Bokwala Bosembe Diane: 'Knowledge, Attitudes, and Practices of the Population of Mbandaka Regarding Waterborne Diseases: A Cross-Sectional Study in Bombwanza Neighborhood (DRC, 2023–2024)'
Abstract
Introduction
Waterborne diseases are a major public health problem in the Democratic Republic of the Congo (DRC), especially in urban areas where access to safe drinking water is limited. This study aimed to assess the knowledge, attitudes, and practices (KAP) of the population of Bombwanza neighborhood in Mbandaka regarding the prevention of waterborne diseases.
Methods
A descriptive cross-sectional study was carried out from 2023 to 2024 among 286 households in Bombwanza neighborhood, selected through non-probability convenience sampling. Data were collected using a structured questionnaire covering sociodemographic characteristics, knowledge, attitudes, and practices related to waterborne diseases. Descriptive analysis focused on frequencies and percentages.
Results
The population was predominantly female (54.5%) and aged 31–45 years (39.2%). More than three-quarters of respondents (73.4%) knew about water-related diseases. However, only 57.3% reported always washing their hands after using latrines, and only 42.7% treated their water before drinking. A notable proportion (8.4%) never washed their hands after latrines, and 57.3% did not treat their drinking water.
Discussion
The results reveal a paradox between a satisfactory level of knowledge about waterborne diseases and insufficient adoption of key preventive practices, particularly water treatment. These findings are consistent with other studies conducted in sub-Saharan Africa, suggesting that information alone is not enough to change behavior. Structural barriers—such as limited access to safe water, the cost of treatment products, and lack of infrastructure—likely hinder the adoption of good practices.
Conclusion
The population of Bombwanza has basic knowledge about waterborne diseases, but this knowledge does not translate into adequate preventive practices. Targeted interventions focusing on water treatment, hand hygiene, and addressing structural barriers are needed to reduce the burden of waterborne diseases.
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How to cite
Study Design Foundation (2026). Bokwala Bosembe Diane: 'Knowledge, Attitudes, and Practices of the Population of Mbandaka Regarding Waterborne Diseases: A Cross-Sectional Study in Bombwanza Neighborhood (DRC, 2023–2024)'. SDF Journal of Public Health. https://sfoundation.one/articles/sdf-2026-0006-bokwala-bosembe-diane-knowledge-attitudes-and-practices-of-the-populat