Solar-powered water systems and diarrhoeal disease in arid districts
Installation of solar-powered boreholes with community maintenance enterprises across four arid sub-counties, evaluated against staggered rollout controls.
−55.1%
Diarrhoea incidence
−107 min/day
Collection time
USD 62
Cost per person reached
Design
Stepped-wedge cluster design with difference-in-differences estimation
Sample
48 clusters · 96,400 residents · 24-month follow-up
Principal findings
- Acute watery diarrhoea incidence in children under five fell 55.1% (95% CI ±6.2).
- Household water collection time fell from 148 to 41 minutes per day.
- Community maintenance entities reached operational cost recovery at month 18.
Implementing partners
Citation
AAHRED Evaluation Series ES-11 (2024). Reference CS-01. DOI 10.5281/aahred.es.11.

