Challenges to Sustainable Safe Drinking Water: A Case Study of Water Quality and Use across Seasons in Rural Communities in Limpopo Province, South Africa

Abstract

Consumption of microbial-contaminated water can result in diarrheal illnesses and enteropathy with the heaviest impact upon children below the age of five. We aimed to provide a comprehensive analysis of water quality in a low-resource setting in Limpopo province, South Africa. Surveys were conducted in 405 households in rural communities of Limpopo province to determine their water-use practices, perceptions of water quality, and household water-treatment methods. Drinking water samples were tested from households for microbiological contamination. Water from potential natural sources were tested for physicochemical and microbiological quality in the dry and wet seasons. Most households had their primary water source piped into their yard or used an intermittent public tap. Approximately one third of caregivers perceived that they could get sick from drinking water. All natural water sources tested positive for fecal contamination at some point during each season. The treated municipal supply never tested positive for fecal contamination; however, the treated system does not reach all residents in the valley; furthermore, frequent shutdowns of the treatment systems and intermittent distribution make the treated water unreliable. The increased water quantity in the wet season correlates with increased treated water from municipal taps and a decrease in the average contaminant levels in household water. This research suggests that wet season increases in water quantity result in more treated water in the region and that is reflected in residents' water-use practices.

Keywords: drinking water treatment; public health; water quality; water resources; water-resources management.

Figure 1.

Map of the study area. The communities are all located within the Mutale River watershed. The rivers are indicated in blue, villages outlined in purple, environmental samples in blue squares, tributaries in green circles (which have intermittent flow), watershed boundary in orange. This heavily agricultural area has cultivated areas along both sides of thee Mutale River for the vast majority of the region; the area is shown with green outlines. There are two identified brick-processing areas shown in brown rectangles. Unfortunately, some sites are so close that the markers overlap (as with CR and IR). The location of the community supplies (CA, CB, and CC) are not shown to protect the privacy of those villages. See supplemental information for Google Earth files.

Figure 2.

Precipitation trends in the study area. (a) Annual precipitation by hydrologic year. Data quality are presented on a scale of zero to unity where the quantity shown represents the proportion of missing or unreliable data in a year; (b) Cumulative precipitation for the last five complete years; (c) Average monthly precipitation calculated for years with greater than 90% reliable data (bottom right). All data are presented by the standard Southern hemisphere hydrologic year from July to June numbered with the ending year. Data are from the Nwanedzi Natural Reserve at the Luphephe Dam (17 km from the study area) and fire available through the Republic of South Africa, Department of Water and Sanitation, Hydrologic Services (http://www.dwa.gov.za/Hydrology/).

Figure 3.

The mean monthly temperature in the region recorded at Punda Milia. (a) Mean monthly temperature based on the means from 1962–1984; (b) Mean monthly temperature record. Data are available from the National Oceanic and Aviation Administration (U.S.), National Climatic Data Center, Climate Data Online service (https://www.ncdc.noaa.gov/cdo-web/).

Figure 4.

Membrane filtration results for (a) E. coli and (b) other coliforms. Data are presented for wet and dry seasons. The four ephemeral rivers (*) have no dry season data because they had no flow; all other sources have the results reported, some of which are zero or near-zero. South African National Standard (SANS 241:1-2015) set the limit of 0 CFU/100 mL for E. coli and 10 CFU/100 mL for total coliforms (CFU/10⁻⁴ m³). Ephemeral rivers that do not flow all the way into the valley are indicated (*) in the dry season.

Figure 5.

Turbidity of the water sources in the study area. Two to three measurements were taken during an intensive study period from 13 January 2017 to 4 February 2017 in the wet season and three to four measurements from 5 June 2016 to 15 July 2016 in the dry season. The median measurement of the values is reported here. Ephemeral rivers that do not flow all the way into the valley are indicated (*) in the dry season.

Figure 6.

Box-and-whisker plot of total coliform measurements of stored, untreated water in study households in the wet (n = 95) and dry (n = 103) seasons. The box-and-whisker plot indicates the mean (diamond), first, second, and third quartiles (box), and minimum and maximum (whiskers).

Figure 7.

Box-and-whisker plot of total coliform measurements of stored water in the wet season in study households in communities that had verified continuous access to municipal treated water versus verified intermittent access.

Figure 8.

Aluminum, measured by an inductively coupled plasma mass spectrometer (ICP-MS), concentration for natural sources in the study area in the wet and dry seasons. The SANS 241 standard is shown (an operational standard is intended for treated water). Sources marked with * are intermittent sources and had no dry-season sample. Other sources have measured concentrations; although they may be too low to plot.

Figure 9.

Iron, measured by an ICP-MS, concentration for natural sources in the study area in the wet and dry seasons. The SANS 241 standard is shown. Sources marked with * are intermittent sources and had no dry-season sample. Other sources have measured concentrations; although they may be too low to plot.