Addressing Failing Water Systems: A Qualitative Protocol for Intervention Research on Water Insecurity

It is increasingly acknowledged that high income countries do not enjoy universal drinking water coverage, with pockets of water insecurity persisting close to areas that have had high-quality, centralized water provision for half a century or more. The reasons behind this are complex, and effective ways to improve water security in these areas defy simple prescriptions. Nuanced measures that disaggregate the different facets of water insecurity are especially important as we attempt to understand and, crucially, improve water security in high-income countries. In this paper, we describe a qualitative protocol for assessing water insecurity at the household level in a study conducted in rural and unincorporated settlements in the Southwestern United States. The study focuses on households connected to small, piped water systems; households that rely on hauled water, individual wells, and other sources; and those who are withdrawing from centralized systems. The goals of this study are: 1) to measure a baseline for individual households’ water security; 2) identify mechanisms for coping with poor water insecurity; 3) evaluate changes in water insecurity following co-designed interventions. We include in this protocol three codebooks for the coding and analysis of interview data, to make them available for use by other water insecurity researchers. The design embeds the interventions into the study without pre-supposing the nature of the interventions. The socio-technical interventions will be co-designed by the study team, project partners, and the communities themselves. By identifying and working with communities experiencing different water insecurity challenges the study aims to directly increase their water security and develop a deeper understanding of the drivers of and responses to water insecurity in the Southwestern United States.