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Bringing safe water to remote populations: An evaluation of a portable point-of-use intervention in rural Madagascar

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  • Ram, P.K.
  • Kelsey, E.
  • Rasoatiana
  • Miarintsoa, R.R.
  • Rakotomalala, O.
  • Dunston, C.
  • Quick, R.E.

Abstract

Rural populations disproportionately lack access to improved water supplies. We evaluated a novel scheme that employed community-based sales agents to disseminate the Safe Water System (SWS) - a household-level water chlorination and safe storage intervention - in rural Madagascar. Respondents from 242 households in 4 villages were interviewed; all used surface water for drinking water. Respondents from 239 households (99%) had heard of Sûr'Eau, the SWS disinfectant; 226 (95%) reported having ever used Sûr'Eau, and 166 (73%) reported current use. Current Sûr'Eau use was confirmed in 54% of households. Community sales agents effectively motivated their neighbors to adopt a new health behavior that prevents diarrhea. Future work should focus on strategies for sustaining SWS use, factors that motivate community-based sales agents to promote SWS, and the feasibility of scaling up this approach.

Suggested Citation

  • Ram, P.K. & Kelsey, E. & Rasoatiana & Miarintsoa, R.R. & Rakotomalala, O. & Dunston, C. & Quick, R.E., 2007. "Bringing safe water to remote populations: An evaluation of a portable point-of-use intervention in rural Madagascar," American Journal of Public Health, American Public Health Association, vol. 97(3), pages 398-400.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.073460_5
    DOI: 10.2105/AJPH.2005.073460
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    Cited by:

    1. Wood, Siri & Foster, Jennifer & Kols, Adrienne, 2012. "Understanding why women adopt and sustain home water treatment: Insights from the Malawi antenatal care program," Social Science & Medicine, Elsevier, vol. 75(4), pages 634-642.
    2. May Sudhinaraset & Matthew Ingram & Heather Kinlaw Lofthouse & Dominic Montagu, 2013. "What Is the Role of Informal Healthcare Providers in Developing Countries? A Systematic Review," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-12, February.
    3. Parker Fiebelkorn, Amy & Person, Bobbie & Quick, Robert E. & Vindigni, Stephen M. & Jhung, Michael & Bowen, Anna & Riley, Patricia L., 2012. "Systematic review of behavior change research on point-of-use water treatment interventions in countries categorized as low- to medium-development on the human development index," Social Science & Medicine, Elsevier, vol. 75(4), pages 622-633.

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