Optimizing Public Health through Community Service: Addressing Stunting and Open Defecation in Sidoarjo Regency

Authors

  • Hery Sumasto Poltekkes Kemenkes Surabaya
  • Luthfi Rusyadi Department of Nutrition, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
  • Siti Nur Kholifah Department of Nursing, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
  • Triwiyanto Triwiyanto Departement of Medical Engenering, Poltekkes Kemenkes Surabaya, Indonesia
  • Kusmini Suprihatin Departement of Nursing, Poltekkes Kemenkes Surabaya, Indonesia
  • Fitri Rohkmalia Department of Environment Health, Poltekkes Kemenkes Surabaya, Indonesia
  • Siti Maratus Sholikah Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
  • Maria Islaha Departement of Midwifery, Poltekkes Kemenkes Surabaya, Indonesia
  • Koen Irianto Uripan 6Department of 2Sekolah Tinggi Ilmu Kesehatan Artha Bodhi Iswara(STIKES ABI), Surabaya, Indonesia

DOI:

https://doi.org/10.35882/ficse.v3i3.70

Keywords:

Stunting; Open Defecation; Public health; Community service; Sidoarjo Regency

Abstract

Community service in health institutions needs to be guided by six pillars of health transformation, namely to overcome five priority diseases: tuberculosis, stunting, MCH, infectious diseases and non-communicable diseases. One of their focuses is Sidoarjo Regency, where they work closely with the Regional Government to improve public health. Some of the main problems in Sidoarjo Regency include the high rate of stunting and the practice of open defecation (ODF). There is a relationship between stunting and environmental sanitation, especially open defecation. Solutions to overcome this problem include the provision of healthy latrines to the community, increasing the capacity of Posyandu cadres, nutrition management, and promoting clean and healthy living behaviors. This community service activity is based on previous research relevant to stunting and ODF problems. The goal is to reduce stunting rates in five stunting locus villages, increase knowledge about clean and healthy living behaviors, and build 100 healthy family latrines. The method used is Theory, Practice, Follow-up (TPT) which involves training, field practice and advanced mentoring. Conclusion: with the construction of healthy latrines, there has been a decrease in the incidence of diarhe in children. Diarrhea in children is one of the latent causes of stunting rates. By implementing this strategy, it is hoped that a significant increase will be achieved in preventing and reducing stunting rates in Sidoarjo Regency

References

S. P. Jati et al., “the Readiness of Wonosobo and Banjarnegara Towards Open Defecation Free Regencies,” J. Kesehat. Lingkung., vol. 15, no. 4, pp. 283–290, 2023, doi: 10.20473/jkl.v15i4.2023.283-290.

L. Cameron, “Childhood stunting and cognitive effects of water and sanitation in Indonesia,” Econ. Hum. Biol., vol. 40, 2021, doi: 10.1016/j.ehb.2020.100944.

M. Anismuslim, “Modeling of Risk Factors of Childhood Stunting Cases in Malang Regency using Geographically Weighted Regression (GWR),” Open Public Health J., vol. 16, 2023, doi: 10.2174/18749445-v17-e230420-2022-165.

C. Delaire, “Can open-defecation free (ODF) communities be sustained? A cross-sectional study in rural Ghana,” PLoS One, vol. 17, no. 1, 2022, doi: 10.1371/journal.pone.0261674.

H. A. A. Kouassi, “Review of the slippage factors from open defecation-free (ODF) status towards open defecation (OD) after the Community-Led Total Sanitation (CLTS) approach implementation,” Int. J. Hyg. Environ. Health, vol. 250, 2023, doi: 10.1016/j.ijheh.2023.114160.

Ekasulistyawaty, “Change of behavior of ODF through STBM Program in Cempaka Putih Village North Gorontalo Regency,” Enferm. Clin., vol. 30, pp. 396–398, 2020, doi: 10.1016/j.enfcli.2019.10.108.

S. S. Sinharoy, “Open defecation explains differences in nutritional status between Bengali and tribal children in the Chittagong Hill Tracts of Bangladesh,” Ethn. Heal., vol. 24, no. 5, pp. 575–587, 2019, doi: 10.1080/13557858.2017.1346186.

A. Lasa, “New software for gluten-free diet evaluation and nutritional education,” Nutrients, vol. 11, no. 10, 2019, doi: 10.3390/nu11102505.

I. Nurfajriyani and C. S. D. Andhini, “The Effectiveness of Educational Applications to Prevent Stunting Children (AECAS) on Perceptions of Stunting Prevention,” Budapest Int. Res. …, no. May, pp. 29069–29076, 2022, doi: 10.33258/birci.v5i4.7059.

N. Nurjazuli, “Environmental factors related to children diagnosed with stunting 3 years ago in Salatiga City, Central Java, Indonesia,” Toxicol. Anal. Clin., 2023, doi: 10.1016/j.toxac.2023.01.003.

N. T. Wisnu, S. Subagyo, H. Sumasto, E. Urgel, and A. Ahmad, “Alternative Efforts to Reduce Stunting Risk for Children using Electronic Child Cards,” Open Access Maced. J. Med. Sci., vol. 10, no. E, pp. 1458–1462, 2022, doi: 10.3889/oamjms.2022.8919.

P. O. Iversen, M. Ngari, A. C. Westerberg, G. Muhoozi, and P. Atukunda, “Child stunting concurrent with wasting or being overweight: A 6-y follow up of a randomized maternal education trial in Uganda,” Nutrition, vol. 89, p. 111281, 2021, doi: 10.1016/j.nut.2021.111281.

I. Budiana, “Comparison Of Characteristics Of Posyandu Services During The Covid-19 Pandemic Before And After Revitalization Of Posyandu And Empowerment Of Cadres Through Integrated Program,” BIO Web Conf., vol. 54, 2022, doi: 10.1051/bioconf/20225400014.

M. Anismuslim, “The effect of sanitation risk on toddler stunting incident with geographically weighted regression approach in Malang Regency, Indonesia,” J. Public Heal. Dev., vol. 1, no. 1, pp. 90–105, 2023, doi: 10.55131/jphd/2023/210107.

A. B. Astuti, “The effectiveness of the interprofessional collaboration (IPC) program on the attitude of mothers and health cadres on stunting at puskesmas karanganom Klaten Central Java Republic of Indonesia,” Electron. J. Gen. Med., vol. 18, no. 6, 2021, doi: 10.29333/ejgm/11315.

A. H. Al Rahmad et al., “Effectiveness of Using Android-Based Applications for Nutrition Monitoring of Toddlers in Banda Aceh,” Open Access Maced. J. Med. Sci., vol. 10, no. E, pp. 444–451, 2022, doi: 10.3889/oamjms.2022.7599.

J. Indra, “Understanding the role of village fund and administrative capacity in stunting reduction: Empirical evidence from Indonesia,” PLoS One, vol. 17, no. 1, 2022, doi: 10.1371/journal.pone.0262743.

C. Muanda, “Factors and impacts of informal settlements residents’ sanitation practices on access and sustainability of sanitation services in the policy context of free basic sanitation,” J. Water Sanit. Hyg. Dev., vol. 10, no. 2, pp. 238–248, 2020, doi: 10.2166/washdev.2020.123.

S. Tembhurkar, “Low cost geopolymer modular toilet unit for ODF India – A case study,” Case Stud. Constr. Mater., vol. 16, 2022, doi: 10.1016/j.cscm.2022.e00937.

A. Surya, “Understanding the Impact of Open Defaecation on Child Diarrhoea and Nutrition Indicators,” J. Health Manag., vol. 21, no. 4, pp. 487–496, 2019, doi: 10.1177/0972063419884446.

X. Yang, “Preservation versus non-preservation of left colic artery in colorectal cancer surgery : An updated systematic review and meta-analysis,” Med. (United States), vol. 98, no. 5, 2019, doi: 10.1097/MD.0000000000013720.

M. T. Aemiro, “Sustainability of One WASH Facilities in the Rural Settings of North Shoa Zone, Amhara Region, North East Ethiopia, 2020,” J. Nutr. Metab., vol. 2022, 2022, doi: 10.1155/2022/1711389.

M. H. U. Rahman, “Examining the linkage between open defecation and child malnutrition in India,” Child. Youth Serv. Rev., vol. 117, 2020, doi: 10.1016/j.childyouth.2020.105345.

B. Sahiledengle, “Childhood undernutrition mediates the relationship between open defecation with anemia among Ethiopian children: a nationally representative cross-sectional study,” BMC Public Health, vol. 24, no. 1, 2024, doi: 10.1186/s12889-024-18931-x.

S. O. Ebimgbo, “Knowledge of public health challenge of open defecation in rural areas of South-East Nigeria: Implications for social workers,” Etude la Popul. Africaine, vol. 33, no. 1, pp. 4787–4800, 2019, doi: 10.11564/33-1-1369.

K. Safiejko, “Robotic-assisted vs. Standard laparoscopic surgery for rectal cancer resection: A systematic review and meta-analysis of 19,731 patients,” Cancers (Basel)., vol. 14, no. 1, 2022, doi: 10.3390/cancers14010180.

N. Bhatt, “What motivates open defecation? A qualitative study from a rural setting in Nepal,” PLoS One, vol. 14, no. 7, 2019, doi: 10.1371/journal.pone.0219246.

T. A. Abebe, “Open defecation-free slippage and its associated factors in Ethiopia: a systematic review,” Syst. Rev., vol. 9, no. 1, 2020, doi: 10.1186/s13643-020-01511-6.

A. Mukherjee, “Impact of sanitation and socio-economy on groundwater fecal pollution and human health towards achieving sustainable development goals across India from ground-observations and satellite-derived nightlight,” Sci. Rep., vol. 9, no. 1, 2019, doi: 10.1038/s41598-019-50875-w.

Y. Truelove, “Making India’s cleanest city: Sanitation, intersectionality, and infrastructural violence,” Environ. Plan. E Nat. Sp., vol. 4, no. 3, pp. 718–735, 2021, doi: 10.1177/2514848620941521.

M. Odagiri, “Achieving the Sustainable Development Goals for water and sanitation in Indonesia – Results from a five-year (2013–2017) large-scale effectiveness evaluation,” Int. J. Hyg. Environ. Health, vol. 230, 2020, doi: 10.1016/j.ijheh.2020.113584.

M. Mehta, “Citywide Inclusive Sanitation Through Scheduled Desludging Services: Emerging Experience From India,” Front. Environ. Sci., vol. 7, 2019, doi: 10.3389/fenvs.2019.00188.

S. Cheng, “Non-negligible greenhouse gas emissions from non-sewered sanitation systems: A meta-analysis,” Environ. Res., vol. 212, 2022, doi: 10.1016/j.envres.2022.113468.

T. Natnael, “Prevalence of acute diarrhea and associated factors among children under five in semi-urban areas of northeastern Ethiopia,” BMC Pediatr., vol. 21, no. 1, 2021, doi: 10.1186/s12887-021-02762-5.

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Published

2024-10-02

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Health Science