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

dc.contributor.authorCasas, Ana
dc.contributor.authorHutchings, Paul
dc.contributor.authorBell, Andrew R.
dc.contributor.authorKupiec-Teahan, Beata
dc.contributor.authorLewis, Amy R.
dc.contributor.authorMendoza Sanchez, José
dc.contributor.authorWillcock, Simon
dc.contributor.authorAnciano, Fiona
dc.contributor.authorBarrington, Dani J.
dc.contributor.authorDube, Mmeli
dc.contributor.authorKarani, Caroline
dc.contributor.authorLlaxacondor, Arturo
dc.contributor.authorLópez, Hellen
dc.contributor.authorMdee, Anna L.
dc.contributor.authorOfori, Alesia D.
dc.contributor.authorRiungu, Joy N.
dc.contributor.authorRussel, Kory C.
dc.contributor.authorKristensen, Bjørn R.
dc.contributor.authorParker, Alison
dc.contributor.editorAnache, Jamil Alexandre Ayach
dc.date.accessioned2026-04-21T12:45:25Z
dc.date.available2026-04-21T12:45:25Z
dc.date.freetoread2026-04-21
dc.date.issued2026-03-01
dc.date.pubOnline2026-03-13
dc.description.abstractHundreds 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.
dc.description.journalNamePLOS One
dc.description.sponsorshipThis work took place under the ‘Scaling-up Off-grid Sanitation’ project (SOS; ES/T007877/1), funded with support from the United Kingdom’s Global Challenge Research Fund, via the Economic and Social Research
dc.format.mediumElectronic-eCollection
dc.identifier.citationCasas A, Hutchings P, Bell AR, et al., (2026) Beyond the grid: navigating water supply and sanitation service ecosystems in informal settlements. PLOS One, Volume 21, Issue 3, March 2026, Article number e0342657en_UK
dc.identifier.eissn1932-6203
dc.identifier.elementsID869541
dc.identifier.issn1932-6203
dc.identifier.issueNo3
dc.identifier.paperNoe0342657
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0342657
dc.identifier.urihttps://dspace.lib.cranfield.ac.uk/handle/1826/25120
dc.identifier.volumeNo21
dc.languageEnglish
dc.language.isoen
dc.publisherPublic Library of Science (PLoS)en_UK
dc.publisher.urihttps://journals.plos.org/plosone/article/metrics?id=10.1371/journal.pone.0342657
dc.relation.isreferencedbyhttps://doi.org/10.5255/UKDA-SN-857073
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject4404 Development Studiesen_UK
dc.subject44 Human Societyen_UK
dc.subjectHealth Disparitiesen_UK
dc.subjectHealth Servicesen_UK
dc.subjectHealth Disparities and Racial or Ethnic Minority Health Researchen_UK
dc.subjectClinical Researchen_UK
dc.subject3.2 Interventions to alter physical and biological environmental risksen_UK
dc.subject6 Clean Water and Sanitationen_UK
dc.subjectGeneral Science & Technologyen_UK
dc.subject.meshSanitationen_UK
dc.subject.meshWater Supplyen_UK
dc.subject.meshHumansen_UK
dc.subject.meshKenyaen_UK
dc.subject.meshPeruen_UK
dc.subject.meshLongitudinal Studiesen_UK
dc.subject.meshEcosystemen_UK
dc.subject.meshToilet Facilitiesen_UK
dc.subject.meshUrban Populationen_UK
dc.subject.meshSouth Africaen_UK
dc.titleBeyond the grid: navigating water supply and sanitation service ecosystems in informal settlementsen_UK
dc.typeArticle
dc.type.subtypeJournal Article
dcterms.dateAccepted2026-01-27

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