Publications

Research outputs, reports, policy briefs and knowledge products from KIU scholars and partners.

2026 Faculty of Science and Technology NEWPORT INTERNATIONAL JOURNAL OF BIOLOGICAL AND APPLIED SCIENCES (NIJBAS)

Urban Slums and the High Burden of Diarrheal Diseases in Africa

Kibibi Muthoni L.

Diarrheal diseases remain a leading cause of morbidity and mortality in Africa, particularly among children under five years of age. Urban slums, characterized by overcrowding, inadequate sanitation, limited access to clean water, and weak healthcare infrastructure, serve as epicenters for these preventable illnesses. This review examines the high burden of diarrheal diseases in African slums, highlighting epidemiological trends, environmental and socioeconomic risk factors, health impacts, and the effectiveness of existing intervention strategies. It also explores policy, governance, and research gaps, emphasizing the need for integrated, multisectoral approaches. Key interventions, including water, sanitation, and hygiene (WASH) programs, vaccination initiatives, urban planning, and innovative technologies, are discussed as critical for reducing disease prevalence. The review underscores the importance of community engagement, context-specific research, and resilient public health systems to improve health outcomes. By addressing the structural determinants of disease and prioritizing vulnerable populations, targeted strategies can reduce morbidity and mortality, enhance child survival, and contribute to socioeconomic development, aligning with global goals of equitable health outcomes and sustainable urbanization.