A post-implementation evaluation of ceramic water filters distributed to tsunami-affected communities in Sri Lanka

April 9, 2012 · 2 comments

Journal of Water and Health In Press, March 2012

A post-implementation evaluation of ceramic water filters distributed to tsunami-affected communities in Sri Lanka

Lisa M. Casanova, Adam Walters, Ajith Naghawatte and Mark D. Sobsey

Institute of Public Health, Georgia State University, P.O. Box 3995, Atlanta GA 30302, USA E-mail: lcasanova@gsu.edu
Medecins Sans Frontieres
Department of Microbiology, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka
Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina Chapel Hill, USA

Sri Lanka was devastated by the 2004 Indian Ocean tsunami. During recovery, the Red Cross distributed approximately 12,000 free ceramic water filters. This cross-sectional study was an independent post-implementation assessment of 452 households that received filters, to determine the proportion still using filters, household characteristics associated with use, and quality of household drinking water. The proportion of continued users was high (76%). The most common household water sources were taps or shallow wells. The majority (82%) of users used filtered water for drinking only. Mean filter flow rate was 1.12 L/hr (0.80 L/hr for households with taps and 0.71 for those with wells).

Water quality varied by source; households using tap water had source water of high microbial quality. Filters improved water quality, reducing Escherichia coli for households (largely well users) with high levels in their source water. Households were satisfied with filters and are potentially long-term users. To promote sustained use, recovery filter distribution efforts should try to identify households at greatest long-term risk, particularly those who have not moved to safer water sources during recovery. They should be joined with long-term commitment to building supply chains and local production capacity to ensure safe water access.

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