Poor adherence to safe water chain practices is a major obstacle to consumption of safe drinking water. In refugee settings, adherence to safe water chain is critical in minimizing water-related diseases. Despite this, little is known about the level of adherence to safe water chain and associated factors, especially in emergency settings. In this study, we interviewed 400 household heads in Pagrinya refugee camp in Northern Uganda and assessed household level adherence to safe water chain practice and associated factors. Modified Poisson regression was used to model the association between adherence to safe water chain and independent variables. All households utilized improved water sources and 74.0% had high adherence to safe water chain. Having post-primary education and high level of knowledge about the safe water chain were positive predictors of high adherence to the safe water chain while round travel time exceeding 1 hour during water collection was negatively associated with high adherence. There is a need for awareness campaigns on safe water chain maintenance among refugees without any formal education. Constructing more water sources would also minimize round travel time during water collection and enable households to collect sufficient water that enables hygienic water storage and use.

不遵守安全水链惯例是消耗安全饮用水的主要障碍。在难民环境中，遵守安全水链对于最大程度地减少与水有关的疾病至关重要。尽管如此，对于安全水链的遵守程度和相关因素知之甚少，尤其是在紧急情况下。在这项研究中，我们采访了乌干达北部Pagrinya难民营中的400个户主，并评估了家庭层面对安全水链实践的依从性及相关因素。修正的Poisson回归用于对遵守安全水链与自变量之间的关联进行建模。所有家庭都使用了改善的水源，并且有74.0％的家庭对安全水链有很高的坚持。接受过学前教育和对安全水链的高度了解是对安全水链高度重视的积极预测，而在集水过程中往返时间超过1小时与高度遵守负相关。需要在没有任何正规教育的情况下在难民中开展有关安全水链维护的宣传运动。建设更多的水源还可以最大程度地减少集水期间的往返时间，并使家庭能够收集足够的水，从而实现卫生用水的存储和使用。