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March 15, 2026PLoS ONE0 citationsOpen Access

Beyond the grid: Navigating water supply and sanitation service ecosystems in informal settlements

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ACAna CasasCranfield UniversityPHPaul HutchingsUniversity of LeedsABAndrew Reid BellMount Sinai Beth Israel

Key Points

  • The aim is to understand the service delivery dynamics in informal settlements regarding water and sanitation access.
  • High-frequency longitudinal survey conducted in three informal settlements in Kenya, Peru, and South Africa.
  • Documentation of user experiences related to water supply and sanitation facilities over one year.
  • Analysis of variability in service access and disruptions related to multiple facilities.
  • 62–73% of respondents changed their primary toilet during the study period.
  • 10–27% reported using five or more different primary facilities.
  • High levels of disruption reported due to crowding, queuing, breakdowns, and physical barriers.

Abstract

Hundreds of millions of people living in urban informal settlements rely on irregular and unsafe water supply and sanitation services. To meet their needs, they must navigate fragmented service delivery environments and use multiple different water and sanitation facilities. Using high-frequency longitudinal survey data from three informal settlements in Kenya, Peru and South Africa, we document the variability in water supply and sanitation service access. Across the year-long study period, 62–73% of respondents across all contexts changed their primary toilet, with 10–27% reporting five or more different primary facilities, with similar variability in water access. High levels of disruption were reported, with issues related to crowding/queuing, breakdowns, and physical barriers disrupting accessibility all contributing to the churn of services. To explain the results, we develop the concept of a “service ecosystem” to describe how people living in urban informal settlements rely on multiple water supply and sanitation services simultaneously and how these patterns of access shift over time. Using James C Scott’s theory of legibility, we argue that this irregularity means these service ecosystems are largely illegible within formal monitoring frameworks, that typically categorise households by a primary service. This leads to an information deficit for policymakers and practitioners who have a mandate to improve services in these environments. We further develop the implications of service ecosystems by calling for policymakers and service providers to recognise and support a diversity of service systems which have sufficient redundancy between them to meet the needs of populations, at least until broader structural reforms can address the underlying challenges in these settings.

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Cite This Study

Casas et al. (2026) studied this question.

synapsesocial.com/papers/69b606af83145bc643d1ce82https://doi.org/10.1371/journal.pone.0342657
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An Assessment of the Existing Structure of Water Service Provision System and Water Security in Informal Settlements in Nairobi County, Kenya2024
  2. 2Water Security Characteristics of Existing Water Service Provision Systems in Informal Settlements within Nairobi County, Kenya2024
  3. 3Negotiating Power Dynamics for Sustainable Services Delivery in Informal Settlements in Nairobi Kenya2025
  4. 4INFRASTRUCTURE SERVICE INTERVENTIONS IN SOUTH AFRICAN INFORMAL SETTLEMENTS: A SYSTEMATIC LITERATURE REVIEW OF CHALLENGES, APPROACHES, AND FUTURE DIRECTIONS2026
  5. 5Access to and satisfaction with basic services in informal settlements: results from a baseline assessment survey2026