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This study compares institutional frameworks for managing clean drinking water and assesses their effectiveness in meeting WHO recommendations. The study aims to identify patterns, limitations, and effective strategies for water quality monitoring.
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Water Safety Conference 2010 Zarah Rahman1, Jonny Crocker2, Kang Chang2, Ranjiv Khush1 and Jamie Bartram2 Coordination for Clean Water: A Comparison of Institutional Frameworks for Managing Clean Drinking Water • The Aquaya Institute • The Water Institute, Gillings School of Public Health, UNC
Background: Aquatest Research Program • Aims to develop water quality testing tools • Tools for contexts where resources are limited and infrastructure poor • Funded by the Bill & Melinda Gates Foundation • Led by the University of Bristol, UK • Aquaya: Field pilots of Aquatest system Water Safety Conference November 2-4 2010, Kuching, Malaysia
Research Objectives • Characterize institutional frameworks for water quality monitoring • Compare actual practice with WHO recommendations • Identify patterns, limitations and effective strategies Water Safety Conference November 2-4 2010, Kuching, Malaysia
Methods • Institutional Framework Maps • 1. Roles: • Policies and Standards • Regulation and Surveillance • Service Provision • 2. Activities: Operational & Surveillance Testing • 3. Scope: Rural & Urban Water Safety Conference November 2-4 2010, Kuching, Malaysia
Methods • 9 countries • Bolivia, Brazil, Peru, Ecuador • Cambodia, Lao PDR, Vietnam, Sri Lanka • Malawi • Site visits, personal communication, standards and policy documents Water Safety Conference November 2-4 2010, Kuching, Malaysia
Water Quality Monitoring: Best Practices Operational Monitoring Surveillance Monitoring Water Safety Conference November 2-4 2010, Kuching, Malaysia
Results Summary • Operational monitoring limited to formal suppliers, primarily urban • Responsibility for surveillance with MOH, but absent in some countries • Regulators oversee formal service providers • Standards vary in clarity regarding institutional responsibilities Water Safety Conference November 2-4 2010, Kuching, Malaysia
ECUADOR Rural Urban Input/approval Drinking Water Quality Standards Ministry of Health Policies/ Standards Ecuadorian Institute of Standardization Ministry of Urban Development and Housing Secretariat of Potable Water, Sanitation and Solid Waste Regulation/Surveillance Ministry of Health Provincial Health Departments direct surveillance audit and direct surveillance Service Provision Water Service Providers: Municipalities, private or state owned utilities Local Water Boards Operational monitoring Mandated but not practiced
CAMBODIA Urban Rural Drinking Water Quality Standards Ministry of Mines, Industry and Energy Department of Potable Water Supply Ministry of Rural Development Department of Rural Water Supply Policies/ Standards Regulation/Surveillance ? Oversight monitoring Community and Household Supplies Service Provision Private Suppliers Public Suppliers Operational monitoring Operational monitoring Mandated but not practiced
PERU Urban Rural Ministry of Housing, Construction and Sanitation Policies/ Standards Office of the Prime Minister Drinking Water Quality Standards Ministry of Health Directorate of Environmental Health (DIGESA) reports Regional Environmental Health Departments (DIRESA) SUNASS: National Superintendant of Sanitation Services Regulation/Surveillance direct surveillance technical support Regulation (audit monitoring) Service Provision Water Service Providers: municipalities, public and private utilities Local Water Boards Operational monitoring Mandated but not practiced
BRAZIL Urban Rural Drinking Water Quality Standards Ministry of Health Policies/ Standards Ministry of Cities State Health Secretariats Centers for Health Surveillance & Municipal Health Departments Regulation/Surveillance direct surveillance Small Municipal Supplies Water Suppliers: state suppliers, municipalities, managed alternative supplies Community Supplies Operational Monitoring Operational Monitoring Service Provision Operational Monitoring Ministry of Health National Health Foundation (FUNASA) municipalities Mandated but not practiced
Summary • 1. Surveillance Monitoring • Roles well established in most countries • Two strategies: audit & direct • Constrained by limited resources • 2. Operational Monitoring • Limited to formal piped supplies • Not carried out for informal & community supplies Water Safety Conference November 2-4 2010, Kuching, Malaysia
Institutional Strategies for Monitoring • 1. Surveillance Monitoring • Audit of formal suppliers & focus direct surveillance community supplies • quality control • 2. Operational Monitoring • Improve capacity of formal service providers • Focus on risk assessment for community supplies • 3. Clear assignment of roles in standards Water Safety Conference November 2-4 2010, Kuching, Malaysia
Thanks to my collaborators and supporters Water Safety Conference November 2-4 2010, Kuching, Malaysia