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Egypt is approaching universal access to improved water supply, but the variable quality of improved water may have a measureable health impact. We investigated the impact of different measures of improved water access on the prevalence of diarrhoea among children aged under 5 years. Using data from the 2008 Egypt Demographic and Health Survey and propensity score matching techniques we compared children in households with improved water supplies, with/without interruptions to supplies and with/without in-home storage of water. Access to improved water that was not subject to cuts resulted in a significant 2.6 percentage point reduction in the prevalence of diarrhoea (4.7% reduction in rural areas), and access to improved water that was not stored prior to use resulted in a 3.5% reduction. Further research is needed to better understand the nature and causes of piped water interruptions in Egypt, in order to address potential infrastructure challenges that are leading to poorer health outcomes.

Improved water and child health in Egypt: impact of interrupted water supply and storage of household water on the prevalence of diarrhoea