MCC’s $332 million Zambia Compact (2013–2018) rehabilitated and expanded the water, sanitation, and drainage systems in peri-urban Lusaka, Zambia. The Municipal Utility Operations Monitoring Sub-Activity was built on the theory that short-term outcomes for water supply and sanitation would result in improved water quality, which ultimately, could lead to a decrease in the prevalence of water-related diseases in the long term.
MCC commissioned the United States Centers for Disease Control and Prevention (CDC) to conduct an independent interim performance evaluation of the subactivity. Full report results and learning: https://data.mcc.gov/evaluations/index.php/catalog/215.
Water Quality Results
- Few water samples from program areas (Iolanda Water Treatment Plant and Chilana Booster Station) met the WHO E. coli guideline. However, most reservoir samples met the guideline.
- The percentage of samples that met the WHO free chlorine recommendation was low following completion of improvement programs, though there was a slight increase in the percentage of samples that met the recommendation in some system components.
Groundwater vs. Surface Water Contamination
- Data suggest that groundwater (borehole) is the main source of nitrate contamination in distribution system water in Lusaka.
- Improperly constructed and maintained pit latrines likely contaminate groundwater that supplies boreholes.
Wastewater Treatment Facility Improvements
- Kaunda Square Waste Stabilization Ponds achieved an overall 99.997 percent reduction in E. coli concentration from inflows of raw sewage to the system’s outflows, or effluent.
- Though some measures did not meet country standards, the quality of effluent released into the environment improved over time.
This study was designed to answer the following research questions:
Have improvements to the core water infrastructure (Iolanda Water Treatment Plant, seven main distribution system reservoirs, and some boreholes) contributed to improved water quality?
Has water quality improved in consumer taps that receive water from pipelines that were replaced to reduce water losses?
Has water quality improved in consumer taps that receive water from new or extended pipeline networks?
Are pit latrines the source of nitrates in drinking water from boreholes (groundwater)?
Have the Kaunda Square Waste Stabilization Ponds treated sewage effectively?
Water Quality Results
A lower percentage of samples met the WHO E. coli guideline post-intervention than they did pre-intervention at Iolanda Water Treatment Facility (pre: 100 percent, post: 86 percent) and Chilanga Booster Station (pre: 91 percent, post: 86 percent). Across the seven main distribution center reservoirs and four standalone reservoirs assessed, most samples met the WHO E. coli guideline (97%) post-intervention.
Overall, consistent achievement of the WHO chlorine residual recommendation proved challenging. The percentages of samples that met with WHO’s recommendation often decreased or no free chlorine was detected, even after interventions were complete. However, compared with pre-intervention, a higher percentage of samples from the Iolanda Water Treatment Plant met WHO turbidity recommendations post-intervention (pre: 44 percent, post: 57 percent).
Collectively, 93 percent of taps in areas scheduled to receive nonrevenue water pipeline replacement met the WHO E. coli guideline, and 67 percent met the WHO free chlorine recommendation. The evaluation was unable to assess changes over time because these interventions were not completed during the study period.
Contamination Levels of Groundwater versus Surface Water
Median nitrate concentration and the percentage of samples with nitrate concentration exceeding the WHO guideline (50 mg/L) were lower in reservoirs supplied by surface water alone (<1 mg/L and 0%, respectively) than in reservoirs supplied by borehole water alone (17 mg/L and 27%, respectively) or by reservoirs supplied by a mix of surface water and borehole water (20 mg/L and 3%, respectively).
Both the median nitrate concentration (16 mg/L) and the percentage of samples greater than the WHO guideline (7 percent) were lower in boreholes located in areas with a low density of pit latrines than in areas with a high density of pit latrines (39 mg/l and 40 percent, respectively).
Waste Treatment Facility Improvements
E. coli concentration from raw sewage inflows to system outflows (effluent) was reduced an overall 99.997 percent, suggesting that the system is achieving a substantial reduction in E. coli from one treatment stage to the next. Overall, effluent total suspended solids consistently met the Zambia Environmental Management Agency’s target of <100 mg/L. However, effluent biochemical oxygen demand, a measure of wastewater treatment efficacy, frequently did not meet the agency’s target of <50 mg/L. Biochemical oxygen demand, a measure of wastewater treatment efficacy, was 47 mg/L O2, nearly twice as high as the agency’s target. However, confidence is high that the effluent released from the rehabilitated ponds into the environment is of better quality than the less-engineered, less-maintained system in place before interventions.
Infrastructure investments are more likely to achieve sustainable results when related behavioral and institutional capacity constraints are also addressed. Connecting the two is especially challenging to achieve within a limited program timeframe.
Understanding the key sources of nitrate contamination in the distribution system is critical to addressing water quality challenges. Although specific factors affecting water quality are often unavailable before significant testing, key assumptions should be verified as early as possible during compact due diligence. Specifically, the continued reliance on groundwater will continue to affect water quality in Lusaka.
Adequate infrastructure maintenance after project completion is critical for the accrual of project benefits. MCC should support its partners in the development and funding of their maintenance operations which are necessary to sustain the benefits of infrastructure interventions.
The interim mixed methods evaluation used qualitative research methods and quantitative benchmarking of water samples. All data were collected between December 2017 and September 2019. The evaluation’s qualitative component included extensive interviews and document reviews to determine the structure of Lusaka’s drinking water system because a comprehensive system map was not available. Water sample sizes were based on WHO guidelines for monitoring drinking water systems, according to the size of the population served, and attempts were made to represent all components of Lusaka’s drinking water system.
The exposure period varied for each infrastructure activity. Rehabilitation of the Kaunda Square Waste Stabilization Ponds was the earliest completed activity (completed in April 2018) and provided an exposure period of approximately 16 months. The Iolanda Water Treatment Facility, Chilanga Booster Station, and reservoirs had an exposure period of approximately one year.
A final performance evaluation of the full set of compact interventions is under way, and results will be available in 2023.