Drinking Water Supply, Sanitation, and Hygiene Promotion Interventions in Two Slum Communities in Central Uganda
Open accessAbstract
Poor water, sanitation, and hygiene (WASH) continue to contribute to the high prevalence of diarrhoeal diseases in low-income countries such as Uganda particularly in slums. We implemented a 3-year WASH project in two urban slums in Uganda with a focus on safe drinking water and improvement in sanitation. The project implemented community and school interventions in addition to capacity building initiatives. Community interventions included home improvement campaigns, clean-up exercises, water quality assessment, promotion of drinking safe water through household point-of-use chlorination, promotion of hand washing, and support towards solid waste management. In schools, the project supported health clubs and provided them with “talking compound” messages. The capacity building initiatives undertaken included training of youth and community health workers. Project evaluation revealed several improvements in WASH status of the slums including increase in piped water usage from 38% to 86%, reduction in use of unprotected water sources from 30% to 2%, reduction in indiscriminate disposal of solid waste from 18% to 2%, and increase in satisfaction with solid waste management services from 40% to 92%. Such proactive and sustainable community interventions have the potential to not only improve lives of slum inhabitants in developing countries but also create lasting impact.
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Improved handwashing significantly reduces diarrhea diseases and acute respiratory infections, the two leading causes of childhood mortality.
“According to Musoke et al. (2018) and Desye (2021), improved handwashing significantly reduces the two leading causes of childhood mortality-diarrhea diseases and acute respiratory infections.”
From The level of implementation of water, sanitation, and hygiene (WASH) practices among the public basic schools in Ghana (2024) · cites this paper as Musoke et al. (2018)
The Introduction (page unavailable) says WASH interventions can reduce the risk of diarrheal disease, and §3.2.5 reports that the project improved handwashing practices. The paper does not report that improved handwashing significantly reduced diarrhea or acute respiratory infections, or identify those diseases as the two leading causes of childhood mortality. (LLM, conf=0.85)
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References 20 · Cited by 56
Research works printed but not linked: 18
- [1]Hove M. Ngwerume E. T. Muchemwa C. The urban crisis in Sub-Saharan Africa: a threat to human security and sustainable development Stability 2013 2 1 10.5334/sta.ap 2-s2.0-84924771518 · DOI
- [3]Mukama T. Ndejjo R. Musoke D. Practices, concerns, and willingness to participate in solid waste management in two urban slums in central Uganda Journal of Environmental and Public Health 2016 2016 7 6830163 10.1155/2016/6830163 2-s2.0-84962800169 PMC4808673 27066081 · DOI · Paper page
- [4]Bwire G. Malimbo M. Maskery B. Kim Y. E. Mogasale V. Levin A. The burden of cholera in Uganda PLOS Neglected Tropical Diseases 2013 7 12 e2545 10.1371/journal.pntd.0002545 2-s2.0-84892778754 PMC3855006 24340106 · DOI
- [6]Clasen T. Schmidt W.-P. Rabie T. Roberts I. Cairncross S. Interventions to improve water quality for preventing diarrhoea: systematic review and meta-analysis British Medical Journal 2007 334 7597 782 785 10.1136/bmj.39118.489931.be 2-s2.0-34247490336 17353208 PMC1851994 · DOI
- [7]Fewtrell L. Kaufmann R. B. Kay D. Enanoria W. Haller L. Colford J. M. Jr. Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: a systematic review and meta-analysis The Lancet Infectious Diseases 2005 5 1 42 52 10.1016/s1473-3099(04)01253-8 2-s2.0-11044224077 15620560 · DOI
- [8]Bartram J. Cairncross S. Hygiene, sanitation, and water: forgotten foundations of health PLoS Medicine 2010 7 11 e1000367 10.1371/journal.pmed.1000367 2-s2.0-78649926152 PMC2976722 21085694 · DOI
- [10]Prüss A. Kay D. Fewtrell L. Bartram J. Ezzati M. Lopez A. D. Rodgers A. Murray C. J. L. Unsafe water, sanitation and hygiene Comparative Quantification of Health Risks: Global and Regional Burden of Disease due to Selected Major Risk Factors 2004 1 Geneva, Switzerland World Health Organization 1321 1352 10.1289/ehp.02110537 2-s2.0-0036100176 · DOI
- [11]Isunju J. B. Etajak S. Mwalwega B. Financing of sanitation services in the slums of Kampala and Dar es Salaam Health 2013 05 04 783 791 10.4236/health.2013.54104 · DOI
- [12]Strunz E. C. Addiss D. G. Stocks M. E. Ogden S. Utzinger J. Freeman M. C. Water, sanitation, hygiene, and soil-transmitted helminth infection: a systematic review and meta-analysis PLoS Medicine 2014 11 3 10.1371/journal.pmed.1001620 e1001620 2-s2.0-84898949931 PMC3965411 24667810 · DOI
- [13]Esrey S. A. Potash J. B. Roberts L. Shiff C. Effects of improved water supply and sanitation on ascariasis, diarrhoea, dracunculiasis, hookworm infection, schistosomiasis, and trachoma Bulletin of the World Health Organization 1991 69 5 609 621 2-s2.0-0026046199 1835675 PMC2393264
- [16]Hoque B. A. Juncker T. Sack R. B. Ali M. Aziz K. M. A. Sustainability of a water, sanitation and hygiene education project in rural Bangladesh: a 5-year follow-up Bulletin of the World Health Organization 1996 74 4 431 437 2-s2.0-0029663153 8823966 PMC2486877
- [17]Loevinsohn M. Mehta L. Cuming K. Nicol A. Cumming O. Ensink J. H. J. The cost of a knowledge silo: a systematic re-review of water, sanitation and hygiene interventions Health Policy and Planning 2015 30 5 660 674 10.1093/heapol/czu039 2-s2.0-84941953179 24876076 PMC4421832 · DOI
- [18]Moraes L. R. S. Cancio J. A. Cairncross S. Huttly S. Impact of drainage and sewerage on diarrhoea in poor urban areas in Salvador, Brazil Transactions of the Royal Society of Tropical Medicine and Hygiene 2003 97 2 153 158 2-s2.0-0038437019 10.1016/S0035-9203(03)90104-0 14584367 · DOI
- [19]Busari O. Water, sanitation and sustainability: lessons from a community project Environment, Development and Sustainability 2009 11 1 71 83 10.1007/s10668-007-9098-z 2-s2.0-58149178794 · DOI
- [20]Harnmeijer J. Sutton S. Measuring sustainability in the water sector Waterlines 1993 12 1 28 30 10.3362/0262-8104.1993.031 · DOI
- [21]Cotton A. Adams J. Shaw D. Improving water supply and sanitation programme effectiveness: lessons from WaterAid's outcome evaluation studies Water and Environment Journal 2013 27 1 1 9 10.1111/j.1747-6593.2012.00317.x 2-s2.0-84873999223 · DOI
- [24]Onyango-Ouma W. Aagaard-Hansen J. Jensen B. B. The potential of schoolchildren as health change agents in rural western Kenya Social Science & Medicine 2005 61 8 1711 1722 2-s2.0-22144481947 10.1016/j.socscimed.2005.03.041 15967559 · DOI
- [26]Cairncross S. Hunt C. Boisson S. Water, sanitation and hygiene for the prevention of diarrhoea International Journal of Epidemiology 2010 39 1 i193 i205 2-s2.0-77951626069 10.1093/ije/dyq035 20348121 PMC2845874 · DOI · Paper page
- Authors
- Musoke, D., Ndejjo, R., Halage, A. A., Kasasa, S., Ssempebwa, J. C., & Carpenter, D. O.
- Affiliations
- Makerere University (UG)
- State University of New York (US)
- Corresponding author
- Musoke, David
- ORCID
- Venue
- Journal of Environmental and Public Health
- Publisher
- Wiley
- Published
- 2018
- Volume
- 2018
- Pages
- 1-9
- ISSN
- 1687-9805 (ISSN-L)
- 1687-9813
- PMC
- PMC5829362
- OpenAlex
- W2785476451
- Cited by
- 56
- References
- 20
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 11 · 2022: 6 · 2021: 9 · 2020: 14 · 2019: 4
- FWCI
- 5.58
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Environmental and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- American Council on Education (AEG-A-00-05-00007-00)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Physical Sciences › Environmental Science › Water Science and Technology › Water Resource Management and Quality
- Social Sciences › Urban Studies › Urban and Rural Development Challenges
- Keywords
- drinking water supply, sanitation, hygiene promotion, urban slums, diarrhoeal diseases, hand washing, solid waste management, community health workers, capacity building, water quality assessment, piped water access, Uganda
- MeSH terms
- Child, Preschool, Female, Health Promotion, Humans, Hygiene, Infant, Infant, Newborn, Male, Poverty Areas, Sanitation, Uganda, Water Supply, Drinking Water
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