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The household water insecurity experiences (Hwise) scale: Comparison scores from 27 sites in 22 countries

  • Justin Stoler
  • , Joshua D. Miller
  • , Ellis A. Adams
  • , Farooq Ahmed
  • , Mallika Alexander
  • , Gershim Asiki
  • , Mobolanle Balogun
  • , Michael J. Boivin
  • , Alexandra Brewis
  • , Genny Carrillo
  • , Kelly Chapman
  • , Stroma Cole
  • , Shalean M. Collins
  • , Jorge Escobar-Vargas
  • , Hassan Eini-Zinab
  • , Matthew C. Freeman
  • , Monet Ghorbani
  • , Ashley Hagaman
  • , Nicola Hawley
  • , Zeina Jamaluddine
  • Wendy E. Jepson, Divya Krishnakumar, Kenneth Maes, Jyoti Mathad, Jonathan Maupin, Patrick Mbullo Owuor, Milton Marin Morales, Javier Morán-Martínez, Nasrin Omidvar, Amber L. Pearson, Sabrina Rasheed, Asher Y. Rosinger, Luisa Samayoa-Figueroa, Ernesto C. Sánchez-Rodríguez, Marianne V. Santoso, Roseanne C. Schuster, Mahdieh Sheikhi, Sonali Srivastava, Chad Staddon, Andrea Sullivan, Yihenew Tesfaye, Alex Trowell, Desire Tshala-Katumbay, Raymond Tutu, Cassandra L. Workman, Amber Wutich, Sera L. Young
  • University of Miami
  • University of Notre Dame
  • Quaid-I-Azam University
  • Johns Hopkins University
  • African Population and Health Research Center
  • University of Lagos
  • Michigan State University
  • Arizona State University
  • Texas A&M University
  • University of Florida
  • University of Westminster
  • Tulane University
  • Universidad Javeriana
  • Shahid Beheshti University of Medical Sciences
  • Emory University
  • Yale University
  • London School of Hygiene and Tropical Medicine
  • Anode Governance Lab
  • Oregon State University
  • Cornell University
  • Northwestern University
  • Universidad Autónoma Del Beni José Ballivián
  • Universidad Autonoma de Coahuila
  • International Centre for Diarrhoeal Disease Research Bangladesh
  • Pennsylvania State University
  • McGill University
  • Hospital Agustin O’Horan
  • University of the West of England
  • Bahar Dar University
  • University of Amsterdam
  • Oregon Health and Science University
  • Delaware State University
  • University of North Carolina at Greensboro

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

Household survey data from 27 sites in 22 countries were collected in 2017–2018 in order to construct and validate a cross-cultural household-level water insecurity scale. The resultant Household Water Insecurity Experiences (HWISE) scale presents a useful tool for monitoring and evaluating water interventions as a complement to traditional metrics used by the development community. It can also help track progress toward achievement of Sustainable Development Goal 6 ‘clean water and sanitation for all’. We present HWISE scale scores from 27 sites as comparative data for future studies using the HWISE scale in low-and middle-income contexts. Site-level mean scores for HWISE-12 (scored 0–36) ranged from 1.64 (SD 4.22) in Pune, India, to 20.90 (7.50) in Cartagena, Colombia, while site-level mean scores for HWISE-4 (scored 0–12) ranged from 0.51 (1.50) in Pune, India, to 8.21 (2.55) in Punjab, Pakistan. Scores tended to be higher in the dry season as expected. Data from this first implementation of the HWISE scale demonstrate the diversity of water insecurity within and across communities and can help to situate findings from future applications of this tool.

Original languageEnglish
Pages (from-to)1102-1110
Number of pages9
JournalJournal of Water Sanitation and Hygiene for Development
Volume11
Issue number6
DOIs
StatePublished - Nov 1 2021

Keywords

  • Global health
  • Measurement
  • Metrics
  • Water insecurity

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