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October 2001, Vol 91, No. 10 | American Journal of Public Health 1571-1573
© 2001 American Public Health Association

FIELD ACTION REPORT

Challenges in Implementing a Point-of-Use Water Quality Intervention in Rural Kenya

Philip Makutsa, Kilungu Nzaku, Paul Ogutu, Peter Barasa, Sam Ombeki, Alex Mwaki and Robert E. Quick, MD, MPH

Philip Makutsa, Kilungu Nzaku, Paul Ogutu, Peter Barasa, Sam Ombeki, and Alex Mwaki are with CARE Kenya, Homa Bay. Robert E. Quick is with the Foodborne and Diarrheal Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to Robert E. Quick, MD, MPH, Foodborne and Diarrheal Diseases Branch, Mail Stop A38, Centers for Disease Control and Prevention, Atlanta, GA 30333 (e-mail: rxq1{at}cdc.gov).

To prevent diarrheal diseases in western Kenya, CARE Kenya initiated the Water, Sanitation, and Education for Health (WASEH) Project in 1998. The project targets 72 farming and fishing communities with a total population of 43 000.

Although the WASEH Project facilitated construction of shallow wells and pit latrines, the water quality still needed improvement. Consequently, in 2001, CARE implemented the Safe Water System (which consists of point-of-use water treatment with sodium hypochlorite, safe storage, and behavior change techniques) within the already established WASEH infrastructure, using existing community organizations in combination with a social marketing approach that introduced affordable products. The project has resulted in adoption rates of 33.5% for chemical water treatment and 18.5% for clay pots modified for safe water storage.




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