's health in the Kumasi metropolitan area, Ghana. , 2004, Health & place.

[6]  Paul Milligan,et al.  Bulletin of the World Health Organization , 2017 .

[7]  Song Liang,et al.  Bulletin of the World Health Organization , 2012 .

[8]  Peter Rogers Water Resources in the Twentieth and One Half Century: 1950-2050 , 2000 .

[9]  S. Kirchner Hell on Earth – Systematic Rape in Eastern Congo , 2007 .

[10]  S. Cumberland An Old Enemy Returns: The Recent Cholera Outbreak in Zimbabwe Highlights Failures in the Global Fight against an Old Enemy , 2009 .

[11]  Maria E. Fernandez-Gimenez,et al.  The role of Mongolian nomadic pastoralists' ecological knowledge in rangeland management. , 2000 .

[12]  B. Caldwell,et al.  Searching for an optimum solution to the Bangladesh arsenic crisis. , 2003, Social science & medicine.

[13]  Tamitza Toroyan,et al.  Global status report on road safety , 2009, Injury Prevention.

[14]  Esther Duflo,et al.  WOMEN AS POLICY MAKERS: EVIDENCE FROM A RANDOMIZED POLICY EXPERIMENT IN INDIA , 2004 .

[15]  D Taheri,et al.  Water in crisis: paths to sustainable water use , 2011 .

[16]  E. Gawel,et al.  Affordability of water supply in Mongolia: Empirical lessons for measuring affordability , 2013 .

[17]  P. Gleick The changing water paradigm. A look at twenty-first century water resources development. , 2000 .

[18]  I. Ray Women, Water, and Development , 2007 .

[19]  W. Barnaby Do nations go to war over water? , 2009, Nature.

[20]  Philippe Hartemann,et al.  Estimating the impact on health of poor reliability of drinking water interventions in developing countries. , 2009, The Science of the total environment.