4.7 Article

Frontiers of household water insecurity metrics: severity, adaptation and resilience

Journal

BMJ GLOBAL HEALTH
Volume 8, Issue 5, Pages -

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/bmjgh-2023-011756

Keywords

other diagnostic or tool; screening; epidemiology; indices of health and disease and standardisation of rates

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Measurement of household-level and individual-level water insecurity has been accelerated in the past 5 years through innovation and dissemination of new survey-based experiential psychometric scales. Despite providing insight into the frequency of water problems experienced, these measures lack information on severity, adaptation, and resilience. To address this, a low-cost, theoretically grounded modification to common water insecurity metrics is proposed, along with discussing ongoing challenges in cost-effective measurement for maximizing the impact and sustainability of water supply interventions.
The measurement of household-level and individual-level water insecurity has accelerated over the past 5 years through innovation and dissemination of new survey-based experiential psychometric scales modelled after food insecurity scales. These measures offer needed insight into the relative frequency of various dimensions of water problems experienced by households or individuals. But they currently tell us nothing about the severity of these experiences, mitigating behaviours (ie, adaptation) or the effectiveness of water-related behaviours (ie, resilience). Given the magnitude of the global challenge to provide water security for all, we propose a low-cost, theoretically grounded modification to common water insecurity metrics in order to capture information about severity, adaptation and resilience. We also discuss ongoing challenges in cost-effective measurement related to multidimensionality, water affordability and perception of water quality for maximising the impact and sustainability of water supply interventions. The next generation of water insecurity metrics promises better monitoring and evaluation tools-particularly in the context of rapid global environmental change-once scale reliability across diverse contexts is better characterised.

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