Delivering proven solutions to
the last mile.
Nowhere is the crisis more severe. Nigeria has the highest under-5 mortality rate in the world and accounts for 16% of global under-5 diarrhea deaths.
One child dies every 7.5 minutes — largely from causes that are preventable with safe water treatment.
Sustainable Development Goal 6.1 is clear: safe water for all by 2030.
The reality today looks different:
Decades of research show that treating drinking water with chlorine is one of the most cost-effective ways to reduce child mortality.
The evidence is clear. The challenge is delivery.
Approaches like vouchers, dispensers, and inline chlorination have expanded access to safe drinking water.
But each depends on specific infrastructure, user awareness, or consistent supply chains. In last-mile communities—where systems are fragmented, and risk is often invisible—these conditions are not always present.
Our model is designed for the last-mile contexts.
Interventions must move from research into implementation at scale to achieve sustained, population-level change.
Point-of-use chlorination involves adding a measured dose of chlorine powder or liquid to water stored at home, typically in a jar or large jug. This simple action inactivates harmful pathogens within minutes, making the water safe to drink, while providing ongoing protection against recontamination for up to 48 hours.
Kremer et al. (2026) found roughly 1 in 5 deaths could be prevented through this intervention alone.
~$16 per household per year, though active delivery is required as no open market currently exists.
No infrastructure needed. Chlorine eliminates diarrhea-causing pathogens and prevents recontamination.
Building a Model That Works in the Real World
Researchers developed the Community-Based Chlorine Access (CBCA) model — designed to solve both knowledge and access barriers to safe water treatment. The model has been tested and refined in Kano State, Nigeria through pilot studies and an ongoing randomised controlled trial. The result: sustained use — not just initial uptake.
Designed around how households actually access water — using existing routines, not adding new ones.
Built to operate within existing public-sector infrastructure — so government can take over delivery.
Paired with behavioural reinforcement so adoption sticks beyond an initial intervention.
Occasional updates from our work in Nigeria, what we're learning about delivery at scale, and how proven solutions reach the people who need them.
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