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Delivering Drinking Water by Truck in Humanitarian Contexts: Results from Mixed-Methods Evaluations in the Democratic Republic of the Congo and Bangladesh.

Title: Delivering Drinking Water by Truck in Humanitarian Contexts: Results from Mixed-Methods Evaluations in the Democratic Republic of the Congo and Bangladesh.
Authors: Sikder M; Department of Civil and Environmental Engineering, Tufts University, Medford, Massachusetts 02155, United States.; Mirindi P; Department of Civil and Environmental Engineering, Tufts University, Medford, Massachusetts 02155, United States.; String G; Department of Civil and Environmental Engineering, Tufts University, Medford, Massachusetts 02155, United States.; Lantagne D; Department of Civil and Environmental Engineering, Tufts University, Medford, Massachusetts 02155, United States.
Source: Environmental science & technology [Environ Sci Technol] 2020 Apr 21; Vol. 54 (8), pp. 5041-5050. Date of Electronic Publication: 2020 Apr 08.
Publication Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.
Language: English
Journal Info: Publisher: American Chemical Society Country of Publication: United States NLM ID: 0213155 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1520-5851 (Electronic) Linking ISSN: 0013936X NLM ISO Abbreviation: Environ Sci Technol Subsets: MEDLINE
Imprint Name(s): Publication: Washington DC : American Chemical Society; Original Publication: Easton, Pa. : American Chemical Society, c1967-
MeSH Terms: Drinking Water*; Bangladesh ; Democratic Republic of the Congo ; Motor Vehicles ; Water Supply
Abstract: Water trucking is a commonly implemented, but severely under-researched, drinking water supply intervention in humanitarian response. To fill this research gap, we conducted three mixed-methods water trucking program evaluations in the Democratic Republic of the Congo and Bangladesh, including interviews, water point observations, household surveys, focus groups, and water quality testing. Results indicated that the programs had complex implementation structures involving multiple agencies and limited infrastructure to properly collect, treat, and deliver water. All programs met queueing time and distance indicators, did not meet water quantity indicators, and inconsistently met water quality indicators. Free chlorine residual (FCR) declined through the water chain, and household water Escherichia coli concentrations were associated with household FCR, receiving behavior change messages, storage container type, and distance from the distribution point. Users appreciated water trucking, especially compared to previous water sources, and expressed desires for increased quantity, improved quality, and consistent delivery. If water trucking programs are implemented, it is recommended to have the financial resources to install sanitary collection and distribution infrastructure, establish a management team of all implementation partners, ensure sufficient water quantity is delivered, ensure recommended FCR levels at distribution points, monitor FCR throughout distribution, and complete behavior change communication activities about the program and safe water storage with users.
Substance Nomenclature: 0 (Drinking Water)
Entry Date(s): Date Created: 20200329 Date Completed: 20200715 Latest Revision: 20200715
Update Code: 20260130
DOI: 10.1021/acs.est.9b07375
PMID: 32216293
Database: MEDLINE

Journal Article; Research Support, U.S. Gov't, Non-P.H.S.