Beyond the grid: Navigating water supply and sanitation service ecosystems in informal settlements

Hundreds of millions of people living in urban informal settlements rely on irregular and unsafe water supply and sanitation services. To meet their needs, they must navigate fragmented service delivery environments and use multiple different water and sanitation facilities. Using high-frequency longitudinal survey data from three informal settlements in Kenya, Peru and South Africa, we document the variability in water supply and sanitation service access. Across the year-long study period, 62-73% of respondents across all contexts changed their primary toilet, with 10-27% reporting five or more different primary facilities, with similar variability in water access. High levels of disruption were reported, with issues related to crowding/queuing, breakdowns, and physical barriers disrupting accessibility all contributing to the churn of services. To explain the results, we develop the concept of a "service ecosystem" to describe how people living in urban informal settlements rely on multiple water supply and sanitation services simultaneously and how these patterns of access shift over time. Using James C Scott's theory of legibility, we argue that this irregularity means these service ecosystems are largely illegible within formal monitoring frameworks, that typically categorise households by a primary service. This leads to an information deficit for policymakers and practitioners who have a mandate to improve services in these environments. We further develop the implications of service ecosystems by calling for policymakers and service providers to recognise and support a diversity of service systems which have sufficient redundancy between them to meet the needs of populations, at least until broader structural reforms can address the underlying challenges in these settings.

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Publication Details

Journal
PLoS ONE
Published
2026-03-13
DOI
https://doi.org/10.1371/journal.pone.0342657
Primary Topic
Child Nutrition and Water Access
Type
article
Field-Weighted Citation Impact
0.00
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article

Beyond the grid: Navigating water supply and sanitation service ecosystems in informal settlements

Alesia Dedaa Ofori, Joy Riungu, Caroline Karani, Simon Willcock et al.
PLoS ONE
Child Nutrition and Water Access
article

Beyond the grid: Navigating water supply and sanitation service ecosystems in informal settlements

Alesia Dedaa Ofori, Joy Riungu, Caroline Karani, Simon Willcock, Amy R. Lewis, Andrew Reid Bell, Kory C. Russel, Arturo Llaxacondor, Beata Kupiec-Teahan, Anna L. Mdee, Ana Casas, Hellen López, Fiona Anciano, Dani J. Barrington, Alison Parker, Mmeli Dube, Bjørn R. Kristensen, Paul Hutchings, José Mendoza Sanchez
article en

Abstract

Hundreds of millions of people living in urban informal settlements rely on irregular and unsafe water supply and sanitation services. To meet their needs, they must navigate fragmented service delivery environments and use multiple different water and sanitation facilities. Using high-frequency longitudinal survey data from three informal settlements in Kenya, Peru and South Africa, we document the variability in water supply and sanitation service access. Across the year-long study period, 62-73% of respondents across all contexts changed their primary toilet, with 10-27% reporting five or more different primary facilities, with similar variability in water access. High levels of disruption were reported, with issues related to crowding/queuing, breakdowns, and physical barriers disrupting accessibility all contributing to the churn of services. To explain the results, we develop the concept of a "service ecosystem" to describe how people living in urban informal settlements rely on multiple water supply and sanitation services simultaneously and how these patterns of access shift over time. Using James C Scott's theory of legibility, we argue that this irregularity means these service ecosystems are largely illegible within formal monitoring frameworks, that typically categorise households by a primary service. This leads to an information deficit for policymakers and practitioners who have a mandate to improve services in these environments. We further develop the implications of service ecosystems by calling for policymakers and service providers to recognise and support a diversity of service systems which have sufficient redundancy between them to meet the needs of populations, at least until broader structural reforms can address the underlying challenges in these settings.

PLoS ONEVol. 21(3)
University of Leeds (GB), Bangor University (GB), The University of Western Australia (AU), University of Oregon (US), Cornell University (US), Rothamsted Research (GB), Meru University of Science and Technology (KE), Institute of Peruvian Studies (PE), Pontificia Universidad Católica del Perú (PE), Cranfield University (GB), University of the Western Cape (ZA)
Clean water and sanitation
Openalex Percentile: Top 22%
Child Nutrition and Water Access
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