title: Sustainability and scale-up of household water treatment and safe storage practices: Enablers and barriers to effective implementation.
abstract: Household water treatment and safe storage (HWTS) provides a solution, when employed correctly and consistently, for managing water safety at home. However, despite years of promotion by non-governmental organizations (NGOs), governments and others, boiling is the only method to achieve scale. Many HWTS programs have reported strong initial uptake and use that then decreases over time. This study maps out enablers and barriers to sustaining and scaling up HWTS practices. Interviews were carried out with 79 practitioners who had experience with HWTS programs in over 25 countries. A total of 47 enablers and barriers important to sustaining and scaling up HWTS practices were identified. These were grouped into six domains: user guidance on HWTS products; resource availability; standards, certification and regulations; integration and collaboration; user preferences; and market strategies. Collectively, the six domains cover the major aspects of moving products from development to the consumers. It is important that each domain is considered in all programs that aim to sustain and scale-up HWTS practices. Our findings can assist governments, NGOs, and other organizations involved in HWTS to approach programs more effectively and efficiently.
authors: The Water Institute, Gillings School of Global Public Health, University of North Carolina, Rosenau Hall, CB No. 7431, Chapel Hill, NC, USA.
authors: Edema
authors: E
authors: Ojomo
authors: The Water Institute, Gillings School of Global Public Health, University of North Carolina, Rosenau Hall, CB No. 7431, Chapel Hill, NC, USA; Civil, Construction, and Environmental Engineering, University of Alabama, Box 870205, Tuscaloosa, AL, USA.
authors: Mark
authors: M
authors: Elliott
authors: PATH, 2201 Westlake Ave Ste. 200, Seattle, WA 98121, USA.
authors: Lorelei
authors: L
authors: Goodyear
authors: UNICEF Headquarters, 3 United Nations Plaza, New York, NY 10017, USA.
authors: Michael
authors: M
authors: Forson
authors: The Water Institute, Gillings School of Global Public Health, University of North Carolina, Rosenau Hall, CB No. 7431, Chapel Hill, NC, USA. Electronic address: jbartram@unc.edu.
authors: Jamie
authors: J
authors: Bartram
mesh_terms: D005191:Family Characteristics; D014943:Global Health; D006358:Hot Temperature; D006801:Humans; D014186:Transportation; D018508:Water Purification / Q000379:methods*; D060753:Water Quality; D014881:Water Supply / Q000592:standards*
keywords: Enablers; Household water treatment; Point-of-use (POU); Scale-up; Sustainability