Evidence map›Paper›PMID 41824436›Full record

ArticlePloS one2026

Beyond the grid: Navigating water supply and sanitation service ecosystems in informal settlements.

Ana Casas, Paul Hutchings, Andrew R Bell, Beata Kupiec-Teahan, Amy R Lewis, José Mendoza Sanchez, Simon Willcock, Fiona Anciano, Dani J Barrington, Mmeli Dube and 9 more

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Ana CasasSchool of Water, Energy and Environment, Cranfield University, Cranfield, United Kingdom.
Paul HutchingsSchool of Civil Engineering, University of Leeds, United Kingdom.ORCID https://orcid.org/0000-0002-7758-4644
Andrew R BellDepartment of Global Development, Cornell University, Ithaca, New York, United Kingdom.
Beata Kupiec-TeahanSchool of Water, Energy and Environment, Cranfield University, Cranfield, United Kingdom.
Amy R LewisSchool of Environmental and Natural Sciences, Bangor University, Bangor, Gwynedd, United Kingdom.
José Mendoza SanchezDepartment of Management Science, Pontificia Universidad Católica del Perú, Perú.
Simon WillcockSchool of Environmental and Natural Sciences, Bangor University, Bangor, Gwynedd, United Kingdom.ORCID https://orcid.org/0000-0001-9534-9114
Fiona AncianoDepartment of Political Studies, University of the Western Cape, South Africa.
Dani J BarringtonSchool of Population and Global Health, The University of Western Australia, Crawley, Western Australia, Australia.ORCID https://orcid.org/0000-0002-1486-9247
Mmeli DubeDepartment of Political Studies, University of the Western Cape, South Africa.
Caroline KaraniMeru University of Science and Technology, Kenya.
Arturo LlaxacondorSanima, Av. Grau 629, Barranco, Lima, Perú.
Hellen LópezDepartment of Management Science, Pontificia Universidad Católica del Perú, Perú.
Anna L MdeeSchool of Politics and International Studies, University of Leeds, United Kingdom.
Alesia D OforiDepartment of Global Development, Cornell University, Ithaca, New York, United Kingdom.
Joy N RiunguMeru University of Science and Technology, Kenya.
Kory C RusselDepartment of Landscape Architecture and the Environmental Studies Program, University of Oregon, Eugene, Oregon, United States of America.
Bjørn R KristensenEnvironmental Studies Program and Department of Philosophy, University of Oregon, Eugene, Oregon, United States of America.ORCID https://orcid.org/0000-0002-5694-7880
Alison ParkerSchool of Water, Energy and Environment, Cranfield University, Cranfield, United Kingdom.ORCID https://orcid.org/0000-0001-7370-6758

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hundreds of millions of people living in urban informal settlements rely on irregular and unsafe water supply and sanitation services. To meet their needs, they must navigate fragmented service delivery environments and use multiple different water and sanitation facilities. Using high-frequency longitudinal survey data from three informal settlements in Kenya, Peru and South Africa, we document the variability in water supply and sanitation service access. Across the year-long study period, 62-73% of respondents across all contexts changed their primary toilet, with 10-27% reporting five or more different primary facilities, with similar variability in water access. High levels of disruption were reported, with issues related to crowding/queuing, breakdowns, and physical barriers disrupting accessibility all contributing to the churn of services. To explain the results, we develop the concept of a "service ecosystem" to describe how people living in urban informal settlements rely on multiple water supply and sanitation services simultaneously and how these patterns of access shift over time. Using James C Scott's theory of legibility, we argue that this irregularity means these service ecosystems are largely illegible within formal monitoring frameworks, that typically categorise households by a primary service. This leads to an information deficit for policymakers and practitioners who have a mandate to improve services in these environments. We further develop the implications of service ecosystems by calling for policymakers and service providers to recognise and support a diversity of service systems which have sufficient redundancy between them to meet the needs of populations, at least until broader structural reforms can address the underlying challenges in these settings.

Indexed as

Residence CharacteristicsSanitationWater SupplyCitiesCrowdingHumansKenyaLongitudinal StudiesPeruSouth AfricaSurveys and QuestionnairesUrban Population

Identifiers

PMID41824436
PMCPMC12987421

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.