Psychosocial Health: Hidden Effects in the Water Supply and Sanitation Environment

Ira Kusumawaty, Ari Siswanto


The conceptualization of water and sanitation as the foundation of life is the key to the success of sustainable development in the health sector. Fulfilling water and sanitation needs often encounters obstacles in the environment of certain family groups that touches the complexity of psychosocial health problems. The facts show that attention is often neglected to the impact of inadequate fulfillment of clean water and sanitation on psychosocial health. It is very important to further explore the impact of water availability and sanitation on psychosocial health in order to achieve sustainable health development. This qualitative research was carried out with a phenomenological study approach, involving 5 families living on the riverbank in Palembang, South Sumatera Province. The in-depth interview method is carried out until it reaches data saturation, observation and field notes are carried out during the data collection process. The results of data collection were analyzed using the Colaizzi method to obtain four themes including: stress due to not getting access to clean water, economic difficulties that cause emotional distress in accessing clean water, compulsion to use available water and inconvenience to use public sanitation facilities. The implication of this research is the need for policies to facilitate certain groups of people to access their needs for clean water and sanitation by paying attention to the psychological aspects of the community. Collaboration of community leaders is needed in accelerating access to clean water and sanitation that is more respectful of community dignity.


water access, environment hidden impact, psychosocial health

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I. Kusumawaty and A. Siswanto, “Air Bagi Kesehatan : Tantangan Serius Mewujudkan Tujuan Pembangunan Berkelanjutan Water for health : a serious challenge to realize sustainable development goals,” pp. 52–59, 2019.

E. G. J. Stevenson, A. Ambelu, B. A. Caruso, Y. Tesfaye, and M. C. Freeman, “Community water improvement, household water insecurity, and women’s psychological distress: An intervention and control study in Ethiopia,” PLoS One, vol. 11, no. 4, pp. 1–13, 2016, doi: 10.1371/journal.pone.0153432.

A. Wutich, “Intrahousehold disparities in women and men’s experiences of water insecurity and emotional distress in urban Bolivia,” Med. Anthropol. Q., vol. 23, no. 4, pp. 436–454, 2009, doi: 10.1111/j.1548-1387.2009.01072.x.

A. Wutich, “the Effects of Urban Water Scarcity on Sociabilty and Reciprocity in Cochabamba, Bolivia,” 2006.

E. Bisung, S. J. Elliott, B. Abudho, C. J. Schuster-Wallace, and D. M. Karanja, “Dreaming of toilets: Using photovoice to explore knowledge, attitudes and practices around water-health linkages in rural Kenya,” Heal. Place, vol. 31, pp. 208–215, 2015, doi: 10.1016/j.healthplace.2014.12.007.

N. R. Krumdieck et al., “Household water insecurity is associated with a range of negative consequences among pregnant Kenyan women of mixed HIV status,” J. Water Health, vol. 14, no. 6, pp. 1028–1031, 2016, doi: 10.2166/wh.2016.079.

E. G. J. Stevenson et al., “Water insecurity in 3 dimensions: An anthropological perspective on water and women’s psychosocial distress in Ethiopia,” Soc. Sci. Med., vol. 75, no. 2, pp. 392–400, 2012, doi: 10.1016/j.socscimed.2012.03.022.

B. N. Krieger, “Epidemiology and the People ’ s Health,” Am. J. Epidemiol., vol. 175, no. 8, pp. 854–856, 2012.

R. M. Sapolsky, “Social status and health in humans and other animals,” Annu. Rev. Anthropol., vol. 33, pp. 393–418, 2004, doi: 10.1146/annurev.anthro.33.070203.144000.

E. Bisung and S. J. Elliott, “It makes us really look inferior to outsiders: Coping with psychosocial experiences associated with the lack of access to safe water and sanitation,” Can. J. Public Heal., vol. 108, no. 4, pp. e442–e447, 2017, doi: 10.17269/cjph.108.5546.

E. Bisung and S. J. Elliott, “Psychosocial impacts of the lack of access to water and sanitation in low- and middle-income countries: A scoping review,” J. Water Health, vol. 15, no. 1, pp. 17–30, 2017, doi: 10.2166/wh.2016.158.

A. Wutich and K. Ragsdale, “Water insecurity and emotional distress: Coping with supply, access, and seasonal variability of water in a Bolivian squatter settlement,” Soc. Sci. Med., vol. 67, no. 12, pp. 2116–2125, 2008, doi: 10.1016/j.socscimed.2008.09.042.

M. A. Hanjra and M. E. Qureshi, “Global water crisis and future food security in an era of climate change,” Food Policy, vol. 35, no. 5, pp. 365–377, 2010, doi: 10.1016/j.foodpol.2010.05.006.

A. Nallari, “‘All we want are toilets inside our homes!’: The critical role of sanitation in the lives of urban poor adolescent girls in Bengaluru, India,” Environ. Urban., vol. 27, no. 1, pp. 73–88, 2015, doi: 10.1177/0956247814563514.

A. Wutich, M. Beresford, and C. Carvajal, “Can Informal Water Vendors Deliver on the Promise of A Human Right to Water? Results From Cochabamba, Bolivia,” World Dev., vol. 79, pp. 14–24, 2016, doi: 10.1016/j.worlddev.2015.10.043.

S. Hirve et al., “Psychosocial stress associated with sanitation practices: Experiences of women in a rural community in India,” J. Water Sanit. Hyg. Dev., vol. 5, no. 1, pp. 115–126, 2015, doi: 10.2166/washdev.2014.110.

K. C. Sahoo et al., “Sanitation-related psychosocial stress: A grounded theory study of women across the life-course in Odisha, India,” Soc. Sci. Med., vol. 139, pp. 80–89, 2015, doi: 10.1016/j.socscimed.2015.06.031.

K. R. S. Hulland et al., “Sanitation, stress, and life stage: A systematic data collection study among women in Odisha, India,” PLoS One, vol. 10, no. 11, 2015, doi: 10.1371/journal.pone.0141883.

V. Khawas, Human Development Report 2005-2006, vol. 36, no. 3. 2006.

S. M. Aisyah, N. A. Supli, and A. H. Z. Tarigan, “Peran Strategis City Diplomacy Pemerintah Palembang Dalam Mewujudkan Kota Berkelanjutan Ramah Lingkungan,” Dauliyah J. Islam. Int. Aff., vol. 5, no. 1, p. 125, 2020, doi: 10.21111/dauliyah.v5i1.4277.

P. Henley et al., “Cultural and socio-economic conditions as factors contributing to chronic stress in sub-saharan African communities,” Can. J. Physiol. Pharmacol., vol. 92, no. 9, pp. 725–732, 2014, doi: 10.1139/cjpp-2014-0035.

G. H. Zamani, M. J. Gorgievski-Duijvesteijn, and K. Zarafshani, “Coping with drought: Towards a multilevel understanding based on conservation of resources theory,” Hum. Ecol., vol. 34, no. 5, pp. 677–692, 2006, doi: 10.1007/s10745-006-9034-0.

C. L. Workman and H. Ureksoy, “Water insecurity in a syndemic context: Understanding the psycho-emotional stress of water insecurity in Lesotho, Africa,” Soc. Sci. Med., vol. 179, pp. 52–60, 2017, doi: 10.1016/j.socscimed.2017.02.026.

A. Wutich and A. Brewis, “Food, water, and scarcity: Toward a broader anthropology of resource insecurity,” Curr. Anthropol., vol. 55, no. 4, pp. 444–468, 2014, doi: 10.1086/677311.

W. E. Jepson, A. Wutich, S. M. Colllins, G. O. Boateng, and S. L. Young, “Progress in household water insecurity metrics: a cross-disciplinary approach,” Wiley Interdiscip. Rev. Water, vol. 4, no. 3, p. e1214, 2017, doi: 10.1002/wat2.1214.



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