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About a million Rohingyas have fled due to the ethnic cleansing in Myanmar and sought refuge in Bangladesh. The refugees are located in temporary settlements on hilly areas of Cox’s Bazar with inadequate water and sanitation facilities, giving rise to diseases such as cholera, typhoid, and diarrhea. This exploratory study reports drinking water security challenges in two Rohingya refugee camps within the larger camp network—Camp 2 and the recently-built Camp 4 Extension (Camp 4Ext)—to discover the key everyday issues refugees are facing related to drinking water. Both qualitative and quantitative methods have been applied to determining whether contamination is occurring during the collection, transportation, and storage of drinking water by comparing the water quality at the source with that in storage. The results show that Camp 4Ext is more suited for living in several respects compared with the other camps, attributable to significantly better planning during its construction: there is a lower prevalence of diseases, lower water collection times, higher standards of sanitation, and better access to water sources. This study’s outcomes will help camp authorities and the various agencies working there to provide sustainable water and sanitation interventions to improve the wellness of the Rohingya refugees in Cox’s Bazar. The outcomes will also provide useful information and strategic direction to the global scientific and development communities who are working in refugee camps in other parts of the world, to tackle water security challenges. 

Abstract Improving water governance is a top priority for addressing the global water crisis. Yet, there is a dearth of empirical data examining whether better water governance is associated with lower water insecurity and improved well-being. We, therefore, pooled household data from two Sustainable Water Effectiveness Reviews conducted by Oxfam GB in Zambia (n = 997) and the Democratic Republic of Congo (DRC, n = 1,071) to assess the relationship between perceived water governance (using a 12-item indicator), water insecurity [using the Household Water Insecurity Experiences (HWISE) Scale], and four indicators of well-being: life satisfaction, drinking unsafe water, diarrhea, and resilience to cholera outbreak. Using generalized structural equation models controlling for wealth and primary water source, each point increase in water governance score was associated with a 0.69-point decrease in HWISE Scale scores. Good water governance was also directly associated with greater odds of life satisfaction (aOR 1.24) and lower odds of both drinking unsafe water (aOR 0.91) and severe cholera impact (aOR 0.92). Furthermore, the relationships between water governance and drinking unsafe water, diarrhea, and cholera impact were mediated by household water insecurity. Improving water governance has the potential to meaningfully impact entrenched public health issues through changes in water insecurity. 

With 2.3 billion people around the world lacking adequate sanitation services, attention has turned to alternative service provision models. This study suggests an approach for meeting the sanitation challenge, especially as expressed in Sustainable Development Goal 6.2, using a toilet technology system, such as Pee Power® that generates electricity using diverted urine as a fuel. A field trial was carried out in a girls’ school in Kisoro, Uganda, where the generated electricity was used to light the existing toilet block. The trial was evaluated in terms of social acceptability and user experience using a multidimensional assessment protocol. The results of our assessment show that users felt safer when visiting the toilets at night. Lights provided from the technology also helped with the perceived cleanliness of the toilets. The technology was well accepted, with 97% of the respondents saying that they liked the idea of the Pee Power® technology and 94% preferring it over other facilities on site. This shows how the technology helps meet SDG target 6.2, with its particular focus on vulnerable populations. 

Abstract Water security requires not only sufficient availability of and access to safe and acceptable quality for domestic uses, but also fair distribution within and across populations. However, a key research gap remains in understanding water security inequality and its dynamics, which in turn creates an impediment to tracking progress towards sustainable development. Therefore, we analyse the inequality of water security using data from 7603 households across 28 sites in 22 low- and middle-income countries, measured using the Household Water Insecurity Experiences Scale. Here we show an inverted-U shaped relationship between site water security and inequality of household water security. This Kuznets-like curve suggests a process that as water security grows, the inequality of water security first increases then decreases. This research extends the Kuznets curve applications and introduces the Development Kuznets Curve concept. Its practical implications support building water security and achieving more fair, inclusive, and sustainable development.