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Behaviour change interventions to promote household connectivity to sewer

A scoping review

Bibliographic Data

ID19529317
AuthorsMahbub‐Ul Alam (0000-0001-6940-364X, University of Leeds, corresponding author), Md Assaduzzaman Rahat (0009-0001-3599-4290, International Centre for Diarrhoeal Disease Research), Shahpara Nawaz (0000-0001-9664-4035, International Centre for Diarrhoeal Disease Research), Nishantika Neeher (0000-0002-1478-9474, International Centre for Diarrhoeal Disease Research), Kazy Farhat Tabassum (0000-0003-0199-9867, International Centre for Diarrhoeal Disease Research), Tasnia Alam Upoma (0009-0002-3973-2009, International Centre for Diarrhoeal Disease Research), Abul Kamal (0000-0002-6516-9435, International Centre for Diarrhoeal Disease Research), Barbara Evans (0000-0001-9815-3141, University of Leeds), Paul Hutchings (0000-0002-7758-4644, University of Leeds)
Year2025
Volume18
Issue1
Pages2476335-2476335
Publication date2025-12-31
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2025.2476335
PMID40116018
OpenAlexW4408688787
LanguageEN
References cited20

Households without access to a functioning and well-managed sanitation system produce untreated faecal waste. While connecting households to sewers is ideal in densely populated low-income areas, the connection rates often remain low. Most interventions to increase connectivity focused on addressing financial, social, and legal barriers; there is limited evidence on the effectiveness of behaviour change interventions in promoting sewer connections. Thus, we aim to understand the effectiveness of behaviour change interventions in increasing the uptake of sewer connections. We developed a review protocol with key search terms relating to households, sewers, behaviour change interventions, promotion, and effectiveness. We aimed to identify both the types of interventions deployed and their impact on increasing household sewer connections. Eleven articles met the eligibility criteria and were included in the review. Findings indicate that changes in rates of connection were associated with interventions that included a blend of indirect financial subsidy in the form of a free connection and community-engagement activities. There was limited evidence that behaviour change campaigns without financial incentives lead to changes in sewer connection rates. A multi-component package involving financial subsidies with community engagement is likely to improve the sewer connection rate

Development economics · Economic growth · Economics · Environmental planning · Geography · Psychological intervention · Child Nutrition and Water Access · Community Health and Development · Psychology · Urban Transport and Accessibility

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    Open Access•Mahbub‐Ul Alam, Fazle Sharior et al.•International Journal of…•2020

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