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Indra Chahaya
Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara
Religion Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Transforming Coastal Household Sanitation: A Family-Centered PHAST Adaptation for Malnutrition and Environmentally Related Diseases-Vulnerable Communities Evi Naria; Indra Chahaya; Rusmalawaty Rusmalawaty; Diza Hamzah; Syafrina Ulfah
Unnes Journal of Public Health Vol. 15 No. 2 (2026)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v15i2.36067

Abstract

Poor environmental sanitation in coastal areas is closely associated with environmentally related diseases and malnutrition among under-five children, but participatory interventions are rarely evaluated at the household level. Therefore, this study aimed to implement and evaluate a family-centered adaptation of the Participatory Hygiene and Sanitation Transformation (PHAST) method in Medan Belawan District, Indonesia. A Participatory Action Research (PAR) design engaged 30 households with children under five years of age. Qualitative interview and observation data were triangulated with descriptive pre- and post-intervention sanitation indicators and anthropometric data to validate the thematic evidence. The results from the baseline assessment showed inadequate sanitation conditions, including unsafe toilets, open wastewater channels, as well as poor hygiene and waste management. Following the intervention, all families stored water and food in covered containers, 83.3% disposed of waste daily, and 50% performed actions such as closing toilet holes and cleaning up scattered waste. The intervention increased household environmental awareness, strengthened shared family responsibility for sanitation, and produced measurable improvements in sanitation practices. This reduced the risk of environmentally related diseases, and malnutrition remains a plausible, unmeasured downstream benefit. In conclusion, the adaptation appears feasible and acceptable for strengthening household sanitation ownership in low-resource coastal communities, warranting further evaluation of its longer-term health impact.
Co-Authors Adinda Silitonga Ahmad Fandi Irfandi alfi kurniati Anggraini Anggraini Ardalina . Beny Marpaung Bukit, Dhani Syahputra cut tatiana desi marianta devi destika pohan Devi Nuraini Santi dewi ayu setiawati Dewi Oktarini Dhany Syahputra Bukit dian akhfiana fitri Diza Fathamira Hamzah Diza Hamzah dr. Surya Dharma,MPH Dwira Nirfaini Emma Marsella Erwin Saleh Pulungan Evi Naria evi naria Faddilatul Aisyah Fatiyah Tul Khoir Nasution Fitri Khairani fitri mutia sari Gultom, Evi Depiana Hamidah Fadhilah Hariani . herna monalisa Hery Widijanto Hutagalung, Dodi Saputra Imee Syorayah Pane Indirawati, Sri Malem Intan Maulida Rangkuti Irma Damayanti Irnawati Marsaulina Irnawati Marsaulina Ismil Khairi Lubis JUN EDY PAKPAHAN kiki agusty leo waldi purba Lili Sarfiah Harahap Lufthiani Marlina Sari martha elnist ramadhani Nababan, Julita Margareta nazar uddin Novrial Novrial Novrial Nurmaini Nurmaini Nurmala Sari Nursa'adah Nursa'adah Nursa’adah, Nursa’adah Panjaitan, Arifa Masyitah Pauzi Ibrahim Nainggolan pricilia elizabeth Putri Ramadhani Irsan rifhan dita rima dani ritonga ririn nainggolan rizki sarjani rofiqoh hasibuan Rofirma Manurung Rossy Nurhasanah Roy maranata Rusmalawaty Rusmalawaty Saragih, Anggi Andini Saragih, Izzah Dienillah Sarah Patumona Manalu Saurma Erni Selvita Silaban Siti Zahara Nasution, Siti Zahara Sondang Pasaribu SRI LESTARI Srianna Florensi Purba Suriani Gultom Surya Darma Surya Dharma Sutami, Baiq Dian Syafrina Ulfah Tamia Sakinah Adjani Taufik Ashar Tsabitha, Adinda Tumanggor, Winni R. E. Tumanggor, Winni R.E. Umi Salmah Veronica, Yohana vina andriani Viola A. Br. Sembiring widya nurul putry Winda Lidia Wati Sihite winda rukmana Winni R.E Tumanggor Wirsal Hasan Yuni I.U. Harahap