<![CDATA[The Sungsang–Sembilang coastal wetland in Banyuasin Regency, South Sumatra, is a high-value conservation area and, at the same time, a fishing settlement vulnerable to environment-based diseases. Ecotourism development there can improve local welfare, yet it may also increase pressure on clean water supply, sanitation, solid waste management, and health services. This article integrates findings from an ecotourism potential and strategy study (ADO-ODTWA and SWOT analyses) with a literature review of community health conditions in the Sungsang–Banyuasin wetlands, in order to formulate an environmental health–oriented ecotourism framework. A narrative synthesis of secondary data from the two works was carried out using thematic analysis and an integration matrix. The attractiveness (93.75%) and market potential (100%) variables were rated high, whereas clean water availability and accommodation reached only 33.33% (low) and accessibility 54.17% (moderate). These weaknesses coincide with public health findings: polluted river water, poor sanitation and low healthy-living behavior, high rates of diarrhea, acute respiratory infection and skin infection, risks of filariasis and leptospirosis, and limited health workers and facilities. Low public awareness of environmental cleanliness was the threat factor with the highest weighted score (0.60) in the EFE matrix. Ecotourism feasibility therefore cannot be separated from the provision of clean water, sanitation, waste management, vector control, and health-service preparedness, and Pentahelix collaboration should explicitly include environmental health roles.]]>
