Authors : Bahati Cimanuka Emmanuel

Volume/Issue : Volume 11 - 2026, Issue 3 - March

Google Scholar : https://tinyurl.com/4974fhv6

Scribd : https://tinyurl.com/2bpusv62

DOI : https://doi.org/10.38124/ijisrt/26mar1489

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Typhoid fever remains a major public health challenge in rapidly urbanising and resource-constrained settings, where inadequate sanitation and poor waste management facilitate disease transmission. This study assessed the impact of innovative co-created household waste management practices on reducing typhoid fever in Goma, North Kivu, Democratic Republic of Congo. A cross-sectional comparative design was employed, involving 521 households (260 intervention and 261 control) selected through multistage sampling technique. The intervention, co-developed with community members, promoted practices such as waste separation, composting, organised evacuation, and improved waste storage. Data were collected using semi-structured questionnaires, validated through health facility records and observational checklists, and analysed using descriptive statistics and chi-square tests. The findings indicate that the intervention significantly improved the adoption of sustainable waste management practices and contributed to a substantial reduction in typhoid fever prevalence. In the intervention group, prevalence declined from 43.8% at baseline to 12.7% at endline (−31.1%), compared to a smaller reduction in the control group (−8.8%). Practices such as waste separation, organised evacuation, and controlled incineration were associated with decreased disease risk, while improper composting was linked to increased prevalence, highlighting potential health risks when not properly managed Overall, the study demonstrates that community-based, participatory waste management interventions can effectively reduce typhoid transmission by improving environmental sanitation. However, the findings also emphasise the importance of proper technical guidance and monitoring to ensure safe implementation of environmentally friendly practices. These results underscore the need for integrated approaches that combine behavioural change, infrastructure development, and community engagement to enhance public health outcomes and support sustainable urban development.

Keywords : Innovative, Co-Created, Household Waste Management, Practices, Impact, Typhoid Reduction, Goma.

References :

1. Adefris, W., Damene, S., & Satyal, P. (2023). Household practices and determinants of solid waste segregation in Addis Ababa city, Ethiopia. Humanities and Social Sciences Communications, 10(1), 1–10. doi: 10.1057/s41599-023-01982-7
2. Aiga, H., Kawakatsu, Y., Kadoi, N., Obeng, E., Id, T. A., Ofosu, F., Fujishima, K., Omachi, M., & Yamaguchi, E. (2024). PLOS ONE Effectiveness of a community-based intervention package in maternal health service utilization : A cross-sectional quasi- experimental study in rural Ghana. iii, 1–22. doi: 10.1371/journal.pone.0311966
3. Apio, E., Opio, B., Acanga, A., & Akello, A. R. (2024). Factors influencing willingness to pay for improved solid waste collection services among households in urban cities in Uganda : empirical evidence from Lira City.
4. Assemu, D. M., Tafere, T. E., Gelaw, Y. M., & Bantie, G. M. (2020). Healthcare Waste Management Practice and Associated Factors among Private and Public Hospitals of Bahir Dar City Administration. 2020. doi: 10.1155/2020/7837564
5. Bank, W. (2018). What a Waste 2.0 A Global Snapshot of Solid Waste Management to 2050.
6. Bottini, I., Vecchi, S., Sario, M. De, Bauleo, L., Michelozzi, P., Ancona, C., & Expand, A. (2025). Residential exposure to municipal solid waste incinerators and health effects : a systematic review with meta-analysis. 4–5. doi: 10.1186/s12889-025-23150-z
7. Brown, Z. S. (2024). Household waste practices : New empirical evidence and policy implications for sustainable behaviour. 249.
8. Buntaine, M. T. (2024). Social competition drives collective action to reduce informal waste burning in Uganda. 121(23), 1–8. doi: 10.1073/pnas.2319712121/-/DCSupplemental.Published
9. Cluster, W. (2024). Climate Change and WASH Toolbox for Humanitarian Practitioners A product of the Global WASH Cluster Climate Change Working Group. July.
10. Diacono, M., Alessandro Persiani, A. F., Claudia Di Bene, A., Trinchera, Roberta Farina, F., & Montemurro. (2022). Recycling agricultural residues in organic farming by on-farm compost production. 727473, 9295088.
11. Ferronato, N., & Torretta, V. (2019). Waste mismanagement in developing countries: A review of global issues. International Journal of Environmental Research and Public Health, 16(6). doi: 10.3390/ijerph16061060
12. Gritzas, V. V. &Giorgos. (2024). Community-Based Waste Management Initiatives as Means to Achieve Circular Economy Objectives for Sustainable Development.
13. Group, S. (2024). STROBE Statement — checklist of items that should be included in reports of observational studies. 1, 1–3.
14. Hasselgreen, A., Khalifa, H., Weir, C. J., Wall, D., Davies, A., Green, A., & Jones, N. (2016). Second Language Assessment and Mixed Methods Research from testing and innovation theory solution academic writing in higher education use of multilingual proficiency frameworks.
15. Höflinger, S., Antwi, M., Amprofi, A. A., & Kabo-bah, A. T. (2020). Spatial Identification of Potential Dump Disposal Sites for Effective Waste Management in the Sunyani Municipality , Ghana. 93–111. doi: 10.4236/gep.2020.811005
16. Id, J. K., Choi, J., Kim, C., Pak, G. D., Parajulee, P., Haselbeck, A., Park, S. E., Mogasale, V., Jin, H., Id, J., Browne, J., & Owusu-dabo, E. (2024). PLOS NEGLECTED TROPICAL DISEASES Mapping the incidence rate of typhoid fever in sub-Saharan Africa. 1–19. doi: 10.1371/journal.pntd.0011902
17. Ifegbesan, A. P., Rampedi, I. T., Ogunyemi, B., & Modley, L. (2022). Predicting Pro-Environmental Behaviour amongst Citizens in African Countries : A Cross-National Study amongst Six African Countries.
18. IFRC. (2024). Technical Guidance Note on Urban. 6, 2024.
19. Istiqomah, T., Corsita, L., & Yogyakarta, I. I. (2024). Implementation of Community-Based Waste Management to Improve Environmental Health in Villages. 01(2), 1–8.
20. Iverson, B. L., & Dervan, P. B. (2018). What a waste 2.0 A global Sanpshot of SWM to 2050.
21. Justin N. Okorondu, Victor A. Agidi, Chukwudi Nwaogu, Bridget E. Diagi, S. I. A. & B. A. (2024). Solid Waste Management Practices in Sub-Saharan Africa and Its Impact on Climate Change and Planetary Health.
22. Kabasiita, J. K., Opolot, E., Sande, E., & Malinga, G. M. (2022). Decomposition and nutrient release patterns of municipal solid waste compost in two agro ‑ ecological zones of Uganda. Agriculture & Food Security, 1–14. doi: 10.1186/s40066-022-00392-3
23. Kariuki, S., & Onsare, R. S. (2019). Comment High burden of typhoid disease in sub-Saharan Africa calls for urgent roll-out of typhoid conjugate vaccines. The Lancet Global Health, 12(4), e537–e538. doi: 10.1016/S2214-109X(24)00079-2
24. Kariuki, S., & Onsare, S. (2020). High burden of typhoid disease in sub-Saharan Africa calls for urgent roll-out of typhoid conjugate vaccines. 1.
25. Kaza, S., Yao, L., Bhada-Tata, P., & Van Woerden, F. (2018). What a Waste 2.0 Introduction -"Snapshot of Solid Waste Management to 2050.” Overview booklet. Urban Development Series, 1–38. Retrieved from https://openknowledge.worldbank.org/handle/10986/30317
26. Kim, C., Goucher, G. R., Tadesse, B. T., Lee, W., Abbas, K., & Kim, J. H. (2023). Associations of water, sanitation, and hygiene with typhoid fever in case–control studies: a systematic review and meta-analysis. BMC Infectious Diseases, 23(1), 1–17. doi: 10.1186/s12879-023-08452-0
27. Kitole, F. A., Ojo, T. O., Emenike, C. U., Khumalo, N. Z., Elhindi, K. M., & Kassem, H. S. (2024). The Impact of Poor Waste Management on Public Health Initiatives in Shanty Towns in Tanzania. Sustainability (Switzerland), 16(24), 1–26. doi: 10.3390/su162410873
28. Konstantinidou, A., Ioannou, K., & Tsantopoulos, G. (2024). Citizens ’ Attitudes and Practices Towards Waste Reduction , Separation , and Recycling : A Systematic Review. 1–36.
29. Lisa, C., & Woerden, V. (2018). What a Waste 2 . 0 : A Global Snapshot of Solid Waste Management to 2050. 2018–2020.
30. Maas, G., & Hogland, W. (2013). Solid waste management challenges for cities in developing countries.
31. Mbeva, J. K., Prudence, M. N., Karemere, H., Musubao, E. T., & Namegabe, N. (2020). Profil de l ’ offre des soins médicaux en milieu urbain africain : Cas de la ville de Goma à l ’ est de la RDC [ Urban health services profile in Africa settings : Goma city case in the east of the Democratic Republic of Congo ]. 31(2), 458–471.
32. Miyoba M. Habanji, P. S. M. (2024). Determinants of Home Deliveries by Pregnant Mothers in Lumbo Chabbobboma Zone of Gwembe District in Zambia. 46(2018), 8–9.
33. Mukuku, O., & Govender, K. (2025). Goma ’ s unfolding crisis : the humanitarian catastrophe and its devastating public health consequences in the eastern Democratic Republic of the Congo. doi: 10.1136/bmjgh-2025-019719
34. Nations, U., & Programme, E. (2020). Waste Management during the COVID-19 Pandemic : From Response to Recovery.
35. Office, E., Nations, U., & Programme, E. (2024). Terminal Evaluation of the UNEP Project “ Faith for Earth Initiative PIMS 2053 .” September.
36. Okesanya, O. J., Eshun, G., Ukoaka, B. M., Manirambona, E., Olabode, O. N., Adesola, R. O., Okon, I. I., Jamil, S., Singh, A., Lucero-Prisno, D. E., Ali, H. M., & Chowdhury, A. B. M. A. (2024). Water, sanitation, and hygiene (WASH) practices in Africa: exploring the effects on public health and sustainable development plans. Tropical Medicine and Health, 52(1). doi: 10.1186/s41182-024-00614-3
37. Okin, Y. K., Yabar, H., Kevin, K. L., & Mizunoya, T. (2024). Geospatial Analysis of Malaria and Typhoid Prevalence Due to Waste Dumpsite Exposure in Kinshasa Districts with and Without Waste Services : A Case Study of Bandalungwa and Bumbu , Democratic Republic of Congo.
38. Omondi, I., & Asari, M. (2024). Impact of Policy Design on Plastic Waste Reduction in Africa. Sustainability (Switzerland), 16(1). doi: 10.3390/su16010004
39. Onuegbu, F. E. (2024). Assessment of Solid Waste Disposal Practices and Management Strategies in Eke Okigwe Market , Imo State , Nigeria. 2117, 1–22.
40. Rees, H., & Schulte, M. (2018). Environmental protection through societal change : What psychology knows about collective climate action — and what it needs to find out. 0.
41. Saunders-Russell, C. T. (2016). Critical Review of Literature on Radiologic Technology Education Program Evaluation. 2015, 2015.
42. Sayuti, M. H., Keng, L. K., Basir, A., Yaacob, M., Mamat, M., Yusof, N. A., Musa, N. C., Hazim, M., & Abdullah, A. (2025). Religion and Environmental Conservation : A Scoping Review with Emphasis on Islam. 15(8), 939–955.
43. Sdg, M., New, P. R., & Children, U. N. (2023). WHO / UNICEF Joint Monitoring Program for Water Supply , Sanitation and Hygiene ( JMP ) – Progress on household drinking water , sanitation and hygiene 2000-2022 : Special focus on gender.
44. Shahid, M. I., Wanqu, H., & Shah, F. (2025). Utilizing stratified double response techniques in public health investigations to optimize privacy and efficiency via sensitive data estimation. 1, 1–22.
45. Shruti Murthy, PhDa ∙ Nienke N Hagedoorn, PhDa ∙ Suzanne Faigan, PhDa ∙ Meera D Rathan, PGDPHa ∙ Prof Katrina J Sharples, PhDb ∙ Christian S Marchello, PhDa ∙ Prof John A Crump, Md. john. crump@otago. ac. n. (2025). Global typhoid fever incidence : an updated systematic review with meta-analysis. 25(12).
46. Sisay, S. F., Gari, S. R., & Ambelu, A. (2024). Solid waste management service chain and sanitation safety : a case study of existing practice in Addis. August, 1–14. doi: 10.3389/fenve.2024.1414669
47. Ssemugabo, C., Wafula, S. T., Lubega, G. B., Ndejjo, R., Osuret, J., Halage, A. A., & Musoke, D. (2025). Status of Household Solid Waste Management and Associated Factors in a Slum Community in Kampala , Uganda. 2020. doi: 10.1155/2020/6807630
48. Steckman, L. (2021). TakeonTyphoid_DRC_infographic. Examining Internet and Technology around the World, 268–272. doi: 10.4324/9781003179870-35
49. Sun, H., Chen, E., Yang, M., Wu, C., Su, X., & Wang, Q. (2023). From waste to wealth : Innovations in organic solid waste composting.
50. Tabanao, E. G. V, Barnido, D. D., & Pableo, J. C. (2025). YOUTH ENGAGEMENT IN ENVIRONMENTAL SUSTAINABILITY : BRIDGING ACTION AND AWARENESS FOR SDG 11.
51. Tadesse, B. T., Khanam, F., Ahmmed, F., Liu, X., Islam, M. T., Kim, D. R., Kang, S. S. Y., Im, J., Chowdhury, F., Ahmed, T., Aziz, A. B., Hoque, M., Park, J., Pak, G., Jeon, H. J., Zaman, K., Khan, A. I., Kim, J. H., Marks, F., … Clemens, J. D. (2023). Association Among Household Water, Sanitation, and Hygiene (WASH) Status and Typhoid Risk in Urban Slums: Prospective Cohort Study in Bangladesh. JMIR Public Health and Surveillance, 9(1), 1–13. doi: 10.2196/41207
52. Thalia, O. P. (2024). International Digital Organization for Scientific Research Understanding the Risk Factors and Vulnerable Populations in the Spread of Diarrhea and Typhoid Fever : Socioeconomic Influences , Malnutrition and Susceptibility among risk Groups. 1–6.
53. UN Women. (2025). How gender inequality and climate change are interconnected How does climate change impact women and girls ? April.
54. UNEP. (2021). From Pollution to Solution A global assessment of marine litter and plastic pollution. October.
55. UNEP. (2022). Why gender dynamics matter in waste management. United Nations Environment Programme. Retrieved from https://www.unep.org/news-and-stories/story/why-gender-dynamics-matter-waste-management#:~:text=TN%3A In many societies%2C women,management and waste management services.
56. UNEP. (2024a). Global Waste Management Outlook. February.
57. UNEP. (2024b). Global Waste Management Outlook. Global Waste Management Outlook, February. doi: 10.18356/765baec0-en
58. Varol, M., & Cr, O. (2021). Sediment contamination by trace elements and the associated ecological and health risk assessment : A case study from a large reservoir ( Turkey ).
59. WHO. (2023a). Environmental risk factors and noncommunicable diseases.
60. WHO. (2023b). Tyhoid-Key facts.
61. WHO. (2024). Immunization dashboard Global.
62. WHO. (2025). WHO global water , sanitation and hygiene : annual report 2024. September, 2025.
63. Wiedinmyer, C., Yokelson, R. J., & Gullett, B. K. (2014). Global emissions of trace gases , particulate matter , and hazardous air pollutants from open burning of domestic waste. 22. doi: 10.1021/es502250z
64. Woime, A. W. (2025). Waste Management Policies , Practices , and Public Health Outcomes in Developing Countries : A Systematic Review and Meta-Analysis. 1–14.
65. World Bank. (2022). Solid Waste Management. 6.
66. World Bank. (2026). What a Waste 3.0 Global Snapshot of Solid Waste Management toward Circularity until 2050.