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Journal : Public Health Research Development

Basic Sanitation Factors and Clean and Healthy Living Behavior as Determinants of Stunting: A Case Study in Bondowoso Wibasusanti, Gilang Putri; Thohari, Imam; Winarko; Wardoyo, Iva Rustanti Eri; Sulistijowati; Laksono, Cahyo Widoko
Public Health Research Development Vol. 1 No. 2 (2024): Public Health Research Development
Publisher : Indonesian Association Environmental Health of West Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/phrd.v1i2.11

Abstract

Stunting is a nutritional problem that remains high in Indonesia, especially in rural areas like Bondowoso. Poor basic sanitation and bad implementation of Clean and Healthy Living Behavior are often associated with stunting in children under five. This study aims to analyze the relationship between basic sanitation factors and Clean and Healthy Living Behavior as a determinant of stunting in the working area of Sempol Community Health Center in 2024. This research used a case-control study methodology in conjunction with observational analytics. The samples were houses with stunting and non-stunting toddlers in the working area of Sempol Community Health Center. The samples are 24 for each group, using a systematic random sampling technique from a population of 925 toddlers. Data analysis using the Chi-square test with 0.05 degree of error. The result of this research showed that there are differences in basic sanitation facilities of houses and Clean and Healthy Living Behavior in stunting and non-stunting toddlers in the working area of Sempol Community Health Center in 2024. Basic sanitation and Clean and Healthy Living Behavior factors are important factors in efforts to prevent stunting. Improving access to sanitation and promoting the Clean and Healthy Living Behavior program must be a priority in the Public Health Intervention Program in Bondowoso.
Determinants of Household Waste Management Behavior within the Fourth Pillar of Community-Based Total Sanitation (STBM) in Indonesia Rusadi, Muhammad Alfatih Dimas; Winarko; Suprijandani; Rokhmalia, Fitri; Kurniawaty, Yenni Dwi
Public Health Research Development Vol. 2 No. 1 (2025): Public Health Research Development
Publisher : Indonesian Association Environmental Health of West Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/phrd.v2i1.33

Abstract

The 4th pillar of the Community-Based Total Sanitation (STBM) program emphasizes household waste management, which is crucial due to the significant contribution of household waste to environmental pollution. This study aimed to analyze the influence of knowledge, education, and triggering on the implementation of the 4th pillar of STBM in Mojosulur Village, Mojosari District, Mojokerto Regency in 2025. An analytic observational design with a cross-sectional approach was applied, involving 92 housewives selected through systematic random sampling. Data were collected using questionnaires to measure knowledge, education, and triggering experience, and observation sheets to evaluate household waste management practices. The results showed that the overall implementation of the 4th pillar of STBM was still low, with only 15.2% of households practicing proper waste management. The Chi-Square test indicated that knowledge had no significant association with STBM 4th pillar implementation (p = 0.109), while education (p = 0.004) and triggering (p = 0.000) were significantly associated. These findings highlight that higher education and structured triggering activities play a key role in strengthening household waste management. Local governments and environmental health officers are recommended to intensify triggering interventions and strengthen community education programs, focusing on the three main components of STBM enabling environment, increasing demand, and increasing supply to promote sustainable waste management behavior at the household level.