Population-based study of intra-household gender differences in water insecurity

Reliability and validity of a survey instrument for use in rural Uganda

Alexander C. Tsai, Bernard Kakuhikire, Rumbidzai Mushavi, Dagmar Vořechovská, Jessica M. Perkins, Amy Q. McDonough, David Bangsberg

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Hundreds of millions of people worldwide lack adequate access to water. Water insecurity, which is defined as having limited or uncertain availability of safe water or the ability to acquire safe water in socially acceptable ways, is typically overlooked by development organizations focusing on water availability. To address the urgent need in the literature for validated measures of water insecurity, we conducted a population-based study in rural Uganda with 327 reproductive-age women and 204 linked men from the same households. We used a novel method of photo identification so that we could accurately elicit study participants' primary household water sources, thereby enabling us to identify water sources for objective water quality testing and distance/elevation measurement. Our psychometric analyses provided strong evidence of the internal structure, reliability, and validity of a new eight-item Household Water Insecurity Access Scale (HWIAS). Important intra-household gender differences in perceptions of water insecurity were observed, with men generally perceiving household water insecurity as being less severe compared to women. In summary, the HWIAS represents a reliable and valid measure of water insecurity, particularly among women, and may be useful for informing and evaluating interventions to improve water access in resource-limited settings.

Original languageEnglish (US)
Pages (from-to)280-292
Number of pages13
JournalJournal of Water and Health
Volume14
Issue number2
DOIs
StatePublished - Apr 1 2016
Externally publishedYes

Fingerprint

Uganda
Reproducibility of Results
gender
Water
Population
water
Surveys and Questionnaires
household
Aptitude
Water Quality
water availability
Psychometrics

Keywords

  • Gender
  • Uganda
  • Water insecurity

ASJC Scopus subject areas

  • Water Science and Technology
  • Waste Management and Disposal
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

Cite this

Population-based study of intra-household gender differences in water insecurity : Reliability and validity of a survey instrument for use in rural Uganda. / Tsai, Alexander C.; Kakuhikire, Bernard; Mushavi, Rumbidzai; Vořechovská, Dagmar; Perkins, Jessica M.; McDonough, Amy Q.; Bangsberg, David.

In: Journal of Water and Health, Vol. 14, No. 2, 01.04.2016, p. 280-292.

Research output: Contribution to journalArticle

Tsai, Alexander C. ; Kakuhikire, Bernard ; Mushavi, Rumbidzai ; Vořechovská, Dagmar ; Perkins, Jessica M. ; McDonough, Amy Q. ; Bangsberg, David. / Population-based study of intra-household gender differences in water insecurity : Reliability and validity of a survey instrument for use in rural Uganda. In: Journal of Water and Health. 2016 ; Vol. 14, No. 2. pp. 280-292.
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