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Analysis Environmental Factors of Diarrhea in East Kalimantan Province Based on a Large-Scale Survey Fitrah, Muhammad Aidil; Rachmawati, Ayudhia; Elvira, Vivi Filia; Thohira, Morrin Choirunnisa; Syamsir, Syamsir
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Diarrhea remains a global public health problem with high morbidity and mortality rates. Environmental conditions such as poor sanitation infrastructure and hygiene practices have the potential to increase the risk of diarrhea. Objective : This study aims to analyze the relationship between environmental factors and the incidence of diarrhea in East Kalimantan Province based on big data from the 2023 Indonesian Health Survey (SKI). Research Methods/ Implementation Methods : This study employed a cross-sectional design using secondary data from 15,854 SKI respondents. Variables included gender, education, drinking water sources, water quality and treatment, storage containers, wastewater disposal, waste management, sanitation access, and hygiene practices. Data were analyzed using Chi-square and logistic regression to determine independent environmental factors influencing diarrhea incidence. Results : The prevalence of diarrhea was 2.1%. Bivariate analysis showed a significant association between the incidence of diarrhea and education (p=0.001), drinking water source (p=0.003), physical quality of drinking water (p=0.000), raw water source (p=0.012), waste management (p=0.002), and sanitation hygiene (p=0.000). In the models of multivariable logistic regression analysis, it was found that physical quality of drinking water (AOR=2.058; p<0.001), level of education (AOR=2.008; p<0.001), and waste management (AOR=1.276; p=0.032) were the main determinants of diarrhea incidence. Conclusion/Lesson Learned : Poor drinking water quality, low levels of education, and inadequate waste management increase the risk of diarrhea in East Kalimantan. Efforts to improve water quality, environmental health education, and household-based waste management need to be strengthened to reduce the incidence of diarrhea.
Assessment of Housing Conditions and Clean Water Sources as Determinants of Environmental Health in Rural Areas of Tenggarong Seberang District, Indonesia Risqillah, Abdul Ridho Dhafa; Juniarti, Tirsa Aulia; Harun, Siti Fadilah; Nur, Ashri Rahmaya; Salsa, Angela Lionthin; Listi, Putri Fitria; Rachmawati, Ayudhia
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Community health status is strongly influenced by environmental factors, particularly housing conditions and access to clean water. Poor environmental quality increases the risk of environmentally related diseases such as diarrhea, skin infections, and acute respiratory infections (ARI). Objective : This study aimed to assess the physical quality of houses and sources of clean water as a basis for improving environmental health in rural areas. Research Methods/ Implementation Methods : A quantitative descriptive design with univariate analysis was employed in Bukit Pariaman Village, Suka Sari Hamlet, Tenggarong Seberang District. Data were collected through field observation, structured interviews, and questionnaires involving 57 household heads. Results : Findings revealed that 84.2% of houses had adequate ventilation and 73.7% had permanent walls, whereas 26.3% lacked sufficient natural lighting. Approximately 96.5% of households accessed clean water through piped water systems; however, 33.3% stored water in uncovered containers and 12.3% had wells located less than 10 meters from septic tanks, posing contamination risks. In addition, 70.2% of households owned private latrines, while 29.8% used shared facilities. Conclusion/Lesson Learned : Most households met the criteria for healthy housing, yet improvements are needed in lighting, water source distance, and water storage practices to minimize the risk of environmentally related diseases.
Co-Authors Abdullah, Ahmad Fadhlil Azhim Afifah Bidayah Al Mubarok, Ahmad Zakki Amirah, Nada Anastasya, Melisa Arnelya Natasha Lumadyo Arsyina, Lia Aulia, Tiara Fitri Ayu Amalia Rahmi Azzahra, Gasella Aurelia Badrah, Sitti Bambang Wispriyono Blego Sedionoto, Blego Cica Rahmawati Danang Wahansa Sugiarto Desy Hajizah Dhafin, Ahmad Dortua Lince Sidabalok Ellanda Yunisa Elvira, Vivi Filia Erna Fidyatun Ervini Ervini Evi Martha Fauzi , Fahri Fitrah, Muhammad Aidil Fulaiyah, Sya’diah Rahmah Harum, Adam Prima Harun, Siti Fadilah Hutabarat, Fiery Indra Christian Irene Fidela Fuan Taruk Padang Irfansyah Baharuddin Pakki Jenissa, Abel Juniarti, Tirsa Aulia Khairunnisa, Nur Baiti Listi, Putri Fitria Marsanda, Siti Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Misnawati Muh Amri Arfandi Muhammad Aidil Fitrah MUHAMMAD RIZAL Munawati Banne La’bi Muzaqi , Muhammad Choirul Nabila, Frisa Nada, Nur Nazliyatun Nur, Ashri Rahmaya Nurhidayat , Rifki Nurmala Indika Oniek Lestari, Oniek Pardilla , Irva Alrisyaduhita Pradita, Adelia Putri Puri Handayani Pusparini, Ryzkita Puspita , Shindy Putra, Umar Farauk Eka Putri Suhartono, Mei Riesda Putri Suhartono, Mei Rieska Rachmadani, Nova Sri Rahmadina, Andi Nur Nayla Ramadanti, Nadiyah Karin Ramadhani, Irma Redi Yudha Irianto Riagil , Julia Putri Ridho Abdilah, Muhammad Noval Risqillah, Abdul Ridho Dhafa Riyan Ningsih Rosandini , Adella Nadhif Rugayyah, Syarifah S Siswanto Safika, Erri Larene Salsa, Angela Lionthin Sapitri, Bella Saputra, Alif Fajar Sartika, Afnila Sasmita, Khania Fazza Sugiarto, Danang Wahansa Suleman, Angellia Syamsir Syamsir Syamsir Syamsir Thohira, Morrin Choirunnisa Tirsa Tonapa Umhersuny, Brithnay Vensca Valencia Utami, Reza Evelin Vionita, Wanda Dila Wardhana, Dwi Wahyu Wardhani, Amelia Yunita Wulandari, Tiara Sahfitri Yumanda , Inayah Dwi Setia Zalzabila Maharani, Siti Malikha