3.9 Article

The Household Water Insecurity Experiences (HWISE) Scale: comparison scores from 27 sites in 22 countries

Journal

Publisher

IWA PUBLISHING
DOI: 10.2166/washdev.2021.108

Keywords

global health; measurement; metrics; water insecurity

Funding

  1. Household Water Insecurity Experiences Research Coordination Network (HWISE-RCN) - National Science Foundation [BCS-1759972]
  2. Competitive Research Grants to Develop Innovative Methods and Metrics for Agriculture and Nutrition Actions (IMMANA)
  3. UK Aid from the UK government
  4. Buffett Institute for Global Studies at Northwestern University
  5. Center for Water Research at Northwestern University
  6. Office of the Vice Provost for Research of the University of Miami
  7. National Institutes of Health [NIMH R21 MH108444, NIMH K01 MH098902]
  8. National Science Foundation [BCS-1560962]
  9. Texas A&M University-CONACYT Research Collaborative Grant
  10. Lloyd's Register Foundation
  11. World Bank Strategic Impact Evaluation Fund [7175829]
  12. Arizona State University's Center for Global Health at the School of Human Evolution and Social Change (National Science Foundation) [SES-1462086]
  13. Arizona State University's Decision Center for a Desert City (National Science Foundation) [SES-1462086]

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Data from household surveys in 27 sites across 22 countries were collected to develop a cross-cultural household-level water insecurity scale. The Household Water Insecurity Experiences (HWISE) scale is a useful tool for monitoring water interventions and shows the diversity of water insecurity across different regions.
Household survey data from 27 sites in 22 countries were collected in 2017-2018 in order to construct and validate a cross-cultural household-level water insecurity scale. The resultant Household Water Insecurity Experiences (HWISE) scale presents a useful tool for monitoring and evaluating water interventions as a complement to traditional metrics used by the development community. It can also help track progress toward achievement of Sustainable Development Goal 6 'clean water and sanitation for all'. We present HWISE scale scores from 27 sites as comparative data for future studies using the HWISE scale in low- and middle-income contexts. Site-level mean scores for HWISE-12 (scored 0-36) ranged from 1.64 (SD 4.22) in Pune, India, to 20.90 (7.50) in Cartagena, Colombia, while site-level mean scores for HWISE-4 (scored 0-12) ranged from 0.51 (1.50) in Pune, India, to 8.21 (2.55) in Punjab, Pakistan. Scores tended to be higher in the dry season as expected. Data from this first implementation of the HWISE scale demonstrate the diversity of water insecurity within and across communities and can help to situate findings from future applications of this tool.

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