Water access transformations: Metrics, infrastructure, and inequities

Scholarship on water insecurity has carried over an important insight from studies of food insecurity: Insecurity often occurs in the midst of plenty, and water insecurity is therefore better characterized by inaccessibility than by scarcity. Access to clean, adequate, and reliable water is, however, more challenging to systematize than access to food. In this paper, I ask what we can learn from situations in which arrangements for water access are undergoing rapid change, and I make a case for the centrality of infrastructure – systems of water storage and transport – to water security. Equitable access to water often depends on technologies that protect, filter, and distribute water; it also depends on social arrangements that protect the least powerful from exclusion. I analyse two water infrastructure projects in Ethiopia, one a project to protect village water supplies and the other a large hydroelectric dam. The project to protect springs used by villagers for household water supply had the unintended effect of limiting access to those who could pay fees to a water committee. The dam harnessed water to produce electricity and supply irrigated plantations, but deprived downstream communities of water for farming. Water infrastructure can have far-reaching implications for water access, both for better and for worse. It is often instrumental in securing one group’s access to water at the cost of another’s

Ethiopia’s ‘Blue Oil’? Hydropower, Irrigation and Development in the Omo-Turkana Basin

Rangeland, forests and riverine landscapes of pastoral communities in Eastern Africa are increasingly under threat. Abetted by states who think that outsiders can better use the lands than the people who have lived there for centuries, outside commercial interests have displaced indigenous dwellers from pastoral territories. This volume presents case studies from Eastern Africa, based on long-term field research, that vividly illustrate the struggles and strategies of those who face dispossession and also discredit ideological false modernist tropes like ‘backwardness’ and ‘primitiveness’

Pipe Dreams: Water, Development and the Work of The Imagination in Ethiopia's Lower Omo Valley

Ethiopia's lower Omo valley is currently undergoing profound changes, due in part to water development interventions. The state and corporate partners are implementing large dam and irrigation schemes; missionaries are attempting to install safe water supplies. We explore the reception of these projects by local people, and their implications for intergroup relations. Water development schemes, we argue, function as technologies of the imagination, stimulating people to imagine different kinds of futures. These dynamics are illustrated through ethnographic work on the reception of new wells drilled by European missionaries in Nyangatom

Between a rock and a hard place: A geosocial approach to water insecurity in Kabul

Approximately 50% of the global population currently experiences severe water scarcity, a situation likely to intensify due to climate change. At the same time, the poorest population segments bear the greatest burden of water insecurity. This intersection of geophysical, geochemical, and socio-economic dimensions of water (in)security challenges requires a geosocial perspective, one that attends simultaneously to geophysical, geochemical, and socio-economic dimensions. Our qualitative study, conducted through 68 semi-structured interviews across two distinct sub-basins in Kabul, revealed disparities in groundwater levels, water quality, water prices, and lived experiences of water insecurity. While environmental stressors like drought and groundwater contamination contribute to water insecurity, socio-economic factors such as gender and property ownership exacerbate these impacts: Women and children bear a heavy burden of securing water, with children’s involvement in water-fetching leading to instances of violence. Furthermore, trucked water costs 33 times that of piped water, echoing alarming global trends where less privileged communities endure disproportionately greater challenges of water inaccessibility. We outline policy implications for monitoring groundwater abstraction and underscore the need for tailored strategies to combat water scarcity, such as pro-poor water strategies. Additionally, our work draws attention to the role of local gatekeepers who have informally regulated water usage in response to drought-induced scarcity, particularly in the absence of functioning government policies, underscoring the importance of collaboration with local stakeholders to ensure sustainable access to water. We argue that a geosocial approach to water (in)security can provide high-resolution findings and reveal critical gaps between common metrics and the realities of water (in)security, which also underlines the need for integrated approaches incorporating both quantitative and qualitative research

Controversy Over Tongue-Tie: Divisions in the Community of Healthcare Professionals

While recent decades have seen a rapid rise in cases of infant tongue-tie and in surgery to correct it, a controversy is now raging over the condition. Opinion is especially divided over so-called posterior tongue-tie, a variant which is detected based on the “feel” of the sub-lingual space. Drawing on ethnographic research with clinicians in England, we clarify the professional and personal commitments involved in the controversy. Our analysis is informed by Douglas’ theory of cultural representations (grid-group theory), in which ideas of what is natural and unnatural constitute central metaphors

Pensar a contracorriente: análisis crítico de un brote de cólera en Etiopía

Un estudio de caso en el valle bajo del Omo analiza algunos de los retos sobre la seguridad del agua para las personas que han sido desplazadas dentro de su propia patria

Poverty and wealth without a ladder? An appraisal of the stages of progress method among agro-pastoralists in Ethiopia's Lower Omo Valley

Abstract: Is it possible to measure wealth and poverty across settings while being faithful to local understandings? The stages of progress method (SoP) attempts to do this by building ladders of wealth in locally relevant terms and using these in comparisons across groups. This approach is potentially useful among pastoralist populations where monetary income and standard asset inventories may be misleading, and where people are discriminated against by the state and neglected by formal systems of accounting. On the basis of fieldwork among Nyangatom agro-pastoralists in Ethiopia, we expose some problematic assumptions of the SoP method. Participants did not endorse ladder-like stages from poverty to wealth distinguished by material assets, nor did they reach consensus on the definition of a poverty line. We caution that the SoP method carries risks of facipulation, and instead we advocate for multidimensional measures of prosperity based on locally relevant forms of wealth

Perinatal mental distress in a rural Ethiopian community: a critical examination of psychiatric labels

Background: Perinatal mental distress poses a heavy burden in low- and middle-income countries (LMICs). This study investigated perceptions and experiences of perinatal mental distress among women in a rural Ethiopian community, in an effort to advance understanding of cross-cultural experiences of perinatal mental distress. Methods: We employed a sequential explanatory study design. From a population-based cohort study of 1065 perinatal women in the Butajira Health and Demographic Surveillance Site, we purposively selected 22 women according to their scores on a culturally validated assessment of perinatal mental distress (the Self-Reporting Questionnaire). We examined concordance and discordance between qualitative semi-structured interview data (‘emic’ perspective) and the layperson-administered fully-structured questionnaire data (‘etic’ perspective) of perinatal mental distress. We analysed the questionnaire data using summary statistics and we carried out a thematic analysis of the qualitative data. Results: Most women in this setting recognised the existence of perinatal mental distress states, but did not typically label such distress as a discrete illness. Instead, perinatal mental distress states were mostly seen as non-pathological reactions to difficult circumstances. The dominant explanatory model of perinatal mental distress was as a response to poverty, associated with inadequate food, isolation, and hopelessness. Support from family and friends, both emotional and instrumental support, was regarded as vital in protecting against mental distress. Although some women considered their distress amenable to biomedical solution, many thought medical help-seeking was inappropriate. Integration of perspectives from the questionnaire and semi-structured interviews highlighted the important role of somatic symptoms and nutritional status. It also demonstrated the differential likelihood of endorsement of symptoms when screening tools versus in-depth interviews are used. Conclusions: This study highlights the importance of the wider social context within which mental health problems are situated, specificially the inseparability of mental health from gender disadvantage, physical health and poverty. This implies that public health prevention strategies, assessments and interventions for perinatal distress should be developed from the bottom-up, taking account of local contexts and explanatory frameworks

Social-ecological change in the Omo-Turkana basin: A synthesis of current developments

This paper synthesizes current knowledge on the impacts of the Gibe III dam and associated large-scale commercial farming in the Omo-Turkana Basin, based on an expert elicitation coupled with a scoping review and the collective knowledge of an multidisciplinary network of researchers with active data-collection programs in the Basin. We use social-ecological systems and political ecology frameworks to assess the impacts of these interventions on hydrology and ecosystem services in the Basin, and cascading effects on livelihoods, patterns of migration, and conflict dynamics for the people of the region. A landscape-scale transformation is occurring in which commodities, rather than staple foods for local consumption, are becoming the main output of the region. Mitigation measures initiated by the Ethiopian government—notably resettlement schemes—are not adequately buffering affected communities from food insecurity following disruption to indigenous livelihood systems. Therefore, while benefits are accruing to labor migrants, the costs of development are currently borne primarily by the agro–pastoralist indigenous people of the region. We consider measures that might maximize benefits from the changes underway and mitigate their negative outcomes, such as controlled floods, irrigating fodder crops, food aid, and benefit sharing