Community disparities in drinking water quality: A meta-analysis from Australia, Canada and beyond

Abstract Sustainable Development Goal 6.1 seeks universal access to safe drinking water for all by 2030, yet persistent disparities remain even in high-income countries. Indigenous, remote and small communities are disproportionately affected by poor drinking water quality, but comparable evidence to evaluate performance across communities is very limited due to inconsistent monitoring and reporting. To this end, we constructed a community-level meta-panel dataset of 839 communities (4,137 observations) across 4 Australian jurisdictions (Northern Territory, South Australia, Victoria and Western Australia) and Ontario, Canada, over the period 2018–2022. Drinking water quality was assessed using the Australian Drinking Water Guidelines and Canadian Boil Water Advisories. Logistic regression was employed to estimate the probability of accessing good-quality drinking water, with Indigenous status, remoteness, population size and socio-economic condition as key explanatory variables. Results reveal systematic disparities: Indigenous and very remote communities are statistically significantly less likely to have good-quality drinking water than non-Indigenous and regional communities after controlling for other factors. Our findings indicate that structural inequities – rather than geographic or demographic variation alone – are critical determinants of poor drinking water outcomes in small, Indigenous communities in both Australia and Canada.