Hill tribes are a group of people who live in remote areas in northern Thailand. They typically use untreated water for drinking, that can lead several health problems. The six main hill tribes—Akha, Hmong, Karen, Lahu, Lisu, and Yao—were selected for the study. A validated questionnaire was used for data collection. Water samples were collected from the selected villages and tested for the quality at Mae Fah Luang University, Thailand. Results: the major sources of drinking water were mountain water supplies (74.3%), and commercial bottled water (21.4%). Easy access, sufficiency for the whole year, and food-drug administration sign labeled were the criteria used for selecting sources of drinking water. Colorless and safety were also used as a selection criteria for their drinking water in some tribes. Lisu, Karen, and Hmong treated their drinking water by boiling, while Akha and Lahu stored the water in certain containers to allow particle settling before drinking water without treatment. 42.0% of the water samples had a turbidity values <5 NTU, and total coliform and fecal coliform bacteria were detected in 100.0% of the samples. To prevent water-borne diseases among the hill tribe people, appropriate water treatments such as boiling, filtration, and disinfection are recommended.

Rice farmers in Chiang Rai are increasingly exposed to recurrent drought under climate change. Although previous studies have applied Knowledge–Attitude–Practice (KAP) frameworks to drought adaptation, evidence on ageing farming populations and the interaction between behavioral and institutional factors remains limited. This study aimed to identify behavioral and institutional factors associated with drought adaptation practices among rice-farming households. A cross-sectional study was conducted among 180 rice-farming households. Quantitative data were collected using a structured questionnaire validated through expert review (IOC) and pilot testing to assess socio-demographic characteristics and drought-related perception, knowledge, attitudes, and practices (KAP). Pearson correlation and binary logistic regression were applied to examine relationships and factors associated with higher drought adaptation practices. Qualitative data from open-ended questionnaire responses regarding government support and drought management recommendations were analyzed thematically to provide contextual insights into farmers’ experiences and adaptation challenges. Farmers demonstrated high drought perception (M = 4.86 ± 1.05/5) but only moderate knowledge (16.75 ± 3.36/25), attitudes (2.77 ± 1.33/5), and practices (22.57 ± 6.04/35). Knowledge was positively associated with adaptation practices (r = 0.224, p < 0.01), whereas perception showed no significant direct association, indicating a gap between awareness and adaptive action. Regression analysis showed that higher drought-related knowledge (aOR = 4.60, p = 0.003) and prior water scarcity experience (aOR = 4.45, p = 0.002) were significantly associated with higher drought adaptation practices. In contrast, older age, male gender, and off-farm employment were significant constraints. Qualitative findings highlighted persistent concerns regarding the adequacy, timeliness, and equity of government support, suggesting that institutional barriers limited farmers’ ability to translate awareness into adaptive action. These findings indicate that both behavioral and structural factors shape drought adaptation practices. While drought-related knowledge represents an important component of adaptive capacity, effective adaptation also depends on institutional support and resource accessibility. Strengthening agricultural extension services and improving the responsiveness and equity of government support may enhance the adaptive capacity and resilience of smallholder rice farmers in drought-prone regions.