Urban river degradation is frequently framed as a technical failure of waste management or infrastructure. This study advances an alternative hypothesis: that governance exclusion itself functions as a structural driver of socio-ecological collapse. Using the Nairobi River Basin as a case, we examine how pollution gradients, ecosystem decline, and disease burden intersect with institutional marginalisation in riverside communities, with implications for SDGs 3, 6, 11, and 13.
A convergent mixed-methods design integrated four datasets covering the period 2018–2024: (1) secondary water quality records across thirteen parameters (BOD, DO, COD, heavy metals, microbial indicators) benchmarked against WHO standards; (2) outpatient morbidity records from health facilities serving Kibera, Mukuru, and Mathare; (3) purposive household interviews (n = 12 most-impacted households identified through community leadership networks); and (4) a multi-stakeholder validation forum involving residents, community leaders, waste operators, and municipal actors. Field observations were conducted from upstream catchment zones, including Ondiri Swamp, to downstream industrial and informal settlement corridors. Pearson correlation was used to test contamination–disease associations. Ethical approval and informed consent were obtained prior to primary data collection.
A pronounced downstream pollution gradient was observed. Peak E. coli concentrations reached 100,000 CFU/100 mL (≈800× WHO guideline), while lead exceeded permissible limits by up to 50×. E. coli levels were strongly associated with cholera incidence (r = 0.79, p < 0.01). Waterborne diseases accounted for approximately 35% of outpatient visits at Riverside facilities. Ecological assessment documented near-total loss of sensitive aquatic taxa downstream. Qualitative findings revealed high levels of localised ecological knowledge and active stewardship practices; however, residents reported zero formal representation within river governance structures.
Findings suggest that the basin’s degradation is not solely a technical deficit but a governance architecture that externalises responsibility while withholding infrastructure and decision-making power. Sustainable recovery requires institutionalising community stewardship within formal river management systems.
