Adapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial

Safe water storage protects household drinking water from microbial contamination, maintaining water quality and preventing diarrhea and other water-borne diseases. However, achieving high adoption and sustained use of safe storage is challenging. Systematic adaptation can address these challenges b...

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Autores principales:	Darcy M. Anderson, Michael B. Fisher, Osborn Kwena, Hermann Kambou, Romain Broseus, Ashley R. Williams, Kaida Liang, Rohit Ramaswamy, Jamie Bartram
Formato:	article
Lenguaje:	EN
Publicado:	IWA Publishing 2021
Materias:	adaptation burkina faso drinking water escherichia coli plan-do-study-act safe storage Environmental technology. Sanitary engineering TD1-1066
Acceso en línea:	https://doaj.org/article/30ff265f578b4ee292e76d71064bbad5
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spelling	oai:doaj.org-article:30ff265f578b4ee292e76d71064bbad52021-11-05T19:40:27ZAdapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial2043-90832408-936210.2166/washdev.2021.065https://doaj.org/article/30ff265f578b4ee292e76d71064bbad52021-09-01T00:00:00Zhttp://washdev.iwaponline.com/content/11/5/719https://doaj.org/toc/2043-9083https://doaj.org/toc/2408-9362Safe water storage protects household drinking water from microbial contamination, maintaining water quality and preventing diarrhea and other water-borne diseases. However, achieving high adoption and sustained use of safe storage is challenging. Systematic adaptation can address these challenges by improving contextual fit while retaining core functionality to protect water quality. We applied Plan-Do-Study-Act (PDSA) cycles to systematically adapt a safe water storage container (SWSC) intervention for implementation in rural Burkina Faso. This study describes the adaptation process and the impacts of the SWSC on Escherichia coli contamination in household stored water in a cluster-randomized trial with 49 intervention villages (274 households) and 50 no-intervention control villages (290 households). SWSC adoption among intervention households was high (88.9%). The intervention achieved approximately a 0.4 log reduction in E. coli contamination. Intervention impact was likely moderated by differential changes in improved source use across intervention and control households. Safe storage improves water quality when used consistently. PDSA frameworks can guide the adaptation of safe storage interventions to optimize adoption and sustained use in new contexts while preserving core functions that protect water quality. HIGHLIGHTS Safe water storage interventions can improve health, but uptake and sustained use are challenging.; Adapting storage containers to local preferences and manufacturing abilities improves uptake and sustainability.; Plan-Do-Study-Act cycles are a tool to adapt interventions.; Our adapted safe water storage intervention achieved high sustained use and a significant reduction in microbial contamination of stored drinking water.;Darcy M. AndersonMichael B. FisherOsborn KwenaHermann KambouRomain BroseusAshley R. WilliamsKaida LiangRohit RamaswamyJamie BartramIWA Publishingarticleadaptationburkina fasodrinking waterescherichia coliplan-do-study-actsafe storageEnvironmental technology. Sanitary engineeringTD1-1066ENJournal of Water, Sanitation and Hygiene for Development, Vol 11, Iss 5, Pp 719-731 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adaptation burkina faso drinking water escherichia coli plan-do-study-act safe storage Environmental technology. Sanitary engineering TD1-1066
spellingShingle	adaptation burkina faso drinking water escherichia coli plan-do-study-act safe storage Environmental technology. Sanitary engineering TD1-1066 Darcy M. Anderson Michael B. Fisher Osborn Kwena Hermann Kambou Romain Broseus Ashley R. Williams Kaida Liang Rohit Ramaswamy Jamie Bartram Adapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial
description	Safe water storage protects household drinking water from microbial contamination, maintaining water quality and preventing diarrhea and other water-borne diseases. However, achieving high adoption and sustained use of safe storage is challenging. Systematic adaptation can address these challenges by improving contextual fit while retaining core functionality to protect water quality. We applied Plan-Do-Study-Act (PDSA) cycles to systematically adapt a safe water storage container (SWSC) intervention for implementation in rural Burkina Faso. This study describes the adaptation process and the impacts of the SWSC on Escherichia coli contamination in household stored water in a cluster-randomized trial with 49 intervention villages (274 households) and 50 no-intervention control villages (290 households). SWSC adoption among intervention households was high (88.9%). The intervention achieved approximately a 0.4 log reduction in E. coli contamination. Intervention impact was likely moderated by differential changes in improved source use across intervention and control households. Safe storage improves water quality when used consistently. PDSA frameworks can guide the adaptation of safe storage interventions to optimize adoption and sustained use in new contexts while preserving core functions that protect water quality. HIGHLIGHTS Safe water storage interventions can improve health, but uptake and sustained use are challenging.; Adapting storage containers to local preferences and manufacturing abilities improves uptake and sustainability.; Plan-Do-Study-Act cycles are a tool to adapt interventions.; Our adapted safe water storage intervention achieved high sustained use and a significant reduction in microbial contamination of stored drinking water.;
format	article
author	Darcy M. Anderson Michael B. Fisher Osborn Kwena Hermann Kambou Romain Broseus Ashley R. Williams Kaida Liang Rohit Ramaswamy Jamie Bartram
author_facet	Darcy M. Anderson Michael B. Fisher Osborn Kwena Hermann Kambou Romain Broseus Ashley R. Williams Kaida Liang Rohit Ramaswamy Jamie Bartram
author_sort	Darcy M. Anderson
title	Adapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial
title_short	Adapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial
title_full	Adapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial
title_fullStr	Adapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial
title_full_unstemmed	Adapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial
title_sort	adapting a safe water storage container to improve household stored water quality in rural burkina faso: a cluster randomized trial
publisher	IWA Publishing
publishDate	2021
url	https://doaj.org/article/30ff265f578b4ee292e76d71064bbad5
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Adapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial

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