Systematic Review of the Impact of Natural Resource Management on Public Health Outcomes: Focus on Water Quality

Natural resource management (NRM) plays a pivotal role in ensuring the sustainability of ecosystems, which are essential for human health and well-being. This systematic review examines the impact of various NRM practices on water quality and their subsequent effects on public health. Specifically, it focuses on interventions such as watershed management, pollution control, land use management, water treatment, and ecosystem restoration. We conducted a comprehensive search across PubMed, Scopus, and Web of Science, supplemented by gray literature from Google Scholar, WHO reports, and government and NGO publications, covering studies published between 2014 and 2024. A total of 42 studies met the inclusion criteria, encompassing diverse geographical regions with significant representation from developing countries. The findings indicate that effective NRM practices, particularly those aimed at reducing pollutants, managing watersheds, and promoting sustainable land use, significantly improve water quality by lowering levels of chemical contaminants, microbial pathogens, and physical pollutants. Improved water quality directly correlates with reduced incidences of waterborne diseases, chronic health conditions from long-term chemical exposure, and acute health effects from immediate pollutant exposure. The review underscores the need for tailored NRM strategies that consider local environmental and socio-economic contexts. It also highlights the importance of community involvement, regulatory frameworks, and continuous monitoring to enhance the effectiveness of NRM interventions. Despite the positive impacts, barriers such as limited financial resources, technical expertise, and community engagement pose challenges to the implementation of these practices. In conclusion, the systematic review demonstrates that comprehensive and context-specific NRM practices are crucial for improving water quality and public health outcomes. Policymakers and practitioners are encouraged to adopt integrated water resource management approaches, prioritize sustainable practices, and engage local communities to achieve long-term health and environmental benefits.