This study explores the delayed policy response to the arsenic crisis in Bangladesh through comparison with water contamination crises in other contexts (incl. included Escherichia coli O157:H7 and Campylobacter in Walkerton, Canada; lead and Legionella in Flint, Michigan, USA; and chromium-6 contamination in Hinkley, California, USA).
Bangladesh
Story of Change: The SafePani model: Delivering safe drinking water in schools and healthcare centres in Bangladesh
This Story of Change presents the SafePani model in Bangladesh which aims to reform existing institutional design and move towards a professional water service delivery model, with timely and independently verified performance metrics unlocking results-based funding, with a focus on schools and healthcare centres.
SafePani: Improving drinking water safety for schools and healthcare centres in Khulna district, Bangladesh
The SafePani model uses a professional water service provider operating with a Water Safety Plan (WSP) approach to improve drinking water safety in schools and healthcare centres in Khulna district, Bangladesh. This brief sets out how the WSP approach is incorporated in the SafePani model.
Cost estimates for safe drinking water in schools and healthcare centres in Khulna District, Bangladesh
This brief provides an estimation of the annual costs of professional water services for 1,700 primary and secondary schools and 300 healthcare centres in Bangladesh’s Khulna district, based on observed data from a pilot in 171 schools and 33 healthcare centres in eight unions.
Costs and benefits of improving water and sanitation in slums and non-slum neighborhoods in Dhaka, a fast-growing mega-city
This paper presents the results of a large-scale survey focusing on slum and non-slum residents’ experiences with urban water supply, water pollution and flood risks and associated costs of illness (COI).
REACH Exit Strategy
REACH’s Exit Strategy scopes out actions to promote the legacy of the programme, highlighting opportunities to sustain, scale-up, and scale-out our work.
Socio-spatial and seasonal dynamics of small, private water service providers in Khulna district, Bangladesh
Small water service providers operating in informal markets across the Global South address critical gaps in public investments in the rural water sector. This study analyses the growth and operations of private desalination plants and distributing vendors in Khulna, Bangladesh, within the broader landscape of uncoordinated investments by government, donors and households. Household water choices and payment behaviour vary spatially and seasonally, with observable wealth differences in self-supply investments in rainwater tanks and tubewells. Monitoring and regulating informal private providers can improve sectoral coordination, increase efficiency of service delivery and unlock commercial finances against the backdrop of declining aid-based financing.
Effects of chronic exposure to arsenic on the fecal carriage of antibiotic-resistant Escherichia coli among people in rural Bangladesh
Antibiotic resistance is a leading cause of hospitalization and death worldwide. Heavy metals such as arsenic have been shown to drive co-selection of antibiotic resistance, suggesting arsenic-contaminated drinking water is a risk factor for antibiotic resistance carriage. By collecting drinking water and stool from mothers and their children (<1 year), the study aimed to determine the prevalence and abundance of antibiotic-resistant Escherichia coli among people and drinking water in high and low arsenic-contaminated areas of Bangladesh. The positive association detected between arsenic exposure and antibiotic resistance carriage among children in arsenic-affected areas in Bangladesh is an important public health concern that warrants redoubling efforts to reduce arsenic exposure.
When Water Quality Crises Drive Change: A Comparative Analysis of the Policy Processes Behind Major Water Contamination Events
This paper explore the delayed policy response to the arsenic crisis in Bangladesh through comparison with water contamination crises in other contexts
Sustainable management of sedimentation risks in coastal rivers in Southwest Bangladesh: Findings from REACH Khulna Observatory
This REACH policy brief presents recommendations for sustainable sedimentation management in the coastal rivers of Southwest Bangladesh. Working with the Bangladesh Water Development Board and using data from a comprehensive measurement campaign in the Hari-Ghengrail-Sibsa river system, we argue systems-wide management approaches will lead to more effective and sustainable solutions.
