Ineffective management of water recharge areas leads to environmental degradation and decreased water quality, affecting both ecosystems and local communities. This study evaluated adaptive water resource management strategies as key to conservation and sustainability in these areas. A systematic review was conducted using the Scopus database, applying the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement for identifying and selecting relevant articles that addressed the research questions. Reforestation and agroecological management practices were found to be effective for improving water quality in water recharge areas. These practices significantly reduced contaminants such as nitrates and phosphates, contributing to the sustainability of aquatic ecosystems. Furthermore, key factors that influence the effectiveness of these interventions were identified, including the participation of local communities, continuous monitoring of water resources, and environmental education. Finally, recommendations are provided for future research and management practices that integrate local community engagement and approaches based on technical and economic assessments, in order to maximize the positive impact on water quality and ecosystem resilience.