African Family Medicine | 21 September 2007
Impact of Community-led Clean Water Projects on Cholera Outbreak Prevention in Rural Tanzanian Communities: A Meta-Analysis
S, h, a, d, i, M, p, o, n, g, o, ,, H, a, f, s, a, N, g, o, w, i, ,, K, a, m, i, l, i, K, i, w, a, n, g, o, z, i
Abstract
Cholera outbreaks continue to affect rural communities in Tanzania, necessitating effective community-led interventions. A comprehensive review was conducted using systematic search strategies across multiple databases. Studies were included if they met specific criteria related to intervention design, outcome measures, and study quality. Community-led clean water projects demonstrated a significant reduction in cholera incidence by approximately 30%, with a confidence interval of -25% to -38%. The findings suggest that community engagement in water management significantly mitigates cholera risk in rural Tanzanian settings. Public health policies should prioritise supporting and scaling up community-led clean water initiatives as part of comprehensive cholera prevention strategies. Treatment effect was estimated with $\text{logit}(p<em>i)=\beta</em>0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.