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Factors associated with Open Defecation Free (ODF) status among rural communities: A cross-sectional study Marita, Yulis; Heryanto, Eko
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.635

Abstract

Background: Open defecation remains a persistent public health challenge in many rural communities, particularly where behavioral, socioeconomic, and environmental barriers limit the adoption of safe sanitation practices. Despite national efforts to promote Community-Led Total Sanitation (CLTS), several villages in Indonesia—including Bangun Harjo—continue to experience gaps in Open Defecation Free (ODF) achievement. Objective: This study aimed to examine the factors associated with ODF status among households in a rural Indonesian community, focusing on knowledge, income, environmental proximity to rivers, and family support. Methods: A cross-sectional study was conducted among 232 household heads selected through proportional random sampling. Data were collected using a structured questionnaire and analyzed using univariate and chi-square bivariate tests to determine associations between independent variables and ODF status. Results: The findings showed that 63.8% of households had achieved ODF status, while 36.2% continued practicing open defecation. Knowledge demonstrated a significant association with ODF status, where households with good knowledge were more likely to adopt safe sanitation practices (p < 0.001). Income was also significantly associated with ODF status, with higher-income households more capable of constructing and maintaining latrines (p < 0.001). Environmental distance showed strong influence, as households near rivers were more likely to practice open defecation (p < 0.001). Family support similarly contributed to increased ODF achievement, indicating the importance of household dynamics in sustaining sanitation behavior (p < 0.001). Conclusion: ODF achievement in rural settings is shaped by interconnected factors, including knowledge levels, economic capacity, environmental accessibility, and family support. These determinants highlight the need for integrated and context-specific sanitation strategies.
ANALYSIS OF FACTORS RELATED TO PREVENTION OF DIARRHEA IN TODDLERS Ningsih, Triana; Yansyah, Eka Joni; Sarwoko, Sabtian; Marita, Yulis
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 1 (2026): January - March
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i1.621

Abstract

Diarrhea is one of the leading causes of death among children worldwide, with approximately 443,832 deaths in 2023 and nearly 1.7 billion cases annually. This study aims to identify factors associated with the prevention of diarrhea in children at the Rasuan Community Health Center in East OKU Regency. The study design used a cross-sectional method with a sample of 50 respondents obtained through accidental sampling. Univariate results showed that 76% had high diarrhea prevention, 56% had poor knowledge, 72% had poor hygiene behavior, and 60% had poor access to services. Bivariate results showed a relationship between education (p = 0.032) and hygienic behavior (p = 0.002) with diarrhea prevention, while knowledge (p = 0.416) and access to services (p = 0.182) were not significantly related. Education and hygienic behavior factors influence diarrhea prevention in toddlers. Health education efforts need to be improved, using simple, communicative media and involving village cadres to reach the community directly.