Evidence map›Paper›PMID 41406079›Full record

ArticlePLOS global public health2025

Women's experiences collecting and accessing water in Guatemala, Honduras, Kenya, and Zimbabwe: A mixed-methods investigation.

Bethany A Caruso, Thea Mink, Madeleine Patrick, Emily Ogutu, Cameron Dawkins, Olivia Bendit, Mahnoor Fatima, Ingrid Lustig, Alicia Macler, Jera White and 20 more

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

30 authors.

Bethany A CarusoHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0000-0001-9738-9857
Thea MinkHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0009-0007-0031-0622
Madeleine PatrickHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Emily OgutuGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Cameron DawkinsHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0009-0001-6064-5279
Olivia BenditHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0009-0006-9986-3237
Mahnoor FatimaHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0000-0001-9915-9326
Ingrid LustigHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0009-0001-9589-3088
Alicia MaclerHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0009-0009-0915-9118
Jera WhiteHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0009-0004-1475-031X
Alondra ZamoraHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Alberto Emanuel Santos LópezWorld Vision Guatemala, Guatemala City, Guatemala.
Héctor Salvador Peña RamírezWorld Vision Guatemala, Guatemala City, Guatemala.
Carlos Daniel SicWorld Vision Guatemala, Guatemala City, Guatemala.
Jorge Lemus ChávezCentro Universitario de Occidente, de la Universidad de San Carlos de Guatemala, Quetzaltenango, Guatemala.
Sandra AntonioWorld Vision Honduras, Tegucigalpa, Honduras.
Jazmina Nohemí IríasWorld Vision Honduras, Tegucigalpa, Honduras.
Gladys RamosDepartamento de Ciencias Sociales, Universidad Nacional Autónoma de Honduras, Tegucigalpa, Honduras.
Everlyne AtandiWorld Vision Kenya, Nairobi, Kenya.
Peter MwangiWorld Vision Kenya, Nairobi, Kenya.
Peter KoomeSchool of Education and Social Sciences, St. Paul's University, Nairobi, Kenya.
Rohin Otieno OnyangoSchool of Education and Social Sciences, St. Paul's University, Nairobi, Kenya.ORCID https://orcid.org/0000-0003-0097-1280
Petronilla Andiba OtuyaSchool of Education and Social Sciences, St. Paul's University, Nairobi, Kenya.
Paul RutoSchool of Education and Social Sciences, St. Paul's University, Nairobi, Kenya.
Morris ChidavaenziWorld Vision Zimbabwe, Harare, Zimbabwe.
Jammaine JimuWorld Vision Zimbabwe, Harare, Zimbabwe.
Sithandekile MaphosaWorld Vision Zimbabwe, Harare, Zimbabwe.
Makaita MaworeraWorld Vision Zimbabwe, Harare, Zimbabwe.
Munyaradzi DamsonDatalyst Africa, Harare, Zimbabwe.
Sheela S SinharoyHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0000-0003-3077-3824

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

1.8 billion people live in households that collect water from sources off household premises, creating burdens that disproportionately affect women. A current and comprehensive investigation of women's water collection experiences is needed to understand their burden of this labor. This study used mixed methods, including (a) go-along, in-depth interviews (IDIs), (b) semi-structured observation, (c) activity-tracking smart watches, and (d) scales, to (1) understand women's practices, perspectives, and experiences going to water sources; (2) determine actual water collection time, distance, caloric expenditure, total elevation ascended, weight carried, and water volume collected; and (3) assess alignment of women's estimated and actual water journey times. Ninety-four women participated across four countries: Guatemala (n = 22), Honduras (n = 17), Kenya (n = 22), Zimbabwe (n = 33). Women reported accessing various sources depending on season and needs, faced risks due to terrain and animals, and experienced physical injury and mental burden. Experiences varied within and by country. The mean water journey time (including going to the source, activities at the source, and returning) was 82 minutes (range across entire sample: 13 minutes (Guatemala) - 287 minutes (Kenya)). The mean distance traveled was 3.5km (range: 0.2km (Guatemala, Honduras, Zimbabwe) - 15.8km (Kenya)). Mean caloric expenditure was 231kcal (range: 36 (Guatemala) - 952 (Zimbabwe)). The mean volume of water collected was 16.1L. (range: 3.7L (Kenya) - 38.2L (Zimbabwe). Women also carried children, wet laundry, and other items resulting in heavy loads. The mean total weight of loads brought from water sources was 19.3 kg (range: 5.0 kg (Honduras) - 50.1 kg (Zimbabwe). Findings demonstrate how a lack of adequate and accessible water drains women of energy and time and poses risks to their well-being. Our findings reinforce the need to redouble efforts to improve water access in low-resource settings and rigorously measure the impacts of such efforts on women's lives.

Identifiers

PMID41406079
PMCPMC12711095

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.