Evidence map›Paper›PMID 40499970›Full record

ArticleBMJ open2025

Progress and determinants of household access to improved drinking water in India using a Water Access Index: insights from the National Family Health Survey towards achieving SDG 6.1.

Sourav Biswas, Zeba Khanam, Asraful Alam, Lakshminarayan Satpati

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In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sourav BiswasPopulation & Development, International Institute for Population Sciences, Mumbai, Maharashtra, India souravbiswas3198@gmail.com alam5asraful@gmail.com.ORCID http://orcid.org/0000-0002-2715-2704
Zeba KhanamCentre for the Study of Regional Development, Jawaharlal Nehru University, New Delhi, NCT of Delhi, India.
Asraful AlamGeography, Serampore Girls' College, Serampore, West Bengal, India souravbiswas3198@gmail.com alam5asraful@gmail.com.
Lakshminarayan SatpatiGeography, University of Calcutta, Kolkata, West Bengal, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveAccess to clean drinking water is essential for health and development. Despite global and national initiatives, many regions in India continue to face inadequate water access. This study assesses progress, sociodemographic determinants and geographic disparities in access to drinking water in India, aligning with Sustainable Development Goal (SDG) 6.1.

designThis study used secondary data from five rounds of the National Family Health Survey (NFHS-1 to NFHS-5; 1992-2021), nationally representative surveys conducted across India. Logistic regression was employed to examine the association between household sociodemographic characteristics and access to improved drinking water. A Water Access Index (WAI) was constructed using Principal Component Analysis (PCA) based on four indicators: access to improved sources, on-premises availability, 5-minute round-trip access and household water treatment. The scores were normalised to a 0-100 scale. SETTING AND

participantsThe study used household data from NFHS-1 (88 562 households), NFHS-2 (92 477), NFHS-3 (109 041), NFHS-4 (601 506) and NFHS-5 (636 699), covering all 36 states/union territories in India.

resultsThere has been a notable improvement in access to improved sources, on-premises water and timely availability. Factors such as higher educational attainment, pucca housing and the absence of a below poverty line card were positively associated with better access. Based on WAI scores, 343 districts (49%) were categorised as front runners (65-99%), 142 districts (20%) as performers (50-64%) and 221 districts (31%) as aspirants (0-49%). Only one district (0.1%) achieved universal access. Many districts in West Bengal, Bihar, Odisha, Jharkhand and other states still exhibit low-to-moderate water access.

conclusionWhile access to improved drinking water has advanced, regional and socioeconomic disparities remain stark. Targeted, multisectoral policies are essential to ensure equitable progress towards SDG 6.1 across all districts and population groups in India.

Indexed as

Drinking WaterSustainable DevelopmentWater SupplyAdolescentAdultFamily CharacteristicsFemaleHealth SurveysHumansIndiaMaleMiddle AgedSocioeconomic FactorsYoung AdultDrinking WaterHealthHealth ServicesHealth Services AccessibilitySocial InteractionVulnerable Populations

Identifiers

PMID40499970
PMCPMC12182137

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