Drinking Water in Transition: A Multilevel Cross-sectional Analysis of Sachet Water Consumption in Accra

Justin B Stoler, John R. Weeks, Richard Appiah Otoo

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Rapid population growth in developing cities often outpaces improvements to drinking water supplies, and sub-Saharan Africa as a region has the highest percentage of urban population without piped water access, a figure that continues to grow. Accra, Ghana, implements a rationing system to distribute limited piped water resources within the city, and privately-vended sachet water-sealed single-use plastic sleeves-has filled an important gap in urban drinking water security. This study utilizes household survey data from 2,814 Ghanaian women to analyze the sociodemographic characteristics of those who resort to sachet water as their primary drinking water source. In multilevel analysis, sachet use is statistically significantly associated with lower overall self-reported health, younger age, and living in a lower-class enumeration area. Sachet use is marginally associated with more days of neighborhood water rationing, and significantly associated with the proportion of vegetated land cover. Cross-level interactions between rationing and proxies for poverty are not associated with sachet consumption after adjusting for individual-level sociodemographic, socioeconomic, health, and environmental factors. These findings are generally consistent with two other recent analyses of sachet water in Accra and may indicate a recent transition of sachet consumption from higher to lower socioeconomic classes. Overall, the allure of sachet water displays substantial heterogeneity in Accra and will be an important consideration in planning for future drinking water demand throughout West Africa.

Original languageEnglish
Article numbere67257
JournalPLoS One
Volume8
Issue number6
DOIs
StatePublished - Jun 19 2013

Fingerprint

cross-sectional studies
Drinking Water
Drinking
drinking water
Cross-Sectional Studies
Water
water
socioeconomics
Health
Water Resources
Multilevel Analysis
household surveys
Ghana
urban population
Western Africa
Urban Population
Environmental Health
sociodemographic characteristics
Africa South of the Sahara
Water Supply

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Drinking Water in Transition : A Multilevel Cross-sectional Analysis of Sachet Water Consumption in Accra. / Stoler, Justin B; Weeks, John R.; Appiah Otoo, Richard.

In: PLoS One, Vol. 8, No. 6, e67257, 19.06.2013.

Research output: Contribution to journalArticle

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