Meeting long-term rural community water supply needs requires diligent geohydrological conceptualisation. Study of Malawi’s Lake Chilwa Basin, including sampling of 330 water points in Phalombe District, enabled assessment of groundwater quality influence upon supply. The control of larger Lake Chilwa paleo-environments on current Basin groundwater quality is demonstrated. Lacustrine sediment deposition forming high-level deposits under open lake conditions and terrace deposits under open and closed lake conditions significantly control the groundwater major-ion quality and salinity now observed. Paleo-lake extent marks the transition between low-TDS (total dissolved solids) groundwater suitable for water supply at higher elevations and high-TDS brackish groundwater in areas overlain by lacustrine deposits closer to the current lake level. Low-TDS groundwater is limited to mid-to-low reach influent leakage of rivers incising terraces. Permeable fluvial deposits within the deeper paleo-river channel may possibly provide low-TDS water. The conceptual model, whereby paleo-lake controls groundwater salinity, provides science-based evidence to address policy to manage the significant water point functionality concerns quantified at the district and river basin scales. Targeting of the low-TDS groundwater alongside improved use of upland low-TDS stream/river sources with fewer, but larger capacity, and better maintained gravity-fed supply schemes are recommended. This study hence shows the value of paleo-geohydrology interpretation of the lake–groundwater system conceptualisation to inform Sustainable Development Goal 6 (SDG 6.5.1)—integrated water resources management policy for rural water supply.

To improve borehole siting for rural water supply, an advanced resistivity method was adapted for developing country use and demonstrated in Malawi. The method was designed to be low cost, developing-country accessible, efficient. It allows single or multiple operators to acquire the multiple vertical electrical soundings (VESs) required that are inverted together in 2-D, to give a true cross-section of subsurface resistivity. Application at four sites generated true cross-sections of subsurface resistivity to around 100 m depth relevant to groundwater-resource investigation. A wide range of (hydro)geological features was identified, including fractured/weathered basement, gneiss domes, well-developed fault zones and several types of deltaic deposits. Imaging performance appears comparable to that of 2-D surface ERT (electrical resistivity tomography) that uses more expensive equipment, often unaffordable in developing countries. Based on the subsurface configurations determined and hydrogeological conceptualisation subsequently undertaken, the local aquifer potential could be evaluated, thereby providing a decision-making basis for future borehole siting at the sites surveyed. The technology is far superior to conventional 1-D VES, electromagnetic profiling or magnetic profiling currently used for borehole siting in Malawi. Technology adoption currently under consideration nationally would make use of existing VES capacity and permit much improved targeting of aquifer resource, more sustainable siting of boreholes and greater future resilience of Malawi’s rural water-supply infrastructure.

Using wastewater accumulating around rural waterpoints to irrigate community gardens, borehole-garden permaculture (BGP) presents a method of sustainable water management. BGP also presents public health benefits through the removal of stagnant water around boreholes, key Malaria breeding grounds, and through providing year-round food to supplement diets. By analysing a dataset of over 100,000 cases, this research examines the awareness and adoption of BGP across Malawi. Generalised linear models identified significant variables influencing BGP awareness and uptake revealing that socioeconomic, biophysical and waterpoint-specific variables influenced both the awareness and adoption of BGP. BGP had low uptake in Malawi with only 2.4% of communities surveyed practising BGP while 43.0% of communities were aware of BGP. Communities in areas with unreliable rainfall and high malaria susceptibility had low BGP awareness despite BGP being particularly beneficial to these communities. This work suggests that future work in the promotion of BGP should focus their efforts within these areas. Furthermore, this work highlights the value of community networks in knowledge sharing and suggests that such social capital could be further used by NGOs and the Government of Malawi in the promotion of BGP and other sustainable practices.

Fluoride concentrations in Malawi’s groundwater are primarily controlled by geogenic sources that are highly variable and may cause a heterogeneous fluoride occurrence and local-to-regional variations in fluorosis health risks posed. Our aim was to address the challenge of developing a national solution to predicting groundwater vulnerability to geogenic fluoride risk in the country of Malawi where incidences of fluorosis are reported and typical developing world problems of limited data and resources abound. Previously there have only been sporadic, local-scale studies linking fluoride occurrence with health risks in Malawi with no attempts to tackle the issue nationally. We hence develop a screening method for predicting groundwater vulnerability to geogenic fluoride in the form of detailed risk maps developed from statistical relationships shown between groundwater fluoride occurrence and known geogenic fluoride sources. The approach provides for dynamic update and informed acquisition of new data and hence on-going improving capacity to manage fluoride risks in Malawi. Our screening method provides a technical basis for redefining national fluoride policy to ensure commensurate management of health risks posed. Specifically, the approach provides a pathway for stepped progression from the current 6 mg/L Malawian standard for fluoride in drinking water to adoption of the World Health Organisation 1.5 mg/L guideline standard.