Abstract
Despite the recent major accomplishment in meeting our global water target in the UN Millennium Development Goal 7, a significant number of people, mostly in low-income regions, are still without access to reliable and safe water sources. To address the health burden of inadequate water in these regions, several point-of-use (POU) treatment technologies have been developed and are now available in the market. This outcome has created both an opportunity and a challenge in selecting technologies that are suitable in poor communities. In the current work, we present an application of the multi-attribute decision-making (MADM) methodology to rank and select options for POU water treatment technologies that are appropriate for low-income communities. The paper makes three significant research contributions. Firstly, we review the features, efficacy, and operation of currently available POU water treatment technologies to identify challenges in their implementation. Secondly, we propose a set of evaluation criteria, categorized into four general themes, for assessing the efficacy and suitability of a POU water treatment technology in a given area. We also examine the application of MADM methodology in prioritizing alternatives using these criteria as attributes. Finally, we present a case application of our proposed methodology in a rural municipality in Quezon Province, Philippines. Six common POU water treatment alternatives were considered: solar disinfection, boiling, chlorination, combined disinfection and flocculation with Moringa oleifera, ceramic filtration and biosand filtration. Results of the analysis show that water treatment with M. oleifera and ceramic filters are the most preferred treatment alternatives in the municipality, while chlorination is the least preferred. The most important factors for selecting water treatment methods are initial costs, by-products of water treatment, throughput, and energy input. The proposed MADM model can be applied to other areas where a centralized water treatment system is not available, and a suitable POU water treatment is needed. The inclusion of multi criteria considerations in the selection process ensures that the chosen POU water treatment provides the optimal health, economic, and environmental benefits to the community.
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References
Arnold B, Colford J (2007) Treating water with chlorine at point-of-use to improve water quality and reduce child diarrhea in developing countries: a systematic review and meta-analysis. Am J Trop Med Hyg 76(2):354–364
Barajas JR, Pagsuyoin SAT (2015) Development of a low-cost water treatment technology using Moringa oleifera seeds. In: Proceedings of the 2015 IEEE systems and information engineering design symposium, Charlottesville, VA
Bartram J, Cairncross S (2010) Hygiene, sanitation, and water: forgotten foundations of health. PLoS Med 7(11):e1000367
Behzadian M, Otaghsara SK, Yazdani M, Ignatius J (2012) A state-of the-art survey of TOPSIS applications. Expert Sys App 17(39):13051–13069
Brown J, Proum S, Sobsey M (2009) Sustained use of a household-scale water filtration device in rural Cambodia. J Water Health 7(3):404–412
Bukar A, Uba A, Oyeyi T (2010) Antimicrobial profile of Moringa oleifera Lam. Extracts against some food-borne microorganisms. Bayero J Pure Appl Sci 3(1):43–48
Center for Disease Control and Prevention (2012) Ceramic filtration. http://www.cdc.gov/safewater/ceramic-filtration.html. Accessed 23 April 2015
Checkley W, Buckley G, Gilman RH, Assis AMO, Guerrant RL, Morris SS et al (2008) Multi-country analysis of the effects of diarrhoea on childhood stunting. Int J Epidemiol 37(4):816–830
Chen KT (2010) The economic burden of rotavirus diarrhea: Taiwan perspectives. In: Preedy V, Watson R (eds) Handbook of disease burdens and quality of life measures. Springer, New York, NY, pp. 1243–1262
Chen Y, Ahsan H (2004) Cancer burden from arsenic in drinking water in Bangladesh. Am J Public Health 94(5):741–744
Clasen T, Schmidt WP, Rabie T, Roberts I, Cairncross S (2007) Interventions to improve water quality for preventing diarrhea: systematic review and meta-analysis. BMJ 334(7597):782
Clemen RT, Reilley T (2014) Making hard decisions with decision tools, 3rd edn. Cengage Learning, Boston, MA
Demarest J, Pagsuyoin S, Learmonth G, Mellor J, Dillingham R (2013) Development of a spatial and temporal agent-based model for studying water and health relationships: the case study of two villages in Limpopo, South Africa. J Artif Soc Soc Simulat 16(4)
Elkington J (1994) Towards the sustainable corporation: win–win–win business strategies for sustainable development. Calif Manag Rev 36(2):90–100
Elliott MA, Stauber CE, Koksal F, DiGiano FA, Sobsey MD (2008) Reductions of E. coli, echovirus type 12 and bacteriophages in an intermittently operated household-scale slow sand filter. Water Res 42(10):2662–2670
Fewtrell L, Kaufmann RB, Kay D, Enanoria W, Haller L, Colford JM (2005) Water, sanitation, and hygiene interventions to reduce diarrhea in less developed countries: a systematic review and meta-analysis. Lancet Infect Dis 5(1):42–52
Garland R (1991) The mid-point on a rating scale: is it desirable. Market Bull 2(1):66–70
Gopal K, Tripathy SS, Bersillon JL, Dubey SP (2007) Chlorination byproducts, their toxicodynamics and removal from drinking water. J Hazard Mater 140:1–6
Guerrant DI, Moore SR, Lima AAM, Patrick PD, Schorling JB, Guerrant RL (1999) Association of early childhood diarrhea and cryptosporidiosis with impaired physical fitness and cognitive function four-seven years later in a poor urban community in northeast Brazil. Am J Trop Med Hyg 61(5):707–713
Gupta SK, Islam MS, Johnston R, Ram PK, Luby SP (2008) The chulli water purifier: acceptability and effectiveness of an innovative strategy for household water treatment in Bangladesh. Am J Trop Med Hyg 78(6):979–984
Hamouda MA, Anderson WB, Huck PM (2012) Employing multi-criteria decision analysis to select sustainable point-of-use and point-of-entry water treatment systems. Water Sci Technol Water Supply 12(5):637–647
Hanjra MA, Qureshi ME (2010) Global water crisis and future food security in an era of climate change. Food Policy 35(5):365–377
Hunter P, MacDonald A, Carter R (2010) Water supply and health. PLoS Med 7(11):e1000361
Hwang CL, Yoon K (1981) Multiple attribute decision making: methods and applications. Springer, New York
Keeney R, Raiffa H (1993) Decisions with multiple objectives: preferences and value trade-offs. Cambridge University Press, New York
Lantagne D, Clasen T (2009) Point of use water treatment in emergency response. London School of Hygiene and Tropical Medicine, London
Lee Y, Kozar KA, Larsen KR (2003) The technology acceptance model: past, present, and future. Commun Assoc Inf Syst 12(1):50
Levy K, Anderson L, Robb K, Cevallos W, Trueba G, Eisenberg J (2007) Household effectiveness vs. laboratory efficacy of point-of-use chlorination. Water Res 54:69–77
Liang KR (2007) Independent evaluation of the biosand water filter in rural Cambodia: sustainability, health, impact and water quality improvement. University of North Carolina, Chapel Hill
Loo SL, Fane AG, Krantz WB, Lim TT (2012) Emergency water supply: a review of potential technologies and selection criteria. Water Res 46(10):3125–3151
Lotfi FH, Fallahnejad R (2010) Imprecise Shannon’s entropy and multi attribute decision making. Entropy 12(1):53–62
Luby SP, Mendoza C, Keswick BH, Chiller TM, Hoekstra R (2008) Difficulties in bringing point-of-use water treatment to scale in rural Guatemala. Am J Trop Med Hyg 78(3):382–387
McGuigan KG, Méndez-Hermida F, Castro-Hermida JA, Ares-Mazás E, Kehoe SC, Boyle M, Sichel C, Fernandez Ibañez P, Meyer BP, Ramalingham S, Meyer EA (2006) Batch solar disinfection inactivates oocysts of Cryptosporidium parvum and cysts of Giardia muris in drinking water. J Appl Microbiol 101(2):453–463
McGuigan KG, Conroy R, Mosler HJ, du Preez M, Ubomba-Jaswa E, Fernandez Ibañez P (2012) Solar water disinfection (SODIS): a review from bench-top to roof-top. J Hazard Mater 235–236:29–46
McLaughlin L, Levy K, Beck N, Shin GA, Meschke JS, Eisenberg J (2009) An observational study on the effectiveness of point-of-use chlorination. J Environ Health 71(8):48–53
Meierhofer R, Landolt G (2009) Factors supporting the sustained use of solar water disinfection—experiences from a global promotion and dissemination programme. Desalination 248:144–151
Mintz E, Bartram J, Lochery P, Wegelin M (2001) Not just a drop in the bucket: expanding access to point-of-use water treatment systems. Am J Public Health 91(10):1565–1570
Montgomery MA, Elimelech M (2007) Water and sanitation in developing countries: including health in the equation. Environ Sci Technol 41(1):17–24
National Statistics Office (2010) Total population by province, city, municipality and Barangay: as of May 1, 2010. 2010 Census of Population and Housing. http://web0.psa.gov.ph/sites/default/files/attachments/hsd/pressrelease/CALABARZON.pdf. Accessed 27 Nov 2013
Ndabigengesere A, Narasiah S (1998) Quality of water treated by coagulation using Moringa oleifera seeds. Water Res 32(3):781–791
Onda K, LoBuglio J, Bartram J (2012) Global access to safe water: accounting for water quality and the resulting impact on MDG progress. Int J Environ Res Public Health 9(3):880–894
Otway HJ, Von Winterfeldt D (1982) Beyond acceptable risk: on the social acceptability of technologies. Policy Sci 14(3):247–256
Pegram GC, Rollins N, Espey Q (1998) Estimating the costs of diarrhea and epidemic dysentery in KwaZulu-Natal and South Africa. Water SA-Pretoria 24:11–20
Pomerol JC, Barbra-Romero S (2000) Multicriterion decision in management: principles and practice. Kluwer Academic Publishers, Boston
Ren D, Colosi L, Smith J (2013) Evaluating the sustainability of ceramic filters for point-of-use drinking water treatment. Environ Sci Technol 47(19):11206–11213
Rosa G, Miller L, Clasen T (2010) Microbiological effectiveness of disinfecting water by boiling in rural Guatemala. Am J Trop Med Hyg 82(3):473–477
Saaty TL (1980) The analytic hierarchy process. McGraw Hill, New York
Sadiq R, Rodriguez M (2004) Disinfection by-products (DBPs) in drinking water and predictive models for their occurrence: a review. Sci Total Environ 321:21–46
Santos JR, Latayan JS, Pagsuyoin SA, Srija S (2015a) A stakeholder-based survey for assessing the viability of a water biofilter concept in the Philippines. In: Proceedings of the 2015 IEEE systems and information engineering design symposium, Charlottesville, VA
Santos JR, Pagsuyoin SA, Latayan JS (2015b) A multi-criteria decision analysis framework for evaluating point-of-use water treatment alternatives. Clean Technol Envir Policy (submitted)
Shannon CE (1948) A mathematical theory of communication. Bell Syst Tech J 27:379–423
Smith EM, Plewa MJ, Lindell CL, Richardson SD, Mitch WA (2010) Comparison of byproduct formation in waters treated with chlorine and iodine: relevance to point-of-use treatment. Environ Sci Technol 44(22):8446–8452
Sobsey MD, Stauber CE, Casanova LM, Brown JM, Elliott MA (2008) Point of use household drinking water filtration: a practical, effective solution for providing sustained access to safe drinking water in the developing world. Environ Sci Technol 42(12):4261–4267
Tan YS, Fraser NM (1998) The modified star graph and the petal diagram: two new visual aids for discrete alternative multicriteria decision making. Multi Criteria Decis Anal 7(1):20–33
Tate JE, Chitambar S, Esposito DH, Sarkar R, Gladstone B, Ramani S, Raghava MV, Sowmyanarayanan TV, Gandhe S, Arora R, Parashar UD, Kang G (2009) Disease and economic burden of rotavirus diarrhea in India. Vaccine 27(Suppl 5):F18–F24
United Nations International Children’s Emergency Fund and Water and Sanitation Program (2007) Improving household drinking water quality: use of ceramic water filters in Cambodia. http://www.unicef.org/eapro/WSP_UNICEF_FN_CWP_Final.pdf. Accessed 30 April 2015
United States Environmental Protection Agency (2002) Guidance for implementing a POU or POE treatment strategy for compliance with the Safe Drinking Water Act-revised final draft. www.epa.gove/safewater/standard/pou.pdf. Accessed 27 April 2015
van der Laan H, van Halem D, Smeets PWMH, Soppe AIA, Kroesbergen J, Wubbels G, Nederstigt J, Gensburger I, Heijman SGJ (2014) Bacteria and virus removal effectiveness of ceramic pot filters with different silver applications in a long term experiment. Water Res 51:47–54
van Halem D, van der Laan H, Heijman SGJ, van Dijk JC, Amy GL (2009) Assessing the sustainability of the silver-impregnated ceramic pot filter for low-cost household drinking water treatment. Phys Chem Earth 34:36–42
Walker CL, Friberg IK, Binkin N, Young M, Walker N, Fontaine O, Weissman E, Gupta A, Black RE (2011) Scaling up diarrhea prevention and treatment interventions: a Lives Saved tool analysis. PLoS Med 8(3):e1000428
World Economic Forum (2015) Global risks 2015. World Economic Forum: Geneva. http://www3.weforum.org/docs/WEF_Global_Risks_2015_Report15.pdf. Accessed 29 March 2015
World Health Organization (2013a) Diarrhoeal Disease. http://www.who.int/mediacentre/factsheets/fs330/en/. Accessed 28 March 2015
World Health Organization (2013b) Fact sheet on the world malaria report 2013. http://www.who.int/malaria/media/world_malaria_report_2013/en/. Accessed 27 March 2015
World Health Organization (2013c) Technical notes on drinking water, sanitation, and hygiene in emergencies. http://wedc.lboro.ac.uk/resources/who_notes/WHO_TNE_ALL.pdf. Accessed 24 March 2015
World Health Organization (2015) Technical brief on boiling water. http://www.who.int/water_sanitation_health/dwq/Boiling_water_01_15.pdf. Accessed 1 May 2015
World Health Organization and UNICEF Joint Monitoring Programme (JMP) (2014) Progress on drinking water and sanitation 2014 update. http://www.unicef.org/publications/files/JMP_report_2014_webEng.pdf. Accessed 26 March 2015
Zah R, Böni H, Gauch M, Hischier R, Lehmann M, Wäger P (2007) Life cycle assessment of energy products: environmental assessment of biofuels. Technical Report. http://www.globalbioenergy.org/bioenergyinfo/sort-by-date/detail/pt/c/3966. Accessed 27 March 2015
Acknowledgments
This work was partially funded by the Government of Canada through the Grand Challenges Canada Stars in Global Health (Grant Number S6 0505-01-10). The opinions expressed in this manuscript are solely of the authors and do not reflect the position of GCC or the Government of Canada. The authors would like to acknowledge De La Salle University and the municipality of Mulanay, Quezon in the Philippines for their help and participation in the stakeholder survey.
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Pagsuyoin, S.A., Santos, J.R., Latayan, J.S. et al. A multi-attribute decision-making approach to the selection of point-of-use water treatment. Environ Syst Decis 35, 437–452 (2015). https://doi.org/10.1007/s10669-015-9567-0
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DOI: https://doi.org/10.1007/s10669-015-9567-0