Proposal of a regulatory index of quality of water supply services-RIQS.

Among the challenges faced by regulatory authorities in the water sector, the large number of municipal supply services to be inspected and the cost of on-site inspections are prominent. To overcome these issues, decisions regarding the priority of inspections based on indicators is an alternative. Therefore, this research aims to propose and evaluate the Regulatory Index of Quality of Water Supply Service (RIQS) to triage on-site inspections of water supply systems in cities of the state of Minas Gerais. The study was conducted with information from the Regulatory Agency of Water Supply and Sanitation Services of Minas Gerais (Arsae-MG). The methodology followed seven steps: (i) selection of available indicators; (ii) grouping of indicators according to their typology; (iii) screening of indicators; (iv) establishment of standardized scale; (v) evaluation of the relative importance of typologies and indicators, through the adaptation of the analytic hierarchy process (AHP); (vi) determination of the RIQS; and (vii) analysis of results. As a result, we selected 12 indicators to compose the RIQS, which deal with efficiency, effectiveness, and customer relationship. We noticed that the indicator of water supply service coverage (17.2%) had the highest weight in the calculation of the RIQS, and the index of requests for an inspection of the water connection served on time (2.1%) had the lowest weight. In addition, 95.1% of the 591 municipalities evaluated presented excellent or good performance. Based on these results, we show that the RIQS can be used to identify cities with low performance and prioritize inspections in the most urgent water systems. Furthermore, these outcomes reveal the possibility of extending and adapting the methodology to other regulatory agencies around the world for identifying the priority of inspections in water supply systems at a municipal level.

Management and health risk assessment of chemical contamination events in water distribution systems using PSO.

An accidental or intentional contamination event can raise health and sociopolitical concerns, erode public trust, and affect the operation of water distribution systems. In this regard, emergency management plans are required to describe the necessary measures in order to deal with a threat. This study was carried out to investigate the best ways to manage intrusion in a water distribution network. In this research, the optimal management approach to deal with chemical contamination in a water distribution network was examined under three scenarios using the particle swarm optimization method. In each scenario, three management solutions were used to manage the contamination, including closing the pipe, opening the fire hydrant, and using a combination of pipe closure and fire hydrant opening. Contamination risk impact on consumers' health was assessed in the network's emergency status and after implementation of the best pollution management scenarios. The results showed that in the benchmark network, pipe closure was slightly more successful than opening of the fire hydrant valve. In pollution management of a real network, pipe closure was less effective than the hydrant opening in all scenarios. Generally, all applied scenarios were successful in reducing the contamination risk among the exposed people, so that carcinogenic and non-carcinogenic risks reduced by 100% in all scenarios compared to the non-management state.

Unequal geographic distribution of water and sanitation at the household and school level in Sudan.

The Sudanese Government launched the National SDG-6 Plan and commences its implementation to achieve and sustain universal and equitable access to basic WASH services by 2030. It is critical to understand the geographical heterogeneity of Sudan and patterns in the inequality of access to safe drinking water and sanitation. Through such research, the disease control strategy can be optimized, and resource allocation can be prioritized. We explored spatial heterogeneity and inequality in access to improved water and sanitation across Sudan by mapping the coverage at both the state and district levels. We decomposed the inequality across Sudan into within-state, between-state, within-district, and between-state inequalities using the Theil L and Theil T indices. We calculated the Gini coefficient to assess the inequality of access to improved water and sanitation, based on the deviation of the Lorenz curve from the line of perfect equality. The study population was 105,167 students aged 8-13 at 1,776 primary schools across the country. Geographical heterogeneity was prominent in the Central Darfur, South Darfur, East Darfur, Kassala, West Kordofan, and Blue Nile States, all of which showed severe inequality in access to an improved latrine at the household level in terms of the Theil T or Theil L index. The overall inequality in the coverage of improved sanitation went beyond the warning limit of 0.4 for the Gini coefficient. The inequality in terms of the Theil L and Theil T indices, as well as the Gini coefficient, was always higher for improved sanitation than for improved water at the household level. Within-state inequality accounted for 66% or more of national inequalities in the distribution of improved sanitation and drinking water for both the Theil L and Theil T indices. This is the first study to measure geographical heterogeneity and inequalities in improved water and sanitation coverage across Sudan. The study may help to prioritize resource allocation to areas with the greatest water and sanitation needs.

Community-based monitoring to facilitate water management by local institutions in Costa Rica.

Water scarcity is a global problem that can be compounded by inefficient water management, including underinvestment in infrastructure, underpricing of water use, and underenforcement of user rules. Here, we explore whether these inefficiencies can be reduced in rural Costa Rica via an externally driven community monitoring program (i.e., a program initiated by an outside organization and run by citizens). The monitoring program aimed to reduce groundwater extraction from aquifers, as well as to improve water quality and user satisfaction, by supplying additional information about field conditions and additional scrutiny of user and management authority activities and by fostering citizen engagement in water management. Using a specially designed smartphone application (app) and WhatsApp, monitors could report weekly on the conditions of the water system, including service disruptions, water quality, leaks, and source contamination. The app automatically compiled the individual reports into a summary report, which was then made available to the community water management committees and water users. The program was randomly implemented in 80 of 161 communities that expressed an interest in participating. One year after the program started, we detect modest, albeit imprecisely estimated, effects of the program in the predicted directions: less groundwater extracted, better water quality, and more satisfied users. Although the estimated effects are imprecise, the monitoring program appears to be equally or more cost effective for reducing groundwater extraction than another program in the same region that encouraged households to adopt water-efficient technologies.

Simulations of scenarios for urban household water and energy consumption.

The expansion of cities and their impacts currently constitutes a challenge for the achievement of sustainable development goals (SDGs). In this respect, assessments of resource consumption and the delivery of appropriate policies to support resource conservation are of paramount importance. Previous works in the literature have focused on one specific resource (e.g., water, energy, food) at the household level, while others have analysed the inter-relations among different resources (i.e., the nexus approach) at larger spatial scales (e.g., urban level). Moreover, household behavioural attitudes are generally excluded while assessing resource consumption scenarios. This work overcomes previous limitations by proposing a causal-loop structure derived from the literature, from which simulations of different scenarios can be generated that consider the nexus between food, energy and water at the household level. These simulations can provide alternative scenarios to assess the impacts of monetary policies as well as education and communication actions on the enhancement of resource savings and consider both their current use and household preferences. The metropolitan area of Napoli was chosen as the testbed area for the simulations. The results, in relation to the testbed, proved that communication actions would be most appropriate to increase the level of resource savings. The business-as-usual scenario was especially sensitive to variations in individual preferences towards pro-environmental behaviours and showed their higher impacts on the results. Improvements of this method and its derived scenarios in the context of the urban planning process could support the implementation of informed policies towards the conservation of key resources and promotion of sustainable citizen behaviour.

Impact of poverty reduction on access to water and sanitation in low- and lower-middle-income countries: country-specific Bayesian projections to 2030.

BACKGROUND: In 2017, 785 million people globally lacked access to basic services of drinking water and 2 billion people lived without basic sanitation services. Most of these people live in low- and lower-middle-income countries in South Asia, Southeast Asia and sub-Saharan Africa. To monitor the progress towards universal access to water and sanitation, this study aimed to predict the coverage of access to basic drinking water supply and sanitation (WSS) services as well as the reduction in the practice of open defecation by 2030, under two assumptions: following the current trends and accelerated poverty reduction. METHODS AND FINDINGS: Households reporting access to basic WSS services and those practising open defecation were extracted from 210 nationally representative Demographic Health Surveys and Multiple Cluster Indicator Surveys (1994-2016) from 51 countries. A Bayesian hierarchical mixed effect linear regression model was developed to predict the indicators in 2030 at national, urban-rural and wealth-specific levels. A Bayesian regression model with accelerated reduction in poverty by 2030 was applied to assess the impact of poverty reduction on these indicators. Out of 51 countries, only nine (Bangladesh, Bhutan, Ghana, India, Nepal, Pakistan, The Philippines, Togo and Vietnam) were predicted to reach over 90% coverage in access to basic services of drinking water by 2030. However, none of the countries were projected to achieve equivalent coverage for access to basic sanitation services. By 2030, 21 countries were projected to achieve the target of less than 10% households practising open defecation. Urban-rural and wealth-derived disparities in access to basic WSS services, especially sanitation, were more pronounced in sub-Saharan Africa than South Asia and Southeast Asia. Access to basic sanitation services was projected to benefit more from poverty reduction than access to basic drinking water services. Households residing in rural settings were predicted to receive greater benefit from poverty reduction than urban populations in access to both basic WSS services. CONCLUSION: Achieving poverty eradication targets may have a substantial positive impact on access to basic water supply and sanitation services. However, many low- and lower-middle-income countries will struggle to achieve the goal of universal access to basic services, especially in the sanitation sector.

The gap of water supply-Demand and its driving factors: From water footprint view in Huaihe River Basin.

Climate change, population growth, the development of industrialization and urbanization are increasing the demand for water resources, but the water pollution is reducing the limited water supply. In recent years, the gap between water supply and demand which shows water scarcity situation is becoming more serious. Clear knowing this gap and its main driving factors could help us to put forward water protection measures correctly. We take the data of Huaihe River Basin from 2001 to 2016 as an example and use ecological water footprint to describe the demand, with the water carrying capacity representing the supply. We analyze the water supply-demand situation of Huaihe River Basin and its five provinces from footprint view in time and space. Then we apply the Logarithmic Mean Divisia Index model to analyze the driving factors of the ecological water footprint. The results show that: (1) the supply and demand balance of Huaihe River Basin was only achieved in year 2003 and 2005. There is also a large difference between Jiangsu province and other provinces in Huaihe River basin, most years in Jiangsu province per capital ecological footprint of water is more than 1 hm2/person except the years of 2003, 2015, and 2016. But other provinces are all less than 1 hm2/person. (2) Through the decomposition of water demand drivers, we concluded that economic development is the most important factor, with an annual contribution of more than 60%. Our study provides countermeasures and suggestions for the management and optimal allocation of water resources in Huaihe River Basin, and also provides reference for the formulation of water-saving policies in the world.

Assessment of Drinking Water Sources for Water Quality, Human Health Risks, and Pollution Sources: A Case Study of the District Bajaur, Pakistan.

The focus of the present study was to assess the quality of different drinking water sources, impacts of poor water quality on human health, and to apportion pollution source(s) of the district Bajaur, Pakistan. Drinking water samples (n = 331) were randomly collected from springs, hand pumps, open wells, and tube wells and analyzed for physicochemical parameters including toxic elements, and bacteriological contamination (i.e., Escherichia coli). Furthermore, a questionnaire survey was conducted to record the cases of waterborne diseases in the study area. The results showed that total suspended solids and bacteriological contamination exceeded the permissible limits of the WHO in all four of the water sources. Among the potentially toxic elements, Cd, Pb, and Mn were above the permissible limits of the WHO in some samples. The hazard index for spring water was found to exceed the toxicity level (i.e., HI > 1) set by US EPA for both adults and children, while the sources from hand pumps, open wells, and tube wells were within the safe limit. The order for the overall safety level for water quality in the study area was tube wells > open wells > hand pumps > springs. The pollution source apportionment statistics revealed that both geogenic and anthropogenic activities are the sources of drinking water contamination. The results of the questionnaire survey indicated that reports of waterborne diseases were highest in respondents who took their drinking water from springs, whereas reports of diseases were moderate in respondents taking their water from open wells and hand pumps and lowest in respondents taking their water from tube wells. Based on the findings of the study, the tube well source of water is recommended for drinking water purposes.

Hydrogeochemistry Assessment of Shallow Groundwater and Human Health Threats in the Northwestern Ordos Basin, China.

Groundwater is the main sources of water supply for drinking purposes in the Ordos Basin in the northwestern part of China. In order to sustain and protect the quality of groundwater resources, shallow groundwater samples were collected and analyzed to identify the hydrogeochemical characteristics, and to evaluate health risk to human. Cluster analysis showed that the 134 groundwater samples were divided into three classes (i.e., class 1, class 2, class 3). The groundwater types are mostly characterized by SO4-Cl type and SO4 type, mixed HCO3 type. The primary natural mechanisms controlling the chemical compositions are water-rock interaction and evaporation-precipitation. The extremely high concentrations of sulfate could be caused by contamination from pyrite or from infiltration of sulfate from inorganic fertilizers or from wastewater discharges. Results of the assessment of the health risks for ingestion of Cl-, NO3-, F-, Cr, and As in drinking water indicated that the total health risks are beyond the US EPA acceptable level of 10-6 per year for consumption of groundwater sourced from all three cluster classes. The highest risks were for ingestion of arsenic and chromium in groundwater. The highest total risks to adults and children were 1.51 × 10-5 and 2.45 × 10-2 (class 1), 4.12 × 10-4 and 8.98 × 10-3 (class 2), 3.06 × 10-3 and 5.49 × 10-2 (class 3), respectively. The study showed that there is a high risk of health problems among the residents of the Ordos Basin in China that are ingesting contaminated drinking water, with the health risks to children higher than the risks to adults.

Assessment of Knowledge, Attitudes, and Practices on Water, Sanitation, and Hygiene in Some Selected LGAs in Kaduna State, Northwestern Nigeria.

Access to safe water, sanitation, and hygiene (WASH) facilities is a basic necessity for human livelihood, survival, and well-being. Adequate WASH facilities provision is a critical issue to most developing countries around the world including Nigeria. Knowledge, attitudes, and practices regarding WASH are integral to effective and sustainable WASH facilities provision. This study assessed the level of knowledge, behavior, and practices towards water, sanitation, and hygiene in Kaduna state, Nigeria, with a view to ensuring sustainable WASH facilities intervention in the region. Data collection tools included spot check observation and questionnaire involving 854 participants, selected from five local government areas (LGAs): Chikun, Kajuru, Soba, Kachia, and Zango Kataf. From the results, major drinking water sources were surface waters (52.5%) and unprotected hand dug wells (44.8%); only 46.2% treated their water supply and few (16.6%) used chlorination method. Pit latrine toilets were the major (76.5%) excreta disposal means, and open defecation practices were widespread (41.4%). Level of personal and environmental hygiene understanding was fairly good in all the local government areas, and 65.4% claimed to use water and soap for washing hands after defecation. Incidence of water related diseases is generally low in the area. Despite the commendable findings in the study areas, communities are still at risk due to lack of safe water supply and poor practices of home treatment and excreta disposal. Therefore provision of WASH facilities and WASH education is fundamental for ensuring public health in the study area.

Food and nutritional security of semi-arid farm families benefiting from rainwater collection equipment in Brazil.

The objective of this study was to identify and describe the experience of family farmers and their respective families after using the Boardwalk Cistern rainwater collection system and consequent impacts on nutrition profile and food security. This is a qualitative-quantitative study conducted in two municipalities in the semi-arid region of the state of Alagoas, northeastern Brazil. A structured questionnaire was applied to collect information on demographic and socioeconomic status and household access to food, based on the Brazilian Food Insecurity Scale of 29 family farmers' households. Food intake was assessed by food intake markers of the Ministry of Health, while nutritional status was determined by measuring the weight and height of all family members and waist circumference of adults. Nutrition diagnosis was performed using the cutoff points of body mass index for age. Three focus groups were conducted, and the information collected was analyzed through Content Analysis with the aim of knowing the participants' perception of the effects of the received water equipment. The study showed a high prevalence of excess weight (52.7%) and high risk for cardiovascular diseases (35.9%) marked by a high salt and sugar in the food intake. Food Insecurity Scale showed that food insecurity is a problem occurring in 75% of these families. However, focus groups showed that families have a positive perception of Boardwalk Cisterns for their food security. They believe that agricultural production has improved, thereby offering a wider range of foods and, consequently, improving food security. In conclusion, this study highlights the importance of water access programs for food production within public policies to guarantee FNS.

Water demand management: Visualising a public good.

Recent studies on water demand management show that providing visual information on water usage along with social comparisons with neighbouring households resulted in more efficient water usage. However, social comparisons can be discomforting for participants, especially in the case of downward or negative evaluations. To avoid this, some studies promote the use of social identity, a social norm approach that avoids comparisons. Past studies using social comparison used infographics, whereas other study types have used only textual (non-graphic) information. Therefore, in this study, we created a visualisation of water usage to highlight the importance of water as a shared resource, that is, as a public good, and feedback over six months according to the participants' water usage. A difference-in-difference analysis indicated that the feedback was marginally significant in decreasing water consumption immediately and continuously, especially for the middle and low use households, during the summer months, which is a period of perceived water shortage. From the questionnaire survey, we found that households felt that they determined their water usage based on their preference and were satisfied with the outcome.

Economic evaluation of stormwater capture and its multiple benefits in California.

Urban stormwater is increasingly being considered a viable alternative water supply in California and throughout the southwestern U.S. However, current economic analyses of stormwater capture do not adequately examine differences in stormwater project types and do not evaluate co-benefits provided by the projects. As a result, urban stormwater capture is undervalued as a water supply option. To advance economic analyses of stormwater capture, we determined the levelized cost of water in U.S. dollar per acre-foot of water supply (AF; 1 AF = 1233.5 m3) for 50 proposed stormwater capture projects in California, characterizing the projects by water source, process, and water supply yield. In addition, we incorporated reported co-benefits of projects into the analysis to determine the net benefit of proposed projects. Proposed urban stormwater capture projects were more expensive than non-urban stormwater capture projects on a per-volume basis ($1,180 per AF and $531 per AF, respectively); however, this was primarily driven by the relatively large size of the non-urban stormwater capture projects examined. When incorporating the limited number of reported co-benefits of the projects, the expected levelized cost of water from urban stormwater capture projects decreased dramatically. For projects that reported even a limited number of additional benefits, the net levelized cost decreased from $1,030 per AF to $150 per AF, with some of the projects demonstrating a net benefit. Thus, scaling urban stormwater capture projects to capitalize on economies of scale and incorporating co-benefits of projects can dramatically improve the economic feasibility of these projects. This work demonstrates that stormwater capture can present a cost-effective water supply option in California, and that beyond California, fairer comparisons among projects and inclusion of co-benefits can provide decision makers with adequate information to maximize investments in water management.

A socio-psychological model of laser levelling impacts assessment.

Application of technologies has an important role in agricultural development. Identifying and assessing the impacts of agricultural technologies is necessary. This study aimed at assessing the impacts of laser levelling economically, socially, environmentally, and technically in the viewpoint of the agricultural experts and identifying factors determining their perception of the impacts. The study samples (151 experts) were selected using multi-stage random sampling in Fars Province, Iran. The results revealed that experts considered uniform distribution of water, using conservation tillage, facilitating agricultural activities, decreased water consumption and decrease of water wasting as the most important technical impacts of laser levelling technology. The most environmentally important impacts were the decrease of soil erosion and retention of crop residues. Experts stated the most significant social impacts as improvement in villages living conditions and sense of belonging to rural areas. Besides, an increase of income and reduction of inputs costs were among the economic impacts of laser levelling technology. According to the results, attitude towards water and soil resources conservation and environmental beliefs had the highest direct effect on individual perception toward impacts. Practical recommendations have been presented based on the results of the study.

Urban water systems: Development of micro-level indicators to support integrated policy.

Urban water systems involve complex interactions between ecological, social and economic factors. Integrated management approaches are needed to achieve multiple policy objectives in the sector and can be pursued at a range of spatial scales. Small-scale integrated water projects are both feasible and valuable in dynamic urban environments in developing countries. This paper develops a method for the prioritization of localities for integrated projects and applies this to the city of Jakarta. A set of indicators is defined following a systems approach, populated, displayed through a dashboard and mapped, and the relationships between indicators are analysed. Indicator-based prioritization allows policy-makers to guide resources to integrated projects to contribute effectively to the achievement of policy goals.

Sustainability assessment of long-term, widely used household Kanchan Arsenic Filters in Nepal.

This study revealed the status of 2833 Kanchan Arsenic Filters (KAFs), aged 2 months to over 10 years, distributed in Nepal. Thirty percent of the filters were being used, but usage status generally declined 4 years after installation. Lack of use was mostly due to breakage or leaks (74%), which users did not know how to repair. Some 1283 filters (65%) were abandoned, and users returned to drinking arsenic-contaminated water. Water quality tests showed that the average KAF arsenic removal rate was 75%, and 87 and 62% of the samples met Nepal's drinking water quality standards and World Health Organization guidelines, respectively. The KAF arsenic removal amount was significantly influenced by the arsenic and iron concentrations of influent water and KAF type. The concrete square type showed the best performance in usage status and arsenic removal capacity, namely 57 and 83%, respectively. Long-term use of KAFs (more than 4 years) was assumed to be a cause of the decreasing capacity of iron nails to supply ferric hydroxide to influent water, which led to decreased arsenic removal capacity. Thus, replacement of older iron nails may restore the arsenic removal capacity of KAFs.

The Challenge of Food Security and the Water-Energy-Food Nexus: Burundi Case Study.

There is increasing concern regarding how to sustainably meet the basic needs of a growing population with a continuously decreasing resource base. This study analyses the water-energy-food nexus in Burundi. The country experiences challenging demographic pressures which increase the demand for food, energy, and freshwater. Yet strategies developed to meet requirements lead to natural resource depletion and degradation. Being a resource-poor country, the population depends mainly on agriculture for food, labor, and income. In order to increase food production, agriculture was intensified using traditional methods, mainly by clearing new, mostly marginal land, increasing cultivation cycles per year. The overexploitation of land decreased the soil fertility and yields, and increased deforestation and soil erosion. This has resulted in mass impoverishment of farmers and a growing malnutrition rate in the countryside. On the other hand, poverty often correlates directly with the type of energy supply and food security. Energy is provided mainly by biomass through firewood, charcoal, peat, and agricultural residues, which implies further deforestation. These factors increase the pressure on existing forest areas both for the reclamation of new agricultural land and for the production of firewood and charcoal. Finally, Burundi is classified by the UN as a country with economic water scarcity due to the population growth rate, low level of education, and a high poverty rate. The economic water scarcity is closely linked to energy production and to agriculture. More hydropower could reduce the extent of deforestation. The high deforestation rate reduces the infiltration rate (less groundwater recharge) and increases surface run-off. The latter is leading to higher erosion and loss of soil fertility, thus influencing agriculture and food security negatively.

Visionary evaluation: Approaching Aboriginal ontological equity in water management evaluation.

The 2017 Traditional Owner evaluation of the implementation of the Murray-Darling Basin Plan developed an approach to evaluation that tested the use of Standpoint Theory in the field of natural resource management. This methodological choice was intended to enable First Nation approaches to data generation and use in equal measure to non-indigenous approaches. The method is implemented as a nested, up-hierarchy of scale, enabling a pan-optican dimension of vision from "below" and "above". The paper does not present the evaluative results regarding the implementation of the Plan because that information is co-owned by the participating Nations for their uses. Instead, and in respect of that arrangement, the paper presents the evaluation practices funded by the Murray-Darling Basin Authority. The methodology was negotiated and implemented with the Nations in the pilot study as a co-production across cultural boundaries. The approach was then evaluated by the participants, and these results are reported. All those reviewing the methodology were directly involved in some aspect of the evaluation, 64 % of whom identified as Traditional Owners, 67 % of whom were involved in high level decision-making about the evaluation approach. Traditional Owners rated cultural competence of the tested approach at 68 %, the benefits of the approach at 75 %, satisfaction with the standard of the evaluation at 72 %, and satisfaction with complying with the Basin Plan's requirements for evaluation at 78 %. Recommendations for broader engagement and better science communication are made.

Improving performance evaluation based on balanced scorecard with grey relational analysis and data envelopment analysis approaches: Case study in water and wastewater companies.

Various approaches are used to measure the firms' performance. Grey relational analysis is one of the multiple attribute decision-making methods and data envelopment analysis is used to calculate the efficiency. Regarding the importance of water and wastewater companies' services, the present study, evaluates the performance and rank these companies by using grey relational analysis and data envelopment analysis approaches based on balanced scorecard criteria. Besides, balanced scorecard considers all levels of organization. In this research, statistical population includes thirty-five municipal water and wastewater companies in Iran for the year 2017. In order to ascertain grey relational grade, fuzzy normalization method was used then by subtracting normalized numbers from one, reference sequences obtained and in the next step, grey relational coefficient was calculated and finally, grey relational grade was determined by multiplying relative weight from Shannon entropy to relational coefficients. In order to assess companies' efficiency in data envelopment analysis, after ascertaining input and output indices, with the assumption of constant returns to scale and output-oriented viewpoint, the efficiency scores were calculated. Also, to rank efficient units Anderson-Petersen model implemented. Results demonstrated that, grey relational analysis is a more accurate method to measure the performance of water and wastewater companies.

Modeling reservoir management for malaria control in Ethiopia.

This study investigated how changes in reservoir water level affect mosquito abundance and malaria transmission in Ethiopia. Digital elevation models of three Ethiopian dams at lowland, midland and highland elevations were used to quantify water surface area and wetted shoreline at different reservoir water levels (70, 75, 80, 85, 90, 95 and 100% full capacity) to estimate surface area of potential mosquito breeding habitat. Reservoir water level drawdown rates of 10, 15 and 20 mm.day-1 were applied as scenarios to model larval abundance, entomological inoculation rate (EIR) and malaria prevalence at each dam. Malaria treatment cost and economic cost in terms of lost working days were calculated for each water level scenario and dam. At the lowland dam, increased larval abundances were associated with increasing reservoir water level and wetted shoreline area. In contrast, both larval abundances and area of wetted shoreline declined with increasing reservoir water level at the midland and highland dams. Estimated EIR, malaria prevalence, malaria treatment cost and economic cost generally decreased when the water level drawdown rate increased from 10 to 15 and 20 mm.day-1 irrespective of reservoir water level. Given the expansion of dam construction in sub-Saharan Africa, incorporating malaria control measures such as manipulating drawdown rates into reservoir management has the potential to reduce the malaria burden and health care costs in communities near reservoirs.