
{"id":247611,"date":"2025-11-12T12:22:36","date_gmt":"2025-11-12T17:22:36","guid":{"rendered":"https:\/\/thewaterproject.org\/community\/?p=247611"},"modified":"2025-11-12T12:24:06","modified_gmt":"2025-11-12T17:24:06","slug":"research-and-reflections-from-the-unc-water-and-health-conference-2025","status":"publish","type":"post","link":"https:\/\/thewaterproject.org\/community\/2025\/11\/12\/research-and-reflections-from-the-unc-water-and-health-conference-2025\/","title":{"rendered":"Research and Reflections from the UNC Water and Health Conference 2025"},"content":{"rendered":"\n<p>Allison and Catherine, both part of The Water Project\u2019s Monitoring, Evaluation, Resolution, and Learning (MERL) department, recently attended the <a href=\"https:\/\/www.unc.edu\/\" title=\"\">University of North Carolina<\/a> (UNC) <a href=\"https:\/\/waterinstitute.unc.edu\/our-work\/unc-water-and-health-conference\" title=\"\">Water and Health<\/a> Conference in Chapel Hill, North Carolina. They both had the opportunity to present posters during the conference showcasing The Water Project\u2019s work and contributions to sector research. They share their reflections from the conference and summaries of the work they presented below.&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/IMG_5913-768x1024.jpg\" alt=\"\" class=\"wp-image-247623\" width=\"384\" height=\"512\" srcset=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/IMG_5913-768x1024.jpg 768w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/IMG_5913-225x300.jpg 225w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/IMG_5913-1152x1536.jpg 1152w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/IMG_5913-1536x2048.jpg 1536w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/IMG_5913-scaled.jpg 1920w\" sizes=\"auto, (max-width: 384px) 100vw, 384px\" \/><figcaption class=\"wp-element-caption\">Allison (left) and Catherine (right) stand together at the 2025 UNC Water and Health Conference.<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Allison\u2019s reflections<\/h2>\n\n\n\n<p>I have been fortunate enough to attend the UNC Water and Health Conference many times over the years. Each time I return to Chapel Hill, I am reminded why this gathering is so special. Participants from around the world gather to discuss research findings, new technologies, and emerging challenges. It\u2019s an opportunity to connect with colleagues across the sector, learn from one another, and identify opportunities for collaboration. The energy at this conference is contagious.&nbsp;&nbsp;<\/p>\n\n\n\n<p>One theme that stood out to me this year was how the Water, Sanitation, and Hygiene (<a href=\"https:\/\/www.who.int\/health-topics\/water-sanitation-and-hygiene-wash#tab=tab_1\" title=\"\">WaSH<\/a>) sector is adjusting to shifts in funding. With the conclusion of <a href=\"https:\/\/www.usaid.gov\/\" title=\"\">USAID<\/a>\u2019s long-standing support for WaSH work around the world, the sector is adapting to navigate a new funding landscape. I greatly appreciated the opportunity to participate in sessions where experts shared their insights into what we can expect in terms of funding, monitoring requirements, and program priorities as funding continues to shift in the future.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Catherine\u2019s reflections<\/h2>\n\n\n\n<p>One example where we saw some evidence of a shift from small interventions to larger, system-level water solutions was in a conversation about water quality. Historically, much of the discussion about drinking water treatment has focused on filters \u2014 often for individual households. Lately, though, discussions have evolved to focus on the treatment of entire <a href=\"https:\/\/thewaterproject.org\/community\/2025\/06\/12\/what-makes-a-water-project-sustainable\/\" title=\"\">water systems<\/a>, often through chlorination. This removes the burden of treatment from community members, but comes with the complexities of design and implementation. However, it also might enable rural water service providers to report operational data of interest to the new types of funders Allison mentioned, and which are used by urban utilities around the world!&nbsp;<\/p>\n\n\n\n<p>No one seems too daunted by the increased technical challenges, though. It was great to see our colleagues working together to address these complexities, all in the name of providing better service to users of rural water supply systems.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Allison\u2019s poster presentation on protected spring management in Western Kenya: the role of water user committees (WUCs) and landowners<\/h2>\n\n\n\n<p>I had the opportunity to present a poster focused on the management of <a href=\"https:\/\/thewaterproject.org\/community\/2023\/03\/17\/how-spring-protection-works\/\">protected springs<\/a> and the critical role landowners play in sustaining them. We identified ten communities with protected spring projects in Western Kenya and visited them to gain a deeper understanding of the challenges faced by their Water User Committees (WUCs), a group of volunteers who take on the day-to-day management of these water points.&nbsp;<\/p>\n\n\n\n<p>With every spring protection project, our partners work with the communities to establish WUCs. Much of our training and emphasis on water point management focuses on the WUCs, but this study revealed the significant influence landowners have on both the daily operations and long-term sustainability of these systems.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" data-id=\"247625\" src=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410121_Training_5_qwyfzf_Full_Width_Blog-1024x683.jpg\" alt=\"\" class=\"wp-image-247625\" srcset=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410121_Training_5_qwyfzf_Full_Width_Blog-1024x683.jpg 1024w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410121_Training_5_qwyfzf_Full_Width_Blog-300x200.jpg 300w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410121_Training_5_qwyfzf_Full_Width_Blog-768x512.jpg 768w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410121_Training_5_qwyfzf_Full_Width_Blog-1536x1024.jpg 1536w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410121_Training_5_qwyfzf_Full_Width_Blog.jpg 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Field Officer Joel Otuya explains maintenance of the spring to community members.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" data-id=\"247624\" src=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410152_Spring_maintenance_1_ay8ozc_Full_Width_Blog-1024x683.jpg\" alt=\"\" class=\"wp-image-247624\" srcset=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410152_Spring_maintenance_1_ay8ozc_Full_Width_Blog-1024x683.jpg 1024w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410152_Spring_maintenance_1_ay8ozc_Full_Width_Blog-300x200.jpg 300w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410152_Spring_maintenance_1_ay8ozc_Full_Width_Blog-768x512.jpg 768w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410152_Spring_maintenance_1_ay8ozc_Full_Width_Blog-1536x1024.jpg 1536w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/Kenya410152_Spring_maintenance_1_ay8ozc_Full_Width_Blog.jpg 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Field Officer Betty Majani demonstrates how to clean the spring area with water.<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Identification of management barriers<\/h3>\n\n\n\n<p>We conducted extensive data collection with each of the ten communities that we visited. This included focus group discussions with WUCs and water users and in-depth interviews with landowners. We were able to learn more about the day-to-day management tasks that WUCs are responsible for (such as cleaning around the water point and enforcing use rules) and barriers that can make it challenging for WUCs to carry out their responsibilities effectively. We analyzed the data to identify seven key challenges facing WUCs:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lack of financial resources<\/li>\n\n\n\n<li>Access to training<\/li>\n\n\n\n<li>Authority to enforce rules<\/li>\n\n\n\n<li>Communication among stakeholders<\/li>\n\n\n\n<li>Clarity on roles and responsibilities<\/li>\n\n\n\n<li>Landowner engagement and cooperation&nbsp;<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/09\/Nanzala-Spring-1024x576.jpg\" alt=\"\" class=\"wp-image-246714\" srcset=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/09\/Nanzala-Spring-1024x576.jpg 1024w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/09\/Nanzala-Spring-300x169.jpg 300w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/09\/Nanzala-Spring-768x432.jpg 768w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/09\/Nanzala-Spring-1536x864.jpg 1536w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/09\/Nanzala-Spring.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">The study focused on protected springs in Western Kenya, like Nanzala Spring, pictured here. The blue structure is a chlorine dispenser, refilled by our collaborator, <a href=\"https:\/\/www.evidenceaction.org\/programs\/safe-water-now\" title=\"\">Evidence Action<\/a>, at regular intervals.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">The role of the landowner in spring management<\/h3>\n\n\n\n<p>Across all sites, the influence of landowners emerged as a consistent factor in spring management success. Communities with supportive landowners, those who maintained positive relationships with both the WUCs and water users, created more favorable conditions for effective and sustainable spring operation.&nbsp;<\/p>\n\n\n\n<p>However, in half of the ten communities we studied, tension between landowners and water users posed management challenges. Conflicts often arose over land use practices, such as agricultural activities that risked polluting or depleting the spring&#8217;s water resources (for example, planting fast-growing <a href=\"https:\/\/thewaterproject.org\/community\/2024\/05\/22\/a-lesson-learned-eucalyptus-trees-and-water-sources\/\">eucalyptus<\/a> trees that commandeer groundwater). In several cases, disputes led landowners to prevent the WUC from carrying out essential maintenance, directly impacting the spring\u2019s functionality and long-term sustainability.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Key findings and implications for our work with WUCs in Western Kenya<\/h3>\n\n\n\n<p>Our study revealed the key management barriers affecting the WUCs that we work with in Western Kenya and the critical role that landowners play in managing protected springs. Through this study, we saw how landowner participation can support or hinder water access. While WUCs are the designated managing body, landowners often hold more practical authority, making them essential partners in spring management.&nbsp;<\/p>\n\n\n\n<p>Despite this, our efforts to support water point managers have often focused on the WUCs, overlooking the role of landowners. We learned that changes in land ownership add additional complexity, as management systems must be designed to support changes in this role during the potentially decades-long lifespan of a protected spring. We identified a need for landowners to be considered more comprehensively during project implementation and beyond, both in management training and through the formalization of access agreements that persist beyond changes in land ownership. Doing so could help ensure more sustainable access to springs in the long term.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Catherine\u2019s poster on the impacts of rainfall and chlorination on contamination of groundwater sources<\/h2>\n\n\n\n<p>Although The Water Project (TWP) implements what the World Health Organization calls <a href=\"https:\/\/washdata.org\/topics\/drinking-water#:~:text=The%20JMP%20service%20ladder%20for%20drinking%20water&amp;text=Improved%20drinking%20water%20sources%20are,the%20level%20of%20service%20provided.\">improved water sources<\/a>, the potential still exists for microbiological (bacterial) contamination to enter a water point. My poster presented our ongoing analysis of the relationship between this kind of contamination and rainfall \u2014 and how we might be able to treat it. The poster presented data from groundwater sources (boreholes and protected dug wells) in all of TWP\u2019s program areas for the last five years.<\/p>\n\n\n\n<p>We used water quality data we collect twice yearly at wells to explore how rainfall can affect microbiological water quality. E. coli is an <a href=\"https:\/\/mi.water.usgs.gov\/h2oqual\/BactHOWeb.html\" title=\"\">indicator bacteria<\/a>: a sign of contamination of a water point. This contamination can come from garbage or human and animal waste on the ground\u2019s surface, and then be flushed into the ground (and water point) by rainfall. We found that E. coli levels are higher in our wells after periods of rain (compared to dry periods), and that this effect is more pronounced at <a href=\"https:\/\/thewaterproject.org\/community\/2023\/11\/15\/even-in-the-modern-era-hand-dug-wells-can-still-be-the-best-choice\/\">dug wells<\/a> than <a href=\"https:\/\/thewaterproject.org\/digging-wells-in-africa-how-it-works\">boreholes<\/a>. This makes sense because boreholes are deeper than dug wells, and so may be less susceptible to surface contaminants.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The efficacy of shock chlorination<\/h3>\n\n\n\n<p>We also wanted to know the efficacy of shock chlorination in removing E. coli from wells. Shock chlorination involves pouring a highly concentrated chlorine solution into the water point and letting it sit to eliminate bacteria.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2024\/10\/SierraLeone590007-SierraLeone590007-Chlorination-10500-1024x683.jpg\" alt=\"\" class=\"wp-image-239122\" srcset=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2024\/10\/SierraLeone590007-SierraLeone590007-Chlorination-10500-1024x683.jpg 1024w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2024\/10\/SierraLeone590007-SierraLeone590007-Chlorination-10500-300x200.jpg 300w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2024\/10\/SierraLeone590007-SierraLeone590007-Chlorination-10500-768x512.jpg 768w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2024\/10\/SierraLeone590007-SierraLeone590007-Chlorination-10500-1536x1024.jpg 1536w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2024\/10\/SierraLeone590007-SierraLeone590007-Chlorination-10500-2048x1366.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Shock chlorination in Sierra Leone.<\/figcaption><\/figure>\n\n\n\n<p>We compared E. coli test results collected before and after shock chlorination. We found that in our most recent rounds of shock chlorination, it was effective in reducing average E. coli prevalence by 74% at boreholes and 60% in dug wells if the water point had a positive E. coli result before shocking. Shock chlorination completely eliminated E. coli (according to follow-up tests) in 56% of those instances!&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Results of shock chlorination if E. coli was present at the initial water quality test<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><\/td><td><strong>Boreholes<\/strong><\/td><td><strong>Dug Wells<\/strong><\/td><\/tr><tr><td>Number of chlorinations where pre-chlorination E. coli was &gt;0<\/td><td>114<\/td><td>70<\/td><\/tr><tr><td>Average pre-chlorination E. coli count (CFU or MPN\/100ml)<\/td><td>47<\/td><td>69<\/td><\/tr><tr><td>Average post-chlorination E. coli count (CFU or MPN\/100ml)<\/td><td>12<\/td><td>29<\/td><\/tr><tr><td>% with 0 E. coli count at follow-up<\/td><td>57%<\/td><td>56%<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">The importance of pairing shock chlorination with sanitary inspections<\/h3>\n\n\n\n<p>So, shock chlorination is not a perfect method of eliminating bacterial contamination, but it does improve water quality substantially. The most important step in the process, though, has nothing to do with chlorine.&nbsp;<\/p>\n\n\n\n<p>To keep water in wells safe, it\u2019s most important to minimize any possible sources of contamination from entering the water point. This means conducting a <a href=\"https:\/\/www.who.int\/teams\/environment-climate-change-and-health\/water-sanitation-and-health\/water-safety-and-quality\/water-safety-planning\/sanitary-inspection-packages\">sanitary inspection<\/a>, which assesses the area surrounding the water point to identify possible sources of contamination (such as human or animal waste disposal sites) or pathways of contamination entry (such as cracks in the concrete well pad).&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"691\" src=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/sanitary-inspection-1024x691.png\" alt=\"\" class=\"wp-image-247628\" srcset=\"https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/sanitary-inspection-1024x691.png 1024w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/sanitary-inspection-300x203.png 300w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/sanitary-inspection-768x518.png 768w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/sanitary-inspection-1536x1037.png 1536w, https:\/\/thewaterproject.org\/community\/wp-content\/uploads\/2025\/11\/sanitary-inspection.png 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Field officers in Western Kenya participate in a training on water point inspections.<\/figcaption><\/figure>\n\n\n\n<p>Part of the process of any successful shock chlorination is a <a href=\"https:\/\/youtu.be\/CIims5Cx_n8\">sanitary inspection<\/a>, fixing any identified issues, and engaging with community members to promote the protection of the water point. Shock chlorination can eliminate bacteria that\u2019s already in the well, but it can\u2019t prevent bacteria from entering the water point in the future \u2014 and that\u2019s why we need sanitary inspections and resolution. Our comprehensive approach to water quality management allows us to have much greater confidence in the safety of water at TWP groundwater sources.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p>Attending the UNC Water and Health Conference was a meaningful opportunity for us to both share our work and learn from others in the global WaSH community. The conversations and connections made in Chapel Hill help strengthen our approach, inform our programs, and ensure that we continue to improve water access and sustainability. We\u2019re grateful for the chance to represent our partners in the field and the communities we serve, and to bring those insights back to our ongoing work.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Allison and Catherine share key insights from presenting The Water Project\u2019s research at the 2025 UNC Water and Health Conference in Chapel Hill.<\/p>\n","protected":false},"author":34943,"featured_media":247623,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[179],"tags":[],"class_list":["post-247611","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-from-team"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/posts\/247611","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/users\/34943"}],"replies":[{"embeddable":true,"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/comments?post=247611"}],"version-history":[{"count":5,"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/posts\/247611\/revisions"}],"predecessor-version":[{"id":247632,"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/posts\/247611\/revisions\/247632"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/media\/247623"}],"wp:attachment":[{"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/media?parent=247611"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/categories?post=247611"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thewaterproject.org\/community\/wp-json\/wp\/v2\/tags?post=247611"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}