ArticleGlobal health action2026
Community-based interventions addressing open defecation in Sub-Saharan Africa: a scoping review.
Article in Global health action, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Open defecation (OD) remains a major public health issue, particularly in rural Sub-Saharan Africa (SSA), where a significant proportion of the population still lacks access to basic sanitation. It increases the risk of infectious diseases, psychosocial stress, and sexual violence, especially for women. Community-based interventions, such as Community-Led Total Sanitation (CLTS), have been implemented to eliminate OD through behaviour change. This scoping review aimed to map community-based approaches used to eliminate OD in SSA. It followed Joanna Briggs Institute (JBI) and PRISMA-ScR guidelines. Peer-reviewed primary studies published since 2010 on community-based interventions addressing OD in SSA were included. Nationwide or poorly described interventions were excluded. Searches were conducted in MEDLINE, Web of Science, and CINAHL. Two reviewers independently screened, extracted, and synthesised data. Fifteen studies on community-based interventions were included. Most (
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