ABSTRACT
This chapter discusses the impact of regulatory programs on drinking water quality in small systems. It outlines the key components of typical command-and-control regulatory programs. The chapter also discusses the underlying assumptions for such activities in industrialized nations. It describes the lessons learned from programs to improve drinking water quality and sanitation practices in developing countries. The chapter explores some of the forces for modernization and change, which may be helpful to promoting improved environmental health programs in the future. In a 1993 report entitled, Lessons Learned in Water and Sanitation for Health, the Agency for International Development assessed thirteen years of experience in developing countries under its Water and Sanitation for Health program. The report notes the critical role women play in these programs as community leaders, educators, health care providers, and as mothers concerned with protecting the health of children. The report stresses the need for training operating personnel and continuing technical assistance to support implementation activities.
