Skip to main content
NIHPA Author Manuscripts logoLink to NIHPA Author Manuscripts
. Author manuscript; available in PMC: 2018 Nov 1.
Published in final edited form as: Water Secur. 2017 Nov 16;2:1–10. doi: 10.1016/j.wasec.2017.09.001

Advancing methods for research on household water insecurity: Studying entitlements and capabilities, socio-cultural dynamics, and political processes, institutions and governance

Amber Wutich 1, Jessica Budds 2, Laura Eichelberger 3, Jo Geere 4, Leila Harris 5, Jennifer Horney 6, Wendy Jepson 7, Emma Norman 8, Kathleen O'Reilly 9, Amber Pearson 10, Sameer Shah 11, Jamie Shinn 12, Karen Simpson 13, Chad Staddon 14, Justin Stoler 15, Manuel P Teodoro 16, Sera Young 17
PMCID: PMC5844501  NIHMSID: NIHMS922196  PMID: 29532811

Abstract

Household water insecurity has serious implications for the health, livelihoods and wellbeing of people around the world. Existing methods to assess the state of household water insecurity focus largely on water quality, quantity or adequacy, source or reliability, and affordability. These methods have significant advantages in terms of their simplicity and comparability, but are widely recognized to oversimplify and underestimate the global burden of household water insecurity. In contrast, a broader definition of household water insecurity should include entitlements and human capabilities, sociocultural dynamics, and political institutions and processes. This paper proposes a mix of qualitative and quantitative methods that can be widely adopted across cultural, geographic, and demographic contexts to assess hard-to-measure dimensions of household water insecurity. In doing so, it critically evaluates existing methods for assessing household water insecurity and suggests ways in which methodological innovations advance a broader definition of household water insecurity.

Keywords: household water insecurity, methods, methodological, qualitative, ethnography, measurement


Household water insecurity (HWI) has serious implications for the health, livelihoods and wellbeing of people around the world. Recent scholarship challenging the World Health Organization’s metric of “access to an improved water source” suggests that water insecurity is far more pervasive than official estimates suggest, particularly in low and middle income countries (Satterthwaite 2016, 2003, Nganyanyuka et al. 2014, Onda et al. 2012, Wescoat et al. 2007). There is an emerging consensus that HWI is much more than “access to an improved water source,” and must be measured as such. The tasks of accurately defining and measuring water insecurity are critically important for challenging the social, cultural, economic and political processes that marginalize communities and ultimately undermine development efforts to reduce household water insecurity (Loftus 2015, Swyngedouw 2013).

The concept of water insecurity has gained much traction in both academic literature and global development institutions in recent years. HWI has been defined as “inadequate, unreliable, and unaffordable water for a healthy life” (Jepson 2014). However, a definition of water insecurity that focuses solely on availability or quality may obscure other important dynamics (Nganyanyuka et al. 2014, Obeng-Odoom 2012, Subbaraman et al. 2015), including social, cultural, and political relations (Jepson et al. 2017b), as well as ecological processes upon which they draw (e.g., Kujinga et al. 2014, Scott et al. 2013, Grey and Sadoff 2007). Scholars increasingly emphasize the importance of conducting research on water in the context of relational frameworks, such as the hydrosocial cycle (Linton and Budds 2014), and complex frameworks such as coupled social-ecological systems (Liu et al 2007) and sociohydrology (Srinivasan et al. 2017). Recently Jepson et al (2017b) have argued that a “human capabilities” approach offers a useful conceptual advance on the current preoccupation with physical access. While researchers are creating more comprehensive metrics to measure HWI (e.g., Boateng et al. 2017, Tsai et al. 2016, Stevenson et al. 2016), in general they do not yet properly address the socio-economic, cultural, and political relations at work in producing household water insecurity. To accomplish this, we suggest that researchers must develop robust methods for more comprehensively assessing household water insecurity, its causes, and its effects.

Household-level research is notoriously complicated by the problem of defining the “household”, and most social science disciplines have developed well-established approaches to address this. Following Netting et al. (1984: xxii), we define a household as “a fundamental social unit…for pooling and sharing of resources.” Yet, households vary in their capacity to access water based on factors such as family size, acute/chronic illness and disability, and age composition (Geere et al. 2010). Further, the negative physiological impacts of water insecurity, such as dehydration, might be felt more acutely by some demographic subgroups, or by some individuals within the household (Rosinger 2015a, 2015b, Wutich and Brewis 2014). Factors operating at other scales of analysis shape household water insecurity as well. At the societal level, cultural and political structures embed social relations with power dynamics that in turn may expose otherwise similar households to different levels of water insecurity. For example, processes of land tenure, disinvestment, spatial exclusion, and dispossession can increase racial/ethnic-minority households’ risk of experiencing water insecurity (Loftus 2011, Switzer and Teodoro 2017). HWI research thus requires attention to complex interacting processes at multiple levels of analysis, and with attention to socio-spatial differentiation.

In this paper, we articulate household water insecurity as a concept that comprises both a state and a relation, which in turn requires a holistic approach to assessment and measurement. Our review of existing and emergent methods in this piece focuses primarily on economic, socio-cultural, and political dynamics important for a relational understanding of water insecurity. We have three goals. First, we review current HWI measurement methods, assessing their utility for evaluating water quality, quantity (or adequacy), sources (or reliability), and affordability. Second, we identify opportunities for methods that better assess the entitlements and capabilities, social and cultural dynamics, and political institutions and processes influencing HWI. Third, we draw attention to the need for methods that facilitate systematic, cross-cultural and cross-site comparative analysis in order to identify and address global patterns in HWI.

Established Methods for Assessing Household Water Insecurity

For 20 years, household water insecurity researchers have largely followed some variant of Webb and Iskandarani’s (1998) definition: “water security is access by all individuals at all times to sufficient safe water for a healthy and productive life” (e.g., Mason 2012, Stevenson et al. 2012, Hadley and Wutich 2009). Four derivative concepts—water quality, quantity or adequacy, source or reliability, and affordability—have been subsequently included in most definitions of household water insecurity (Jepson 2014). Leading international and national agencies have also set standards for approaches to assess human water requirements, including the United Nations, World Health Organization, U.S. Environmental Protection Agency, and American Public Health Association (e.g., Bridgewater & APHA, 2012; WHO, 2011), although guidelines, recommendations, and legislation vary widely. Here, we review established methods linked to the four concepts identified above, as well as opportunities to better assess HWI related to each concept.

Water Quality

For domestic purposes, water quality typically refers to the safety of water for direct human consumption (i.e., ingestion) and, in some cases, washing and hygiene (considering water-borne and water-washed diseases, respectively). Water quality is measured by microbiological and physico-chemical contaminants that either pose direct health risks, or are indicative of a risk to human health (e.g., turbidity). Microbiological water quality is most commonly assessed by testing for the presence of fecal indicator bacteria such as Escherichia coli or thermo-tolerant coliforms. Fecal contamination in low- and middle-income drinking water supplies is often seasonal (Kostyla et al. 2015), and persists globally despite concerted efforts to address it since the first International Drinking Water and Sanitation Decade in the 1980s (Bain et al. 2014). The physico-chemical quality of drinking water is commonly assessed using metrics such as total dissolved solids, pH, turbidity, specific heavy metals, and levels of residual/free chlorine. Both types of water quality are traditionally tested by sampling and measuring indicators of contamination at a point of consumption in the household, within a distribution network, and/or at the water source. Many techniques have been developed to monitor microbial and chemical water quality (Allan et al. 2006, Bain et al. 2012), though not all are transferable to low-income settings, in part due to wide variation in levels of bacterial contamination (Pearson et al. 2008). Low-cost field assessment of emerging and persistent water contaminants such as bisphenol-A, phthalates, and agricultural nitrates and phosphates remains a significant research gap. More recent concepts, such as the “source-to-tap” framework and “one health” concept, combined with new analytics (e.g. metagenomics) hold promise in terms of radically revisioning our approach to water quality—including the potential for innovative methods that could refashion how we understand, and test, for water quality (e.g. Dunn et al. 2015).

Water Quantity or Adequacy

HWI is most often measured in terms of quantitative availability per person or, at the societal scale, proportion of available water accounted for by anthropogenic uses. Estimates of human daily drinking water requirements vary widely (Gleick 1996), and can depend on age, gender, breastfeeding status, physical activity, and culture, but relief organizations usually aim at providing 20–25 liters per person per day. Public health concerns may be particularly salient when water usage for direct consumption and food preparation falls below 5 liters/person/day (Howard and Bartram 2003). Water quantity is gauged most easily when household water meters are employed or when direct provision (as in emergency situations) is the primary supply mechanism. In the absence of these, measures of water availability in the environment (such as rainfall, as in Pande and Savenijie 2016) are sometimes used as proxy measures of household water availability, although this may be disconnected from access in households—theoretical availability is not the same thing as actual access. Moreover, the absolute volume of water brought into a household does not necessarily indicate the nature of water usage, where intra-household power dynamics may mean water is internally allocated asymmetrically or diverted away from personal health and hygiene. Direct observation of water collection and usage is perhaps the most realistic and reliable measure (White et al., 1972), but remains extremely time intensive on a large scale and may be biased if observation leads to behavior change. On an individual level, urine specific gravity is a reliable, precise measure to assess water intake, but may be difficult to implement in some research contexts (Rosinger 2015a). The volume of household water usage can also be estimated though observational surveys that incorporate container measurements and household reporting of water collection frequency and allocation (Pearson 2016, Geere et al. 2010, Majuru et al. 2012, Wutich 2009). Mobile device-enabled data collection and GPS tracking have also been explored to measure the effect of travel distance during fetching on quantitative water availability at the household level (Geere et al. 2016).

Water Source or Reliability

The type of water source and its distance from the household have long been used as indicators of water access or quality (WHO/UNICEF 2015, 2017, Bain et al. 2012; Onda et al. 2012; Jiménez and Pérez-Foguet 2008; Satterthwaite 2003). When such measures are used, the underlying assumption is generally that household water insecurity is mitigated when piped water is made available in the dwelling or compound (WHO/UNICEF 2017). Yet, even the gold standard of water service delivery—in-home piped water from a municipal provider—may be unreliable if intermittent or liable to cut-off due to system inadequacies or payment disputes (Lee and Schwab 2005). Water procured outside of the home may be periodically or seasonally inaccessible due to a broken pump handle, disputes between neighbors, climatic factors, or other disruptions. In 2017, the WHO/UNICEF Joint Monitoring Program launched a new “drinking water service ladder” to facilitate monitoring during the Sustainable Development Goals era. This ladder of five service levels moves beyond the simple “improved/unimproved” classification that underpinned the Millennium Development Goals (MDGs) to include criteria of drinking water accessibility, quality, and availability, and is operationalized according to source type (including on or off premises), collection time including queuing, presence of fecal contamination, and intermittency (WHO/UNICEF 2017). This classification scheme does not fully address newer water services, such as tanker or packaged/bottled water, which are becoming important sources despite highly variable quality and reliability in some places (e.g. Stoler 2017). Better measurement precision is needed to assess the dynamic reliability of water sources in cross-cultural contexts.

Water Affordability

The most common measure of household-level affordability is the cost of water as a percentage of household income. Analyses of affordability in the United States, for instance, typically calculate average residential water bills as a percentage of median household income, with values of less than 2.5% declared “affordable” (e.g., Janzen et al. 2016; Mack and Wrase 2017). Internationally, the United Nations Development Program defines affordable water as that which costs no more than 3–5% of a household’s income (Hutton 2012, Smets 2012). Although these approaches enjoy intuitive appeal, they have been criticized as misleading and inaccurate (EFAB 2014; Davis and Teodoro 2014). Specifically, the binary nature of these conventional approaches—either “affordable” or “unaffordable”—is problematic because affordability is rarely a strictly either/or phenomenon; water is affordable relative to the costs of other things and the household’s total economic resources (cash and noncash). Simple income percentage-based metrics are not sensitive to other essential household costs (e.g., food, housing, medicine, home energy, taxes), and so income percentage standards can lead to overestimates or underestimates of affordability. More accurate and comprehensive (but seldom used) affordability metrics account for not only the direct service costs households pay through water bills, but also direct capital costs (e.g., connection fees, water tanks, or on-site purification technology) and the opportunity costs associated with water acquisition, including time spent traveling to and from water sources (Hutton 2012). But even the broadest cost measures still exclude costs such as the physical impacts of hauling water and missed opportunities for work or school due to water carriage (cf. Geere and Cortobius 2017), although these are issues at times taken up in qualitative and critical water security studies.

Challenges in Well-established Methods for Studying Household Water Insecurity

Conventional, established methods have the important advantage of offering relatively simple, quantifiable, and cross-culturally comparable measurements, but they may also oversimplify HWI and obscure its global burden. Moreover, these methods largely concentrate on measuring the material state of water insecurity, but do not currently extend to evaluating the non-physical dimensions that can also generate or constitute water insecurity. These comprise the underlying economic drivers of water insecurity, cultural meanings and expectations, and the governance of water access and services (Jepson et al. 2017b). These issues are widely addressed within existing literature, yet are seldom linked to methodological approaches for assessing insecurity in practice (Jepson 2014). It is to these lacunae that we now turn.

Developing Methods for Assessing Relational Dimensions of Household Water Insecurity

Recent HWI research suggests that conventional approaches are inadequate to capture core dimensions of the experience of water insecurity (Linton and Budds 2014, Yates et al. 2017, Norman 2017). These findings warrant expanding the conceptualization of household water insecurity to include three relational dimensions in addition to traditional measures: entitlements and human capabilities, socio-cultural dynamics, and political institutions and processes that produce water-related inequities (Jepson et al. 2017b). Although these dimensions have long been recognized as relevant (e.g., White et al. 1972), and increasingly are emphasized in the literature more broadly, researchers have been slow to incorporate them into a formal definition and operationalization of HWI. Methods to research this expanded notion of household water insecurity can be particularly difficult, in part because these dynamics are difficult to measure, let alone compare across sites. Here we identify three areas in which existing methods can be further developed to advance research on the relational dynamics crucial to understanding household water insecurity.

Entitlements and Human Capabilities

Methods for studying HWI tend to focus on the ways in which water insecurity impacts a household’s economic wealth, with implications for status, function, and wellbeing. The entitlements approach (Sen 1981), applied to water, examines how people obtain water through relations that legitimize ownership claims or use rights, through trade, production, labor, inheritance, or transfer (Wutich and Brewis 2014). The human capabilities approach (Sen 2001), as it relates to water, focuses on the broader impacts of water insecurity on human wellbeing (Jepson et al. 2017b). Existing methods for studying HWI are more developed in the older and better-understood realm of entitlements than in the newer realm of capabilities, as shown in Table 1.

Table 1.

Advancing methods for assessing entitlements and capabilities as dimensions of household water insecurity

HWI Concept Market-based Entitlements Non-market Entitlements Human capabilities
Common methods Economic methods, such as those discussed in “Water Affordability” section Acquisition data, recorded using observational & interview methods; Descriptive and statistical analysis Measures of HWI impacts on health and basic goods; education and literacy; mental and physical capabilities
Purpose or use of common methods Widely used, though data limitations often lead to measurement at higher levels of aggregation Describes and quantifies non-market water acquisition (e.g., reciprocal exchange & common-pool institutions) Quantifies 3 aspects of capabilities (health, education, mental/physical) in cross-cultural context
Is the household (HH) typically the unit of analysis? Yes. Also common at higher levels. Yes, typically the household head reports on HH data. Individual or household. Data can be aggregated to HH.
Recommended HWI approaches & methods that need further development Broader assessments of the monetary cost of water, including opportunity costs and physical risks Better conceptual definition of the range of non-market exchanges used to acquire water Conceptual definition & measures to assess less-documented and poorly-understood dimensions of HWI impacts on capabilities
Why new approaches or methods are needed To estimate more accurately the economic cost of water and how it contributes to HWI To develop a valid & comprehensive framework for categorizing or quantifying non-market water entitlements To assess the other dimensions of HWI & capabilities in ways that are valid for cross-cultural contexts & comparisons

Methods for studying market-based water entitlements are well-developed in economics, public policy and allied fields. The simplest and most direct way to operationalize market-based entitlements to water is through the household affordability measures discussed in the previous section (see Hutton 2012, Davis and Teodoro 2014 for extensive reviews). Anand (2010) has long shown leadership in methodological work on water and entitlements, demonstrating how economic methods, such as water expenditures analysis (Anand 2001) and multiple choice contingent valuation (Anand and Perman 1999), can help scholars better understand the adequacy of water acquired at the household level. As Mehta (2006) explains, however, market-based approaches to entitlements must go beyond mere affordability to address broader market dynamics including issues of governmental involvement, development policies, and market exclusion. In an analysis of peri-urban water insecurity, for example, Mehta et al. (2014) demonstrate how water-related market dynamics are shaped by elite policies and resource capture. Such work points to the necessity of including non-market dynamics, even within the analysis of the role water markets play in shaping household water insecurity.

Methods for measuring non-market entitlements, such as gifts, reciprocity, and self-provision, are less developed than for market-based entitlements. Nevertheless, well-established methods can be used to research a household’s non-market or hybrid entitlements to water. Participant observation and semi-structured interviews can be used to discover and describe local forms of water acquisition, as in the role of yapa (bonus gift) in Bolivia’s informal water markets (Wutich et al. 2016). Observation, diary methods, and structured recall can be used to systematically assess how much water is obtained through a single or complex combination of non-market water entitlements, as in Eichelberger’s (2010, 2017) exploration of reciprocal and community forms of water acquisition in Alaskan villages. Even more robust methods may be required for systematic, comparative research relevant to the many research contexts in which non-market entitlements play an important role in household water insecurity dynamics. The literature on reciprocal exchange (e.g., Gurven et al. 2001, Jaeggi and Gurven 2013, Jaeggi et al. 2016) may offer some guidance relevant for efforts to operationalize reciprocal water exchanges. To advance our understanding of a broader range of non-market water-based entitlements, there is a need for a comprehensive conceptual and analytic framework that can facilitate cross-cultural identification and assessment of all forms of non-market water acquisition.

The entitlements approach, while broader than the affordability approach in that it can more easily accommodate non-market exchanges, is still fundamentally an economic approach that may exclude important social and psychological dimensions of household water insecurity. The capabilities approach offers a potential alternative for addressing this critique. According to Goldin (2013: 315), there are ten dimensions of human capabilities relevant to the water sector: health and basic goods, education and literacy, basic mental and physical capabilities, self-respect and aspiration, autonomy and self-determination, awareness, understanding, significant relations with others, participation in social life, and accomplishment. Existing methods for assessing the opportunity costs of disruptions to water access, such as school attendance (Cooper-Vince et al. forthcoming) or labor market participation (Sorenson et al. 2011), provide a proxy measure of the impact of HWI on literacy/education and autonomy/accomplishment. Some newer metrics attempt to account for opportunity costs by measuring water affordability relative to other essential household costs and disposable income, or expressing water costs as hours of low-wage labor value (Davis and Teodoro 2014). Existing health and physical impact measures can also be leveraged to understand some dimensions of health and mental/physical impacts (Jepson et al. 2017a), though the link between capabilities and mental health and other health-related activities (e.g., healthy infant feeding, Young et al. 2011, Rosinger 2015b) remains under-examined. Beyond this, the link between HWI and other dimensions of capabilities (e.g., awareness, understanding) remain largely unexamined and unoperationalized. The challenge for future research is to design a more comprehensive methodological approach that assesses the human capabilities that are explicitly linked to household water insecurity.

Social and Cultural Dynamics

Social and cultural dynamics are crucial for understanding household water insecurity. Socio-cultural factors include the social and power structures that shape household water insecurity, the values and symbolism attributed to it, and how all of these impact lived experiences. Methods for understanding these phenomena at the social or cultural level are well-established, but vary in terms of their applicability and adaptability to understanding household-level variance (as summarized in Table 2). As well, issues of cross-cultural and multi-sited comparability remain difficult, given the empirically-based, context-rich, and ethnographic orientation of much of this work.

Table 2.

Advancing methods for assessing socio-cultural dynamics as dimensions of household water insecurity

HWI Concept Social Structure Lived Experience Symbolic/Sacramental
Common methods Archives, Interviews, Participant and Direct Observation Ethnography, Interviews, Surveys Interviews, Visual Methods, Material Culture, Historical & Secondary Data
Purpose or use of common methods Identify key social structures, assess how they impact people and societies Describe, assess, quantify lived experiences of HWI, including health concerns and outcomes Describe symbolic and sacramental uses of water; Interpret their role in HWI
Is the household (HH) typically the unit of analysis? No, but HH level effects can be tracked with a variety of methods. Yes, typically the household head reports on HH data. No. Data is typically thematic or cultural. Need new methods to disaggregate to HH.
Recommended HWI approaches & methods that need further development Need clearer methods for research on HWI within hydro-social cycle approach; May be possible to do this by refocusing existing methods Need more foundational research; Need development & testing of cross-cultural scale(s) New HWI concepts to include symbolic & sacramental values; Refocus existing methods for cross-cultural description & comparison
Why new methods are needed To improve inquiry into temporal, spatial, and socio-ecological dynamics To describe & assess lived experiences of HWI in ways that are valid in cross-cultural contexts & comparisons To develop analytic frameworks & research methods to link HWI to symbolic and sacramental uses

Social and power structures contribute to household water insecurity and exacerbate its consequences. For example, social processes (gender), cross-cut with additional dynamics and differences (race, class, caste, education, age, religion, rurality), can impact choices individuals and households have with regard to water access, participation and acceptable use (e.g., Harris 2006, 2009, Harris et al. 2016). Political ecological research on social and power structures typically uses qualitative data (obtained from archives, interviews, observations) with critical discourse analysis to expose the nature and implications of power relations, vested interests, and dominant discourses (e.g., Boelens and Seemann 2014, Eichelberger 2014, 2016, Mehta 2014, Loftus 2015, Zwarteveen 2015, Staddon et al 2012, O’Reilly 2006, Harris 2008). Both political ecological and hydrosocial cycle (Linton and Budds 2014) approaches excel at integrating households into multi-scalar analyses of water insecurity, but new concepts and methods more focused on household-level dynamics are needed. Such new methods could enable researchers, for instance, to assess longitudinally how households move in and out of water (in)security, depending on how each household’s unique profile of individuals interfaces with powerful social groups, dominant discourses, and complex ecosystem dynamics. In addition, there is little in the way of identifying unique or shared dynamics or attributes that might be important to characterize HWI in diverse times and places.

Research on lived experiences of HWI describes, tracks and explains impacts of water insecurity on households. Ethnographic case studies describe the intersecting factors shaping the lived experiences, water-related health concerns, household coping mechanisms, and cultural roles and knowledges involved in water insecurity at individual, household and community levels (e.g., Eichelberger 2016, 2017, Mason 2012, Ferguson 2005, Whiteford and Cortez-Lara 2005, Ennis-McMillan 2001). Using participant observation, interviews, and focus groups, researchers identify core themes in lived experiences of HWI, such as lack of funds or time to obtain water, forced trade-offs, constrained food and drink availability, poor hygiene, and health impacts. Researchers then develop and test survey items to assess household heads’ reports on experiences of water insecurity. Using scaling methods, such as Guttman scaling or split-half reliability tests (Jepson et al. 2017a), these efforts have yielded a number of locally-adapted HWI scales for research in Kenya (Boateng et al. 2017), Uganda (Tsai et al. 2016), Ethiopia (Stevenson et al. 2016, 2012), Nepal (Aihara et al. 2015), the United States (Jepson 2014), and Bolivia (Hadley and Wutich 2009, Wutich and Ragsdale 2008). While these scales are well-suited for assessing within-group and longitudinal variation in HWI using statistical tests, future efforts should focus on developing scales and other methods suitable for cross-cultural and cross-site (e.g., urban/rural) comparisons (Jepson et al 2017a).

Water security research, to date, includes relatively little consideration of sacramental and symbolic meanings of water. Yet the wider literature on water and society demonstrates how important these considerations can be (Strang 2004). For instance, in Hindu societies, water, caste, and purity are inextricable, and as such caste inequality can be reproduced through water access or lack of access (O'Reilly and Dhanju 2014). Better understandings of water security can be supported through the valuation of water's symbolic qualities of purity, sustainer of life and livelihood, and representation of the gods (e.g., archaeological analyses in Scarborough 1998, Davis-Salazar 2003, Lucero 2006). These symbolic meanings may influence water source choices, and how households evaluate the quality of natural drinking water sources (e.g., Eichelberger 2017). In addition, peoples’ material needs may be addressed by, or inflected through, non-material processes or phenomena such as the use of water for symbolic purposes (Staddon and Everard 2017, Norman 2017). One example is the conspicuous consumption of water for landscaping, in which households dedicate enormous water expenditures toward supporting ornamental greenery as a marker of class and status (Larson et al. 2009, 2016, Feldman 2017). Some progress has been made in developing methods to explore cross-cultural disgust, shame, and stigma related to water and hygiene using focus groups and essays (Curtis and Biran 2011), behavioral observation, storytelling, and word elicitation (Curtis et al. 2009) and judgements of visual cues (Curtis et al. 2004); this work could be built upon to yield methods for exploring these dimensions of HWI. Yet sacramental and symbolic aspects of HWI are enormously complex, and research would require a range of contributions (foundational conceptual work, new analytic frameworks, new methods for description and measurement) to truly advance understandings of their role in household water insecurity.

Political Institutions and Processes

Political institutions and processes greatly influence the production and distribution of household water security across systems, cities and regions (e.g., Birkenholtz 2013, Meehan 2013). Water governance arrangements can create, sustain, overlook, exacerbate, and/or ameliorate structural injustices that underpin conditions of water insecurity. In most cases, the household is not the focus of research on political institutions and processes, though these processes are vital for understanding household water insecurity (Fam et al. 2015). In this section and in Table 3, we address methods to locate household water security within larger political institutions and processes.

Table 3.

Advancing methods for assessing political institutions and processes as dimensions of household water insecurity

HWI Concept Water governance Laws & Institutions Informal Processes
Common methods Participant-observation, Interviews, Critical discourse analysis, Text analysis, Surveys, Oral histories, Statistical analysis Methods aligned with Institutional Analysis & Development Framework; Legal & institutional analysis Ethnography, Archives, Interviews; Narrative, Interpretive & Critical Analysis; Participatory methods
Purpose or use of common methods Discover how water governance produces water insecurity; Examine inequalities; Compare impacts of different governance regimes on HH Determine how formal laws & institutions contribute to or mitigate HWI Determine how informal rules or intermediaries contribute to or mitigate HWI
Is the household (HH) typically the unit of analysis? No. Data is typically at higher scales. Some methods can disaggregate to HH No, but HH level effects can be tracked with a variety of methods No, but HH effects can be assessed; May need new methods to improve HH measures
Recommended HWI approaches & methods that need further development Why new approaches or methods are needed Causal loop diagramming, Framework method, Q-Methodology To systematically track perspectives among key actors; Facilitate cross-site comparisons; Disaggregate to HH level Agent-based modeling, Cultural Consensus Analysis To produce data on hard-to-document norms and shared knowledge; Need to disaggregate to HH level Social Network Analysis To improve precision on analysis of informal flows of resources, influence & knowledge; Need to disaggregate at HH level

Recent scholarship emphasizes that analyses of water governance regimes must span multiple scales, including the household-level, given the complex and dynamic social and ecological processes that influence water security (e.g., Romero-Lankao et al. 2016, Varady et al. 2016, de Grenade et al. 2016, Lemos et al. 2016). Important theoretical and conceptual work—conducted using participant-observation, semi-structured interviewing, critical discourse analysis, and other forms of qualitative analysis—has identified ways in which inequitable governance systems can produce household water insecurity (e.g., Norman and Cook 2015, Morinville and Harris 2014, Pearson and Muchunguzi 2011, Budds 2009, 2004), often deeply embedded in historical political processes. In future research, the use of semi-structured analytic approaches, such as causal loop diagramming (Butler et al. 2014) and framework method (Gale et al. 2013), may help develop cross-culturally comparable results from exploratory, qualitative, and community-based research. Beyond this, survey-based statistical analysis has been used to assess and track inequitable outcomes in water governance systems. For example, research in the United States has linked rates of drinking water contamination to the intersections of race, ethnicity, and socioeconomic status across municipal governments (Switzer and Teodoro 2017), and to governance of American Indian lands (Teodoro et al. 2016). These approaches can help provide an institutional context in which domestic water is provided to households; though they may aggregate household-level data, they are rarely used to disaggregate data at the household level. To advance our understanding of HWI, there is a need for such models to be interpretable at the household level and to examine how large-scale institutions foster or frustrate, and engage or alienate households, in the governance of their water. Q-Methodology is a relatively simple quantitative technique (a factor analysis of interview data) that enables researchers to systematically determine different perspectives among key actors involved in water and natural resource management (Eden et al. 2005, Vugteveen et al. 2010, Lynch et al. 2014), and may help elucidate the links between larger institutions and household-level impacts.

Because water security is, in many ways, tied to the idea of a “right to water” (Cook and Bakker 2012, Sultana and Loftus 2013), legal analysis plays an important role in understanding how water security is defined, and how this plays out at the household level (Wouters 2005, Bluemel 2005, Gerlak and Wilder 2012). In addition, a large body of research aligned with the Institutional Analysis and Development Framework has developed methods for identifying the rules and norms that govern rights to environmental resources, often as they pertain to water, in the context of irrigation systems, and at the household level (Ostrom 2005, Poteete et al. 2010). In this context, agent-based modeling has emerged as a potentially fruitful method for understanding how ecological contexts, institutional rules and individual decision-making can produce household water insecurity (Srinivasan et al. 2017). Cultural consensus analysis, a factor analysis of shared agreement on cultural knowledge and norms, is another emerging method that can be applied to HWI analyses. This method can measure the strength of agreement about how norms impact household and individual outcomes (Weller 2007). Cultural consensus analysis has been applied to water institutions at higher levels of analysis (e.g., Stone-Jovicich et al. 2011) but has not yet been applied in HWI research.

Beyond legal protections and institutional norms, informal processes can play an important role in shaping household water insecurity. Ethnographic research and interpretative analysis are common in the study of intermediaries in the water system, who are positioned in-between other actors, institutions, processes, or interests in the waterscape (Björkman 2015). For example, ethnographic study of intermediaries dominates research on informal or alternative water providers, as the coexistence of different socio-technical water provisioning systems is often more efficient at satisfying demand than planners or policymakers admit (e.g., Meehan 2014). Critical, historical approaches to the study of water (and land) governance often employ interpretive or narrative analyses based on qualitative data such as semi-structured interviews, oral histories or policy documents (Pearson and Muchunguzi 2011). Participatory methodologies allow researchers to tease out complex dynamics of water governance regimes and implications for domestic water service provision that are not readily captured in conventional, aggregate measures or indicators. More importantly, participatory research offers alternative modes to study domestic water service from the perspective of water users (Sultana 2007, Margerum and Robinson 2015). Ethnographic and participatory research methods extend to household and water user participation and inform our understanding of household water insecurity, notions of citizenship, and water users as political agents (O’Reilly and Dhanju 2012, Morinville and Harris 2014, Loftus 2011, Vandewalle and Jepson 2016). Social network analysis can leverage structured data (survey, observational, or archival) to analyze informal water governance networks (Cutts et al. 2015) as well as informal flows of resources, influence, and knowledge (Borgatti et al. 2016). The application of social network analysis could improve precision and prediction in the analysis of political processes, non-monetary negotiations, and intermediaries that impact household water insecurity.

Discussion

HWI methods are currently dominated by measures of water quality, quantity, sources, and affordability with conventional modes of operationalization. We need not abandon such methods, as they make important contributions to understanding HWI due to their relative simplicity and comparability, and new research is constantly improving the operationalization of these measures. Yet, scholars widely agree that there is a mismatch between concept and measurement in HWI research, and that these conventional methods are generally unable to capture important dimensions of HWI related to economic, socio-cultural, and political dynamics. We thus provide guidance on further methodological developments needed to advance a broader and more holistic definition of household water insecurity. After reviewing methods currently used to research the economic, socio-cultural, and political dimensions of HWI, we proposed nine ways that future research could advance methods for understanding household water insecurity. We also address the extent to which these new methods and measures could be used to facilitate systematic, cross-cultural and cross-site comparative analysis. Our paper raises some questions that we were unable to fully address, and we turn to a brief consideration of these issues here.

The first question concerns what it means to conduct household-level water insecurity research. Households comprise diverse individuals, and are nested within communities and societies. The implications of this are, we believe, that the ‘household’ is not necessarily a unit at which analysis should remain fixed. A more granular analysis of intra-household differences is needed to understand how household members’ differential social positions, roles and responsibilities, and biocultural needs and vulnerabilities contribute to experiences of household water insecurity. Broader structural analyses of the factors that shape household differentiation and experiences of water insecurity remain central to ‘household’ level analysis of water insecurity. Households are governed by societal norms and state policies and located within broader ecological processes. Water maintenance, upgrades, water quality monitoring schemes, and infrastructure may relate to levels of political freedom and engagement, as well as the self-determination of individuals, households and wider communities. These societal features and governance structures often reflect existing socioeconomic, ethnic, and gender inequalities whereby some groups are advantaged while others are excluded. Thus, any holistic HWI analysis implies a relational consideration of multi-scalar processes. To address this, we recommend that future research strive to locate the household within a multi-scalar approach, employing methods that facilitate attending to the subjectivities, experiences, culture, and wider politics and governance that shape water access–factors central to research into the causes and effects of water insecurity that manifest at the household level.

The second question concerns the extent to which it is appropriate and feasible to include ecological processes in our understanding of household water insecurity. For example, we believe that the relational HWI approach enables us to resituate thinking about environmental change. The relational approach suggests that what really matters is the adaptability of social, political, cultural and economic sub-systems that govern a changing physical resource, as opposed to viewing environmental change as an ineluctable and entirely physical backdrop to social process. Recent scholarship has made important progress in advancing our understanding of water insecurity as emerging from multi-scalar ecological and political-economic processes (e.g. Romero-Lankao et al. 2016, Varady et al. 2016, de Grenade et al. 2016, Lemos et al. 2016). Scholars have described how climate change and seasonal environmental factors affect household water security, as well as related coping mechanisms and cultural dimensions (Eichelberger 2017; Pearson, Mayer, and Bradley 2015; Pearson, Zwickle et al. 2016; Hadley and Wutich 2009). There has been limited conceptual work to unpack ecological dynamics as a component of household water insecurity. Future studies could enable researchers to develop methods that are capable of assessing ecological dynamics of water security at the household level. Well-known theoretical framings such as coupled social-ecological systems (Liu et al, 2007) and sociohydrology (Srinivasan et al. 2017) may not go far enough in deconstructing the nature/culture dualism at the heart of much current work. Newer conceptual frameworks that encompass complex, multiscalar socio-ecological dynamics, such as the hydrosocial “cycle” (Linton and Budds 2014) or “transition” (Staddon, Sarkozi and Langberg 2016), may offer the best ways forward.

A major future challenge will be to develop new methods and metrics that can be widely adopted across cultural, geographic, and demographic contexts on complex, multi-scalar socio-ecological dynamics. This kind of research complements the rich theoretical and ethnographic analyses that dominate current household water insecurity research by allowing us to identify empirically trends across culture, space, and time. Such research has been a goal since the early days of political ecology, but recent developments such as increased data capture and computing capacities, broader receptivity to multi-method and inter-disciplinary research, and the increasing urgency of environmental crises beckon more rapid progress. The methodological recommendations in this paper will help us to make important steps toward achieving this goal.

Conclusion

The challenges of defining and measuring HWI in a contextualized yet cross-culturally relevant way remain substantial. We aim to meet this challenge with multidisciplinary debate and a broad perspective, as divergent operational concepts and measures may impede cross-study comparisons. Conventional, established measures and metrics do not fully reflect the unique hydrosocial conditions or historical marginalization that produce water insecurity. However, we argue that adopting a more holistic conceptualization of water security, accompanied by an expanded toolbox of methods that includes a wider array of qualitative and quantitative methods, will enable researchers to advance methods for assessing and measuring the drivers, nature, and impacts of household water insecurity.

  • Existing approaches have many advantages, but underestimate household water insecurity

  • A broader definition of household water insecurity should include entitlements and human capabilities, socio-cultural dynamics, and political institutions and processes

  • We discuss qualitative and quantitative methods that can assess hard-to-measure dimensions of household water insecurity

Acknowledgments

Our collaboration on this manuscript began during a two-day workshop “Rethinking Household Water Security Measurement and Metrics” (September 28 – 30, 2016 at Texas A&M University, College Station TX), organized by Wendy Jepson, Amber Wutich, and Sera L. Young. The workshop was supported by Jack Baldauf, David Cairns, the College of Geosciences, the Water Security Initiative (WSI), and Department of Geography at Texas A&M University. We would also like to Christopher Scott for his patience and support as we developed this paper. Thanks also to Ben Trumble for consulting on the literature on reciprocity. Chad Staddon would like to acknowledge the support of the Lloyd’s Register Foundation, a charitable foundation helping to protect life and property by supporting engineering-related education, public engagement and the application of research. Amber Wutich would like to acknowledge the support of Arizona State University’s Center for Global Health and the U.S. National Science Foundation under Grant No. SES-1462086, DMUU: DCDC III: Transformational Solutions for Urban Water Sustainability Transitions in the Colorado River Basin.

Footnotes

Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

Contributor Information

Amber Wutich, School of Human Evolution & Social Change and Center for Global Health, Arizona State University.

Jessica Budds, School of International Development, University of East Anglia.

Laura Eichelberger, Department of Anthropology, University of Texas at San Antonio.

Jo Geere, School of Allied Health Professions, University of East Anglia.

Leila Harris, Institute for Resources, Environment and Sustainability, University of British Columbia.

Jennifer Horney, Department of Epidemiology and Biostatistics, Texas A&M University.

Wendy Jepson, Department of Geography, Texas A&M University.

Emma Norman, Native Environmental Science Program, Northwest Indian College.

Kathleen O'Reilly, Department of Geography, Texas A&M University.

Amber Pearson, Department of Geography, Environment, and Spatial Sciences, Michigan State University.

Sameer Shah, Institute for Resources, Environment and Sustainability, University of British Columbia.

Jamie Shinn, Department of Geology & Geography, West Virginia University.

Karen Simpson, Department of Geography and Environmental Management, University of West England Bristol.

Chad Staddon, Department of Geography and Environmental Management, University of West England Bristol.

Justin Stoler, Department of Geography and Regional Studies, University of Miami.

Manuel P. Teodoro, Department of Political Science, Texas A&M University

Sera Young, Department of Anthropology, Northwestern University.

Works Cited

  1. Aihara Y, Shrestha S, Kazama F, Nishida K. Validation of household water insecurity scale in urban Nepal. Water Policy. 2015;17(6):1019–1032. [Google Scholar]
  2. Allan IJ, Vrana B, Greenwood R, Mills GA, Roig B, Gonzalez C. A “toolbox” for biological and chemical monitoring requirements for the European Union’s Water Framework Directive. Talanta. 2006;69(2):302–322. doi: 10.1016/j.talanta.2005.09.043. https://doi.org/10.1016/j.talanta.2005.09.043. [DOI] [PubMed] [Google Scholar]
  3. Anand PB. Scarcity, entitlements, and the economics of water in developing countries. Cheltenham: Edward Elgar Publishing; 2010. [Google Scholar]
  4. Anand PB. Water scarcity in Chennai, India: Institutions, entitlements and aspects of inequality in access. World Institute for Development Economics (UNU-WIDER); 2001. (No. 2001/140). WIDER Discussion Papers. [Google Scholar]
  5. Anand PB, Perman R. Preferences, inequity and entitlements: some issues from a CVM study of water supply in Madras, India. Journal of International Development. 1999;11(1):27. [Google Scholar]
  6. Bain R, Gundry SW, Wright JA, Yang H, Pedley S, Bartram JK. Accounting for water quality in monitoring access to safe drinking-water as part of the millennium development goals: lessons from five countries. Bulletin of the World Health Organization. 2012;90(3):228–235. doi: 10.2471/BLT.11.094284. https://doi.org/10.1590/S0042-96862012000300015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Bain R, Cronk R, Wright J, Yang H, Slaymaker T, Bartram J. Fecal contamination of drinking-water in low- and middle-income countries: A systematic review and meta-analysis. PLOS Medicine. 2014;11(5):e1001644. doi: 10.1371/journal.pmed.1001644. https://doi.org/10.1371/journal.pmed.1001644. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Birkenholtz T. “On the network, off the map”: developing intervillage and intragender differentiation in rural water supply. Environment and Planning D: Society and Space. 2013;31(2):354–371. [Google Scholar]
  9. Bluemel EB. The implications of formulating a human right to water 2005 [Google Scholar]
  10. Björkman L. Pipe politics, contested waters: Embedded infrastructures of millennial Mumbai. Duke University Press; 2015. [Google Scholar]
  11. Boateng GO, Collins SM, Mbullo P, Wekesa P, Krumdieck N, Johnson M, Onono M, Neilands TB, Young SL. A Novel Tool for the Assessment of Household Water Insecurity: Scale development and Validation in Western Kenya. The FASEB Journal. 2017;31(1 Supplement):302–5. [Google Scholar]
  12. Boelens R, Seemann M. Forced engagements: Water security and local rights formalization in Yanque, Colca Valley, Peru. Human Organization. 2014;73(1):1–12. [Google Scholar]
  13. Borgatti SP, Everett MG, Johnson JC. Analyzing social networks. SAGE; 2013. [Google Scholar]
  14. Bridgewater L American Public Health Association. Standard methods for the examination of water and wastewater. American Public Health Association; 2012. [Google Scholar]
  15. Budds J. Contested H 2 O: science, policy and politics in water resources management in Chile. Geoforum. 2009;40(3):418–430. [Google Scholar]
  16. Budds J. Power, nature and neoliberalism: the political ecology of water in Chile. Singapore Journal of Tropical Geography. 2004;25(3):322–342. [Google Scholar]
  17. Cook C, Bakker K. Water security: debating an emerging paradigm. Global Environmental Change. 2012;22(1):94–102. [Google Scholar]
  18. Cooper-Vince C, Vorechovska D, McDonough A, Perkins J, Venkataramani A, Mushavi R, Baguma C, Ashaba S, Bangsberg D, Tsai A. Household water insecurity, missed schooling, and the mediating role of caregiver depression in rural Uganda. Global Mental Health. doi: 10.1017/gmh.2017.14. forthcoming. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Curtis VA, Danquah LO, Aunger RV. Planned, motivated and habitual hygiene behaviour: an eleven country review. Health education research. 2009;24(4):655–673. doi: 10.1093/her/cyp002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Curtis V, Aunger R, Rabie T. Evidence that disgust evolved to protect from risk of disease. Proceedings of the Royal Society of London B: Biological Sciences. 2004;271(Suppl 4):S131–S133. doi: 10.1098/rsbl.2003.0144. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Curtis V, Biran A. Dirt, disgust, and disease: Is hygiene in our genes? Perspectives in biology and medicine. 2001;44(1):17–31. doi: 10.1353/pbm.2001.0001. [DOI] [PubMed] [Google Scholar]
  22. Cutts BB, Muñoz-Erickson TA, Shutters ST. Public Representation in Water Management—A Network Analysis of Organization and Public Perceptions in Phoenix, Arizona. Society & Natural Resources. 2015;28(12):1340–1357. [Google Scholar]
  23. Davis JP, Teodoro MP. Financial Capability and Affordability. In: Raftelis George., editor. Water and Wastewater Financing and Pricing. 4. New York: Taylor & Francis; 2014. pp. 443–465. [Google Scholar]
  24. Davis-Salazar KL. Late Classic Maya water management and community organization at Copan, Honduras. Latin American Antiquity. 2003;14(3):275–299. [Google Scholar]
  25. de Grenade R, House-Peters L, Scott CA, Thapa B, Mills-Novoa M, Gerlak A, Verbist K. The nexus: reconsidering environmental security and adaptive capacity. Current Opinion in Environmental Sustainability. 2016;21:15–21. [Google Scholar]
  26. Dunn G, et al. Microbial Risk Governance: Challenges and Opportunities in Canada. Canadian Water Resources Journal Revue canadienne des ressources hydriques. 2015;40(3):237–249. [Google Scholar]
  27. Eden S, Donaldson A, Walker G. Structuring subjectivities? Using Q methodology in human geography. Area. 2005;37(4):413–422. [Google Scholar]
  28. Eichelberger LP. Living in utility scarcity: Energy and water insecurity in Northwest Alaska. American Journal of Public Health. 2010;100(6):1010–1018. doi: 10.2105/AJPH.2009.160846. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Eichelberger L. Spoiling and Sustainability: Technology, Water Insecurity, and Visibility in Arctic Alaska. Medical Anthropology. 2014;33(6):478–496. doi: 10.1080/01459740.2014.917374. [DOI] [PubMed] [Google Scholar]
  30. Eichelberger L. Remembering the Foundations of Health: Everyday Water Insecurity and Its Hidden Costs in Northwest Alaska. In: Singer M, editor. A Companion to the Anthropology of Environmental Health. Vol. 30. Malden, MA; Chichester, UK: John Wiley & Sons; 2016. pp. 236–256. [Google Scholar]
  31. Eichelberger L. Household Water Insecurity and its Cultural Dimensions: Preliminary Results from Newtok, Alaska. Environmental Science and Pollution Research International. 2017 Jun 21; doi: 10.1007/s11356-017-9432-4. [Epub ahead of print] [DOI] [PubMed] [Google Scholar]
  32. Ennis-McMillan M. Suffering from Water: Social Origins of Bodily Distress in a Mexican Community. Medical Anthropology Quarterly. 2001;15(3):368–390. doi: 10.1525/maq.2001.15.3.368. [DOI] [PubMed] [Google Scholar]
  33. Environmental Finance Advisory Board (EFAB) EFAB Analysis and Recommendations on: Draft Financial Capability Assessment Framework. Washington, DC: Environmental Protection Agency; 2014. [Google Scholar]
  34. Fam D, Lahiri-Dutt K, Sofoulis Z. Scaling down: Researching household water practices. ACME: An International Journal for Critical Geographies. 2015;14(3):639–651. [Google Scholar]
  35. Feldman DL, editor. The Water-Sustainable City: Science, Policy and Practice. Edward Elgar Publishing; 2017. [Google Scholar]
  36. Ferguson A. Water Reform, Gender, and HIV/AIDS: Perspectives from Malawi. In: Whiteford LM, Whiteford S, editors. Globalization, water, & health: resource management in times of scarcity. Santa Fe: School of American Research Press; 2005. pp. 45–66. [Google Scholar]
  37. Geere JAL, Hunter PR, Jagals P. Domestic water carrying and its implications for health: a review and mixed methods pilot study in Limpopo Province, South Africa. Environmental Health. 2010;9:52. doi: 10.1186/1476-069X-9-52. https://doi.org/10.1186/1476-069X-9-52. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Geere J-AL, Mudau SL, Mokoena MM. Public health and social benefits of at-house water supplies. Stakeholder feedback and workshop; South Africa. March 2016; South Africa: University of East Anglia, Tshwane University of Technology; 2016. [Google Scholar]
  39. Geere J-A, Cortobius M. Who Carries the Weight of Water? Fetching Water in Rural and Urban Areas and the Implications for Water Security. Water Alternatives 2017 [Google Scholar]
  40. Gleick PH. Basic water requirements for human activities: Meeting basic needs. Water international. 1996;21(2):83–92. [Google Scholar]
  41. Grey D, Sadoff CW. Sink or swim? Water security for growth and development. Water Policy. 2007;9(6):545–71. [Google Scholar]
  42. Goldin J. From vagueness to precision: raising the volume on social issues for the water sector. Water Policy. 2013;15(2):309–324. [Google Scholar]
  43. Gurven M, Allen-Arave W, Hill K, Hurtado AM. Reservation food sharing among the Ache of Paraguay. Human Nature. 2001;12(4):273–297. doi: 10.1007/s12110-001-1000-3. [DOI] [PubMed] [Google Scholar]
  44. Hadley C, Wutich A. Experience-based measures of food and water security: biocultural approaches to grounded measures of insecurity. Human Organization. 2009;68(4):451–460. [Google Scholar]
  45. Harris LM. Irrigation, gender, and social geographies of the changing waterscapes of southeastern Anatolia. Environment and Planning D: Society and Space. 2006;24(2):187–213. [Google Scholar]
  46. Harris LM. Water rich, resource poor: Intersections of gender, poverty, and vulnerability in newly irrigated areas of southeastern Turkey. World Development. 2008;36(12):2643–2662. [Google Scholar]
  47. Harris LM. Gender and emergent water governance: comparative overview of neoliberalized natures and gender dimensions of privatization, devolution and marketization. Gender, Place and Culture. 2009;16(4):387–408. [Google Scholar]
  48. Harris L, Kleiber D, Goldin J, Darkwah A, Morinville C. Intersections of gender and water: comparative approaches to everyday gendered negotiations of water access in underserved areas of Accra, Ghana and Cape Town, South Africa. Journal of Gender Studies. 2016:1–22. [Google Scholar]
  49. Howard G, Bartram J. Domestic water quantity, service level and health. Geneva: World Health Organization Press; 2003. [Google Scholar]
  50. Hutton G. Monitoring “Affordability” of water and sanitation services after 2015: Review of global indicator options. A paper submitted to the UN Office of the High Commissioner for Human Rights. 2012 Mar 20 [Google Scholar]
  51. Jaeggi AV, Gurven M. Reciprocity explains food sharing in humans and other primates independent of kin selection and tolerated scrounging: a phylogenetic meta-analysis. Proceedings of the Royal Society of London B: Biological Sciences. 2013;280(1768):20131615. doi: 10.1098/rspb.2013.1615. [DOI] [PMC free article] [PubMed] [Google Scholar]
  52. Jaeggi AV, Hooper PL, Beheim BA, Kaplan H, Gurven M. Reciprocal exchange patterned by market forces helps explain cooperation in a small-scale society. Current Biology. 2016;26(16):2180–2187. doi: 10.1016/j.cub.2016.06.019. [DOI] [PubMed] [Google Scholar]
  53. Janzen A, Achari G, Dore MHI, Langford CH. Cost Recovery and Affordability in Small Drinking Water Treatment Plants in Alberta, Canada. Journal AWWA. 2016;108(5):E290–298. [Google Scholar]
  54. Jepson W. Measuring ‘no-win’ waterscapes: Experience-based scales and classification approaches to assess household water security in colonias on the US–Mexico border. Geoforum. 2014;51:107–120. [Google Scholar]
  55. Jepson W, Wutich A, Boateng G, Collins S, Young S. Progress in Household Water Insecurity Metrics: A Cross-Disciplinary Approach. Wiley Interdisciplinary Reviews – Water. 2017a;4(3) doi: 10.1002/wat2.1214. [DOI] [Google Scholar]
  56. Jepson W, Budds J, Eichelberger L, Harris L, Norman E, O’Reilly K, Pearson A, Shah SH, Shinn J, Staddon C, Stoler J, Wutich A, Young SL. Advancing human capabilities for water security: A relational approach. Water Security. 1:46–52. doi: 10.1016/j.wasec.2017.09.001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  57. Jiménez A, Pérez-Foguet A. Improving water access indicators in developing countries: a proposal using water point mapping methodology. Water Science and Technology: Water Supply. 2008;8(3):279–287. [Google Scholar]
  58. Kostyla C, Bain R, Cronk R, Bartram J. Seasonal variation of fecal contamination in drinking water sources in developing countries: A systematic review. Science of The Total Environment. 2015;514:333–343. doi: 10.1016/j.scitotenv.2015.01.018. https://doi.org/10.1016/j.scitotenv.2015.01.018. [DOI] [PubMed] [Google Scholar]
  59. Kujinga K, Vanderpost C, Mmopelwa G, Masamba WR. Analysis of Gender and Other Social Dimensions of Household Water Insecurity in Ngamiland, Botswana. Journal of Management and Sustainability. 2014;4(4):86. [Google Scholar]
  60. Larson KL, Casagrande D, Harlan SL, Yabiku ST. Residents’ yard choices and rationales in a desert city: social priorities, ecological impacts, and decision tradeoffs. Environmental management. 2009;44(5):921. doi: 10.1007/s00267-009-9353-1. [DOI] [PubMed] [Google Scholar]
  61. Larson KL, Nelson KC, Samples SR, Hall SJ, Bettez N, Cavender-Bares J, Groffman PM, Grove M, Heffernan JB, Hobbie SE, Learned J. Ecosystem services in managing residential landscapes: priorities, value dimensions, and cross-regional patterns. Urban ecosystems. 2016;19(1):95–113. [Google Scholar]
  62. Lee EJ, Schwab KJ. Deficiencies in drinking water distribution systems in developing countries. Journal of Water and Health. 2005;3(2):109–127. [PubMed] [Google Scholar]
  63. Lemos MC, Manuel-Navarrete D, Willems BL, Caravantes RD, Varady RG. Advancing metrics: models for understanding adaptive capacity and water security. Current Opinion in Environmental Sustainability. 2016;21:52–57. [Google Scholar]
  64. Linton J, Budds J. The hydrosocial cycle: Defining and mobilizing a relational-dialectical approach to water. Geoforum. 2014;57:170–180. [Google Scholar]
  65. Liu J, Dietz T, Carpenter SR, Folke C, Alberti M, Redman CL, Schneider SH, Ostrom E, Pell AN, Lubchenco J, Taylor WW. Coupled human and natural systems. AMBIO: a journal of the human environment. 2007;36(8):639–649. doi: 10.1579/0044-7447(2007)36[639:chans]2.0.co;2. [DOI] [PubMed] [Google Scholar]
  66. Loftus A. Water (in) security: securing the right to water. The Geographical Journal. 2015;181(4):350–356. [Google Scholar]
  67. Loftus A. Geographical perspectives on a radical political ecology of water. Applied Urban Ecology: A Global Framework. 2011:193–203. [Google Scholar]
  68. Lucero LJ. Water and ritual: the rise and fall of Classic Maya rulers. University of Texas Press; 2006. [Google Scholar]
  69. Lynch AH, Adler CE, Howard NC. Policy diffusion in arid Basin water management: a Q method approach in the Murray–Darling Basin, Australia. Regional Environmental Change. 2014;14(4):1601–1613. [Google Scholar]
  70. Mack EA, Wrase S. A Burgeoning Crisis? A Nationwide Assessment of the Geography of Water Affordability in the United States. PLoS ONE. 2017;12(1):e0169488. doi: 10.1371/journal.pone.0169488. [DOI] [PMC free article] [PubMed] [Google Scholar]
  71. Margerum RD, Robinson CJ. Collaborative partnerships and the challenges for sustainable water management. Current Opinion in Environmental Sustainability. 2015;12:53–58. [Google Scholar]
  72. Mason LR. Gender and asset dimensions of seasonal water insecurity in urban Philippines. Weather, Climate, and Society. 2012;4(1):20–33. [Google Scholar]
  73. Majuru B, Jagals P, Hunter PR. Assessing rural small community water supply in Limpopo, South Africa: Water service benchmarks and reliability. Science of the Total Environment. 2012;435–436:479–486. doi: 10.1016/j.scitotenv.2012.07.024. https://doi.org/10.1016/j.scitotenv.2012.07.024. [DOI] [PubMed] [Google Scholar]
  74. Meehan K. Disciplining de facto development: Water theft and hydrosocial order in Tijuana. Environment and Planning D: Society and Space. 2013;31(2):319–336. [Google Scholar]
  75. Meehan KM. Tool-power: Water infrastructure as wellsprings of state power. Geoforum. 2014;57:215–224. [Google Scholar]
  76. Mehta L. Water and human development. World Development. 2014;59:59–69. [Google Scholar]
  77. Mehta L. Water and human development: capabilities, entitlements and power. Human Development Report Office Occasional Paper. 2006:8. [Google Scholar]
  78. Morinville C, Harris LM. Participation, politics, and panaceas: exploring the possibilities and limits of participatory urban water governance in Accra, Ghana. Ecology & Society. 2014;19(3):36. [Google Scholar]
  79. Netting RM, Wilk RR, Arnould EJ. Households: Comparative and historical studies of the domestic group. Vol. 324. University of California Press; 1984. [Google Scholar]
  80. Nganyanyuka K, Martinez J, Wesselink A, Lungo JH, Georgiadou Y. Accessing water services in Dar es Salaam: Are we counting what counts? Habitat International. 2014;44:358–366. [Google Scholar]
  81. Norman ES. Standing Up for Inherent Rights: The Role of Indigenous-Led Activism in Protecting Sacred Waters and Ways of Life. Society & Natural Resources. 2017;30(4):537–553. [Google Scholar]
  82. Norman ES, Cook C, Cohen A, editors. Negotiating water governance: Why the politics of scale matter. Ashgate Publishing, Ltd; 2015. [Google Scholar]
  83. Obeng-Odoom F. Beyond access to water. Development in Practice. 2012;22(8):1135–1146. [Google Scholar]
  84. Onda K, LoBuglio J, Bartram J. Global access to safe water: Accounting for water quality and the resulting impact on MDG progress. International Journal of Environmental Research and Public Health. 2012;9(3):880–894. doi: 10.3390/ijerph9030880. https://doi.org/10.3390/ijerph9030880. [DOI] [PMC free article] [PubMed] [Google Scholar]
  85. Ostrom E. Understanding institutional diversity. Princeton, NJ: Princeton University Press; 2005. [Google Scholar]
  86. O’Reilly K. Traditional” women, “modern” water: Linking gender and commodification in Rajasthan, India. Geoforum. 2006;37(6):958–972. [Google Scholar]
  87. O’Reilly K, Dhanju R. Hybrid drinking water governance: Community participation and ongoing neoliberal reforms in rural Rajasthan, India. Geoforum. 2012;43(3):623–633. [Google Scholar]
  88. O'Reilly K, Dhanju R. Public taps and private connections: the production of caste distinction and common sense in a Rajasthan drinking water supply project. Transactions of the Institute of British Geographers. 2014;39(3):373–386. [Google Scholar]
  89. Pearson AL, Mayer JD, Bradley DJ. Coping with Household Water Scarcity in the Savannah Today: Implications for Health and Climate Change into the Future. Earth Interactions. 2015;19(8):150717144732003. [Google Scholar]
  90. Pearson AL, Roberts MC, Soge OO, Mayer JD, Meschke JS. Utility of EC 3M Petrifilm and sanitary surveys for source water assessment in Nyabushozi County, southwestern Uganda. Water SA. 2008;34(2):279–284. [Google Scholar]
  91. Pearson AL, Muchunguzi C. Contextualizing privatization and conservation in the history of resource management in southwestern Uganda: Ethnicity, political privilege, and resource access over time. The International Journal of African Historical Studies. 2011;44(1):113–140. [Google Scholar]
  92. Pearson AL. Comparison of methods to estimate water access: a pilot study of a GPS-based approach in low resource settings. International Journal of Health Geographics. 2016;15(1):33. doi: 10.1186/s12942-016-0062-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  93. Pande S, Savenije HH. A sociohydrological model for smallholder farmers in Maharashtra, India. Water Resources Research. 2016;52(3):1923–1947. [Google Scholar]
  94. Poteete AR, Janssen MA, Ostrom E. Working together: collective action, the commons, and multiple methods in practice. Princeton University Press; 2010. [Google Scholar]
  95. Romero-Lankao P, Gnatz DM. Conceptualizing urban water security in an urbanizing world. Current Opinion in Environmental Sustainability. 2016;21:45–51. [Google Scholar]
  96. Rosinger A. Heat and hydration status: Predictors of repeated measures of urine specific gravity among Tsimane’adults in the Bolivian Amazon. American journal of physical anthropology. 2015a;158(4):696–707. doi: 10.1002/ajpa.22813. [DOI] [PubMed] [Google Scholar]
  97. Rosinger A. Dehydration among lactating mothers in the Amazon: a neglected problem. American Journal of Human Biology. 2015b;27(4):576–578. doi: 10.1002/ajhb.22672. [DOI] [PubMed] [Google Scholar]
  98. Satterthwaite D. The Millennium Development Goals and urban poverty reduction: great expectations and nonsense statistics. Environment and Urbanization. 2003;15(2):179–190. [Google Scholar]
  99. Satterthwaite D. Missing the Millennium Development Goal targets for water and sanitation in urban areas. Environment and Urbanization. 2016;28(1):99–118. [Google Scholar]
  100. Scarborough VL. Ecology and ritual: water management and the Maya. Latin American Antiquity. 1998;9(2):135–159. [Google Scholar]
  101. Scott CA, Meza FJ, Varady RG, Tiessen H, McEvoy J, Garfin GM, Wilder M, Farfán LM, Pablos NP, Montaña E. Water security and adaptive management in the arid Americas. Annals of the Association of American Geographers. 2013;103(2):280–289. [Google Scholar]
  102. Sen A. Poverty and famines: an essay on entitlement and deprivation. Oxford University Press; 1981. [Google Scholar]
  103. Sen A. Development as freedom. Oxford Paperbacks; 2001. [Google Scholar]
  104. Smets H. Quantifying the affordability standard. The Human Right to Water: Theory, Practice and Prospects 2012 [Google Scholar]
  105. Sorenson SB, Morssink C, Campos PA. Safe access to safe water in low income countries: water fetching in current times. Social science & medicine. 2011;72(9):1522–1526. doi: 10.1016/j.socscimed.2011.03.010. [DOI] [PubMed] [Google Scholar]
  106. Srinivasan V, Konar M, Sivapalan M. A dynamic framework for water security. Water Security 2017 [Google Scholar]
  107. Staddon C, Everard M. Epistemologies of Community-based groundwater recharge in semi-arid north Rajasthan: progress and lessons for groundwater-dependent areas. In: Baghel R, Stepan L, editors. Water, Knowledge and the Environment in Asia: Epistemologies, Practices and Locales. Taylor & Francis Ltd; Routledge: 2017. [Google Scholar]
  108. Staddon C, Sarkozi R, Langberg S. Freshwater Governance for the 21st Century. Springer International Publishing; 2016. Urban Water Governance as a Function of the ‘Urban Hydrosocial Transition’; pp. 81–102. [Google Scholar]
  109. Stevenson EGJ, Ambelu A, Caruso BA, Tesfaye Y, Freeman MC. Community water improvement, household water insecurity, and women’s psychological distress: an intervention and control study in Ethiopia. PloS one. 2016;11(4):e0153432. doi: 10.1371/journal.pone.0153432. [DOI] [PMC free article] [PubMed] [Google Scholar]
  110. Stevenson EG, Greene LE, Maes KC, Ambelu A, Tesfaye YA, Rheingans R, Hadley C. Water insecurity in 3 dimensions: An anthropological perspective on water and women's psychosocial distress in Ethiopia. Social science & medicine. 2012;75(2):392–400. doi: 10.1016/j.socscimed.2012.03.022. [DOI] [PMC free article] [PubMed] [Google Scholar]
  111. Stoler J. From curiosity to commodity: a review of the evolution of sachet drinking water in West Africa. WIREs Water. 2017;4:e1206. doi: 10.1002/wat2.1206. n/a. [DOI] [Google Scholar]
  112. Stone-Jovicich S, Lynam T, Leitch A, Jones N. Using consensus analysis to assess mental models about water use and management in the Crocodile River catchment, South Africa. Ecology and Society. 2011;16(1) [Google Scholar]
  113. Strang V. Meaning of water. Berg: 2004. Meaning of water. [Google Scholar]
  114. Subbaraman R, Nolan L, Sawant K, Shitole S, Shitole T, Nanarkar M, Patil-Deshmukh A, Bloom DE. Multidimensional measurement of household water poverty in a Mumbai slum: Looking beyond water quality. PloS one. 2015;10(7):e0133241. doi: 10.1371/journal.pone.0133241. [DOI] [PMC free article] [PubMed] [Google Scholar]
  115. Sultana F. Reflexivity, positionality and participatory ethics: Negotiating fieldwork dilemmas in international research. ACME: An international journal for critical geographies. 2007;6(3):374–385. [Google Scholar]
  116. Sultana F, Loftus A, editors. The right to water: Politics, governance and social struggles. Routledge; 2013. [Google Scholar]
  117. Switzer D, Teodoro MP. Class, Race, Ethnicity, and Justice in Safe Drinking Water Compliance. Social Science Quarterly. 2017 doi: 10.1111/ssqu.12397. (forthcoming) [DOI] [Google Scholar]
  118. Teodoro MP, Haider M, Switzer D. U.S. Environmental Policy Implementation on Tribal Lands: Trust, Neglect, and Justice. Policy Studies Journal. 2016 doi: 10.1111/psj.12187. (forthcoming) [DOI] [Google Scholar]
  119. Tsai AC, Kakuhikire B, Mushavi R, Vořechovská D, Perkins JM, McDonough AQ, Bangsberg DR. Population-based study of intra-household gender differences in water insecurity: reliability and validity of a survey instrument for use in rural Uganda. Journal of water and health. 2016;14(2):280–292. doi: 10.2166/wh.2015.165. [DOI] [PMC free article] [PubMed] [Google Scholar]
  120. Vandewalle E, Jepson W. Mediating water governance: point-of-use water filtration devices for low-income communities along the US–Mexico border. Geo: Geography and Environment. 2015;2(2):107–121. [Google Scholar]
  121. Vugteveen P, Lenders HR, Devilee JL, Leuven RS, Van Der Veeren RJ, Wiering MA, Hendriks AJ. Stakeholder value orientations in water management. Society and natural resources. 2010;23(9):805–821. [Google Scholar]
  122. Varady RG, Zuniga-Teran AA, Garfin GM, Martín F, Vicuña S. Adaptive management and water security in a global context: definitions, concepts, and examples. Current Opinion in Environmental Sustainability. 2016;21:70–77. [Google Scholar]
  123. Webb P, Iskandarani M. Water insecurity and the poor: issues and research needs. ZEF; 1998. [Google Scholar]
  124. Wescoat JL, Headington L, Theobald R. Water and poverty in the United States. Geoforum. 2007;38(5):801–814. [Google Scholar]
  125. White GF, Bradley DJ, White AU. Drawers of water. Domestic water use in East Africa. Drawers of water. Domestic water use in East Africa. 1972 [PMC free article] [PubMed] [Google Scholar]
  126. Whiteford S, Cortez-Lara A. Good to the Last Drop: The Political Ecology of Water and Health on the Border. In: Whiteford LM, Whiteford S, editors. Globalization, Water, & Health: Resource Management in Times of Scarcity. Santa Fe: SAR Press; 2005. pp. 231–254. [Google Scholar]
  127. World Health Organization. Guidelines for drinking-water quality. 4. Geneva: WHO; 2011. From: http://www.who.int/water_sanitation_health/publications/2011/dwq_guidelines/en/ [Google Scholar]
  128. World Health Organization/UNICEF. WHO/UNICEF Joint Monitoring Programme for Drinking-water and Sanitation. The Hague; 2015. Report of the Second Consultation on Post 2015 Monitoring of Drinking-water, Sanitation and Hygiene. [Google Scholar]
  129. World Health Organization/UNICEF. Safely managed drinking water: Thematic report on drinking water 2017. Geneva: WHO/UNICEF; 2017. Retrieved from https://www.wssinfo.org/sdg-baselines/safely-managed-drinking-water-services/ [Google Scholar]
  130. Wouters P. Water security: What role for international water law. Human and environmental security: An agenda for change. 2005:166–181. [Google Scholar]
  131. Wutich A, Beresford M, Carvajal C. Can informal water vendors deliver on the promise of a human right to water? Results from Cochabamba, Bolivia. World Development. 2016;79:14–24. [Google Scholar]
  132. Wutich A, Brewis A. Food, water, and scarcity: Toward a broader anthropology of resource insecurity. Current Anthropology. 2014;55(4):444–468. [Google Scholar]
  133. Wutich A. Estimating household water use: A comparison of diary, prompted recall, and free recall methods. Field Methods. 2009;21(1):49–68. [Google Scholar]
  134. Wutich A, Ragsdale K. Water insecurity and emotional distress: coping with supply, access, and seasonal variability of water in a Bolivian squatter settlement. Social science & medicine. 2008;67(12):2116–2125. doi: 10.1016/j.socscimed.2008.09.042. [DOI] [PubMed] [Google Scholar]
  135. Yates JS, Harris LM, Wilson NJ. Multiple ontologies of water: Politics, conflict and implications for governance. Environment and Planning D: Society and Space. 2017 0263775817700395. [Google Scholar]
  136. Young SL, Mbuya MN, Chantry CJ, Geubbels EP, Israel-Ballard K, Cohan D, Vosti SA, Latham MC. Current knowledge and future research on infant feeding in the context of HIV: basic, clinical, behavioral, and programmatic perspectives. Advances in Nutrition: An International Review Journal. 2011;2(3):225–243. doi: 10.3945/an.110.000224. [DOI] [PMC free article] [PubMed] [Google Scholar]
  137. Zwarteveen MZ. Regulating water, ordering society: practices and politics of water governance. UNESCO-IHE; 2015. [Google Scholar]

RESOURCES