Strategies for Community-Based Total Sanitation in Improving Hygiene Behavior: A Case Study of Purwosari II Village, Tamban District

Trisylvana Azwari, Avela Dewi, Erma Ariyani, Aulia Aulia, Fathur Rahman, Aliffathur Prismadanu

Abstract


This study looks at how the Community-Based Total Sanitation (CBTS) Program is being used in Purwosari II Village, Tamban Sub-district, Barito Kuala Regency, to find effective ways to change the community’s hygiene habits and enhance public health. The program aims to improve sanitation and health through five key pillars. However, challenges in changing hygienic behavior remain significant in practice. The methodology used is a qualitative approach, with data collection techniques including observation, interviews, documentation, and focus group discussions (FGD). A SWOT analysis was conducted to identify internal and external factors affecting the program’s implementation. The results show that although sanitation facilities such as communal toilets have been built, their distribution is uneven, and some people still maintain unhygienic behavior. Factors influencing such behavior include poorly developed policies, a lack of specialized CBTS cadres, and the community's reliance on government physical assistance. Based on these findings, suggested strategies include strengthening written policies, improving inter-sectoral coordination, and empowering the community through training and triggering healthy behaviors at the community level. It is hoped that these measures will make the CBTS program in Purwosari II Village more effective in creating behavior change and sustainably improving public health.


Keywords


Community-Based Total Sanitation; Hygienic Behavior Change; Public Health Improvement; Community Empowerment; Sanitation Infrastructure

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References


Andrade, E., Bingenheimer, J. B., Edberg, M., Zoerhoff, K. L., & Putzer, E. M. (2017). Evaluating the Effectiveness of a Community-Based Hygiene Promotion Program in a Rural Salvadoran Setting. Global Health Promotion, 26(1), 69–80. https://doi.org/10.1177/1757975917695072

Arif, A. (2024). Analisis Faktor Yang Berhubungan Dengan Penerapan 5 Pilar STBM. Jurnal Kesehatan Global, 7(1), 51–60. https://doi.org/10.33085/jkg.v7i1.5827

A’yunina, A., Joko, T., & Nurjazuli, N. (2020). Evaluasi Program Sanitasi Total Berbasis Masyarakat Pada Pilar Pertama Stop BABS Di Kabupaten Pekalongan. Media Kesehatan Masyarakat Indonesia, 19(6), 402–411. https://doi.org/10.14710/mkmi.19.6.402-411

Azwari, T., Ariyani, E., Avela, D., Nisa, H., Syafitri, N., & Puteri, R. A. A. (2024). Program Sanitasi Total Berbasis Masyarakat: Upaya Menurunkan Stunting di Desa Purwosari II Kecamatan Tamban. Prosiding Seminar Nasional Lahan Basah, 9, 345–361.

Baggett, S. K., Gore, T., Sanderson, B., & Sankar, C. S. (2013). Teaching Consistent Hand Hygiene: How Can We Improve? Journal of Nursing Education and Practice, 4(1). https://doi.org/10.5430/jnep.v4n1p200

Bintari, D. P. A. (2017). Hubungan Tingkat Pengetahuan Sanitasi Total Berbasis Masyarakat (STBM) Pilar Satu Dengan Perilakua Pemanfaatan Jamban di Desa Putukrejo Wilayah Kerja Puskesmas Kalipare. Sekolah Tinggi Ilmu Kesehatan Widyagama Husada.

Budi, E. R. (2018). Analisis Kondisi Sosial Ekonomi Masyarakat Terhadap Ketersediaan Sanitasi. Economics Development Analysis Journal, 6(2), 147–154. https://doi.org/10.15294/edaj.v6i2.22211

Canggih, C., Fikriyah, K., Indrarini, R., Suryaningsih, S. A., & Hanifah, N. (2021). Peningkatan Kesehatan Masyarakat Di Masa Pandemi Bagi Warga Panti Asuhan Di Surabaya. Dinamisia Jurnal Pengabdian Kepada Masyarakat, 5(4). https://doi.org/10.31849/dinamisia.v5i4.6232

Coffey, D., Spears, D., & Vyas, S. (2017). Switching to Sanitation: Understanding Latrine Adoption in a Representative Panel of Rural Indian Households. Social Science & Medicine, 188, 41–50. https://doi.org/10.1016/j.socscimed.2017.07.001

Donkor, W., Mbai, J., Sesay, F., Ali, S. I., Woodruff, B. A., Hussein, S. M., Mohamud, K. M., Muse, A., Mohamed, W. S., Mohamoud, A. M., Mohamud, F. M., Petry, N., Galvin, M., Wegmüller, R., Rohner, F., Katambo, Y., & Wirth, J. P. (2022). Risk Factors of Stunting and Wasting in Somali Pre-School Age Children: Results From the 2019 Somalia Micronutrient Survey. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-021-12439-4

Farha, M. F. M., Devis, Y., & Alhidayati, A. (2021). Evaluasi Program Sanitasi Total Berbasis Masyarakat Stop BABS Di Puskesmas Lanjut Kecamatan Singkep Pesisir Kabupaten Lingga Tahun 2020. Media Kesmas (Public Health Media), 1(2), 85–97. https://doi.org/10.25311/kesmas.vol1.iss2.10

Freeman, M. C., Delea, M. G., Snyder, J. S., Garn, J. V, Belew, M. L., Caruso, B. A., Clasen, T., Sclar, G. D., Tesfaye, Y., Woreta, M., Zewudie, K., & Gebremariam, A. (2021). The Impact of a Demand-Side Sanitation and Hygiene Promotion Intervention on Sustained Behavior Change and Health in Amhara, Ethiopia: A Cluster-Randomized Trial. https://doi.org/10.1101/2021.07.15.21260587

Herniwanti, H., Sudarto, E., & Ardiana, A. (2022). Penyuluhan Sanitasi Total Berbasis Masyarakat (STBM) Pilar 1 – Stop Buang Air Besar Sembarangan (BABS) Di Kecamatan Bengkalis, Riau. Jurnal Abdidas, 3(3), 465–473. https://doi.org/10.31004/abdidas.v3i3.612

Indriyani, Y., Yuniarti, & Latif, V. N. R. (2016). Kajian Strategi Promosi Kesehatan Sanitasi Total Berbasis Masyarakat (STBM) Kelurahan Tirto Kecamatan Pekalongan Barat Kota Pekalongan. Unnes Journal of Public Health, 5(3). http://journal.unnes.ac.id/sju/index.php/ujph

Istiana, Usman, & Anggraeni, R. (2021). Analisis Tingkat Keberhasilanpelaksanaan Program Sanitasi Total Berbasis Masyarakat (STBM) Di Wilayah Kerja Puskesmas Cempae Kota Parepare. Jurnal Ilmiah Manusia Dan Kesehatan, 4(3), 2614–3151. http://jurnal.umpar.ac.id/index.php/makes

Jain, A., Wagner, A. L., Snell‐Rood, C., & Ray, I. (2020). Understanding Open Defecation in the Age of Swachh Bharat Abhiyan: Agency, Accountability, and Anger in Rural Bihar. International Journal of Environmental Research and Public Health, 17(4), 1384. https://doi.org/10.3390/ijerph17041384

Jati, B. D. W., & Susiloadi, P. (2022). Implementasi Program Sanitasi Total Berbasis Masyarakat (STBM) Di Kecamatan Musuk Kabupaten Boyolali. Wacana Publik, 2(1), 92. https://doi.org/10.20961/wp.v2i1.63267

Juniardi, A., Asrinawaty, A., & Ilmi, M. B. (2020). Perilaku Ibu Rumah Tangga Dalam Pengelolaan Sampah Rumah Tangga. Jurnal Publikasi Kesehatan Masyarakat Indonesia, 7(1), 10. https://doi.org/10.20527/jpkmi.v7i1.8787

Karadağ, M., İşeri, Ö., Yıldırım, N., & Etikán, Í. (2016). Knowledge, Beliefs and Practices of Nurses and Nursing Students for Hand Hygiene. Jundishapur Journal of Health Sciences, 8(4). https://doi.org/10.17795/jjhs-36469

Khasanah, K., & Setiyabudi, R. (2023). The the Relationship of STBM With the Event of Diarrhea Children in Maos Health Centre, Cilacap Regency. Pancasakti Journal of Public Health Science and Research, 3(1), 55–61. https://doi.org/10.47650/pjphsr.v3i1.705

King, D., Vlaev, I., Everett‐Thomas, R., Fitzpatrick, M., Darzi, A., & Birnbach, D. J. (2016). “Priming” Hand Hygiene Compliance in Clinical Environments. Health Psychology, 35(1), 96–101. https://doi.org/10.1037/hea0000239

Koch, S., Lohmann, M., Geppert, J., Stamminger, R., Epp, A., & Böl, G. (2020). Kitchen Hygiene in the Spotlight: How Cooking Shows Influence Viewers’ Hygiene Practices. Risk Analysis, 41(1), 131–140. https://doi.org/10.1111/risa.13584

Lestari, N. K. S., Wirawan, I. M. A., & Januraga, P. P. (2021). Penilaian Risiko Kesehatan Lingkungan Kecamatan Abiansemal, Kabupaten Badung. Ecotrophic Jurnal Ilmu Lingkungan (Journal of Environmental Science), 15(2), 191. https://doi.org/10.24843/ejes.2021.v15.i02.p04

Maulida, D., & Prabawa, A. (2023). Perancangan Sistem Informasi Pelaporan Kegiatan STBM Dengan Bok Puskesmas Bagi Desa/Kelurahan Prioritas. Jambura Journal of Health Sciences and Research, 5(2), 485–498. https://doi.org/10.35971/jjhsr.v5i2.18502

Muchsin, T., & Saliro, S. S. (2020). Open Defecation Free in Kartiasa Village in the Era of Regional Autonomy: Implementation and Barriers. Syariah Jurnal Hukum Dan Pemikiran, 20(2), 121. https://doi.org/10.18592/sjhp.v20i2.4061

Mustafidah, L., Suhartono, S., & Purnaweni, H. (2020). Analisis Pelaksanaan Program Sanitasi Total Berbasis Masyarakat Pada Pilar Pertama Di Tingkat Puskesmas Kabupaten Demak. JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama, 7(2), 25. https://doi.org/10.31596/jkm.v7i2.499

Nisa, H., Azwari, T., Ariyani, E., Dewi, A., Rusiyana, & Shintia, N. (2023). Evaluasi Program Penyediaan Air Minum Dan Sanitasi Berbasis Masyakarat (PAMSIMAS) di Desa Purwosari II Kecamatan Tamban. Journal of Social and Policy Issues, 3(4), 214–220. https://doi.org/10.58835/jspi.v3i1.77

Octavia, Y. T., Munte, S. A., & Jusniar, E. (2020). Gambaran Pelaksanaan Sanitasi Total Berbasis Masyarakat (Stbm) Di Kelurahan Sri Padang Kecamatan Rambutan Kota Tebing Tinggi Tahun 2019. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 5(1). https://doi.org/10.34008/jurhesti.v5i1.176

Okaali, D. A., Bateganya, N. L., Evans, B., Ssazi, J. G., Moe, C. L., Mugambe, R. K., Murphy, H., Nansubuga, I., Nkurunziza, A. G., Rose, J. B., Tumwebaze, I. K., Verbyla, M. E., Way, C., Yakubu, H., & Hofstra, N. (2022). Tools for a Comprehensive Assessment of Public Health Risks Associated With Limited Sanitation Services Provision. Environment and Planning B Urban Analytics and City Science, 49(8), 2091–2111. https://doi.org/10.1177/23998083221120824

Opu, S., Hidayat, & Khaer, A. (2021). Hubungan Sanitasi Total Berbasis Masyarakat (Stbm) Dengan Upaya Penurunan Angka Stunting Pada Balita (Studi Literatur) Community Led Total Sanitation (CLTS) Relations With Efforts to Reduce Stunting Rates in Toddlers (Literature Study). JurnalSulolipu : Media Komunikasi Sivitas Akademika Dan Masyarakat, 21(1), 140–152.

Oswald, W. E., Stewart, A. E. P., Flanders, W. D., Kramer, M. R., Endeshaw, T., Zerihun, M., Melaku, B., Sata, E., Gessesse, D., Teferi, T., Tadesse, Z., Guadie, B., King, J. D., Emerson, P. M., Callahan, E. K., Moe, C. L., & Clasen, T. (2016). Prediction of Low Community Sanitation Coverage Using Environmental and Sociodemographic Factors in Amhara Region, Ethiopia. American Journal of Tropical Medicine and Hygiene, 95(3), 709–719. https://doi.org/10.4269/ajtmh.15-0895

Patil, S., Arnold, B. F., Salvatore, A. L., Briceño, B., Ganguly, S., Colford, J. M., & Gertler, P. (2014). The Effect of India’s Total Sanitation Campaign on Defecation Behaviors and Child Health in Rural Madhya Pradesh: A Cluster Randomized Controlled Trial. Plos Medicine, 11(8), e1001709. https://doi.org/10.1371/journal.pmed.1001709

Peraturan Menteri Kesehatan Republik Indonesia Nomor 3 Tahun 2014 Tentang Sanitasi Total Berbasis Masyarakat (2014).

Prüss‐Üstün, A., Wolf, J., Bartram, J., Clasen, T., Cumming, O., Freeman, M. C., Gordon, B., Hunter, P. R., Medlicott, K., & Johnston, R. B. (2019). Burden of Disease From Inadequate Water, Sanitation and Hygiene for Selected Adverse Health Outcomes: An Updated Analysis With a Focus on Low- And Middle-Income Countries. International Journal of Hygiene and Environmental Health, 222(5), 765–777. https://doi.org/10.1016/j.ijheh.2019.05.004

Rahmawati, U., Subandriani, D. N., & Yuniarti, Y. (2020). Pengaruh Penyuluhan Dengan Booklet Terhadap Peningkatan Pengetahuan, Sikap Dan Praktik Higiene Perorangan Pada Penjamah Makanan. Jurnal Riset Gizi, 8(1), 6–10. https://doi.org/10.31983/jrg.v8i1.5226

Rahmuniyati, M. E., & Sahayati, S. (2021). Implementasi Program Sanitasi Total Berbasis Masyarakat (Stbm) Untuk Mengurangi Kasus Stunting Di Puskesmas Wilayah Kabupaten Sleman. Prepotif: Jurnal Kesehatan Masyarakat, 5(1). https://www.researchgate.net/publication/353553115_Implementasi_Program_Sanitasi_Total_Berbasis_Masyarakat_Stbm_Untuk_Mengurangi_Kasus_Stunting_Di_Puskesmas_Wilayah_Kabupaten_Sleman

Rany, N., Dewi, O., & Herniwanti, H. (2022). Effectiveness of Media Modules on Triggering Community-Based Total Sanitation Programs (STBM). Jurnal Penelitian Pendidikan Ipa, 8(5), 2470–2475. https://doi.org/10.29303/jppipa.v8i5.2354

Safira, D. A. (2022). Hubungan Penerapan Sanitasi Total Berbasis Banjarmasin Masyarakat Dengan Kejadian Stunting di Wilayah Kerja Puskesmas Kwadungan Ngawi. STIKES Bhakti Husada Mulia Madiun.

Salawati, S., Hikmah, N., Nurmala, N., Rasud, Y., Ende, S., & Henrik, H. (2020). Peningkatan Produktivitas Lahan Pekarangan Melalui Pemanfaatan Sampah Rumah Tangga Sebagai Pupuk Organik Di Desa Lantapan Kecamatan Galang Kabupaten Tolitoli. Jurnal Abditani, 3(1), 44–49. https://doi.org/10.31970/abditani.v2i0.41

Saleem, M., Burdett, T., & Heaslip, V. (2019). Health and Social Impacts of Open Defecation on Women: A Systematic Review. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-6423-z

Sarkar, P., & Shukla, D. P. (2024). Impact of Mass Media on Menstrual Hygiene Management Among Adolescent Girls in India: A Systematic Review. Acta Scientific Women S Health, 24–30. https://doi.org/10.31080/aswh.2024.06.0642

Sax, H., Uçkay, İ., Richet, H., Allegranzi, B., & Pittet, D. (2007). Determinants of Good Adherence to Hand Hygiene Among Healthcare Workers Who Have Extensive Exposure to Hand Hygiene Campaigns. Infection Control and Hospital Epidemiology, 28(11), 1267–1274. https://doi.org/10.1086/521663

Sitra, E., Agustar, A., & Erwin. (2019). Pelaksanaan Program Sanitasi Total Berbasis Masyarakat (Stbm) Dan Implikasinya Terhadap Perubahan Perilaku Masyarakat Di Kabupaten Lima Puluh Kota. JISPO, 9(1).

Sobhan, S., Müller-Hauser, A. A., Huda, T. M. N., Waid, J. L., Gautam, O. P., Gon, G., Wendt, A. S., & Gabrysch, S. (2022). Design, Delivery, and Determinants of Uptake: Findings From a Food Hygiene Behavior Change Intervention in Rural Bangladesh. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13124-w

Srigley, J. A., Corace, K., Hargadon, D. P., Yu, D., MacDonald, T. K., Fabrigar, L. R., & Garber, G. (2015). Applying Psychological Frameworks of Behaviour Change to Improve Healthcare Worker Hand Hygiene: A Systematic Review. Journal of Hospital Infection, 91(3), 202–210. https://doi.org/10.1016/j.jhin.2015.06.019

Stedman-Smith, M., DuBois, C. L. Z., & Grey, S. F. (2013). Hand Hygiene Performance and Beliefs Among Public University Employees. Journal of Health Psychology, 20(10), 1263–1274. https://doi.org/10.1177/1359105313510338

Stiawati, T. (2021). Program Sanitasi Total Berbasis Masyarakat (STBM) untuk Merubah Perilaku Hidup Sehat di Kelurahan Kasunyatan Kota Serang Provinsi Banten. Sawala : Jurnal Administrasi Negara, 9(2), 179–191. https://doi.org/10.30656/sawala.v9i2.3607

Sucahya, M., Firdausi, I. A., & Faturahman, W. (2021). Pemberdayaan Laz Harfa Menerapkan Sanitasi Total Berbasis Masyarakat Di Kabupaten Pandeglang. Lontar Jurnal Ilmu Komunikasi, 9(1), 29–41. https://doi.org/10.30656/lontar.v9i1.2882

Sugiyono. (2023). Metode Penelitian Kualitatif (untuk Penelitian Yang Bersifat: Eksploratif, Enterpretif, Interaktif Dan Konstruktif) (S. Y. Suryandi, Ed.; 6th ed.). Alfabeta.

Suryani, A. S. (2020). Pembangunan Air Bersih Dan Sanitasi Saat Pandemi Covid-19. Aspirasi Jurnal Masalah-Masalah Sosial, 11(2), 199–214. https://doi.org/10.46807/aspirasi.v11i2.1757

Szczuka, Z., Abraham, C., Băban, A., Brooks, S., Cipolletta, S., Danso, E., Dombrowski, S. U., Gan, Y., Gaspar, T., Matos, M. G. de, Griva, K., Jongenelis, M. I., Keller, J., Knoll, N., Ma, J., Miah, M. A. A., Morgan, K., Peraud, W., Quintard, B., … Łuszczyńska, A. (2021). The Trajectory of COVID-19 Pandemic and Handwashing Adherence: Findings From 14 Countries. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11822-5

Wasonga, J., Olang’o, C. O., & Kioli, F. N. (2014). Improving Households Knowledge and Attitude on Water, Sanitation, and Hygiene Practices Through School Health Programme in Nyakach, Kisumu County in Western Kenya. Journal of Anthropology, 2014, 1–6. https://doi.org/10.1155/2014/958481

Wichaidit, W., Biswas, S., Begum, F., Yeasmin, F., Nizame, F. A., Najnin, N., Leontsini, E., Winch, P. J., Unicomb, L., Luby, S. P., & Ram, P. K. (2019). Effectiveness of a Large‐scale Handwashing Promotion Intervention on Handwashing Behaviour in Dhaka, Bangladesh. Tropical Medicine & International Health, 24(8), 972–986. https://doi.org/10.1111/tmi.13277

Yahya, P. N., Ronitawati, P., Sitoayu, L., Sa’pang, M., & Nuzrina, R. (2022). Faktor-Faktor Yang Memengaruhi Praktik Keamanan Pangan Pada Penyelenggaraan Makanan Di Sekolah. Gizi Indonesia, 45(1), 47–58. https://doi.org/10.36457/gizindo.v45i1.543

Yuliana, L., & Tangkilisan, G. R. (2024). Sosialisasi Good Manufacturing Practice Kepada UMKM Kuliner Kelurahan Karang Rejo. Abdimas Universal, 6(1), 133–139. https://doi.org/10.36277/abdimasuniversal.v6i1.417

Yulianti, N. M. R., Suryanti, P. E., & Armini, N. W. Y. (2022). Higiene Sanitasi Makanan Dan Minuman Dalam Perspektif Kesehatan Dan Agama Hindu. Jurnal Yoga Dan Kesehatan, 5(1), 37–52. https://doi.org/10.25078/jyk.v5i1.837

Yustiana, F. (2023). Kajian Tingkat Kesesuaian Antara Kesadaran Dan Perilaku Masyarakat Dalam Pengelolaan Limbah Cair Domestik Di Kelurahan Cihapit Bandung. Jurnal Envirotek, 15(2), 106–113. https://doi.org/10.33005/envirotek.v15i2.261

Zhang, S. X., Graf‐Vlachy, L., Su, R., Li, J., & Looi, K. H. (2020). Who Do Not Wash Their Hands During the Covid-19 Pandemic? Social Media Use as a Potential Predictor. https://doi.org/10.1101/2020.06.01.20119230




DOI: https://doi.org/10.35308/jpp.v11i2.11072

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