Drivers of sustainability performance in health and sanitation projects
A systematic literature review
Bibliographic Data
| ID | 22203744 |
|---|---|
| Authors | Mahadih Kyambade (0009-0006-0257-9601, Makerere University, corresponding author), Rogers Mwesigwa (0000-0002-1887-3251, Makerere University), Kassim Alinda (0000-0003-1149-6841, Makerere University), Sulait Tumwine (0000-0003-1139-7050, Makerere University), Freddie Lwanga (0000-0002-3445-9552, Makerere University) |
| Year | 2025 |
| Volume | 12 |
| Pages | 102046 |
| Publication date | 2025-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Sciences & Humanities Open (JOURNAL) |
| Journal identifiers | ISSN: 2590-2911 • E-ISSN: 2590-2911 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.ssaho.2025.102046 |
| OpenAlex | W4414841630 |
| Language | EN |
| Citations received | 5 |
| References cited | 106 |
This study systematically reviews empirical literature published between 2018 and 2025 to examine how leadership, governance, stakeholder engagement, and resilience contribute to sustainability performance of health and sanitation projects, particularly in developing countries especially Sub-Saharan Africa. The review aims to synthesize conceptual and empirical developments and identify key gaps that may inform future research and policy. Adopting a systematic literature review methodology, this study analyzed peer-reviewed journal articles drawn from major academic databases including Scopus, Web of Science, PubMed, ScienceDirect, Emerald Insight, SpringerLink, Wiley Online Library and Google Scholar. Studies were selected based on relevance, methodological rigor, and focus on low-resource contexts. The review included qualitative quantitative and mixed method studies. The review identifies a growing body of evidence supporting the importance of responsible leadership, institutional governance, stakeholder engagement, and resilience in enhancing health and sanitation project sustainability performance. However, findings also reveal several limitations, including; (i) limited context-specific research in developing countries such as Uganda, (ii) fragmented examination of the combined effects of these factors, (iii) methodological inconsistencies across studies, and (iv) a lack of longitudinal investigations. The study emphasizes the importance of integrated, context-sensitive frameworks to guide sustainable development efforts in the health and sanitation sectors. This review addresses a critical gap by focusing on the interplay among leadership, governance, stakeholder engagement, and resilience dimensions often studied in isolation. The findings offer valuable insights for policymakers, development agencies, and researchers working in resource-constrained settings, especially in sub-Saharan Africa
Public health · Sanitation · Sustainability · Systematic review · Child Nutrition and Water Access · Innovation and Socioeconomic Development
Psychological Resilience and Coping Among Women Living With Chronic Hypertension in Rural Uganda
Exploring the role of institutional governance in enhancing sustainability performance of health and sanitation projects in Uganda
Perceived red tape and occupational commitment among primary care physicians
Unpacking responsible leadership and its impact on sustainability performance
A Qualitative Exploration of Social Sustainability Performance in Health and Sanitation Projects
Water Conservation in the Era of Global Climate Change
The Corporate Governance of Environmental Sustainability
The impact of green human resource management practices on sustainable performance in healthcare organisations
Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety
The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
Community participation in health services development, implementation, and evaluation
Advancing gender diversity in leadership
Resilience and recovery from an environmental disaster
Challenges facing sustainable water supply, sanitation and hygiene achievement in urban areas in sub-Saharan Africa
Health promoting universities
City Water Resilience Framework
The contribution of community health systems to resilience
Water Justice and Integrated Water Resources Management
Challenges of network interaction in managing sustainable development projects in developing countries
Shared Sanitation Management and the Role of Social Capital
Improving Uptake and Sustainability of Sanitation Interventions in Timor-Leste
Health Outcomes of an Integrated Behaviour-Centred Water, Sanitation, Hygiene and Food Safety Intervention–A Randomised before and after Trial
Re-conceptualizing sustainable urban sanitation in Uganda
Financial, institutional, environmental, technical, and social (Fiets) aspects of water, sanitation, and hygiene conditions in indigenous - rural Indonesia
An innovative leadership development initiative to support building everyday resilience in health systems
Towards more sustainable Water, Sanitation and Hygiene (Wash) projects in Magway Region, Myanmar
Frameworks to assess health systems governance
NGOs fostering transitions towards sustainable urban sanitation in low-income countries
Decentralization and Development in Contemporary Uganda
The emergence of Urban Community Resilience Initiatives During the Covid-19 Pandemic
Governance and water security
The role of community participation for sustainable integrated neglected tropical diseases and water, sanitation and hygiene intervention programs
| Unique citing works | 5 |
|---|---|
| Citations per year | 5 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |