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Abstract Despite the reality that advocates frequently expend significant resources to pass symbolic policies, this policy design has often been neglected by policy studies scholarship. We combine policy design and policy feedback theory to examine this oft overlooked policy design in practice using the case of California's human right to water law (Assembly Bill 685, or AB 685). Through semi‐structured interviews, archival research, and document analysis, we reveal how grassroots advocates deliberately and effectively pursued AB 685 to build power across the water justice movement and catalyze narrative change about drinking water access, while also building state responsiveness on the topic. These interpretive policy feedback effects then accelerated the policy's resource effects through formal policy changes in funding allocations, administrative structures, and regulatory systems. Collectively, feedbacks from AB 685 have transformed the sociopolitics of drinking water access. Contrary to prevailing wisdom, the policy's ambiguity proved key to building the broad coalition necessary to accomplish these changes, and it facilitated work across policy venues and governance scales through time, which is critical to enacting transformational change. Based on these findings, we argue that symbolic policies merit attention as a potentially advantageous policy design for social movements seeking social change and transformation. 

ABSTRACT The Household Water Insecurity Experiences (HWISE) and Individual Water Insecurity Experiences (IWISE) Scales are globally suitable tools for comparably measuring water insecurity experiences among households and adults, respectively. The potential range for HWISE and IWISE scores is 0–36. When the WISE Scales were first published, scores of 12 and higher were considered indicative of water insecurity, but additional cut-points are needed to provide more nuanced insights. We therefore sought to develop a practical set of cut-points for the WISE Scales using HWISE data from 13 sites across 12 countries (n = 3,293) and nationally representative samples of IWISE data from 38 countries collected by the Gallup World Poll (n = 52,343). We selected cut-points in water insecurity scores to establish four ordinal categories: no-to-marginal (0–2), low (3–11), moderate (12–23), and high (24–36) water insecurity. These categories were monotonically associated with increasing odds of reporting water dissatisfaction and helped to differentiate the breadth of water insecurity across populations with heterogenous water insecurity experiences and frequencies. These four water insecurity categories can be used to better understand how water insecurity may be related to livelihoods, health, and well-being, both at low and high water insecurity. 

BackgroundHandpumps are used by millions of people as their main source of water. Although handpumps represent only a basic form of water provision, there have been continuous efforts to improve the performance of these systems as they are likely to remain in use for many years to come. The introduction of a professional maintenance service in southern Kenya has shown an order of magnitude improvement in operational performance over community-based management, with 90% of handpump faults repaired within 3 days of being reported. One driver behind these efforts is the assumption that a more reliable water supply will lead to a reduction in water-related disease. However, it is not clear if operational improvements lead to health gains. Despite limited empirical evidence, some modeling studies suggest that even short periods of drinking contaminated water can lead to disproportionate negative health impacts. ObjectiveThe aim of this study was to assess whether the improvements in operational performance from the rapid professional maintenance of rural handpumps lead to improved household health outcomes. MethodsFrom a sample of households using handpumps as their primary water source in Kwale County, Kenya, we measured the 2-week prevalence of World Health Organization–defined diarrhea in children, reported by the adult respondent for each household. We compared the rates before and after a period during which the households’ handpumps were being professionally maintained. We then conducted a cross-sectional analysis, fitting logistic regression models with reported diarrhea as the dependent variable and speed of repair as the independent exposure of interest, adjusting for household socioeconomic characteristics; dwelling construction; and Water, Sanitation, and Hygiene (WASH)-related factors. We fitted an additional model to examine select interactions between covariates. ResultsReported diarrhea in children was lower in households whose pumps had been repaired within 24 hours (adjusted odds ratio 0.35, 95% CI 0.24-0.51). This effect was robust to the inclusion of multiple categories of covariates. No reduction was seen in households whose pump repairs took more than 24 hours. Analysis of interaction terms showed that certain interventions associated with improved WASH outcomes were only associated with reductions in diarrhea in conjunction with socioeconomic improvements. ConclusionsOnly pump repairs consistently made within 24 hours of failure led to a reduction in diarrhea in the children of families using handpumps. While the efficacy of reduction in diarrhea is substantial, the operational challenges of guaranteeing same-day repairs limits the effectiveness of even best-in-class pump maintenance. Maintenance regimes that cannot bring handpump downtimes close to zero will struggle to generate health benefits. Other factors that reduce diarrhea prevalence have limited effect in isolation, suggesting that WASH interventions will be more effective when undertaken as part of more holistic poverty-reduction efforts. 

Abstract American anthropology is engaged in significant self‐reckonings that call for big changes to how anthropology is practiced. These include (1) recognizing and taking seriously the demands to decolonize the ways research is done, (2) addressing precarious employment in academic anthropology, and (3) creating a discipline better positioned to respond to urgent societal needs. A central role for ethnographic methods training is a thread that runs through each of these three reckonings. This article, written by a team of cultural, biocultural, and linguistic anthropologists, outlines key connections between ethnographic methods training and the challenges facing anthropology. We draw on insights from a large‐scale survey of American Anthropological Association members to examine current ethnographic methods capabilities and training practices. Study findings are presented and explored to answer three guiding questions: To what extent do our current anthropological practices in ethnographic methods training serve to advance or undermine current calls for disciplinary change? To what extent do instructors themselves identify disconnects between their own practices and the need for innovation? And, finally, what can be done, and at what scale, to leverage ethnographic methods training to meet calls for disciplinary change? 

Abstract Progress toward achieving Sustainable Development Goal 6, clean water and sanitation for all, is behind schedule and faces substantial financial challenges. Rigorous water, sanitation, and hygiene (WASH) interventions have underperformed, casting doubt on their efficacy and potentially undermining confidence in WASH funding and investments. But these interventions have leaned on a narrow set of WASH indicators—linear growth and diarrhea—that reflect a 20th‐century prioritization of microbiological water quality as the most important measurement of WASH intervention success. Even when water is microbiologically safe, hundreds of millions of people face harassment, assault, injury, poisoning, anxiety, exhaustion, depression, social exclusion, discrimination, subjugation, hunger, debt, or work, school, or family care absenteeism when retrieving or consuming household water. Measures of WASH intervention success should incorporate these impacts to reinforce the WASH value proposition. We present a way forward for implementing a monitoring and evaluation paradigm shift that can help achieve transformative WASH. This article is categorized under:Engineering Water > Water, Health, and SanitationHuman Water > Value of WaterHuman Water > Methods 

Abstract In this article, we introduce the “dwelling paradox” to explore how the state actively produces water insecurity for people experiencing homelessness in the Global North. We explain that the dwelling paradox is (1) produced by a modernist ideology of public service delivery that privileges water provision through private infrastructural connections in the home; (2) is reproduced by the welfare‐warfare state, which has increasingly weaponized public water facilities and criminalized body functions in public space; and (3) is actively contested by some houseless communities, who challenge hegemonic ideals of the “home”—and its water infrastructure—as a private, atomized space. In advancing a relational and spatial understanding of water insecurity, we use the dwelling paradox to illustrate how unhoused people are caught in a space of institutional entrapment that is forged by state power and amplified by anti‐homeless legislation. Such spaces of entrapment make it extremely difficult for unhoused people to achieve a safe, healthy, and thriving life—the basis of the human rights to water and sanitation. This article is categorized under:Human Water > Water Governance 

Abstract   Rapid adaptation is necessary to maintain, let alone expand, access to reliable, safe drinking water in the face of climate change. Existing research focuses largely on the role, priorities, and incentives of local managers to pursue adaptation strategies while mostly neglecting the role of the broader public, despite the strong public support required to fund and implement many climate adaptation plans. In this paper, we interrogate the relationship between personal experiences of household water supply impacts from extreme weather events and hazard exposure with individual concern about future supply reliability among a statewide representative sample of California households. We find that more than one-third of Californians report experiencing impacts of climate change on their household water supplies and show that these reported impacts differently influence residents’ concern about future water supply reliability, depending on the type of event experienced. In contrast, residents’ concern about future water supplies is not significantly associated with hazard exposure. These findings emphasize the importance of local managers’ attending to not only how climate change is projected to affect their water resources, but how, and whether, residents perceive these risks. The critical role of personal experience in increasing concern highlights that post-extreme events with water supply impacts may offer a critical window to advance solutions. Managers should not assume, however, that all extreme events will promote concern in the same way or to the same degree. 

Abstract Informed by decades of literature, water interventions increasingly deploy “gender‐sensitive” or even “gender transformative” approaches that seek to redress the disproportionate harms women face from water insecurity. These efforts recognize the role of gendered social norms and unequal power relations but often focus narrowly on the differences and dynamics between cisgender (cis) men and women. This approach renders less visible the ways that living with water insecurity can differentially affect all individuals through the dynamics of gender, sexuality, and linked intersecting identities. Here, we first share a conceptual toolkit that explains gender as fluid, negotiated, and diverse beyond the cis‐binary. Using this as a starting point, we then review what is known and can be theorized from current literature, identifying limited observations from water‐insecure communities to identify examples of contexts where gendered mechanisms (such as social norms) differentiate experiences of water insecurity, such as elevating risks of social stigma, physical harm, or psychological distress. We then apply this approach to consider expanded ways to include transgender, non‐binary, and gender and sexual diversity to deepen, nuance and expand key thematics and approaches for water insecurity research. Reconceptualizing gender in these ways widens theoretical possibilities, changes how we collect data, and imagines new possibilities for effective and just water interventions. This article is categorized under:Human Water > Value of WaterEngineering Water > Water, Health, and SanitationHuman Water > Water as Imagined and RepresentedHuman Water > Methods 

Abstract We extend the conceptualization of the social and health burdens of household water insecurity on children beyond the traditional narrow lens of microbiological pathogens and diarrhea. The global burden of disease associated with water insecurity has traditionally focused on diarrheal disease as the most significant driver of infant and child mortality. However, there are many other pathways through which children experience adverse health and social consequences from inadequate or unsafe household water. We synthesize evidence of a broad range of health impacts, affecting children from infancy to late adolescence, across four domains: exposure to unsafe water; interruptions to growth and development through poor nutrition and hydration; negative social effects such as school absenteeism and interpersonal violence; and other non‐communicable health issues such as mental health, injuries, and reproductive health. The growing burden and urgency of these issues is implicated by forecasted increases in climate‐ and conflict‐induced water scarcity, human displacement, and environmental contamination in the decades ahead. This article is categorized under:Engineering Water > Water, Health, and SanitationHuman Water > Rights to Water 

Abstract Over the past two decades, scholars have invoked E. P. Thompson's and James Scott's concept of a “moral economy” to explain how people mobilize notions of justice to make claims to water. We draw together 20 years of literature to assess the state‐of‐the‐art present in research on moral economies for water. We trace the historical foundations of the moral economies concept and its relevance to water; define the three basic components of a moral economy for water—(1) shared understandings of justice, (2) normative economic practices, (3) social pressure mechanisms—and provide examples of how they manifest globally. We then discuss how moral economies for water can cycle through four basic states—balanced struggle, intensified reaction, mass revolt, and collapse and dissolution—at different scales. We also explore the implications of the moral economies framework for key areas of current research on water: water sharing, water commons, water markets, and biocultural outcomes, and discuss the ways in which the moral economies framework dovetails with recent advances in water research, especially the economics of water and development. We argue that the moral economies framework is a powerful explanatory tool for understanding the relationships between ideas of water justice, economic behaviors, and mechanisms of social enforcement that complements other methodological approaches and theoretical perspectives. We envision moral economies for water as a field that can facilitate a range of norm‐based analyses of economic behavior and water justice, including across scales—from local to global—and in broad, integrative, multiscalar, and cross‐disciplinary ways. This article is categorized under:Human Water > Water GovernanceHuman Water > Value of WaterHuman Water > Rights to Water