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All Journal Science Midwifery Eduvest - Journal of Universal Studies
Arih Diyaning Intiasari
Universitas Jenderal Soedirman, Indonesia
Aerospace Engineering Computer Science & IT Dentistry Health Professions Neuroscience Nursing Public Health Social Sciences Veterinary

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Evaluation of Open Defecation Free (ODF) Policy in Pangandaran Regency in 2024 Anisah Anisah; Budi Aji; Arih Diyaning Intiasari
Eduvest - Journal of Universal Studies Vol. 5 No. 3 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i3.50800

Abstract

Proper sanitation is a crucial factor in creating a healthy environment and supporting the achievement of the Sustainable Development Goals (SDGs), particularly the Open Defecation Free (ODF) target (Bappenas, 2023). Pangandaran Regency achieved 100% ODF status in 2023, but monitoring one year later revealed that Harumandala and Kertajaya Villages experienced setbacks, with some residents returning to open defecation practices. This study employs a qualitative approach with a case study method, involving ten competent informants. The findings indicate that although sanitarians have received STBM training, the implementation of triggering activities is hindered by a lack of human resources, limited funding from ADD and BOK, and inadequate understanding of STBM guidelines among informants. Additionally, transportation facilities are privately owned, and STBM planning is conducted annually, but no specific STBM organization has been established at Cigugur Health Center. Socialization efforts are carried out through triggering activities and counseling, with both direct and indirect supervision by relevant stakeholders. The main obstacle in maintaining ODF status is limited funding, which hinders the sustainability of the program. Therefore, a strong collective commitment and improved funding strategies are essential to ensure that Harumandala and Kertajaya Villages can regain and sustain their ODF status.
Understanding barriers and enablers of tuberculosis prevention in high-risk boarding school settings Bella Wiranti; Arih Diyaning Intiasari; Dwi Sarwani Sri Rejeki
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2236

Abstract

Tuberculosis prevention remains a significant challenge in high-risk boarding school settings due to overcrowding, prolonged close contact, and limited institutional health governance. At the same time, existing Research has largely emphasised epidemiological and individual-level factors with limited attention to contextual and institutional dynamics, particularly among adolescents in congregate educational environments. This qualitative exploratory study aimed to examine barriers and enablers to tuberculosis prevention from the perspectives of adolescents, caregivers, school administrators, and health professionals, using in-depth interviews and focus group discussions with purposively selected participants involved in boarding school health management and tuberculosis prevention. Thematic analysis revealed that the availability of basic environmental facilities, caregiving support, and strong institutional cohesion served as key enablers of tuberculosis prevention; however, these were constrained by overcrowded living conditions, the absence of formal tuberculosis-specific procedures, tuberculosis-related stigma among adolescents, limited financial and health system support, informal governance practices, and fear of social consequences, which collectively hindered early reporting and preventive behaviors. Overall, tuberculosis prevention in boarding schools is shaped by a complex interplay of environmental, institutional, and sociocultural factors, underscoring the need for context-sensitive, institution-based prevention strategies that address stigma, strengthen governance, and enhance collaboration with health systems to reduce tuberculosis risk among adolescents in boarding schools.
Co-Authors Anisah Anisah Bella Wiranti Budi Aji Dwi Sarwani Sri Rejeki