Background of the Study
Cholera remains a recurrent public health challenge in many parts of Nigeria, particularly in regions with poor sanitation and limited access to clean water. In Akwa Ibom State, frequent cholera outbreaks are closely linked to inadequate sanitation facilities and unsafe water sources. Improved sanitation infrastructure, including the construction of latrines, proper waste disposal systems, and access to safe drinking water, is critical in breaking the transmission cycle of cholera (Okeke, 2023). Various interventions have been implemented in Akwa Ibom to enhance sanitation, including government-led projects and community-driven initiatives. These improvements have the potential to significantly reduce the incidence of cholera and other waterborne diseases by minimizing environmental contamination. Studies indicate that the provision of improved sanitation facilities is associated with a marked decline in cholera outbreaks and overall disease burden (Aminu, 2024). Despite these advances, challenges such as funding limitations, community resistance, and maintenance issues persist. Evaluating the impact of these sanitation improvements on cholera reduction is essential for guiding future public health strategies and ensuring sustainable health outcomes in Akwa Ibom State (Ibrahim, 2025).
Statement of the Problem
Cholera outbreaks continue to pose a serious threat to public health in Akwa Ibom State, largely due to inadequate sanitation and unsafe water supplies. Despite efforts to improve sanitation infrastructure, many communities remain exposed to environmental contamination that facilitates cholera transmission. The inconsistent implementation and maintenance of sanitation facilities further undermine the effectiveness of these interventions. Additionally, limited community engagement and awareness about the importance of proper sanitation contribute to the persistence of poor hygiene practices. This gap between sanitation improvements and sustained behavioral change hinders the overall reduction in cholera incidence. Without comprehensive evaluation and targeted interventions, the risk of cholera outbreaks remains high, compromising public health and placing a significant burden on healthcare resources (Chukwuma, 2023).
Objectives of the Study
Research Questions
Research Hypotheses
Scope and Limitations of the Study
This study focuses on rural and peri-urban communities in Akwa Ibom State. Data will be collected through field surveys, water quality tests, and health records. Limitations include seasonal variations in outbreak patterns and potential inaccuracies in facility maintenance data.
Definitions of Terms
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