<p>Average HWISE Water Insecurity Scores.</p>

Over the last decade, the international development community has recognized that rural and peri-urban households in lower- and middle-income countries use the same sources of water for both domestic and productive uses. To increase access to these water resources, governments and NGOs introduced the concept of multiple-use water services (MUS). As a proposed development strategy, MUS takes people’s multiple water needs as the starting point for planning and investing in new water services or upgrading existing domestic or productive systems traditionally designed for single uses. While studies have suggested benefits of MUS, such as improved water productivity and economic gains for subsistence farming communities, evidence remains context dependent. The research community has yet to examine the specific influence of MUS on household water insecurity, defined as the inadequate, unreliable, or unaffordable access to water necessary for a healthy life. That is, does MUS reduce experiences with water insecurity at the household scale? To address this critical question, the study examined the correlation between household water insecurity, measured by the Household Water Insecurity Experiences (HWISE) scale, and household use of single water sources for both domestic and productive purposes using data from a survey of 1,082 households in Mali, West Africa. The study finds that households practicing year-round MUS report significantly lower water insecurity than seasonal MUS households. These findings indicate an association, rather than a causal relationship, between sustained MUS practice and lower household water insecurity and suggest that reliable, year-round water availability may underpin both. However, MUS is not a panacea for household water insecurity, and improving household water security will require attention to the reliability, availability, and seasonal stability of water services in addition to support for multiple water uses.