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AJPH First Look, published online ahead of print Jan 31, 2007
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American Journal of Public Health, 10.2105/AJPH.2005.073460

Field Action Reports

Bringing Safe Water to Remote Populations: An Evaluation of a Portable Point-of-Use Intervention in Rural Madagascar

Pavani Kalluri Ram 1*, Elaine Kelsey 2, R Rasoatiana 2, Rabeantoandro Rado Miarintsoa 3, Olivier Rakotomalala 3, Chris Dunston 3, Robert E. Quick 1

1 Centers for Disease Control and Prevention
2 CARE-Madagascar
3 Prospect International, S.A.R.L.

* To whom correspondence should be addressed. E-mail: pkram{at}buffalo.edu.


  Abstract

Rural populations disproportionately lack access to improved water supplies. We evaluated a novel scheme that employed community-based sales agents to disseminate the Safe Water System (SWS)--a household-level water chlorination and safe storage intervention--in rural Madagascar. Respondents from 242 households in 4 villages were interviewed; all used surface water for drinking water. Respondents from 239 households (99%) had heard of Sûr’Eau, the SWS disinfectant; 226 (95%) reported having ever used Sûr’Eau, and 166 (73%) reported current use. Current Sûr’Eau use was confirmed in 54% of households. Community sales agents effectively motivated their neighbors to adopt a new health behavior that prevents diarrhea. Future work should focus on strategies for sustaining SWS use, factors that motivate community-based sales agents to promote SWS, and the feasibility of scaling up this approach.

Key Words: Global Health, Prevention, Public Health Practice




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