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

Am J Public Health. 2007 Mar;97(3):398-400. doi: 10.2105/AJPH.2005.073460. Epub 2007 Jan 31.

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.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Chlorine Compounds / economics
  • Chlorine Compounds / supply & distribution*
  • Diarrhea / prevention & control*
  • Disinfectants / economics
  • Disinfectants / supply & distribution*
  • Entrepreneurship
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice*
  • Household Products / economics
  • Household Products / statistics & numerical data
  • Household Products / supply & distribution*
  • Humans
  • Interviews as Topic
  • Madagascar
  • Marketing / methods*
  • Rural Health*
  • Safety*
  • Social Marketing*
  • Water Purification / methods*
  • Water Purification / standards

Substances

  • Chlorine Compounds
  • Disinfectants