The World Health Organization recommends Water Safety Plans (WSP) as the most effective means of ensuring safe drinking-water supply. WSP performance evaluation is necessary for improving water service delivery, scaling up, and motivating the roll out of WSP. In this study, the evaluation of WSP development and implementation was done in Bushenyi-Ishaka Municipality, a mid-sized semi-rural town in southwestern Uganda. Training of operations staff and the WSP team was done. Performance indicator data were collected before, during, and after 18 months of WSP implementation to determine the changes attributable to this intervention. Structured semi-quantitative questionnaires were used for data collection, which consisted of 11 progressive outcome indicators categorized under operational and institutional changes, and 14 short-term impact indicators categorized under water supply change. Results showed that WSP implementation enabled improvement in infrastructure, operational monitoring, customer engagement meetings, and training. Implementation of WSP did not result in improved catchment management, development and review of standard operating procedures and holding of internal meetings. Regarding short-term impacts, there was a significant improvement in compliance levels with drinking water quality standards, continuity of water supply, and customer satisfaction, as assessed by the frequency of complaints. There was, however, a significant reduction in the revenue-cost ratio (p = 0.001), likely due to an inadequate budget for implementing service expansion.
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