Status of water sources, hygiene and sanitation and its impact on the health of households of Makwane Village, Limpopo Province, South Africa

The key to reducing or even eradicating the burden of waterborne diseases is through appropriate sanitation facilities and piped water systems. Installation of centralised system may take decades to be established, especially in impoverished rural communities of African countries. A survey of 88 households representing Makwane, a scattered settlement in South Africa, Limpopo Province, was conducted to assess the status of basic services. A questionnaire was designed to obtain the required information, such as improved water sources, improved sanitation facilities, hygiene practices and incidence of diarrhoeal diseases in the community. A house-to-house survey was conducted from July to August in 2014 and data were collected from the heads of each household. Results of the survey revealed a complete absence of improved drinking water sources in the community (100%). People rely on any available water sources such stream water, or on rainwater harvesting. Safe hygiene practices were observed in most households with regards to water storage as they store water in 25 L plastic buckets (57%), vessels stored inside a room (76%), use storage containers covered with a lid (76%) and wash these containers at any time prior to storing water (39%). Results also indicated a high percentage of households not treating water (81%) prior to use, disposing wastewater in the yard (97%), lacking access to improved sanitation facilities (41%), and not allowing children under 12 years old to use the toilets (62%). As a result, they practise open defecation as an alternative sanitation facility (86%). The main water source for the community was found to be the stream (31%) and this source is used for adequate personal hygiene in terms of full body bath (94%). In terms of health outcomes, the most prevalent health problem was found to be diarrhoea (75%), which occurred mostly in children less than 5 years old and was found to persist up to 3 days (34%). The community generally visited the clinic (75%) in cases of health problems. The implementation of point-of-use household drinking water treatment in Makwane households for the production of safe drinking water is highly recommended. In addition to this, a special education with emphasis on drinking water storage, cleaning of water storage containers and safe disposal of wastewater should be offered. Open defecation should also be discouraged to mitigate the bacterial contamination of water sources and transmission of diseases.