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Abstract Objective: Water plays a critical role in the production of food and preparation of nutritious meals, yet few studies have examined the relationship between water and food insecurity. The primary objective of this study, therefore, was to examine how experiences of household water insecurity (HWI) relate to experiences of household food insecurity (HFI) among a pastoralist population living in an arid, water-stressed region of northern Kenya. Design: We implemented the twelve-item Household Water Insecurity Experiences (HWISE, range 0–36) Scale and the nine-item Household Food Insecurity Access Scale (HFIAS, range 0–27) in a cross-sectional survey to measure HWI and HFI, respectively. Data on socio-demographic characteristics and intake of meat and dairy in the prior week were collected as covariates of interest. Setting: Northern Kenya, June–July 2019. Participants: Daasanach pastoralist households ( n 136) from seven communities. Results: In the prior 4 weeks, 93·4 % and 98·5 % of households had experienced moderate-to-severe HWI and HFI, respectively. Multiple linear regression analyses indicated a strong association between HWI and HFI. Each point higher HWISE score was associated with a 0·44-point (95 % CI: 0·22, 0·66, P = 0·003) higher HFIAS score adjusting for socio-economic status and other covariates. Conclusions: These findings demonstrate high prevalence and co-occurrence of HWI and HFI among Daasanach pastoralists in northern Kenya. This study highlights the need to address HWI and HFI simultaneously when developing policies and interventions to improve the nutritional well-being of populations whose subsistence is closely tied to water availability and access.
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Coping with water insecurity despite access and abundance in the urban Amazon
ABSTRACT Research on household water insecurity continues to overemphasize water scarcity and rural contexts, resulting in a poorer understanding of water insecurity in urban, water-abundant settings. At the same time, while the dimensions of water insecurity include availability, access, utilization and stability, current instruments focus on access to water, thus, inadequately explore people's experiences utilizing available water. This study aimed to characterize and explore the impacts of household water insecurity on residents of the city of Belém, Pará, Brazil, where water is available and access to piped municipal water is common, but its provision and quality vary. We applied the Household Water Insecurity Experiences Scale (HWISE) to evaluate water insecurity in 188 households (110 LSES; 78 HSES). In a subset of 47 households, we complemented the HWISE with a novel instrument, developed via participant observation, that assessed all points of water access and use within the home. Per HWISE, 28% of households were water insecure, with a higher proportion of water insecurity occurring in LSES households. Data collected via our complementary instrument indicate that HWISE underestimated water insecurity in our sample, as 87% of the subset households reported issues affecting their utilization of water regardless of household water insecurity status.
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- PAR ID:
- 10621327
- Publisher / Repository:
- DOI PREFIX: 10.2166
- Date Published:
- Journal Name:
- Journal of Water, Sanitation and Hygiene for Development
- Volume:
- 15
- Issue:
- 7
- ISSN:
- 2043-9083
- Format(s):
- Medium: X Size: p. 594-610
- Size(s):
- p. 594-610
- Sponsoring Org:
- National Science Foundation
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