Rapid evidence assessment of the impacts of sewerage, drainage, and piped water chlorination in urban settings of low- and middle-income countries

The aim of this review was to rapidly synthesize the available evidence regarding the expected impacts of piped water chlorination, drainage, and sewerage on individuals living in low- and middle-income urban settings. A systematic search was conducted in bibliographic databases and library catalogs...

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Autores principales: Sridevi K. Prasad, Charlotte Lane, Douglas Glandon
Formato: article
Lenguaje:EN
Publicado: IWA Publishing 2021
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Acceso en línea:https://doaj.org/article/f01f6483ddab42c0b3fd9444f59ee432
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spelling oai:doaj.org-article:f01f6483ddab42c0b3fd9444f59ee4322021-11-05T19:29:31ZRapid evidence assessment of the impacts of sewerage, drainage, and piped water chlorination in urban settings of low- and middle-income countries2043-90832408-936210.2166/washdev.2020.256https://doaj.org/article/f01f6483ddab42c0b3fd9444f59ee4322021-03-01T00:00:00Zhttp://washdev.iwaponline.com/content/11/2/179https://doaj.org/toc/2043-9083https://doaj.org/toc/2408-9362The aim of this review was to rapidly synthesize the available evidence regarding the expected impacts of piped water chlorination, drainage, and sewerage on individuals living in low- and middle-income urban settings. A systematic search was conducted in bibliographic databases and library catalogs. Impact evaluations that included a comparator and one of the three interventions of interest, attempted to control for confounding and selection bias, and took place in urban settings in a low- or middle-income country were considered. Outcomes related to health, well-being, economic growth, and the bacterial content of water were considered. A total of 1,483 articles were identified, with 18 included after final screening. Most studies were case-control and took place in Brazil, the Pacific Islands, or south-western Asia. Fifteen studies considered sewerage, five considered chlorination, and two studies considered drainage with some studies considering multiple interventions. All primary outcomes were related to health. When implemented alone, the sewerage and chlorination interventions were largely successful. The evidence regarding the effects of chlorination, drainage, and sewerage interventions is limited and generally has a high risk of bias. When properly implemented, sewerage and chlorination are likely to have positive health impacts. However, when implemented poorly, all three interventions can have negative health impacts. HIGHLIGHTS Most studies focused on sewerage interventions.; Chlorination and sewerage interventions were successful in reducing disease burden.; Contamination sources included lack of improved WaSH, sources in the nearby environment, and household hygiene practices.; Infrastructure maintenance issues affected the interventions’ impacts.; Proper household hygiene practices should be included for effective interventions.;Sridevi K. PrasadCharlotte LaneDouglas GlandonIWA PublishingarticlechlorinationdrainageimpactlmicseweragewashEnvironmental technology. Sanitary engineeringTD1-1066ENJournal of Water, Sanitation and Hygiene for Development, Vol 11, Iss 2, Pp 179-194 (2021)
institution DOAJ
collection DOAJ
language EN
topic chlorination
drainage
impact
lmic
sewerage
wash
Environmental technology. Sanitary engineering
TD1-1066
spellingShingle chlorination
drainage
impact
lmic
sewerage
wash
Environmental technology. Sanitary engineering
TD1-1066
Sridevi K. Prasad
Charlotte Lane
Douglas Glandon
Rapid evidence assessment of the impacts of sewerage, drainage, and piped water chlorination in urban settings of low- and middle-income countries
description The aim of this review was to rapidly synthesize the available evidence regarding the expected impacts of piped water chlorination, drainage, and sewerage on individuals living in low- and middle-income urban settings. A systematic search was conducted in bibliographic databases and library catalogs. Impact evaluations that included a comparator and one of the three interventions of interest, attempted to control for confounding and selection bias, and took place in urban settings in a low- or middle-income country were considered. Outcomes related to health, well-being, economic growth, and the bacterial content of water were considered. A total of 1,483 articles were identified, with 18 included after final screening. Most studies were case-control and took place in Brazil, the Pacific Islands, or south-western Asia. Fifteen studies considered sewerage, five considered chlorination, and two studies considered drainage with some studies considering multiple interventions. All primary outcomes were related to health. When implemented alone, the sewerage and chlorination interventions were largely successful. The evidence regarding the effects of chlorination, drainage, and sewerage interventions is limited and generally has a high risk of bias. When properly implemented, sewerage and chlorination are likely to have positive health impacts. However, when implemented poorly, all three interventions can have negative health impacts. HIGHLIGHTS Most studies focused on sewerage interventions.; Chlorination and sewerage interventions were successful in reducing disease burden.; Contamination sources included lack of improved WaSH, sources in the nearby environment, and household hygiene practices.; Infrastructure maintenance issues affected the interventions’ impacts.; Proper household hygiene practices should be included for effective interventions.;
format article
author Sridevi K. Prasad
Charlotte Lane
Douglas Glandon
author_facet Sridevi K. Prasad
Charlotte Lane
Douglas Glandon
author_sort Sridevi K. Prasad
title Rapid evidence assessment of the impacts of sewerage, drainage, and piped water chlorination in urban settings of low- and middle-income countries
title_short Rapid evidence assessment of the impacts of sewerage, drainage, and piped water chlorination in urban settings of low- and middle-income countries
title_full Rapid evidence assessment of the impacts of sewerage, drainage, and piped water chlorination in urban settings of low- and middle-income countries
title_fullStr Rapid evidence assessment of the impacts of sewerage, drainage, and piped water chlorination in urban settings of low- and middle-income countries
title_full_unstemmed Rapid evidence assessment of the impacts of sewerage, drainage, and piped water chlorination in urban settings of low- and middle-income countries
title_sort rapid evidence assessment of the impacts of sewerage, drainage, and piped water chlorination in urban settings of low- and middle-income countries
publisher IWA Publishing
publishDate 2021
url https://doaj.org/article/f01f6483ddab42c0b3fd9444f59ee432
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AT charlottelane rapidevidenceassessmentoftheimpactsofseweragedrainageandpipedwaterchlorinationinurbansettingsoflowandmiddleincomecountries
AT douglasglandon rapidevidenceassessmentoftheimpactsofseweragedrainageandpipedwaterchlorinationinurbansettingsoflowandmiddleincomecountries
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