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Do Community Water Sources Provide Safe Drinking Water? Evidence from a Randomized Experiment in Rural Bangladesh

Serena Cocciolo, Selene Ghisolfi, Ahasan Habib, S. Rashid, Anna Tompsett

World Bank Economic Review, 2021

14 citations

Abstract

Health, and in turn income and welfare, depend on access to safe drinking water. Although the majority of rural households worldwide obtain drinking water from community water sources, there is limited evidence about how effectively these sources provide safe drinking water. This study combines a randomized experiment with water quality testing to evaluate the impact of a program that provides community deep tubewells in rural Bangladesh. The program reduces exposure to arsenic, a major natural pollutant, but not fecal contamination. Households may use fewer sources with fecal contamination, but any such effects are offset by recontamination through transport and possibly storage. The results suggest that while community deep-tubewell construction programs may reduce exposure to arsenic in Bangladesh, reducing exposure to fecal contamination may require interventions that go beyond community sources.

How strong is the evidence?

Evidence Hub reads this as a randomized trial. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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