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Perception of drinking water safety and factors influencing acceptance and sustainability of a water quality intervention in rural southern India

机译：印度南部农村地区对饮用水安全的认知以及影响水质干预措施可接受性和可持续性的因素

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Background Acceptance and long-term sustainability of water quality interventions are pivotal to realizing continued health benefits. However, there is limited research attempting to understand the factors that influence compliance to or adoption of such interventions. Methods Eight focus group discussions with parents of young children - including compliant and not compliant households participating in an intervention study, and three key-informant interviews with village headmen were conducted between April and May 2014 to understand perceptions on the effects of unsafe water on health, household drinking water treatment practices, and the factors influencing acceptance and sustainability of an ongoing water quality intervention in a rural population of southern India. Results The ability to recognize health benefits from the intervention, ease of access to water distribution centers and the willingness to pay for intervention maintenance were factors facilitating acceptance and sustainability of the water quality intervention. On the other hand, faulty perceptions on water treatment, lack of knowledge about health hazards associated with drinking unsafe water, false sense of protection from locally available water, resistance to change in taste or odor of water and a lack of support from male members of the household were important factors impeding acceptance and long term use of the intervention. Conclusion This study highlights the need to effectively involve communities at important stages of implementation for long term success of water quality interventions. Timely research on the factors influencing uptake of water quality interventions prior to implementation will ensure greater acceptance and sustainability of such interventions in low income settings.
机译：背景技术对水质干预措施的接受和长期可持续性对于实现持续的健康益处至关重要。然而，有限的研究试图了解影响遵守或采用此类干预措施的因素。方法2014年4月至2014年5月，与幼儿父母（包括合规与不合规的家庭）进行了八次焦点小组讨论，其中包括参与干预研究的合规家庭和不合规家庭，并进行了三项关键信息访谈，以了解对不安全用水对健康的影响，家庭饮用水处理方法，以及影响印度南部农村地区正在进行的水质干预措施的接受度和可持续性的因素。结果认识到干预措施可带来健康益处的能力，供水中心的便捷使用以及为维护干预措施付费的意愿是促进水质干预措施被接受和可持续的因素。另一方面，对水处理的看法错误，对与饮用不安全的水有关的健康危害的认识不足，对当地可用水的保护意识不佳，对水的味道或气味的抵抗力差以及缺乏男性成员的支持家庭是阻碍人们接受和长期使用干预措施的重要因素。结论结论本研究强调了有效参与社区实施的重要阶段，以确保水质干预措施的长期成功。在实施之前及时研究影响水质干预措施采用的因素，将确保在低收入环境中此类干预措施得到更大的接受和可持续性。

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