Bazaanah Mothapo 2023 - Sustainability - 2024
Bazaanah Mothapo 2023 - Sustainability - 2024
                                          Prosper Bazaanahab
                                       Email; [email protected]/
                                           [email protected]
                                   https://orcid.org/0000-0002-9948-2147
                                         Raesibe A. Mothapoc
                                        Email; [email protected]
                                   https://orcid.org/0000-0003-1176-6960
a
    Research Scientist, Council for Scientific and Industrial Research (CSIR-Water Research Institute,
Ghana)
b
    Postdoctoral Research Fellow, Future Africa at University of Pretoria, South Africa
c
    Tshwane University of Technology, Faculty of Arts and Design, Pretoria, South Africa
Declarations:
Competing interest: The authors declare that there is no financial nor competing interest
associated with the paper submitted for publication.
Acknowledgments: This publication was made possible (in part) by a grant awarded to
Prosper Bazaanah by the Carnegie Corporation, New York. The statements made and views
expressed are solely the responsibility of the authors.
                                                  Abstract
        Water and sanitation are core for the growth and development of communities. Yet, South
        African local municipalities are often unable to sustainably deliver safe water and basic
        sanitation for all. Drawing on perspectives of ecological economics, this study analysed the
        sustainability of water and sanitation systems in rural communities of the Lepelle Nkumpi
        Local Municipality. Mixed research approach was used to collect the data from 657
        household and institutional respondents. The study found that households used water for
        multi-purposes including consumptive, productive and domestic, but existing facilities are
        in deplorable condition. Pollution arising from agrochemicals, waste systems, mining,
        sewerage, and industrial effluence significantly affected water systems in the communities.
        Bridging demand-supply gaps require initiatives like bulk water supply and implementation
        of the free basic water policy in underprivileged areas. Tariffs should either be waived or
        adjusted for extremely poor households. Waste management initiatives like capacity
        building, public education, investments, and facility upgrade, could help avert spread of
        water-borne infections and improve the resident’s health.
Keywords: Sustainability; Drinking Water; Basic Sanitation; Rural Communities; Lepelle Nkumpi Local
           Municipality; South Africa.
Introduction
Water and sanitation are at the heart of development, crucial for the existence of people and the
sustenance of their ecological systems. As a result, the 6th Sustainable Development Goal (SDG)
lays emphasis on universal access to water, sanitation, and hygiene for all (UN, 2015). In sub-
Saharan Africa, countries and civil society actors have made efforts to address water issues related
to equity and sustainability (Food and Agriculture Organisation [FAO], 2017). Yet, at the local
level, the capacity of local municipalities to sustainably deliver water and basic sanitation services
has been grossly ineffective (Hemson, 2015). A worsening situation persists in low-income and
informal settlements (WHO, 2022), where the capacity of local municipalities to provide basic
services has been problematic (Maake & Holtzhausen, 2015; Hutton & Chase, 2017).
In South Africa, the challenges of sustaining potable water and sanitation delivery in rural
municipalities are widespread (Tapela, 2018). Apartheid regulations, policies, and white supremacy
led to the skewed provision of social amenities (Madigele, 2017). During the apartheid regime
(1948 to 1994), racial discrimination was rampant in the country and led to the segregation of
service and infrastructural provision, especially in rural communities (Förster et al., 2017). At the
end of apartheid, South Africa's newly elected government inherited huge services backlogs. Thus,
for example, basic social amenities [like education, water, and sanitation] were offered to black South
Africans at substandard levels compared to their white counterparts (Madigele, 2017). An
estimated 1.5 million people did not have access to safe drinking water and improved sanitation
                                                                                                     1
(Hutton & Chase, 2017). Improving and sustaining service delivery thus, became the responsibility
of the government after independence. Though efforts have been made to bridge gaps pertaining
to the provision of basic services, implementation remains ineffective. The South African
government considers safe drinking water and basic sanitation as essential preconditions for good
health and well-being of its citizens (Hutton & Chase, 2017). Initiatives and policies like the
Integrated Water Resource Management (IWRM), the Water Act, the local government system,
and free water initiatives were introduced to sustain water and sanitation delivery. However, in
most rural communities, people still walk three to four kilometres (approximately 50 minutes or
more daily) to rivers and streams to fetch water (Hemson, 2016). Safe drinking water and basic
sanitation are interconnected and hence, can make or break a community. A “sustainable water
system is the capacity of an improved water source such as boreholes, pipe schemes, dug-out wells
to provide continued beneficial potable water supply over a considerable period of time”
(Bazaanah, 2022, p. 4). In view of the inadequacy of safe drinking water and basic sanitation, it is
common for community members to dig their own wells to access water, which is often not treated
and unsafe for human consumption (Edokpayi et al., 2018). They also commonly use pit latrines
without ventilation and/or defecate in open spaces, which poses a serious threat to disease
outbreaks (Swanepoel & De Beer, 2016). The unreliable provision of drinking water and basic
sanitation in provinces such as the Eastern Cape and KwaZulu-Natal has been associated with
many cases of waterborne diseases in rural communities (Hemson, 2016). Accessing water from
boreholes and shallow wells and the use of pit latrines are common practices in rural communities
that lack access to service delivery. This is because inherited apartheid legacies, policies, legislations,
and institutional arrangements skewed the provision of water in South Africa (Madigele, 2017).
The municipal census reports [1996 – 2011] consistently revealed a vast inherited backlog in the
provision of water and sanitation services in the Limpopo province (Statistics South Africa
[StatsSA], 2011). The most affected areas include the Capricorn District Municipality, Greater
Sekhukhune District, Mopani District, Vhembe District, Waterberg District, and the Lepelle
Nkumpi Local Municipality (LNLM). The topography, logistics, funding, and capacity constraints
account for inequity in water and sanitation services in these municipalities (Hemson, 2016).
Decades of neglect by duty bearers and low investments in water and sanitation facilities have
resulted in a mismatch between facility access and population increase, and thus, outstretched
service delivery beyond sustainability levels (Oskam et al., 2021). The adverse impacts account for
low water access and facility maintenance by the municipalities. Similarly, sanitation facilities have
consistently missed the benchmarks of reliability, acceptability, appropriateness, affordability, and
sustainability (South African Government, 2015). These challenges have often triggered service
delivery protests in several local governments, especially in the rural communities of the Limpopo
Province (Kanyane, et al. 2017). In this article, we assess the factors which affect the sustainability
of drinking water and basic sanitation systems in rural communities of the Lepelle Nkumpi Local
Municipality.
The idea of safe water and improved sanitation are inherently interlinked. This is because water
plays an important role in maintaining adequate health, well-being, and livelihoods of rural
populations. However, the quality and sustainability of drinking water systems can be
                                                                                                         2
compromised when they become contaminated by waste arising from improper sanitation
maintenance (Tapela, 2018). The quality of water is often determined by such elements as odour,
taste, and the presence of either organic or inorganic materials. In most developing countries, the
sources of water contamination are due to geological, agricultural, and industrial activities (FAO,
2017). These pollutants can adversely affect the quality of drinking water and human health upon
drinking, particularly before proper treatment is carried out. Since quality water and improved
hygiene can affect human life, and ecological sustainability, access to clean drinking water is now
globally recognised as a fundamental human right. Yet, sustainable access to potable water and
improved sanitation remains limited in rural settlements of many developing countries. Estimates
by the WHO and the United Nations Children’s Fund revealed that over 700 million people (WHO
& UNICEF, 2014), who mostly live in developing countries, have no reliable access to potable
water sources and improved sanitation facilities (WHO, 2019).
In post-apartheid South Africa, studies have shown that inadequate sanitation sometimes leads to
water contamination and results in avoidable disease outbreaks, including cholera, dysentery,
salmonellosis, and typhoid. Annually, waterborne diseases are attributed to be the cause of
preventable deaths in most rural communities (Lange & Hassan, 2006). Safe and readily available
water is important for public health, whether it is used for drinking, domestic [cleaning, cooking],
food production, or recreational purposes. Improved water supply and sanitation and better
management of water resources can boost countries’ economic growth and can contribute greatly
to poverty reduction (Tropp, 2022).
In 2010, the United Nations General Assembly recognised the human rights to water and
sanitation. Everyone has the right to sufficient, continuous, safe, acceptable, physically accessible,
and affordable water for personal and domestic use (UN, 2015). Similarly, section 27(1) (b) of the
South African Constitution stipulates that every South African has the right to adequate water and
basic sanitation (SA Government, 1997). To achieve this, a Free Basic Water (FBW) policy was
formulated to address the huge inequalities that existed between rich and poor households after
the apartheid system was abolished (Meyer, 2007). Yet, recent studies reveal that geographic, socio-
cultural, and economic inequalities persist, not only between rural and urban areas but also in
towns and cities (WHO, 2022; Ndimande, 2022). People living in low-income and informal
settlements usually have less access to improved sources of drinking water and basic sanitation
(Hove et al., 2019). In addition, rural-poor people who constitute more than half of the South
African population have inequitable access to water and sanitation (Meyer, 2007) . As Tropp (2022)
contends, the overall public and private sector investment needed for improved water and
sanitation services are considered by countries to be essential. However, at the local level, meeting
such investment challenges is mostly beyond the capacity of rural-poor communities. Drawing
from earlier studies, we argue in this article that there is a need to correct historical inequities to
water and sanitation access and give impetus to the universal human rights enshrined in the 1996
South African Constitution.
In this paper, water, and the environment are perceived as essential natural capital useful for
advancing the public good. In line with the ecological economics paradigm, water and sanitation
                                                                                                     3
are theorised from the perspectives of basic needs and natural capital (Schultza et al., 2015). Water
and hygiene are perceived to be essential human rights, natural capital and basic needs required for
survival of every human being (Fourie et al., 2013). For ecological economists, water as a natural
capital is linked to the production of other goods and services in every economic system (Schultza
et al., 2015). From the perspective of natural capital, water can be seen as an important resource
for enabling productive activities and enhancing human well-being and livelihoods (Lant, 2004;
Costanza, 1992). Similarly, as a basic need, scholars like Distefano and Kelly (2017) have argued
that water and improved sanitation are important catalysts that underpin all aspects of human life.
This means that reliable and safe water supply and improved sanitation may go beyond having
beneficial effects on ecosystems and the livelihoods of rural people but may also pose a serious
danger or threat to growth of rural environments if not well managed at all levels of society. From
the rights-based perspective, the United Nations Human Rights Council indicates that all human
beings have the right to adequate and clean water that is suitable, physically available, and
affordable for personal and domestic use (United Nations Human Rights Council, 2014). Thus,
disadvantaged, and marginalised communities must be socially and economically included in the
allocation of water and sanitation systems. In South Africa, the FBW, and the Water Service Act
(1996) are ambitious steps toward addressing the historical imbalances and injustices of the past
through the provision of equal access to services in local communities.
Drawing on the idea of water as a human right, basic need, and natural capital, as theorised by
ecological economists, this chapter attempts to understand the complex human-environment
relationship in rural worlds and to use the evidence produced to suggest policy strategies that may
lead to ecologically sustainable, socially just, and robust rural communities, which have the capacity
to sustain water systems and maintain adequate hygiene. Here, we situate the fundamental problem
of environment-economy not in market failures, but in humans’ inadequate understanding of their
role, rights, impacts, and responsibilities they have towards sustaining water and sanitation systems
within the larger ecological system. We stress in this article that the sustainability of natural
resources (water) and sanitation services in rural spaces are often multifaceted. The narratives on
water and sanitation must be reconfigured, focusing on local scales. Using evidence from rural
communities in South Africa, we argue that water and sanitation are basic needs that are critical
for human survival and well-being. There is a need to understand the territorial conditions
prevailing in rural communities and integrate the different elements of sustainability (ie social,
economic, political, environmental, etc.) in order to develop better strategies for improving water
and sanitation systems in rural worlds. In doing so, we posit that human rights to water must be
integrated in national and local efforts towards addressing disparities of access to and sustainability
of water and sanitation services confronting South African communities.
The South African government has numerous mechanisms in place for the provision and
sustainability of water in rural communities, despite countless communities having no access to
clean drinking water. Among the actors working to sustain water supply in the country include the
government, private sector, individuals, and community development workers (UNICEF, 2010;
WHO, 2012). Of all municipal services, the provision of potable water is perhaps the most vital.
Nel et al. (2013) argue that South Africa is currently using 98 % of surface water, which comes
                                                                                                     4
from sources like lakes, rivers, and oceans. Sibiya and Gumbo (2013) reported that in South Africa,
it is estimated that over 1.5 million people do not have access to clean drinking water. There are
several types of household water sources for a community’s daily use, including boreholes, piped
water, communal taps, rainwater, irrigation channels, and greywater (Nel et al., 2017). Greywater
is usually beneficial for both domestic animals and societies as it is produced from household
dishwashers, flush toilets, and municipal wastewater (Mpenyana-Monyatsi et al., 2012). In addition,
groundwater constitutes an important natural source of drinking water for household purposes in
numerous rural municipalities (UNICEF, 2022). Rural communities often depend on groundwater
for their water supply, which is critical to their livelihood, health, and dignity. Improving water
services and uses in developing countries is essential for increasing hygiene and sanitation services
that affect the productive lives of people and easing the burden and drudgery of those who have
to collect water from far and unsafe sources such as rural communities (WHO, 2022).
In South Africa, 93% of the population has access to water supply services and 76% have access
to basic sanitation. However, the proportion of the population using improved water sources
remains substantially lower in rural than in urban areas (Oskam et al., 2021). This clearly indicates
that there is a wide disparity between urban and rural communities with respect to safe drinking
water supply. Health, economic, and human rights perspectives on water suggest that water access
in urban areas should not be prioritized above rural areas. Like many African societies, the water
challenges in South Africa were inherited from the apartheid system. As noted by Nwankwoala
(2011), many African governments adopted water distribution practices that were characteristics
of former colonial governments; - largely segregatory and doing little for rural and native
communities.
Due to “urban bias”, the majority of the rural communities in the country have no access to piped
water and improved water sources. The primary water sources are mostly developed springs and
hand-dug wells, boreholes, shallow and deep-drilled wells. Other unimproved sources include
ponds, lakes, rivers, lagoons, and open-dug wells (Lange & Hassan, 2006). Moreover, there are
sources of drinking water that are poorly constructed or do not have any engineered facilities such
as a spring box, borehole capping and dug-out-wells. Improved sources, including piped water
inside dwelling units, piped water inside the yard, communal taps, water vendors, rainwater tanks,
and closed-wells are rare and often beyond the affordability of rural populations (van Koppen et
al., 2020). Edokapyi (2018) asserts that water availability can reduce the burden of waterborne
diseases among community members. Drinking water must thus, be treated in accordance with
the South African National Standard (SANS, 241) and World Health Organization drinking water
recommendations. Though efforts have been made to extract drinking water from the Olifants
River through the establishment of the Olifantspoort Water Treatment System and the Lepelle
Northern Water Board, the burden of water collection has not improved. Women and girls in the
rural communities still carry water on their heads, whereas others use wheelbarrows and donkey
carts to transport water. Apart from the municipal sources, community members resort to illegal
connections and buying from illegal water vendors to carry out their household chores. Domestic
animals [such as cattle, goats, sheep, donkeys, cats, and dogs] drink water from the same source where
members of the households access their drinking water. Access to water is vital for health,
livelihoods, and economic growth in rural communities (Duncker, 2015). Its vitality has been
observed in periods of water scarcity, which compel societies to access unclean drinking water
                                                                                                    5
from unprotected wells, rivers, and dams for household usage. These observations are common
in the Lepelle Nkumpi Local Municipality, as the rural dwellers walk long distances to collect
contaminated drinking water for their daily household purposes. In addition, infrastructural decay,
maintenance, and improvement have been serious challenges in ensuring safe water provision in
South Africa. At the municipal level, aging infrastructure, and high demand, compounded by poor
operations, pollution, and poor maintenance culture, make a strong case for improvement in the
water situation of the country (Nsoba, et al., 2020).
Water accessibility depends on prevailing climatic conditions. Climate change brings about the
elevation of temperature, unpredictable rainfall patterns, increased droughts, and floods
(Rankoana, 2016; Hemson, 2016). Households become vulnerable in accessing domestic water
during these unstable climate conditions. These conditions also affect other socio-economic
activities including the cultivation of traditional fruits, vegetables, the brewing of traditional beer,
the production of traditional food crops and livestock. In the 2010-2011 season, the local
communities, experienced destructive floods which caused infrastructural damage estimated at
ZAR500 million (Musyoki et al., 2016). Moreover, drought is a common challenge affecting local
communities in the Limpopo Province. The occurrence of drought has resulted in the drying-up
of surface water and dug-out water sources. This has affected agriculture, drinking water, and
sanitation delivery. Figure 1 depicts the worst annual drought and rainfall patterns between 1921-
2013 in the Limpopo Province (Mpandeli et al. 2015). At a threshold of surface rainfall index of
SPI 1.5, a total of five drought years were recorded (1926, 1930,1932, 1962 and 2007). The most
severe drought year occurred in 1962. On the other hand, the wet years occurred in 1940, 1955,
1967 and 2000. There is a link between water scarcity and climate in the rural communities. When
rainfall is reduced, water availability is reduced. Climate events, characterised by seasonal
fluctuations, impact water availability for domestic and agricultural uses. Earlier studies found the
Limpopo Province as a drought-prone province (Maponya & Mpandili, 2016; Lethoko, 2016).
Figure 1: Surface Rainfall Index (SPI) in the Limpopo Province (1921-2013). Source: Mpandeli et al. (2015)
Water sources from boreholes, dug-out wells, and surface water, dry up rapidly due to climate
variability and uncontrolled human activities. The shortage of water resources impacts both the
high - and low-lying areas of the province (Musyoki et al., 2016). Again, floods in the Limpopo
                                                                                                             6
basin resulted in the displacement of people, and caused food and water insecurity, pollution of
surface water, and livelihood challenges in the communities. The devastating effects have been
more pronounced on the most vulnerable populations, including women, children, and the
disabled who have limited adaptive capacities (Alemaw & Kileshye-Onema, 2014).
In terms of hygiene and waste management, there are several types of toilet facilities, including pit
latrines without ventilation, flush toilets [with septic tanks], flush toilets [connected to a sewerage
system], dry toilet facilities, bucket toilet systems, bush, and open fields. Gedroogte and Ga-
Molapo communities depend on pit toilets without ventilation, bush, and open fields as their main
places of convenience. Magatle community depends on pit toilets without ventilation, even though
other members of the community have access to flush toilets connected to the sewage system,
flush toilets connected to septic tanks, and dry toilets. Construction of new toilet facilities in the
communities is problematic, as they do not have the resources and technical know-how to comply
with the WHO and the South African Standards (WHO, 2014). Consequently, rural communities
are vulnerable to waterborne diseases such as diarrhoea and malaria. The sanitation situation is
most acute in rural areas, home to most people who defecate in the open and without basic
sanitation (WHO, 2022).
Women and girls are disproportionately impacted by lack of access to water and sanitation. Poor
drainage systems create spaces for breeding mosquitoes while littering and indiscriminate waste
disposal cause pollution of surface water systems. An alarming situation occurs regarding washing
of hands after using pit toilets (UNICEF, 2011). This is because water is not readily available for
maintaining adequate personal hygiene. Since 1994, South Africa’s Constitution has committed to
achieving everyone’s rights to water and improved sanitation. Although efforts have been made
by the government in terms of investment in public resources, establishment, and capacitation of
water boards and in the local municipalities to address the pre-1994 infrastructural gaps, backlogs
in low-income, informal settlements and rural areas continue to prevail. Nationally, “over 3 million
people still do not have access to a basic water supply service and 14.1 million people do not have
access to safe sanitation” (van Koppen, 2020, p. 1). Studies have shown that the reliability of
services that have been provided since 1994 is declining, with only 64 % of households having
access to improved sanitation services (Balzer, 2019, p. 4). In rural Limpopo Province, Ramugondo
et al. (2013) found that only 14 % of water infrastructure implemented is fully functional, while 15
% is sub-functional and 71 % is dysfunctional.
We argue that a better understanding of rural communities’ systems, practices, experiences, and
priorities related to water and sanitation may provide baseline information for duty bearers to
develop public water and sanitation infrastructure in low-and middle-income settings more cost-
effectively and sustainably. Among the measures to improve water and sanitation facilities include
the protection of water sources, water treatment [at distribution points, collection, or consumption], and
ensuring that treated water is safely stored at home in regularly cleaned and covered containers
(WHO, 2020). In the context of the Covid-19 pandemic, the government of South Africa needs
to do things differently to reverse the existing condition. A business-as-usual approach to water and
sanitation maintenance will further expose already vulnerable people to infections. The pathways
                                                                                                        7
to achieving sustainability include moving away from centralised and one-size-fits-all solutions to
more decentralised and community-based approaches, with the involvement of all stakeholders.
The study employed the post-positivism design. Post-positivism supports quantitative methods
and adherents view knowledge construction through observable and measurable evidence rather
than words (Glesne & Peshkin, 1992). Post-positivism allowed the researchers to remain detached
from the respondents in order to gather reliable and valid data through the administration of
questionnaires. The research design made it possible to assess the drinking water and sanitation
situation in the municipality in a clear, logical, and objective manner. This allowed the researchers
to further analyse the data holistically in relation to the aim of the study. The study scenes cover
the Lepelle Nkumpi Local Municipality (LNLM) and Capricorn District Municipality (CDM),
located in the Limpopo Province. The areas cover 24°15′0″S and 29°40′0″E, situated to the
northern part of South Africa (see Figure 2). Although water and sanitation service delivery are the
responsibilities of the LNLM, through agreement, the CDM serves as the water service provider
for the township and rural communities of the LNLM area. The CDM was selected because it
serves as the water service authority of the LNLM. According to the Water Services Act (Act 108
of 1997), a water service authority is considered to be “any municipality responsible for ensuring
access to water services in the Act which may perform the functions of a Water Service Provider
and may also form a joint venture with another water services institution to provide water services”
(South African Government, 1997, p. 4). With a household population of 233,925, the LNLM is
the second-largest rural municipality in the Limpopo province. About 95 % of the municipality
falls under the jurisdiction of tribal authorities. The study areas covered the Gedroogte, Ga-
Molapo, and Magatle communities of the LNLM (see Figure 2).
Figure 3 shows that in the Gedroogte, Ga-Molapo and Magnate communities, both men and
women collect water daily from community taps either through head-portership or using
wheelbarrows and donkey carts. Water is typically stored in containers of 25 litres and commonly
used for cooking. Ventilated pits are the main toiletry systems used by households, complemented
by new communal toilets constructed by the municipality. Human waste disposal is challenging
for most households in terms of its appropriate excavation as per international and national
standards.
The study adopted a mix of approaches in sampling and collection of the data. The total sample
size for the study constitutes ten key informants and 647 household respondents from the three
communities. The sample size for the households was calculated based on the formula: n =
   𝑁
          , where n = sample size, N = total household population of the communities (233,925), α
1+𝑁(𝛼)²
= margin of error (0.05) (Raosoft, 2004). A confidence level of 95 %, representing a 5 % error
margin was used in estimating the sample size for the households. Having determined the sample
                                                                                                  9
size, a sample proportion formula (P*n/N) was applied in determining the units of household
members selected from each community. Table 1 presents the sample distribution by community
and by household, based on the population size.
Following Bazaanah (2022) and Ndimande (2022), a proportional formula [P x n/N] was used to
determine the units from the households, where P = households in the community officials, n =
total sample size and N = total number of household population. Thus, in applying the above
formula, the total sample for Gedroogte was determined as [96,500 x 647/233925=267]; Ga-
Molapo [76,980 x 647/233925=213] and Magatle [60,445 x 647/233925=167]. Having achieved
homogeneity of the sample, the simple random sampling technique (Babbie, 2016) was used to
select the units of analysis from the households. This technique enabled the respondents in each
of the communities to have equal and fair chances of being represented in the study (Hacker,
2014). The key informants were composed of the Senior Superintendent for Operations and
Maintenance at the LNLM, three tribal authorities, and six community ward councillors (i.e., two
from each of the three communities). These participants were purposively selected by the study
because they had expert knowledge and experience on matters related to water and basic sanitation
in the communities. The instruments included questionnaires and interview guides (Crano et al.,
2014) which were used to gather data. The instruments covered the respondents’ demographics,
socio-economic, and environmental concerns, water, and sanitation service provision in the three
communities. The instruments were piloted in a trial study to confirm their reliability and validity
and to refine the logistics for the actual field data collection (Babbie, 2016). In this small-scale
study, Mugenda (2003) prescribes that the instruments be pretested on 10 % of the sampled
respondents. Thus, in this study, a total of 66 (10 %) respondents were selected for the pre-test
phase. The Cronbach Alpha value of the reliability statistics was α = 085, an indication that the
instruments were consistent and reliable for a large-scale study. However, the test for normality
using the probability plot test showed that the data did not follow a normal distribution. The test
outcome informed the decisions related to the choice of statistical techniques used by the main
study. The pre-test informed decisions for modifications/adjustments which ensured clarity,
validity, reliability, and quality control in the instruments (Creswell, 2014). In the actual field
exercise, the questionnaires were administered to officials and key informants from the
municipality while face-to-face interviews were conducted with the household respondents. The
officials were literate and could read, understand, and independently answer the questionnaires
without the physical presence of the researchers. A face-to-face interview was considered
appropriate for the households considering the literacy level of residents in the communities. The
household respondents were made to answer the same questions in all three rural communities.
                                                                                                            10
This made it possible to combine the responses in the data analysis phase. The key informant
interviews were conducted to firm-up the views from the household respondents. Stata (Version
13) was used to analyse the qualitative data. The framework for quantitative data analysis included
descriptive statistics such as the mean, standard deviation, and percentages. The Fisher’s exact test
(Mehta et al., 1984), i.e, the Chi-square test, was used to check whether there were frequencies
lower than five on the tables and determine the association between the variables. The variables
used include household income, water sources used, duration at the settlement, type of toilet
facility used, household size, and water shortages. At a 95 % confidence level and with a tolerated
error margin of 5 % (e) = 0.05, a probability level of p ≤ 0.05 was taken to indicate statistical
significance whereas p ≥ 0.05 was taken to indicate there was no statistically significant association
between the variables.
Figure 4 depicts the gender of the respondents who participated in the study: 44 % of them were
males, and 56 % were females. The result on gender is consistent with the population
characteristics of the study area, based on the data published by Stats SA which showed that
women accounted for approximately 55 % of the total population in 1996, about 56 % in 2001,
and 54 % in 2011 as per the census report (Integrated Development Plan (IDP) 2016 - 2021).
Male (44%)
Female (56%)
As illustrated by Table 2, the sizes of the households ranged from one to three (8 %), four to six
(51 %), seven to ten (36 %), and ten and above (5 %). The communities have a relatively youthful
population, with almost two-thirds (59 %) accounting for the ages between 18 and 49 years. The
adult populations ranged from 18-29 (30%), 30-49 (30%), 50-64 (32%), and a few retirees of 65
years (8%) and above. The population growth trends, and household membership composition
indicate that the demand for water and basic sanitation is likely to increase in the future. An
increase in per capita water consumption driven by local economic activities and development
conditions in the communities will likely intensify freshwater demand. Therefore, deliberate efforts
to address possible shortfalls in service provision cannot be overemphasised. We caution that
erratic service delivery could affect young people’s future growth and development prospects.
Populations resident in dry and high-lying areas of the communities are likely to receive the brunt
as more projects will be needed to transport fresh water to them. In terms of education status,
                                                                                                    11
Table 2 reveals the level of education of the respondents in the communities. About 64% of the
respondents have no formal education while 31% have national certificates, 3% have degrees and
2% have diplomas. The findings highlight that educating the people about water and sanitation
matters could be an important strategy for improved health, water quality and sustainability,
especially in developing communities of the municipality. It can have implications on the people’s
health, water conservation, socio-economic and development prospects of communities. Poor
hygiene practice which is linked to the pollution of freshwater sources could probably be due to
the low education levels of the people. Similarly, low education levels can affect compliance to
water and sanitation regulations and standards. This is also highlighted by SDG6 of the United
Nations (2015).
Table 3 shows that more than a fifth (22 %) of the respondents are employed while those who
were unemployed constituted 43 %. About 16 % were students, 1% were housewives, domestic
workers or seasonal workers (employed on municipal programmes) unable to work or chose not
to work, 5 % were pensioners and thus dependent on government social grants, 7 % were
labourers, and 2 % were teachers. Without tenure employment, residents would have no
sustainable source of income to pay for critical services like water and sanitation. Thus,
unemployment can affect the livelihoods of the residents and access to essential services like water
and sanitation. If unattended, then it can have future implications for the people’s health, mental
well-being, productivity, and maintenance of the physical environment. With the relatively youthful
population (60 % between 18 and 49yrs), the water and sanitation sector could provide
employment prospects for the unemployed in areas including sanitation inspection, water
distribution, revenue collection and water management. It has been established that household
income is linked to clean water access, decent sanitation and improved hygiene in rural settlements.
This is because household income is not only important for reducing poverty, but it can also help
drive local economic growth, save lives and maintain habitable environment. In this study, we
                                                                                                                                                  12
found that a little above half of the respondents earned no income (57 %), 13 % received incomes
between R100 and R500, 21 % earned R501 to R1000, less than a tenth earned R1001 to R3000
(6 %), R3001 to R5000 (1 %), R5000 and above (2 %) per month (Table 3).
With little to no disposable income, it means that the residents will not be able to afford the cost
of freshwater and improved sanitation services. This means they will likely live in an unclean
environment without improved drinking water and proper waste disposal systems. In such squalid
conditions, diseases are able to spread easily among the most vulnerable, including women and
children.
In Table 4, among the respondents who earned an income, half (53 %) were engaged in subsistence
farming, and 20 % survived on a monthly income. The economically active population in the
municipality mainly does subsistence agriculture and has small/medium-scale businesses. The key
agricultural sub-sectors in the municipality include crop farming, livestock rearing, fish farming (at
homes), and tree planting. The elderly community members were found to be living on allowances
(10 %), and pension fund (7%). The other income sources included trading, assistance from either
NGOs or relatives, rental income and poverty funds/ state grant schemes. The study shows that
these rural communities are currently trapped in poverty as the majority rely on subsistence
farming to sustain their households. The results highlight that bridging poverty gaps among the
rural residents without incomes and those living on remittances and humanitarian grants may likely
improve access to potable water and sanitation. The municipality may struggle to achieve Goal 6
of the SDGs on universal access to basic services, especially water and sanitation (WHO 2022),
where citizens continue to live on humanitarian grants which are unsustainable.
                                                                                                   13
Table 4: Economic activities and livelihood support systems
 Income sources                                                               Percentage
 Agriculture                                                                      53
 Allowance                                                                        10
 Monthly income                                                                   20
 Poverty fund/ State grant                                                         1
 Pension fund                                                                      7
 Trade                                                                             5
 Support from NGOs                                                                 1
 Depend on relatives                                                               1
 Rental income                                                                     1
 Total                                                                           100
With respect to duration or period of stay in the communities, most of the respondents (85 %)
settled in the communities for over 15 years (see Table 5 below). A little above a tenth (11 %) of
the respondents lived at the study location for a period between 6 to 15 years. A key informant
said that: “a sense of belonging and having a share in a supportive, caring, and welcoming communities is important
for us as the residents” (Participant 2). The findings highlight that the power of united, strong, and
supportive communities where residents pitch in and support each other socially, economically,
and emotionally, can create enabling environments for vulnerable individuals to receive support
from neighbours. Thus, vulnerable residents are better able to adapt and share common facilities
when they live together in a community setting.
Most of the household respondents perceived the water and sanitation conditions to be very poor
(70%). This is perhaps due to neglect, lack of maintenance or that state-of-the-art facilities are yet
to be installed. Water scarcity and ill health loom if this trend continues in the communities. A key
informant confirmed that “humans share surface water sources;- rivers, streams, and open wells) with animals”
(Participant 1). In such conditions, the residents become vulnerable to contracting waterborne
diseases and health-related complications. The findings agree with Sinyolo et al. (2014) who point
out that conditions for food security should be assessed similarly to water and sanitation conditions
at national, provincial, and rural levels. Similarly, Rankoana’s (2017) study found that rural
communities have perceptions which are impacted by some challenges not limited to climate
change and drought, but also conditions of social amenities including water and sanitation. In
Figure 5 electricity, torch/flashlights, kerosene lamps, gas, solar energy, power from private
                                                                                                               14
generators, candles and fuel wood constitute important energy sources for the people in the
communities. The residents generally depend on the national grid for electricity supply (60 %).
Fuel wood and charcoal (29 %) are the widely used energy sources for cooking and heating.
Modern energy sources like gas and electricity (for cooking) are rare (10 %), possibly because the
people are unable to afford the tariffs. This was confirmed by an informant who said that; “due to
poverty, the local people are unable to afford the cost of improved energy sources…” (Participant 18). Meanwhile,
energy from gas and solar (0.2 %), is a privilege for the middle and upper-class people.
                  Charcoal/firewood                                  29%
              Private energy sources         0.8%
                  Solar/wind energy          0.2%
 Lamps (Torch/flash/ kerosene/gas)                       10%
                           Electricity                                                               60%
0 10 20 30 40 50 60 70
Since deforestation is often associated with fuel wood and charcoal production, environmentally
friendly energy sources could be important strategies to safeguard the environment. This view was
highlighted by a key informant who suggested that; “…if the cost of gas and electricity from Eskom can
be reduced, it will reduce charcoal use and indiscriminate cutting down of trees which affect our water sources…”
(Participant 11). In the long to medium term, if deforestation and depletion of environmental
resources are not mitigated, it can induce climate hazards like floods and droughts (Musyoki et al.,
2016) which can affect the availability of surface water (rivers and lakes etc.) and groundwater
sources in the communities. South African municipalities, including the LNLM, are confronted
with countless challenges in terms of upgrading infrastructure and social amenities. To improve
the quality of life (QOL) of citizens, it is essential to not only capture what is required quantitatively
in terms of infrastructure but also to understand the perspective of the public on service levels and
the demand for improved social amenities. Madigele (2017) reports that a great number of rural
communities lack access to infrastructure, which escalates to poor societies in local municipalities.
In rural communities of South Africa, previous studies have established that the lack of clean water
and sanitation in dwelling units compel residents to either collect drinking water and/or use
dumping sites outside homes (Duncker, 2015; Hemson, 2016; Edokpayi et al., 2018, Asoba et al.,
2020). The findings of this study confirmed that almost all residents of the communities fetch
drinking water and access hygiene facilities (ie, toilet and waste sites) outside dwelling units. In
Figure 6, although the communities differ in terms of the distances they cover to water sources, it
emerged that access to quality water and sanitation remains a daily struggle. On average, 85% of
the respondents walked more than 4kms, 11% walked 3kms, 3% walked 2kms and 1% walked
either 1km or less to either fetch water or access a dumping facility. Similarly, in revealing the
burdens associated with water collection, a key informant stressed that “…after water has been collected
from a remote water point, women then face a long walk home, sometimes in the dark, exposing themselves to snake
bites, attacks, violence and even sometimes rape…” (Participant 7). The results give credence to Hemson’s
                                                                                                                15
(2016) study which found that in rural settlements, people walk 3 to 4kms (approximately 50
minutes or more daily) to rivers and streams to fetch water and dispose of waste. This is due to
the grossly inadequate provision of safe drinking water and hygiene services for their households.
   1km or <       1%
        2km        3%
        3km                  11%
                                                                                                       85%
       4km+
The results confirm Mudau et al. (2016) who found that people who access tap water at the
Vhembe District Municipality complained of problems related to back pain, resulting from the
distances they had to travel to either dispose of waste or fetch water from different sources like
taps, rivers, springs or boreholes. The gender perspective of the problem was revealed (Figure 7),
with many women having to face most of the water and sanitation challenges. This was not
surprising since women are mainly involved in the cleaning and water-based chores of households
in African communities. At the Gedroogte, Ga-Molapo and Magatle rural communities, the
burden of water collecting is heavily borne by women (50 %), boys (16 %), girls (19 %), men (9 %)
and donkeys as means of transporting water (6 %).
                                              6%
                                        19%                                      women
                                                      50%                        men
                                       16%
                                                                                 boy children
                                             9%
                                                                                 girl children
Figure 7: Responsibilities for household water and hygiene maintenance
Women are primary providers, users, and managers of water in the households, and they are often
directly affected by lack of sanitation facilities. A key participant corroborated this view by saying
that “women are the ones who shoulder the problem of carrying water for up to four hours per day when the water
system (borehole/pipes) malfunctions” (Participant 6). In the communities, water is used for drinking,
food production, cooking, personal and family hygiene, washing, cleaning, and caring for domestic
livestock. The lack of fairness in the distribution of water and sanitation responsibilities can
seriously affect young girls, especially during puberty when they need regular access to water and
proper sanitation for personal hygiene. Similar studies found that the overall burden of water
collection and sanitation maintenance among populations in rural communities is more heavily
dependent on women and girls than on men and boys (Greere et al., 2010; UNICEF, 2011). It is
very common to see children spending much time collecting and carrying water and rubbish to the
dumping sites in rural communities. Such practices can have physical, emotional and mental
consequences on children’s educational outcomes. Statistics show that women outnumber men in
                                                                                                              16
these communities, which clearly identifies the burden and stress they are experiencing daily with
regard to fetching water and using sanitation facilities. The findings are not surprising because in
traditional societies, cultural and social norms have designated gender roles for men and women.
Girls and women have been confined to the domestic roles of fetching water, cooking, washing
and cleaning (Bazaanah, 2022). Where these burdens fall heavily on girls, they could be adversely
affected in their school attendance and academic performance. This challenge can lead to road
casualties, risks, assault, attacks on unaccompanied girls and health-related problems such as
injuries to the back and neck while carrying water. The findings are similar to the results of Geere
et al. (2010), who found that carrying water can cause damage to the body regarding musculo-
skeletal illnesses linked to the spinal cord and other joint problems. In Table 6, due to scarcity of
water, the communities employ different water collection and conservation strategies.
Water containers are often made of lightweight metals or plastics, and they are often used by the
residents to collect, transport, treat, store or consume water. The range of domestic water
containers commonly found in the communities includes buckets, jerrycans, storage drums and
gallons. In Table 6, the study found that a little above half of the respondents (56 %) used 20-litre
buckets to fetch water for their households. About 20% of the respondents used water
drums/jerricans, 25-litre gallons (15 %) and 10 % used barrels to fetch water.
Similarly, to the prevailing conditions at the Gedroogte, Ga-Molapo and Magatle rural
communities, a study by Greere et al. (2010) found that numerous rural communities in Venda,
Limpopo Province also collect water using 20 to 25-litre plastic buckets. In terms of water
conservation/ storage, a large majority (86%) of the respondents store their water in water drums.
Others also stored water in underground tanks (inside their houses) (7%), in 25 litre buckets (6%),
and in overhead polytanks (1%) (see Table 6). The results are also similar to Edokpayi et al. (2018),
who found that the households at Thulamela Municipality in the Limpopo Province normally store
their drinking water in large water drums, plastic buckets and jerrycans. Although, the Gedroogte,
Ga-Molapo and Magatle rural communities depend on boreholes which pump three (3) litres of
water per second as indicated by 80 % respondents, 7 % of the respondents depended on piped
water inside the yard, 5 % on piped water from an access point outside the yard, and 4 %
depending on water vendors. The others depend on rain-harvesting polytanks (4 %), communal
taps (3 %) and neighbours’ support (0.2 %). Maake and Holtzhausen (2015) show that in the
Mopani District of the Limpopo Province, the main water sources include streams, wells,
                                                                                                  17
boreholes and rivers. These results are similar to those of Edopayi et al. (2018) which show that
in the Thulamela Municipality of the Limpopo Province, the rural communities depend on
boreholes as their water sources. Table 7 reveals that most of the households (89 %) do not have
toilet facilities in their homes. A few of the respondents depended on toilets in their dwelling units
(10 %) or community toilets (1 %). These results are similar to Beyers (2016) who found that in
the Fetakgomo Local Municipality, Limpopo Province, sanitation issues are a major challenge
impacting the localities. Moreover, Hemson (2015) reported that in the Amathole District
Municipality in the Eastern Cape Province, communities do not have toilets in their households.
Again, in Table 7, nearly half (42 %) of the respondents showed that they depend on pit toilets
without ventilation, 16 % depend on dry toilets and 12 % use bucket toilet systems, 10 % use the
bush and open fields, while 5 % depend on flush toilets connected to a sewage system.
A few respondents (5%) depend on flush toilets with septic tanks for their households. Adopting
modern and hygienic waste disposal systems and strategies for pollution abatement (solid and
liquid waste) should be of high priority to the people. The solid waste generated in the area is either
disposed of in public dumps (open space or container) or is indiscriminately dumped on the streets,
gutters or sewerage systems. The households have a combination of closet flush toilet facilities
(WC), pit latrines, KVIPs or bucket/pan latrines. Public toilet facilities (KVIPs) are for communal
or public use (paid or free use). Water closet toilet facilities are symbols of prestige and associated
with middle-class and upper-class status. In terms of locality, improper solid waste disposal is
generally higher among rural households. Open defecation is more pronounced in the rural areas
where access to improved toilet facilities remains a challenge.
Acceptable waste management helps to prevent the spread of some types of infections and
improves the quality and general hygiene of the environment. These results are dissimilar to those
of Edokpayi et al. (2018) which shows that in the Thulamela Municipality in the Limpopo
Province, few people practised open defecation. The findings, however, confirm Hemson’s (2015)
study which shows that communities at the Amathole District Municipality in the Eastern Cape
depend on the bush as their alternative to a household toilet. This inadequate number of toilets
and the dependency on open defecation (bush) could contaminate surface water and groundwater
systems. Similarly, Stats SA (2016) reported that 2,683,048 households in the country still lack
                                                                                                    18
access to basic drinking water. The three rural communities studied still depend on boreholes as
the primary source of water, apart from private dug-out-wells, which are unprotected and unsafe
for drinking. Waterborne diseases such as diarrhoea, malaria and cholera are likely to rise in the
communities if stringent measures are not put in place. In rural communities of the Limpopo
Province, 10% of children aged four to five years have been found to have dental caries due to the
consumption of unsafe drinking water, which has led to fluorosis (Edokpayi et al., 2018). The
outbreak of a cholera epidemic which originated in Kwa-Zulu Natal did not only affect the people’s
health, but also raised questions about the quality of water they consumed in the area (Hemson,
2016). The consumption of water from unimproved sources without treatment constitutes a major
public health risk. In South Africa, diarrhoea is found to be one of the leading causes of death
among young children, and this problem is worse in children infected with HIV (Edokpayi et al.,
2015). To avert events of the past, particularly in the era of COVID-19, this study cautions the
need for awareness creation, public education, and advocacy programmes, and effective waste
management practices to be implemented by civil society organisations and municipalities.
Ecological economics and policy nexus of water and sanitation service delivery
The use of contaminated water and inadequate sanitation maintenance is frequently connected to
people's income and capacity to afford service delivery. This is because poor individuals cannot
afford basic necessities such as water and sanitation (WHO, 2022). Due to poverty, about 98% of
respondents stated that they were unable to afford adequate water and sanitary facilities. This might
imply that household water consumption and sanitation habits are connected to larger socio-
economic variables. Sinyolo et al. (2014) point out the need to investigate water security at the
national and rural levels. In Table 8, water scarcity appears to be an endemic problem in the
communities. Almost all the participants (93%) revealed that water supply in the communities is
erratic and insufficient. The supply gap has implications for food security and sustainability of
livelihoods. Meanwhile, 6 % of the respondents indicated that water shortages occurred for several
months and 1 % responded they went “day-zero” without water. This is a clear violation of human
rights to water as contained in the 1994 Constitution and the Water Service Act 108 of 1997. Both
regulations specify that it is unlawful for South African communities to be deprived of drinking
water, irrespective of their geographic location or economic status (South African Government,
1994).
Table 8 further reveals that the respondents perceive water shortages in the communities to be
drought-induced (78%), or caused by allocation inequalities (8%), water scarcity (1%) and broken
infrastructure (12%) in the communities. Mpandeli et al. (2015) report that the drought which
occurred in the Limpopo Province from 1926 to 2012 affected farm products and water supplies
to the Gedroogte, Ga-Molapo and Magatle rural communities. An informant testified that “since
1958, these three rural communities have been characterised by harmful drought, poverty, and unemployment”
(Participant 16). For some of the residents, water shortages in the communities could be resolved
through bulk distribution. This was stressed by an informant who indicated that “the state should
implement the FBW policy and steps for bulk water distribution to address water stress” (Participant 9). Among
the households, a little above half (53%) were of the view that their water needs could be addressed
by bulk water distribution, 35% suggested implementation of the Free Basic Water policy (FBW)
and 10% preferred the state/government while 2% viewed privatisation to be an effective pathway
                                                                                                           19
to resolve water scarcity problems in the communities. An informant indicated that “ we need all
stakeholders including the private sector, government, civil society groups and individuals to address the perennial
water shortages in the communities” (Participant 7).
Table 8: Water shortages and the White Paper addressing water scarcity in the communities
 Duration of water shortages                                                          Percent
 Day-zero/ no water                                                                      1
 Months                                                                                  6
 Years                                                                                   93
 Total                                                                                  100
 Water shortages                                                                      Percent
 Inequality in water allocation                                                          8
 Broken infrastructure                                                                   12
 Water scarcity                                                                          1
 Drought                                                                                 78
 Total                                                                                  100
 Strategies to address water shortage                                                 Percent
 Bulk water distribution                                                                 53
 Implement FBW policy                                                                    35
 State-led approach                                                                      10
 Privatise water distribution                                                            2
 Total                                                                                  100
 White Paper 1994                                                                     Percent
 2 litres per/person per/day                                                             2
 20 litres per/person per/day                                                            12
 25 litres per/person per/day                                                            16
 200 litres per/person per/day                                                           61
 More than 200 litres per/person per/day                                                 9
 No litres but a sustainable provision of water                                          1
 Total                                                                                  100
From the perspective of ecological economics, this study argues that the most basic needs of
human beings are air, water, food, clothing, and decent shelter. From the findings, water and
sanitation can be considered to be: i) social goods: - providing core security and welfare benefits
for households, neighbourhoods, societies and communities; and ii) economic good: - that
stimulates growth and the development of municipalities. For instance, a key informant said “…We
are basically subsistence farmers. Water shortages affect our everyday life and well-being, be it our social, politcal or
economic livelihoods, but due to drought, poverty, and increase in population, we barely have enough water…”
(Participant 10). The findings highlight that improved water and sanitation remains a challenge
considering the rate of urbanisation and climate events like drought impacting on the municipality.
Yet, despite decades of independence, post-apartheid regulations and policies in South Africa have
not closed gaps of access to facilities, especially water and sanitation facilities and services in the
country (Madigele, 2017). Water is an essential resource for human survival, a catalyst to revitalise
rural economy, promote growth, and productive activities at the local level (Fourie et al., 2013;
Lant, 2004). In expanding this narrative, this study highlights that water defines every aspect of
human life; socially, economically, politically, and geographically. Access to improved water and
hygienic environments creates social prestige, positive image building, and healthy, productive,
prosperous individuals and societies. As basic needs, water and sanitation are core to poverty
alleviation in rural environments (Schultza et al., 2015). From the perspective of ‘natural capital’,
water and sanitation is linked to productive and service sectors of the rural economy of the
municipality. Water is a vital ecological resource which creates possibilities for the productive and
                                                                                                                     20
extractive sectors of the rural economy (i.e., enabling agriculture, livestock raising and boosting
mining industries). It revitalises ecological systems and service delivery sectors in ways that can
enable development to take place naturally in the municipality. From the economic and the human
rights standpoint, about 61 % of the households agreed they have unmet needs of approximately
200 litres of clean water per person per day, 15 % have unmet water demand of about 25 litres,
about 12% of the households require 20 litres of water per person/per day, 9 % need more than
200 litres, 2 % need 2 litres and 1 % require no litres but a sustainable provision of water for their
households (see Table 8).
The inability of the LNLM to meet the daily needs of water for consumption, productive and
domestic activities is contrary to the Bill of Rights enshrined in Section 27 (1) (b) of the South
African Constitution. Little to no access of water and sanitation by the residents has implications
on human rights at the municipality. The residents of Gedroogte, Ga-Molapo and Magatle need
to be enlightened about government policies and regulations and be empowered to hold the
municipality more accountable for their water and hygiene needs. In a related study, Marume et al.
(2016) found that public policy is a complex, dynamic and diverse process that includes different
methods and procedures to achieve governmental aims and objective for its constituencies. We
highlight here that the water and sanitation conditions at the municipality are not an exception.
Throughout the world, water and sanitation have become symbols of power and control, carrying
with them ideas of “baptism, refreshment and new life,” with properties for cleansing, healing, and
stimulating growth and development (WHO, 2022). Thus, we caution that in municipalities like
LNLM, with a youthful population and growing demands on a limited resource like water, shortage
or scarcity of improved water can result in devastating conflicts, civil unrest and irreparable
catastrophic effects in the communities.
As illustrated by Table 9, the cost of freshwater resources can have implications on water demand,
affordability and choice of water sources used by the people. Almost all residents (99 %) usually
buy water for their household when there is no supply from the municipality, with as few as 1 %
who claim they do not buy water. On average, a 200 litre water drum costs approximately R40.00
(R1= $0.05) (Lepelle Local Municipality, 2017), which normally does not last for a month,
depending on the number of people in the household. It is safe, based on the above, to infer that
pricing water affordably could encourage the residents to either waste less or pollute less water and
rather invest more in water infrastructure. Table 9 depicts the annual cost estimates of household’s
water consumption pattern from 2017, with an annual adjusted increment of 5 %.
The findings show that water tariffs are likely to increase from R2016.00 in 2017 to R3652.00 by
2030 if the current conditions are not mitigated. Considering the rate of urbanisation, poverty
                                                                                                   21
(income levels) and composition of the household membership, the residents with high household
membership are likely to have increased water demand and incur more costs on water (IDP, 2016-
2021). Higher water tariffs could compel impoverished residents to fall on unimproved water
sources. To ensure equity in water allocation and bring demand and supply into balance, water
tariffs should either be waived or adjusted for extremely poor rural residents. In addition, riparian
allocation systems, where the right to use water is linked to land ownership along rivers, needs to
be abolished.
Table 9: Annual estimates of drinking water tariffs in the communities (2017 - 2030)
        2017                   2018                   2019                   2020               2021
 R1920 X 5%             R2016 X 5%             R2111 X 5%             R2217 X 5%           R2328 X 5%
The practice of using rivers and other water sources as channels for waste disposal (industrial
effluence) could affect the health of users located along upstream and downstream areas. Effective
catchment management and participatory efforts are needed to improve water allocation and
sanitation conditions in the communities. In Table 10, the inability of the municipality to sustain
water systems is caused by broken facilities (taps or hand pumps) (78 %), insufficient water (12 %)
and unsafe drinking water (10 %). Similarly, the sanitary conditions and waste management
systems are undesirable due to the unavailability of waste disposal facilities (50 %),
repairs/maintenance culture (30 %), high waste disposal tariffs (10 %) and unavailability of
dumping sites (10 %). Education and sensitisation campaigns are important to increase residents’
awareness and knowledge on hygiene maintenance. These findings are similar to Maake et al.
(2015), who found rural communities of the Mopani District are constrained by high water losses,
leaking infrastructure, and poor waste management systems.
                                                                                                        22
 Water boards                                                                         9
 Total                                                                               100
 Municipality’s responsiveness to complaints by                                    Percent
 residents about water and sanitation conditions
 30 days (one month)                                                                    71
 14 days (two weeks)                                                                    18
 More than 365 days (one year)                                                          7
 7 days (one week)
 1 day                                                                                   1
 48 hours                                                                                1
 Total                                                                                  100
About 78 % of the respondents indicated that they reported defects on their water system facilities
and sanitation constraints to the water/sanitation committees, 13 % to the tribal administration
offices and 9 % reported to the local water boards. Moreover, consultation with residents is
important for decision-making, obtaining information, sharing experiences and knowledge on local
affairs in the municipality. In Figure 10, the channels for consultation and feedback/complaints
with the municipal authorities include telephone/ cell phone conversations (60 %), online (5 %)
and use of representatives/ third party engagement (35 %, i.e., neighbours reported on their
behalf). The findings highlight that the residents have more trust in their water and sanitation
committees than tribal authorities on matters related to water and sanitation conditions in the
communities. Perhaps, they consider the committees as experts with the capacity and knowledge
to address their concerns rapidly and more sustainably.
online 5%
0 10 20 30 40 50 60 70
Although different strategies are employed for consultation and engagement with the residents,
the feedback /complaints have not been prioritised and addressed by the municipality. On
averagely, 71 % of the respondents indicated that the municipality took 30 days (one month) to
respond to reported faults regarding their water and sanitation systems, 18 % mentioned 14 days,
7 % of the respondents mentioned more than a year, 2 % said it took 7 days, 1 % said it took 1
day and 1 % mentioned that it took 48 hours for the municipality to respond to their complaints
(see Table 10). The delays in mitigating reported complaints could result in water losses and
environmental pollution, thus, adversely affecting the health, livelihoods, and well-being of the
residents. The findings corroborate reports from the LNLM (2021), which showed that about
95 % of the land falls under the Tribal Authorities’ jurisdiction. However, the authorities lack
capacities to manage waste and water systems in the municipality. According to the LNLM (2021),
the available channels for reporting service delivery, fraud, and corruption-related water and
sanitation complaints has not been well managed by the CDM. The failure of the CDM to timely
address concerns of the residents are blamed on lack of capacities, funding, and erratic power
supply to its pumping stations. In addition, “coordination between stakeholders like the CDM, LNLM,
                                                                                                              23
civil society organisations, private institutions and the residents in finding common grounds for pooling resources
together have not been effective” (Participant 9). In a related study, Beyers (2015) discovered that the CDM
do not have measures in place to engage the communities and receive feedback related to incidents
on water and sanitation. Similarly, access to toilets and waste dumping sites at the LNLM is beset
with diverse constraints. According to the WHO (2020), sanitation behaviour changes at scale by
whole communities, and the sustainability of that change, has become a global imperative.
Irrefutable research evidence is emerging from different countries that demonstrate that poor
sanitation, particularly open defecation (OD) occasioned by the lack of public toilets and littering
by community members, is causally linked to ill-health and mortality (Hemson, 2015; Edokpayi et
al., 2018; Sibiya & Gumbo, 2013).
In Table 11, a little above half of the respondents (53%) find themselves with either no decent
toilets or with facilities in deplorable conditions. Nearly a third (27%) of the respondents indicated
that they are unable to use public toilet facilities due to cracks in them, 16% perceived the facilities
to be very dirty and 2% indicated that the facilities had flies inside them with strong smells. Air
pollution emanating from human waste can be contagious to the residents. For the poor
households, the cost of constructing and managing private toilets and domestic waste is simply
out of reach. Consequently, for residents who either lack proper toilet facilities or are
unaccustomed to the use of improved toilets, OD and littering around neighbourhoods are
traditionally considered to be the easiest and most economic options.
Table 11: Condition of toilet facilities and strategies for enabling hygienic communities
 Condition of toilet facilities in the communities                                   Percent
 No decent toilets/ practice OPD                                                        53
 Cracks on toilet facilities                                                            27
 Very dirty with faeces everywhere                                                      16
 Many flies inside toilet with strong smell                                             2
 Total                                                                                 100
 Enabling sustainable and hygienic communities                                       Percent
 Public education                                                                       80
 Investment in water and sanitation                                                     78
 Build institutional and community capacities                                           86
 Community empowerment & sensitisation                                                  70
 Support from government                                                                80
 Support by Civil Society Organisations (NGOs)                                          60
 Community initiatives and actions (communal labour)                                    84
*Note: sustainability initiatives are in multiple response categories
This study cautions that with urbanisation, such unhygienic practices and attitudes are likely to
adversely impact on the environment and health of the people. There is a need then, to strengthen
local institutions, and introduce initiatives that can support collective behavioural change in
relation to water and sanitation. Perhaps, community-based processes like Community-Led Total
Sanitation (CLTS) could be applied on a community-wide scale, along with fostering the growth
of local markets offering improved water and sanitation services that are affordable for all. Similar
studies established that the quality and sustainability of drinking water systems can be
compromised when they become contaminated by waste arising from improper sanitation
maintenance (Tapela, 2018; WHO & UNICEF, 2014; WHO, 2019). In Table 11, the pathways for
building resilience and sustainability are multifaceted. They include interventions such as public
education (80 %), investments (78 %), building institutional and community-level capacities (86
                                                                                                               24
%), and community forums (70 %) meant to empower, create awareness, and change attitudes
toward water and hygiene maintenance. Beyond support received from government (80 %) and
civil society organisations like NGOs (60 %), respondents indicated there is a need to develop a
communal and institutional culture (84 %) that strives towards more resilient and safe rural
environments. Such efforts should include offering communal labour in activities like regular
cleaning (clearing of bush and gutters), building affordable toilets and waste dumping sites, and
improved public-private engagements. The findings put into perspective the SDG6 which lays
emphasis on universal access to water, sanitation, and hygiene for all societies (UN, 2015).
Water promotes the wealth and health of societies, and thus, poor water quality arising from
pollution can reduce the life expectancy of residents in the communities. Water and sanitation are
critical elements that can contribute to economic growth and development. The well-being of
people encompasses different elements, including social, economic, and environmental
dimensions. Pollution can affect water sources and human well-being if such sources are consumed
without proper treatment. This study found that 62 % of the household respondents confirmed
they had been diagnosed with fluorosis, 21% indicated they are infected with diarrhoea, 11%
reported cholera infection, 3% malaria, and 3% complained of fever and fatigue after drinking
unsafe water. As an arid area, the freshwater resources of the municipality are likely to diminish.
Thus, drinking water is likely to be even scarcer by 2030, if existing conditions should continue to
persist. Scarier is the fact that treatable water resources (either surface or groundwater) would be
unavailable if water pollution continues unabated. The study cautions that water pollution from
agriculture, and mining – besides posing threats to the availability of drinking water – could have
serious health implications for residents in the communities. Earlier studies established that
contaminated water with algae and agrochemicals could result in kidney, nervous system, and heart
diseases (FAO, 2017; WHO, 2019). If unabated, water pollution could cause residents to lose trust
in tap, surface and groundwater sources, increase the cost of water treatment and further push the
cost of drinking water beyond the reach of the most vulnerable and poor households. In Table 12,
we used the odd ratio of 95 % confidence, assumed the risk of α = 0.05, and the chi-square (2)
test of independence to predict a null hypothesis (Ho) which state that there is no significant relationship
between pollution and drinking water supply. This was measured against an alternate hypothesis (HA)
which assumed that there is a significant relationship between pollution and drinking water supply.
In Table 12, the main pollutants used in determining the association with water supply are
agrochemicals, mining, refuse disposal systems, toilet systems, sewerage systems, and industrial
effluence. None of the cells recorded expected frequencies below the 5% threshold, an indication
that the rules of the chi-square test were not violated by the study. The association between these
pollutants and water supply was found to be statistically significant. If this situation is not
mitigated, water pollution and its cascading effects on ill-health are likely to increase among the
households in the LNLM. In testing for the null hypothesis (Ho), the corresponding p-values (Table
12) were compared with the confidence interval (0.05) in order to determine whether the existing
relationships are statistically significant. The decision rule applied was “do not accept the null hypothesis,
if p-value ≤ 0.05 and accept the null hypothesis, if “p-value” > 0.05]. Thus, where the p-values are smaller
than the significant level, it is assumed that the result is statistically significant.
                                                                                                           25
Table 12: Effects of pollution on drinking water                    in the communities
                                                Drinking water pollutants
                                  Agrochemicals Mining      Refuse        Toilet                            Poor       Industrial
 Chi-Square Statistics                           activities disposal      systems                           sewage     effluence
                                                            systems                                         systems
 2                               481.449a       155.179a   754.988b      642.978a                          687.673b   456.731a
 Df                               2              2          2             2                                 2          2
 p-value                          0.001          0.020      0.041         0.021                             0.000      0.000
 N                                647            647        647           647                               647        647
 a. 0 cells (0.0%) have expected frequencies less than five. The minimum expected cell frequency is 91.9.
 b. 2=chi-square statistic; p-value = significance level; n = sample size and df = degrees of freedom
In Table 12, since the corresponding p-values of the 2 statistics are lower than the 0.05 threshold,
the null hypothesis (Ho) is rejected, and the alternative hypothesis (HA) is accepted. We therefore
conclude, based on the test results, that within the Gedroogte, Ga-Molapo and Magatle
communities, agrochemicals, mining activities, refuse disposal systems, toilets, sewage, and
industrial effluence are the most significant pollutants affecting drinking water sources used by
households and residents of the area. A key informant confirmed that “…the main sources of pollution
are agrochemicals, miners, and improper waste disposal. These wastes find their way into our water bodies which
causes sickness like cholera when we drink from them” (Participant 20). In related studies, Hemson (2016)
found that in South Africa, the occurrence of the cholera epidemic from 2000 to 2001 is linked to
waterborne diseases arising from the consumption of unsafe water. Similarly, Edokpayi et al.
(2018) discovered that in rural communities of the Limpopo Province, children aged four to five
years have been detected to have dental caries due to the consumption of unsafe drinking water,
which has led to fluorosis. The outbreak of a cholera epidemic in Kwa-Zulu Natal was linked to
the quality of water used by households. Poor water quality makes many communities vulnerable
to high mortality rates in South Africa (Hemson, 2016). In addition to this, the outbreak of the
COVID-19 pandemic has demonstrated the critical importance of sanitation, hygiene, and
adequate access to clean water for preventing and containing the spread of diseases. Hand hygiene
can save lives and water availability is important for ensuring proper hand washing. According to
the WHO, handwashing is one of the most effective actions to reduce the spread of pathogens
and prevent infections. Yet, evidence across the globe shows that billions of people still lack access
to safe water and sanitation, South African municipalities are not exception (WHO, 2020).
Conclusion
The basic needs of every human society include water and improved sanitation. From the
perspectives of ecological economics, we argued in this paper that water and sanitation affect every
aspect of rural life [socially, economically, politically, and environmentally]. We found that gender,
population growth trends, and household composition affects water and sanitation delivery in the
studied communities. The existing facilities are in a deplorable condition due to overuse without
rehabilitation – pushing the cost of services beyond affordability by poor residents. This is a signal
that future demands for water and basic sanitation are likely to increase if the existing conditions
of facilities are not improved. With the relatively youthful population, high unemployment, and
poverty rates, the residents will not be able to afford the cost of freshwater and improved sanitation
services. Typical of most patriarchal and traditional societies, the burden of domestic water
collection and hygiene maintenance, unfairly rests on women who trek long distances to either
fetch water or dispose of waste. This highlights decades of neglect and under-investment by duty
                                                                                                                                    26
bearers as state-of-the-art facilities are yet to be installed in most of the dwelling units. The rural
settlers used water for diversified purposes [like consumptive, productive, and domestic purposes], a
signpost that water scarcity will likely impact on livelihoods and well-being of residents in the
communities. Ensuring allocation equity requires that demand-supply gaps be bridged through
initiatives like bulk water supply, investment in facilities, the removal of tariffs and riparian systems
in underprivileged and poor areas. Water insecurity and ill-health could arise if efforts are not made
to address water pollution arising from agrochemicals, toilets and waste systems, mining, sewerage,
and industrial effluence in the communities. Acceptable waste management practices could help
prevent the spread of waterborne infections. Such initiatives like capacity building, public
education/awareness raising, investments, and facility upgrade, are not only critical but could help
avert the spread of water-borne infections and significantly improve the resident’s health.
Recommendations
In view of the hardships being experienced by the rural communities, it is essential for the LNLM
to improve water facilities, including boreholes, in compliance with government regulations. The
municipality must implement strategies that incorporate water for productive use in the water
distribution plan, as this will foster community development. Handwashing and personal hygiene
are important considerations for curtailing the spread of diseases in the municipality. The
Department of Social Development, aligned with the Limpopo Province should educate rural
communities about the construction, use and maintenance of public pit latrines in line with the
environmental health regulations of the country. The Limpopo Department of Water Affairs
should implement suitable WASH programmes within LNLM for health education and awareness
in the communities, to promote the well-being of the communities at large. To ensure equity in
water allocation and bring demand and supply into balance, water tariffs should either be waived
or adjusted for extremely poor rural residents. The government of South Africa should be
committed to water and sanitation improvements at all levels. Increased funding and capacities
should be made available for improvement, particularly in rural water and sanitation facilities, to
make them accessible and safe for human use. Moreover, social mobilisation, dialogue and
stakeholder involvement should be strengthened for effective water and sanitation service delivery
in rural communities. We call on civil society organisations to intensify efforts of educating the
residents on the relevance of clean water, basic sanitation, and health hazards. The water and
sanitation agencies and departments of the municipality should ensure the provision of
environmentally friendly energy sources, and enforce bylaws to curtail the pollution of water
sources and the environment.
References
Alemaw, B. F. & Kileshye-Onema, J. M. (2014). Evaluation of drought regimes and impacts in the
    Limpopo basin. Hydrology and Earth System Sciences Discussions, 11(1), 199-222.
Asoba, S.N., Fiko, M. Makiwane, B. and Mefi, M.P. (2020). Water and sanitation challenges: The
   case of a rural South African municipality. Academy of Entrepreneurship Journal, 26 (3s).
Babbie, E. (2016). The practice of social research. (14th ed). Cengage Learning, Boston.
Balzer, T. (2019). National Water & Sanitation Master Plan. Valuing water dignifying sanitation.
    Powerpoint presentation at World Water Day. Leaving no-one behind Water for All, 22
    March 2019. Department of Water and Sanitation, Pretoria.
                                                                                                      27
Bazaanah, P. (2022). Ecological governance and sustainability of rural household’s water
    conservation systems in the Savannah Region of Ghana. In I. Nojiyeza, O. Mtapuri, P.
    Bazaanah, & E. Netshiozwi (eds.), Handbook of Research on Resource Management and the Struggle
    for Water Sustainability in Africa. IGI Global, New York. http://https://doi.org/10.4018/978-
    1-7998-8809-3.ch001
Beyers, L. J. E. (2015). Service delivery challenges within Municipalities in the Capricorn District
    of Limpopo Province. Journal of Human Ecology, 50(2), 121-127.
Crano, W. D., Brewer, M. B., & Andrew, L. (2014). Principles and methods of social research methods (3rd
    ed.). Routledge, New York.
Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches, 4th ed.
    SAGE, London.
Costanza, R. (1992). Natural Capital and Sustainable Development, Journal of Conservation Biology,
    6(1), 37-46
Distefano, T. & Kelly, S. (2017). Are we in deep water? Water scarcity and its limits to economic
    growth. Journal of Ecological Economics, 142(5), 130-147
Duncker, L. C. (2015). Towards norms and standards for water services in rural South Africa. WIT
   Transactions on Ecology and the Environment, 200(11) 183-194.
Edokpayi, J. N., Rogawski, E. T., Kahler, D. M. (2018). Challenges to Sustainable Safe Drinking
   Water: A Case Study of Water Quality and Use across Seasons in Rural Communities in
   Limpopo Province, South Africa. Water 10(2). https://doi.org/ 10.3390/w10020159.
Edokpayi, J. N., Odiyo, J. O., Msagati, T. A. M., Potgieter, N. (2015). Temporal Variations in
   Physico-Chemical and Microbiological Characteristics of Mvudi River, South Africa.
   International Journal of Environmental Research and Public Health, 12(10), 4128–4140.
Förster, J. J., Downsborough, L., & Chomba, M. J. (2017). When policy hits practice: Structure,
    agency, and power in South African water governance. Society & Natural Resources, 30(4), 521-
    536.
Fourie, H., De Wit, M. P., & Van der Merwe, A. (2013). The role and value of water in natural
    capital restoration on the Agulhas Plain. South African Journal of Economic Management and Science,
    16(1), 83-95.
Food and Agriculture Organisation (2017). Coping with water scarcity: Challenge of the 21st Century.
   http://www.fao.org/3/aaq444e.pdf
Hemson, D. (2015). Baseline survey: water, health and development: three site rural communities
   in the Amathole district municipality. Amathole, Amathole District Municipal
Hemson, D. (2016). Water, sanitation, and health: South Africa's remaining and existing issues,
   South African Health Review 2016, (1) 25-34.
Hutton, G. & Chase, C. (2017). Water Supply, Sanitation, and Hygiene, Injury Prevention and
    Environmental Health, 2017, 171.
                                                                                                      28
Hove, J., D’Ambruoso, L., Mabetha, D., Byass, P., Kahn, K., Khosa, S., & Witter, S. (2019). Water
   is life’: Developing community participation for clean water in rural South Africa BMJ Global
   Health, 3(4), 96-105.
Kanyane, M., Pophiwa, N., Raseala, P., Mdlongwa, T., Viljoen, J., Moolman, B., Adonis, C.,
   Ramphalile, M., & Rule, S. (2017). We didn't ask for a municipality: Unintended consequences of
   municipal boundary re-determination: Vuwani at a glance. Human Sciences Research Council,
   Vuwani.
Lant, C. (2004). Water Resources Sustainability: An Ecological Economics Perspective. Journal of
    Water Resources Update 6(127), 20-30.
Lange, G., & Hassan, R. (2006). Introduction to water issues and water accounting in Southern
    Africa: Economics of Water Management. Edward Elgar, Southern Africa.
Lepelle Nkumpi Local Municipality (2021). Integrated Development Plan (IDP 2012-2021). Lepelle
    Nkumpi Local Municipality, Pretoria.
Lethoko, M. X. (2016). Climate change strategies in municipal Integrated Development Plans: A
    case from seven municipalities in Limpopo Province, South Africa. Jàmbá: Journal of Disaster
    Risk Studies, 8(3), 1-6.
Lin, L., Jiang X., Zhang, Z., Huang, S., Fang, Z., & Gu, Z., (2020). Gastrointestinal symptoms of
     95 cases with SARS-CoV-2 infection. Gut, 69(6), 997-1001.
Maake, M. T., & Holtzhausen, N. (2015). Factors Affecting the Provision of Sustainable Water
   Services in the Mopani District Municipality, Limpopo Province. Administration Publication,
   23(4), 248-271.
Madigele, P. K. (2017). South Africa’s water regulatory and policy framework: A new institutional
   economic review. Sustainable Water Resources Management, 4(6), 1-13.
Maponya, P. I., & Mpandeli, S. N. (2016). Drought and Food Scarcity in Limpopo Province, South
   Africa. African Journal of Agricultural Research, 7(37), 134-150.
Meyer, W. N. (2007). The economics of water. Water for life, sanitation for dignity. Van Schaik:
   Publishers, Pretoria.
Musyoki, A., Murungweni, F. M., & Thifhulufhelwi, R. (2016). The impact of and responses to
   flooding in Thulamela Municipality, Limpopo Province, South Africa. Journal of Disaster Risk
   Studies, 8(2), 1-10.
Mpenyana-Monyatsi, L., & Momba, M. N. B. (2012). Assessment of groundwater quality in the
   rural areas of the North-West Province, South Africa. Scientific Research and Essays, 7(8), 903-
   914
Mugenda, M. O. (2003). Research methods: Quantitative and qualitative approaches. African Centre for
   Technology Statics (ACTs), Nairobi.
Nel, N., Jacobs, E. H., Loubser, C., & Du Plessis, K. J. A. (2013). Supplementary household water
     sources to augment potable municipal supply in South Africa. Water SA, 43(4), 1-10.
                                                                                                 29
Ndimande, N. (2022). Equitable access to water at Alfred Duma Local Municipality, in I. Nojiyeza,
   O. Mtapuri, P. Bazaanah, & E. Netshiozwi (eds.), Handbook of Research on Resource Management
   and the Struggle for Water Sustainability in Africa. IGI Global, New York.
Nwankwoala, H. (2011). Localising the strategy for achieving rural water and sanitation situation
   in Nigeria. Environmental Science and Technology, 5 (13), 1170-1176.
Oskam, M. J., Pavlova, M., Hongoro, C., & Groot, W. (2021). Socio-economic inequalities in
   Access to Drinking Water among Inhabitants of Informal Settlements in South Africa. Int. J.
   Environ. Res. Public Health, 18(9), 105-528.
Ramugondo, R. R., Dikwahtlhe, S. B., Lekalala, R. G., & Sambo, D. C. (2013). Identification of small-
   scale water infrastructure in Nebo Plateau, South Africa. Output 5.3. Internal draft. Challenge
   Program Water and Food and Agricultural Research Council, Pretoria.
Rankoana, S. A. (2016). Perceptions of climate change and the potential for adaptation in a rural
   community in Limpopo Province, South Africa, Sustainability, 8(8), 672-77.
Schultza, L. Folke, C., Osterblom, H. & Olsson, P. (2015). Adaptive governance, ecosystem
    management, and natural capital. Journal of National Academy of Science, 22(24) 7369 -7374.
Sibiya, J. E. & Gumbo, J. R. (2013). Knowledge, attitude and practices (KAP) survey on water,
     sanitation and hygiene in selected schools in Vhembe District, Limpopo, South Africa.
     International Journal of Environmental Research and Public Health, 10(6), 2282-95.
Statistics South Africa (2011). General Household Survey. Republic of South Africa, Pretoria.
Swanepoel, H., & De Beer, F. (2016). Community development: Breaking the cycle of poverty. Juta and
   Company Ltd., Lansdown.
South African Government. (1997). Water Services Act 108 of 1997. Government Printer, Pretoria.
South African Government. (2015). South African National Standard on drinking water.
    https://web.mwa.co.th/download/prd01/iDW_standard/South_African_Water_Standard_
    SANS_241-2015.pdf
Tapela, B. N. (2018). Water scarcity and water use: Report to the Water Research Commission.
    Water Research Commission. South Africa
Thanh, N. C., & Thanh, T. T. (2015). The interconnection between interpretivist paradigm and
   qualitative methods in education. American Journal of Educational Science, 1(2), 24-27.
Trambauer, P., Maskey, S., Werner, M., Pappenberger, F., Van Beek, L. P. H., & Uhlenbrook, S.
    (2014). Identification and simulation of space–time variability of past hydrological drought
    events in the Limpopo River basin, southern Africa. Hydrology and Earth System Sciences, 18(8),
    2925.
Tropp, H. (2022). Making water a part of economic development: The economic benefits of improved water
    management and services. https://siwi.org/publications/making-water-a-part-of-economic-
    development-the-economic-benefits-of-improved-water-management-and-services/
United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development.
    Geneva, United Nations.
                                                                                                   30
United Nations Human Rights Council. (2014). Resolution on the Human Rights to Safe Drinking Water
    and Sanitation. Geneva: UNHRC. A/HRC.RES/27/7.
UNICEF. (2010). Water, Sanitation and Hygiene (WASH): Safe water, toilets and good hygiene
   keep children alive and healthy. UNICEF, New York.
UNICEF. (2015). Water, sanitation and hygiene for schoolchildren in emergencies: A guide book
   for teachers. UNICEF, New York
Van Koppen, B., Hofstetter, M., Nesamvuni, A. E., & Chiluwe, Q. (2020). Integrated management
    of multiple water sources for multiple uses: Rural communities in Limpopo Province, South
    Africa. Water SA, 46(1) 1–11.
WHO & UNICEF. (2012). Progress on drinking water and sanitation. 2012 update. WHO/UNICEF
  Joint Monitoring Programme for Water Supply and Sanitation, New York.
WHO & UNICEF. (2014). Progress on Drinking Water and Sanitation: 2014 Update. New York,
  USA,
WHO. (2019). A guide to equitable water safety planning: ensuring no one is left behind. World
  Health Organisation, New York.
WHO. (2020). Hand Hygiene Day “Nurses and midwives, clean care is in your hands.”
  https://www.who.int/news-room/events/detail/2020/05/05/default-calendar/hand-
  hygiene-day
WHO. (2020). Transmission of SARS-CoV-2: Implications for infection prevention precautions.
  https://www.who.int/publications/i/item/modes-of-transmission-of-virus-causing-covid-
  19-implications-for-ipc-precaution-recommendations
WHO. (2020). Water, sanitation, hygiene, and waste management for SARS-CoV-2, the virus that causes
  COVID-19. Interim report’ file:///C:/Users/HP/Downloads/WHO-2019-nCoV-
  IPC_WASH-2020.4-eng.pdf
WHO. (2022). Drinking water. https://www.who.int/news-room/fact-sheets/detail/drinking-
  water.
31