Microbial water quality monitoring
is crucial for managing water
resources and protecting public health. However, institutional testing
activities in sub-Saharan Africa are currently limited. Because the
economics of water quality testing are poorly understood, the extent
to which cost may be a barrier to monitoring in different settings
is unclear. This study used cost data from 18 African monitoring institutions
(piped water suppliers and health surveillance agencies in six countries)
and estimates of water supply type coverage from 15 countries to assess
the annual financial requirements for microbial water testing at both
national and regional levels, using World Health Organization recommendations
for sampling frequency. We found that a microbial water quality test
costs 21.0 ± 11.3 USD, on average, including consumables, equipment,
labor, and logistics, which is higher than previously calculated.
Our annual cost estimates for microbial monitoring of piped supplies
and improved point sources ranged between 8 000 USD for Equatorial
Guinea and 1.9 million USD for Ethiopia, depending primarily on the
population served but also on the distribution of piped water system
sizes. A comparison with current national water and sanitation budgets
showed that the cost of implementing prescribed testing levels represents
a relatively modest proportion of existing budgets (<2%). At the
regional level, we estimated that monitoring the microbial quality
of all improved water sources in sub-Saharan Africa would cost 16.0
million USD per year, which is minimal in comparison to the projected
annual capital costs of achieving Sustainable Development Goal 6.1
of safe water for all (14.8 billion USD).