This systematic literature review aimed at presenting experiences on the use of constructed wetlands (CW) as an alternative for the treatment of domestic wastewater in rural areas worldwide. CW units are often preceded by a pre-treatment step, although systems comprising arrangements of CW with different flow types are also applied. The literature review showed that the most commonly treatment system used in rural areas comprised septic tanks followed by CW. Overall, CW rural sanitation systems have shown to consistently remove pollutants, with median removal efficiencies equal to 87% for TSS, 89% for COD, 93% for BOD, 70% for Ntotal and 72% for Ptotal. Removal rates of indicator bacteria of up to 4.0 log10 have also been reported. Recent studies have shown CW to be efficient at removing hormones, pharmaceutical compounds and toxicity of wastewater. Consequently, final effluents are often in compliance with effluent discharge and wastewater reuse regulations. The adoption of pre-treatment reduces CW area requirements and clogging issues, and planted CW present benefits in terms of the removal of pollutants including pathogens. Low implementation and operational costs, simplified operation and maintenance, and high-quality final effluents favour CW. Guidelines provided by the local, competent authorities may support the rural application of CW. Finally, CW systems comprise a promising, sustainable solution for rural sanitation which may support access to adequate and equitable sanitation to several people as well as safe wastewater recycling and reuse, as encouraged by UN Sustainable Development Goal 6, Targets 3 and 4.
Keywords: Decentralized systems; Domestic wastewater; Rural sanitation; Treatment wetlands; Wastewater reuse.
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