Effective community-based interventions to prevent and control infectious diseases in urban informal settlements in low- and middle-income countries: a systematic review
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View abstract on PubMed
Summary
This summary is machine-generated.Community-based interventions effectively prevent infectious diseases in urban poor areas of low- and middle-income countries. A systems approach integrating context-specific, multi-component strategies is recommended for sustainable public health outcomes.
Area Of Science
- Public Health
- Urban Health
- Infectious Disease Epidemiology
Background
- Rapid urbanization exacerbates infectious disease risks in urban poor areas with inadequate amenities.
- This systematic review synthesizes evidence on effective community-based interventions (CBIs) for infectious disease prevention and control in low- and middle-income countries (LMICs).
Approach
- Systematic review following PRISMA guidelines, searching five databases (2011-2021).
- Included studies reported any CBIs for infectious diseases (e.g., TB, diarrhea, dengue, COVID-19) in LMICs.
- Narrative synthesis guided by a conceptual framework for integrated CBIs.
Key Points
- Twenty studies identified effective CBIs including screening, vector control, behavior change communication, CHW capacity building, health education, and e/m-health.
- Bundled interventions showed effectiveness for specific diseases, though individual component effectiveness was hard to isolate.
- Socio-cultural context was integral to CBI design and implementation.
Conclusions
- Intervention effectiveness is tied to social context, stakeholder engagement, and societal factors.
- A systems approach emphasizing context-specific, multi-component interventions addressing social determinants of health is recommended.
- Integration with public health strategies and community involvement is key for sustainable outcomes.
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