Intermittent Water Supply Management, Household Adaptation, and Drinking Water Quality: A Comparative Study in Two Chinese Provinces

Intermittent water supply (IWS) is a relatively common phenomenon across the world as well as in rural and peri-urban areas across China, though there has been little IWS-focused research from China published to date. IWS consumers typically adopt a range of strategies to cope with insufficient wate...

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Main Authors: Hongxing Li, Alasdair Cohen, Zheng Li, Shibo Lv, Zuan He, Li Wang, Xinyi Zhang
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Water
Subjects:
Online Access:https://www.mdpi.com/2073-4441/12/5/1361
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author Hongxing Li
Alasdair Cohen
Zheng Li
Shibo Lv
Zuan He
Li Wang
Xinyi Zhang
author_facet Hongxing Li
Alasdair Cohen
Zheng Li
Shibo Lv
Zuan He
Li Wang
Xinyi Zhang
author_sort Hongxing Li
collection DOAJ
description Intermittent water supply (IWS) is a relatively common phenomenon across the world as well as in rural and peri-urban areas across China, though there has been little IWS-focused research from China published to date. IWS consumers typically adopt a range of strategies to cope with insufficient water supply, poor drinking water quality, and associated inconveniences. In this study, we collected a range of data from small-scale utilities and households in two IWS systems and two continuous water supply (CWS) systems, as well as from comparison groups, in Shandong and Hubei provinces. Data collection included water quality testing, interviews, and surveys on behavioral adaptations, coping strategies, water-related health perceptions, and other metrics of consumer satisfaction. Overall, we found that the IWS coping strategies employed in northern China (Shandong) were associated with generally safe, but inconvenient, water access, whereas adaptation strategies observed in southern China (Hubei) appeared to improve convenience, but not water quality. Compared to the CWS comparison groups, we did not observe significant differences in water- and sanitation-related behaviors in the IWS groups, suggesting interventions to increase adaptive and protective behaviors at the household level might further improve safe water access for households living with IWS. Overall, although the water supply infrastructure in these study areas appeared to be in relatively good condition, in contrast to reported data on IWS systems in other countries, we observed multiple risk factors associated with the water treatment and distribution processes in these IWS systems. Among policy recommendations, our results suggest that the implementation of Water Safety Plans in China would likely improve the management of drinking water treatment and, by extension, safe drinking water supply under conditions of IWS.
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spelling doaj.art-21152cc64eb143679727419604d67e002023-11-20T00:08:53ZengMDPI AGWater2073-44412020-05-01125136110.3390/w12051361Intermittent Water Supply Management, Household Adaptation, and Drinking Water Quality: A Comparative Study in Two Chinese ProvincesHongxing Li0Alasdair Cohen1Zheng Li2Shibo Lv3Zuan He4Li Wang5Xinyi Zhang6National Center for Rural Water Supply Technical Guidance, Chinese Center for Disease Control and Prevention, Beijing 102200, ChinaDepartment of Population Health Sciences & the Virginia Tech Public Health Program, Virginia Polytechnic Institute & State University (Virginia Tech), Blacksburg, VA 24061, USANational Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100050, ChinaShandong Center for Disease Control and Prevention, Jinan 250014, ChinaHubei Center for Disease Control and Prevention, Wuhan 430079, ChinaNational Center for Rural Water Supply Technical Guidance, Chinese Center for Disease Control and Prevention, Beijing 102200, ChinaNational Center for Rural Water Supply Technical Guidance, Chinese Center for Disease Control and Prevention, Beijing 102200, ChinaIntermittent water supply (IWS) is a relatively common phenomenon across the world as well as in rural and peri-urban areas across China, though there has been little IWS-focused research from China published to date. IWS consumers typically adopt a range of strategies to cope with insufficient water supply, poor drinking water quality, and associated inconveniences. In this study, we collected a range of data from small-scale utilities and households in two IWS systems and two continuous water supply (CWS) systems, as well as from comparison groups, in Shandong and Hubei provinces. Data collection included water quality testing, interviews, and surveys on behavioral adaptations, coping strategies, water-related health perceptions, and other metrics of consumer satisfaction. Overall, we found that the IWS coping strategies employed in northern China (Shandong) were associated with generally safe, but inconvenient, water access, whereas adaptation strategies observed in southern China (Hubei) appeared to improve convenience, but not water quality. Compared to the CWS comparison groups, we did not observe significant differences in water- and sanitation-related behaviors in the IWS groups, suggesting interventions to increase adaptive and protective behaviors at the household level might further improve safe water access for households living with IWS. Overall, although the water supply infrastructure in these study areas appeared to be in relatively good condition, in contrast to reported data on IWS systems in other countries, we observed multiple risk factors associated with the water treatment and distribution processes in these IWS systems. Among policy recommendations, our results suggest that the implementation of Water Safety Plans in China would likely improve the management of drinking water treatment and, by extension, safe drinking water supply under conditions of IWS.https://www.mdpi.com/2073-4441/12/5/1361intermittent water supplydrinking water qualitywater and sanitationhousehold adaptationChina
spellingShingle Hongxing Li
Alasdair Cohen
Zheng Li
Shibo Lv
Zuan He
Li Wang
Xinyi Zhang
Intermittent Water Supply Management, Household Adaptation, and Drinking Water Quality: A Comparative Study in Two Chinese Provinces
Water
intermittent water supply
drinking water quality
water and sanitation
household adaptation
China
title Intermittent Water Supply Management, Household Adaptation, and Drinking Water Quality: A Comparative Study in Two Chinese Provinces
title_full Intermittent Water Supply Management, Household Adaptation, and Drinking Water Quality: A Comparative Study in Two Chinese Provinces
title_fullStr Intermittent Water Supply Management, Household Adaptation, and Drinking Water Quality: A Comparative Study in Two Chinese Provinces
title_full_unstemmed Intermittent Water Supply Management, Household Adaptation, and Drinking Water Quality: A Comparative Study in Two Chinese Provinces
title_short Intermittent Water Supply Management, Household Adaptation, and Drinking Water Quality: A Comparative Study in Two Chinese Provinces
title_sort intermittent water supply management household adaptation and drinking water quality a comparative study in two chinese provinces
topic intermittent water supply
drinking water quality
water and sanitation
household adaptation
China
url https://www.mdpi.com/2073-4441/12/5/1361
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