<![CDATA[The Community-Led Total Sanitation Program is an approach to change sanitation hygiene behavior through triggering activities, which has not fully achieved the national target yet. Due to inadequate environmental sanitation, especially in suburban areas, health problems are increasing from year to year. This study aimed to analyze the implementation of Community-Led Total Sanitation Program on a sustainable environment in the suburban settlement. This was a qualitative study with an action research approach in three districts located in the suburb of Siak River. The participants of this study were residents who lived on the banks of the Siak river and the holders of the Environmental Health Program at the Public Health Center. Data were collected through direct observation and in-depth interviews regarding the Open Defecation Free (ODF) program, handwashing with soap, household food and beverage management, household waste management, and household liquid waste management. This study found that the community-led total sanitation program in the suburban of the three sub-districts of the city of Pekanbaru was not well implemented yet, especially in the ecological aspects of the Open Defecation Free (ODF) program, waste management, and liquid waste management program. Economically, the implementation of the program by non-governmental organizations had not been supported. Socially, health workers and community leaders had provided education related to environmental sanitation and obtained a level of interpretation above 70%. Therefore, the sub-districts and health public centers are recommended to keep educating both the community and the provincial health office in terms of allocating budgetary assistance for communities who live in the suburbs of Siak River.]]>
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