INTERNATIONAL JOURNAL OF RESEARCH AND INNOVATION IN SOCIAL SCIENCE (IJRISS)  
ISSN No. 2454-6186 | DOI: 10.47772/IJRISS | Volume X Issue III March 2026  
Factors Contributing to the Consumption of Unsafe Drinking Water  
in Liberia: A Case Study of Stephen A. Tolbert Estate, Monrovia.  
Princess Oberly1, Dave Wuo Kehnel, Jr2  
1Senior Student, School of Environmental Health,Tubman National Institute of Medical Arts, (TNIMA),  
Liberia  
2Instructor, School of Environmental Health, Tubman National Institute of Medical Arts, (TNIMA),  
Liberia  
Received: 16 March 2026; Accepted: 22 March 2026; Published: 31 March 2026  
ABSTRACT  
Introduction: About 70% of the population of Liberia do not have access to safe and managed drinking water.  
In Monrovia, exposed wells and poor sanitation systems often lead to the contamination of groundwater.  
Objectives: To examine the factors contributing to the consumption of unsafe drinking water in the Stephen A.  
Tolbert Estate.  
Methodology: We used the quantitative research design. We decided to use this design because of its ability to  
generalize findings based on its larger population sample size. The researcher uses the stratified probability  
sampling technique; using the Taro Yamane sample formula, the total sample size (n) for the research was  
equivalent to 120 from a population of 500. The studied population comprises household residents residing  
within Stephen Tolbert Estate. This technique positions everyone with an equal chance of being selected for  
the research.  
Finding: The vast majority of households rely on well and tap water sources that are highly vulnerable to local  
contamination. There were a total of one hundred and twenty households (120) participants. Most respondents  
were within the 18-45 age range, representing the economically active population. 43.3% of the respondents  
constituted the male population, while 55% constituted the female population. However, two people decided  
not to mention their sex. The research results show 76.70% of the respondents have little or no awareness of  
local water safety initiatives.  
Recommendation: To ensure water quality safety, regular testing of drinking water sources should be done by  
relevant agencies and authorities. Additionally, community health workers should design and redirect their  
awareness strategies to educate the citizens on home treatment of drinking water.  
Keywords: Awareness, Community, Quality, Water  
INTRODUCTION  
ccess to safe drinking water is an ultimate human right and a key determinant of public health.  
A
Notwithstanding, its natural water resources, Liberia faces critical challenges in ensuring safe water access,  
mainly in densely populated urban areas like Monrovia.. The World Health organization (2023), reported that  
insecure water is a leading cause of diarrheal diseases worldwide, especially in low-income countries.  
UNICEF (2022) reported that about 70% of Liberia’s population lacks access to safely managed drinking  
water. In Monrovia, exposed wells and poor sanitation systems often lead to the contamination of groundwater.  
According to a study done by Chea and Andrew (2018) on water pollution in central Monrovia, microbial and  
chemical contamination were directly linked to frequent cases of waterborne diseases such as typhoid and  
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cholera.. These findings reflect a broader pattern of inadequate WASH services and insufficient waste  
management in Liberian urban areas.  
The global effects of unsafe water include a massive health crisis, mostly impacting children, leading to  
millions of deaths from waterborne diseases like cholera and diarrhea [1]. It also delays education, economic  
development, and gender equity, as it excessively affects women and girls who spend hours collecting water,  
and students who miss school due to illness or lack of sanitation facilities [2].  
Additionally, unsafe water contributes to climate change effects, such as more frequent droughts and floods,  
and affects the health of ecosystems [3]. Unsafe water is a leading cause of death and illness globally,  
contributing to diseases like cholera, typhoid, dysentery, and diarrhea. Children especially those under five are  
disproportionately affected and are at higher risk of death from waterborne diseases [4]. However, poor water  
quality is related to various other health issues, including malnutrition, skin diseases, and even certain types of  
cancer [5].  
Unsafe water has several negative influences on the community. The most direct effect is the increased  
incidence of waterborne diseases such as diarrhea, cholera, and typhoid [6]. Children and elderly residents are  
particularly vulnerable to these illnesses [7]. In addition, unsafe water adds to economic strain as households  
spend money on medical treatment and lose productivity due to illness [8]. Educational outcomes are also  
affected when children miss school because of sickness [9]. Environmentally, poor drainage and inappropriate  
waste disposal result in the contamination of both surface and groundwater, creating a cycle of pollution and  
disease [10].  
Stephen A. Tolbert Estate is a residential community situated in Gardnerville, within Greater Monrovia. The  
area faces persistent challenges with water access, sanitation, and drainage. Local reports (All Africa, 2013)  
indicate that residents face recurrent water shortages, forcing them to depend on shallow wells or purchased  
water from vendors [4]. These wells are often unprotected and positioned near pit latrines or waste disposal  
sites, increasing the risk of contamination [11]. During heavy rains, flooding further spreads waste and  
pollutants, worsening water quality and raising health risk [12].  
This research aims to examine the factors contributing to the consumption of unsafe drinking water in the  
Stephen A. Tolbert Estate, water consumption and the prevalence of waterborne diseases, and evaluate the  
socio-economic impacts of unsafe water on affected populations.  
METHODOLOGY  
We used the quantitative research design. We decided to use this research design because of its ability to  
generalize findings based on its larger population sample size. We used stratified random sampling. This  
technique allowed us to divide the community into three strata and provided the possibility for everyone to have  
an equal chance to be selected from each of the strata. The community is divided into three blocks, hence each  
of the strata represents a block. 40 participants were randomly selected from each strata. The total sample size  
for the research was 120. The study population comprises household residents residing within Stephen Tolbert  
Estate. The criteria for selection included collecting data from people age 18 and above, and below 18 years  
were excluded from the research. A sample size of 120 households was selected using the Taro Yamane (1967)  
formula.  
N
푛 =  
1 + Ne2  
N = estimated households in Stephen Tolbert Estate (~500)  
e = margin error (0.08)  
e2 = margin of error (0.006400)  
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500  
푛 =  
푛 =  
1 + 500 (0.006400)  
500  
4.200000  
푛 = 119.047  
Ethical Considerations:  
All participants were clearly informed about the purpose and procedures of the study before data collection.  
Participation was entirely voluntary. Each respondent provided informed consent after understanding that they  
had the right to decline or withdraw from the study at any time without any penalty. The identities of  
participants was protected throughout the research process. No names or personal identifiers were recorded on  
the questionnaires. Participants remained anonymous. All information collected was treated as confidential and  
used strictly for academic purposes. Data were stored securely and only accessed by the researcher.  
Nevertheless, we must declare that there were no formal ethical approval with numbers from any Ethical Review  
Board, except the approval from the School.  
RESULTS  
Figure 1: Age of respondents  
50  
44  
45  
40  
35  
30  
25  
20  
15  
10  
5
38  
26  
12  
0
18-30 years  
31-45 years  
46-60 years  
Over 60 years  
Source: Field Data-2025  
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INTERNATIONAL JOURNAL OF RESEARCH AND INNOVATION IN SOCIAL SCIENCE (IJRISS)  
ISSN No. 2454-6186 | DOI: 10.47772/IJRISS | Volume X Issue III March 2026  
Figure 2: Gender of Respondents  
2, 2%  
52, 43%  
66, 55%  
Men  
Woman  
Prefer not to say  
Source: Field Data-2025  
Table 1: Knowledge about drinking water sources  
Length of stay  
Frequency  
Percentage  
Length of Residence  
Less than a year  
1-5 years  
10  
46  
32  
32  
8.30%  
38.30%  
26.70%  
26.70%  
6-10 years  
More than 10 year  
Primary source of drinking water  
Tap water  
Well water  
Bottled water  
Other  
48  
54  
10  
8
40.00%  
45.00%  
8.30%  
6.70%  
How many times do you treat your drinking water?  
Never  
6
5.00%  
Rarely  
Sometime  
Often  
18  
42  
32  
22  
15.00%  
35.00%  
26.70%  
18.30%  
Always  
Water quality and safety health issues are believed to be water-related  
Yes  
58  
62  
48.2%  
51.8%  
No  
Perceived water quality  
Excellent  
4
3.3%  
Good  
22  
48  
46  
18.3%  
40.0%  
38.3%  
Fair  
Poor  
Unusual color, taste or odor noticed  
No  
56  
46.70%  
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Yes  
64  
53.30%  
100%  
Total  
120  
Source: Field Data-2025  
Table 2: Awareness of local water safety initiative  
Response  
Frequency  
Percentage  
Awareness of local water safety initiative  
Yes  
28  
92  
23.30%  
76.70%  
No  
Level of concern about water safety  
Not concerned  
10  
38  
8.30%  
Somehow concerned  
31.70%  
Very concerned  
72  
60.00%  
Suggested measures for improvement  
Regular water testing  
96  
82  
88  
80.00%  
68.30%  
73.30%  
Community education  
Installation of purification systems  
Other suggestions  
Total  
14  
11.70%  
100%  
120  
Source: Field Data-2025  
DISCUSSIONS  
There were a total of one hundred and twenty household (120) participants during the research conducted in  
the Stephen Tolbert estate on the effect of unsafe drinking water. 44% of the total respondents were within the  
31-45 age range representing the economically active population. The male respondent was 52 with the  
percentage of 43.3% while the female respondent formed the majority of the participants, reflecting their  
central role in household water management with 66 frequencies and a percentage of 55.0%. Firstly the length  
of residence shows that a large proportion of respondents (over 50%) have lived in the community for more  
than five years, this indicates that many participants have long-term experience with the water sources  
available in the area. Their responses about water quality, treatment practices, and health concerns are  
therefore likely based on repeated exposure and consistent observation rather than short-term experiences.  
In terms of drinking water sources, the majority of respondents depend on well water (45%) and tap water  
(40%), while only a small percentage rely on bottled water (8.3%) or other sources (6.7%). This heavily  
dependence on wells and taps suggests that households are largely dependent on local, possibly untreated or  
poorly maintained water systems. This finding aligns with Kaidbey et al,. (2025) article on the gap between tap  
water beliefs and preference for drinking from the tap [13]. Considering Liberia as a developing Country  
recovering from war, the quality of drinking water is still a major challenge as the urban environment still  
finding it difficult to bridge the gap. In the worst cases, most of the wells mentioned have not been treated over  
the years, yet the waters from them are widely consumed by the inhabitants. Diarrhea remained the second  
leading child mortality condition in Liberia, which has its transmission from unsanitary food and water,  
accounting for about 8% of deaths in under five children [14]. Wells, in particular, are often vulnerable to  
contamination from nearby latrines, surface runoff, and poor sanitation practices. This explains why many  
respondents expressed concerns about water safety.  
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The findings on respondents’ perception of water quality shows varied opinions regarding the condition of  
drinking water in the community. As presented in the results, respondents rated the quality of water as fair,  
good, poor, or unusual, with some reporting noticeable taste or odor. A notable proportion of respondents  
perceived the water as poor or indicated the presence of unusual taste or smell. This suggests a level of  
dissatisfaction with the quality of drinking water among many residents.  
According to Manganellie et al,. (2023), large blooms in water bodies are commonly form by Cyanobacteria.  
These bacterial can produce cyano-toxins with toxic effects on humans and animals that can cause water to have  
bad taste. The presence of unusual taste or odor in drinking water is often linked with probable contamination,  
poor source protection, or inadequate treatment [15]. Respondents who rated the water as poor or reported  
unusual characteristics may be experiencing water that is affected by environmental factors such as nearby waste  
disposal, open defecation, or poorly maintained water sources, most especially during the dry season. These  
conditions can compromise water quality and lead to changes in taste, color, or smell.  
In contrast, some respondents rated the water quality as fair or good. This variation in perception may be  
influenced by differences in water sources, treatment practices, or storage conditions at the household level. For  
example, households using protected wells, boreholes, or treated water may perceive the quality as better than  
those relying on unprotected sources such as open wells, or surface water. Similarly, households that practice  
proper water treatment methods, such as boiling or chlorination, may report improved water quality compared to  
those who do not.  
The perception of poor water quality can also be influenced by visible factors such as turbidity, sediment, or the  
presence of debris in water. In addition, changes in taste or odor may result from biological contamination,  
chemical presence, or stagnation of water in storage containers. Poor storage practices, such as the use of  
unclean containers, lack of covering, or dipping of hands and cups into storage vessels, can further deteriorate  
water quality even if the original source is relatively safe.  
These findings highlight the need for improved water quality management within the community. Efforts should  
focus on regular monitoring of water sources, protection of water points from contamination, and promotion of  
household water treatment and safe storage practices. Public health education programs should also be  
strengthened to raise awareness about the importance of maintaining water quality and recognizing signs of  
contamination.  
Overall, the dissatisfaction expressed by a significant portion of respondents indicates the need for interventions  
aimed at improving both the safety and acceptability of drinking water. Ensuring access to clean, safe, and good-  
tasting water is essential for protecting public health and preventing waterborne diseases.  
Table 2 presents respondents’ awareness of local water safety initiatives. The results show that some residents  
are aware of water safety initiatives, while others are not. This suggests that awareness programs may not be  
reaching all members of the community effectively.  
For example, some respondents who live close to central locations such as community meeting points, health  
posts, or water distribution areas reported being informed about activities like water treatment campaigns,  
sanitation talks, and safe water storage practices. In contrast, residents living in more remote or less accessible  
sections like the Russian community in the Stephen Tolbert estate indicated that they had not received any  
information about these initiatives. This difference shows that awareness efforts may be concentrated in certain  
areas rather than evenly distributed throughout the community as seen in the article title “Effects of community  
driven water, sanitation and hygiene intervention on diarrhea, child growth and local institutionsby Quattrochi  
(2025). The suggest that diarrhea and growth faltering in early childhood reduce survival and  
neurodevelopment [16].  
impair  
Several factors could account for the observed gaps in awareness. First, communication methods used to  
disseminate information may be limited. If awareness messages are only shared during community meetings or  
through selected groups, individuals who do not attend such meetings may be excluded. Second, low community  
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participation can also affect awareness levels, as some residents may be unavailable or uninterested in attending  
educational sessions.  
Additionally, limited outreach by environmental health workers or community health volunteers may contribute  
to the problem. If sensitization activities are not conducted through house-to-house visits or wider community  
engagement, some households may remain uninformed.  
Language differences and low literacy levels may also hinder effective communication, especially if information  
is presented in technical language or written formats that some residents cannot easily understand.  
Furthermore, inadequate use of mass communication channels such as local radio, posters, or public  
announcements may reduce the reach of awareness campaigns. In communities where these methods are  
underutilized, information dissemination becomes restricted to a small group of individuals.  
These findings imply that awareness strategies should be strengthened to ensure equitable information  
distribution. This may include the use of multiple communication channels, increased door-to-door sensitization,  
involvement of community leaders, and the use of local languages to convey messages. Improving awareness  
across the entire community is essential for promoting safe water practices and preventing waterborne diseases.  
Findings on the level of concern about water safety show that respondents fall into categories such as not  
concerned, somewhat concerned, and very concerned. A considerable proportion of respondents expressed  
concern about water safety, indicating that unsafe drinking water is an issue of importance in the community.  
Suggested Measures for Improvement  
Respondents suggested several measures for improving water safety. These include regular water testing,  
community education, installation of purification systems, and other suggestions. The high percentage in favor  
of regular water testing and installation of purification systems shows strong community support for  
interventions to improve drinking water safety.  
CONCLUSION  
The primary sources of drinking water in the Stephen Tolber Estate are wells and tap waters. Water quality  
safety continue to pose a challenge as the community is faced with limited awareness on water quality and  
limited facilities for water quality safety. Unsafe water is a leading cause of death and illness globally,  
contributing to diseases like cholera, typhoid, dysentery, and diarrhea. Children especially those under five are  
disproportionately affected and are at higher risk of death from waterborne diseases. The findings from this  
research is significant to researchers and policy makers as it will serve as a base line document for the  
community. This highlights the need for strengthened water safety measures and increased community  
engagement on safe drinking water practices.  
RECOMMENDATIONS  
Based on the findings of this study, the following recommendations are made:  
To ensure water quality safety, regular testing of drinking water sources should be done by relevant  
agencies and authorities  
Water purification systems should be installed or improved within the community to enhance the safety of  
drinking water.  
Health education is key in addressing highly entrenched issues, hence, community health workers should  
design and redirect their awareness strategies on educating the citizens on home treatment of drinking  
water.  
Existing water safety initiatives should be expanded to ensure wider community coverage and  
participation.  
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