Background & Objective: Management of domestic wastewater to improve access of domestic wastewaterservices that are environmentally friendly, so as to achieve improved quality of life of society and a betterand healthier environment. This study aims to assess the risky areas of residential areas to improve accessand management of domestic waste water in districts Koto Tangah Padang City. Material and Method:This research use cross sectional design. Population and sample of 520 families. Analysis of data usedunivariate and bivariate. Results: The results of this study indicate that 8.74% of the non-accessed latrinesare categorized as having single defecation, 20% have no septic tanks, access to the lowest stool treatmentsystem in Kelurahan Koto Pulai, Batipuh Panjang and Padang Sarai at 37, 5%. 76.95% safe access to latrinesand no secure access in Kelurahan Balai Gadang.Penentuan wastewater area of domestic wastewatersanitation of domestic wastewater components in Kecamatan Koto Tangah Kota Padangyang included in thelevel of very high risk (risk 4) consists of Kelurahan Balai Gadang. Correlation test (p = 0.001) indicate asignificant relationship between education and community income with the support of Jamban and SPALDownership in districts Koto Tangah Padang City. Conclusion: It is necessary to increase the welfare of theprogram that touches directly to the rising public which has implications for the improvement of domesticsewage treatment system facilities.
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