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Improved water access may not reduce women's time burdens: Evidence from Kenya and Honduras

Sinharoy, S.; Mink, T.; Ogutu, E. A.; Patrick, M.; Nuncio, M. d. C. A.; Bolanos Gamez, M. V.; Oglesby, H.; Ngo, C. P.; Antonio, S.; Medina Lopez, E. R.; Mwangi, P.; Koome, P.; Otuya, P. A.; Ruto, P.; Otieno Onyango, R.; Caruso, B. A.

2026-06-04 public and global health
10.64898/2026.06.03.26354805 medRxiv
Show abstract

Women's disproportionate responsibility for unpaid domestic and care work, including water collection, remains a barrier to gender equality globally and may constrain women's ability to engage in income-generating activities. We compared women's and men's time use in rural Kenya and Honduras and assessed whether women's time spent on water collection and income-generating activities differed between communities that had or had not received an improved water source from World Vision. We also examined the measurement of time-use agency among women and men. In-person surveys were conducted in July-August 2024 with 95 participants (48 women, 47 men) in six Kenyan communities and 102 participants (53 women, 49 men) in six Honduran communities. Surveys included a 24-hour time-use recall module and items on time-use agency. Analyses compared time use by gender and by community intervention status (improved vs. not yet improved water supply), and confirmatory factor analysis assessed the validity of the time-use agency measure. Women in both study sites spent substantially more time than men on unpaid domestic and care work activities, including cooking, cleaning, laundry, and caregiving. In Kenya, women also spent significantly more time collecting water. Men spent more time sleeping (Kenya), on paid work (Honduras), unpaid agricultural work (both settings), and traveling (both settings). Across both countries, there were no significant differences between intervention and comparison communities in women's time spent on water collection or income-generating activities. In Kenya, most respondents reported high influence over their time, and six items showed strong validity for measuring instrumental time-use agency. Women's time burdens remained high even in communities that had received improved water sources, including at the household level. Our results suggest that more transformative water infrastructure, combined with interventions that address gendered social norms, may be needed to meaningfully reduce women's domestic work burden and support their economic empowerment.

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