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Abstract
Poor sanitation practices, particularly open defecation, are major contributors to diarrhea, leading to millions of deaths worldwide. In Indonesia, this issue is exacerbated during the dry season. To address this problem, this activity aimed to provide education on diarrhea using a Community-Led Total Sanitation (CLTS) approach. Activities included education on the pillars of CLTS, interactive discussions, and evaluation. Evaluation results demonstrated that CLTS education was effective in increasing community knowledge about diarrhea prevention, indicated by an improvement in average knowledge scores after the intervention. Therefore, widespread dissemination of CLTS through counseling, promotional media, and the involvement of community leaders is highly recommended to improve sanitation quality and prevent diarrhea.
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References
- Alebel, A., Tesema, C., Temesgen, B., Gebrie, A., Petrucka, P., & Kibret, G. D. (2018). Prevalence and determinants of diarrhea among under-five children in Ethiopia: A systematic review and meta-analysis. PLOS ONE, 13(6), e0199684. https://doi.org/10.1371/journal.pone.0199684
- Anteneh, Z. A., Andargie, K., & Tarekegn, M. (2017). Prevalence and determinants of acute diarrhea among children younger than five years old in Jabithennan District, Northwest Ethiopia, 2014. BMC Public Health, 17(1), 1–8. https://doi.org/10.1186/s12889-017-4021-5/tables/4
- Arifin, H., Rakhmawati, W., Kurniawati, Y., Pradipta, R. O., Efendi, F., Gusmaniarti, G., Pramukti, I., Acob, J. R. U., Soares, A., Myint, N. M. M., Setyowati, S., Rosnani, R., Mediarti, D., & Chou, K. R. (2022). Prevalence and determinants of diarrhea among under-five children in five Southeast Asian countries: Evidence from the demographic health survey. Journal of Pediatric Nursing, 66, e37–e45. https://doi.org/10.1016/j.pedn.2022.06.005
- Bitew, B. D., Woldu, W., & Gizaw, Z. (2017). Childhood diarrheal morbidity and sanitation predictors in a nomadic community. Italian Journal of Pediatrics, 43(1), 1–8. https://doi.org/10.1186/s13052-017-0412-6/tables/2
- Fitrah, N. E., Neherta, M., & Sari, I. M. (2024). Analisis Faktor-Faktor Yang Berhubungan Dengan Kejadian Diare Pada Anak Balita. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 14(3), 75–82.
- Gessesse, D. N., & Tarekegn, A. A. (2022). Prevalence and associated factors of diarrhea among under-five children in the Jawi district, Awi Zone Ethiopia, 2019. Community based comparative cross-sectional study. Frontiers in Pediatrics, 10(August), 1–9. https://doi.org/10.3389/fped.2022.890304
- Guerrant, R. L., Hughes, J. M., Lima, N. L., & Crane, J. (1990). Diarrhea in developed and developing countries: magnitude, special settings, and etiologies. Reviews of Infectious Diseases, 12(1), S41–S50. https://doi.org/10.1093/clinids/12.supplement_1.s41
- Hashi, A., Kumie, A., Gasana, J., Hashi, A., Kumie, A., & Gasana, J. (2016). Prevalence of Diarrhoea and Associated Factors among Under-Five Children in Jigjiga District, Somali Region, Eastern Ethiopia. Open Journal of Preventive Medicine, 6(10), 233–246. https://doi.org/10.4236/OJPM.2016.610022
- Hunt, S. M., McKenna, S. P., McEwen, J., Backett, E. M., Williams, J., & Papp, E. (1980). A quantitative approach to perceived health status: a validation study. Journal of Epidemiology & Community Health, 34(4), 281–286. https://doi.org/10.1136/JECH.34.4.281
- Joens-Matre, R. R., Welk, G. J., Calabro, M. A., Russell, D. W., Nicklay, E., & Hensley, L. D. (2008). Rural-urban differences in physical activity, physical fitness, and overweight prevalence of children. The Journal of Rural Health, 24(1), 49–54. https://doi.org/10.1111/J.1748-0361.2008.00136.X
- Kemenkes RI. (2023). Rencana Aksi Nasional Penanggulangan Pneumonia dan Diare 2023-2030. In Direktorat Jenderal Pencegahan dan Pengendalian Penyakit.
- Kementrian Kesehatan RI. (2016). Profil Kesehatan (p. 100).
- Kusrini, Jumiati, Amai, Ali, L., Rafiani, Salju, I., & Lestari, A. (2024). Health lifestyle education through the 6-step handwashing and toothbrushing campaign. Community Empowerment, 9(9), 1317–1323. https://doi.org/10.31603/ce.11680
- Mengistie, B., Berhane, Y., Worku, A., Mengistie, B., Berhane, Y., & Worku, A. (2013). Prevalence of diarrhea and associated risk factors among children under-five years of age in Eastern Ethiopia: A cross-sectional study. Open Journal of Preventive Medicine, 3(7), 446–453. https://doi.org/10.4236/OJPM.2013.37060
- Mohammed, S. (2013). Morbidity and Associated Factors of Diarrheal Diseases Among Under Five Children in Arba-Minch District, Southern Ethiopia, 2012. Science Journal of Public Health, 1(2), 102. https://doi.org/10.11648/J.SJPH.20130102.19
- Nursalam, N., Sukartini, T., Arifin, H., Pradipta, R. O., Mafula, D., & Ubudiyah, M. (2021). Determinants of the Discriminatory Behavior Experienced by People Living with HIV in Indonesia: A Cross-sectional Study of the Demographic Health Survey. The Open AIDS Journal, 15(1), 1–9. https://doi.org/10.2174/1874613602115010001
- Oyebode, O., Pape, U. J., Laverty, A. A., Lee, J. T., Bhan, N., & Millett, C. (2015). Rural, Urban and Migrant Differences in Non-Communicable Disease Risk-Factors in Middle Income Countries: A Cross-Sectional Study of WHO-SAGE Data. PLOS ONE, 10(4), e0122747. https://doi.org/10.1371/journal.pone.0122747
- Pavlinac, P. B., Tickell, K. D., & Walson, J. L. (2015). Management of diarrhea in HIV-affected infants and children. Expert Review of Anti-Infective Therapy, 13(1), 5–8. https://doi.org/10.1586/14787210.2015.981157
- Sinmegn Mihrete, T., Asres Alemie, G., & Shimeka Teferra, A. (2014). Determinants of childhood diarrhea among underfive children in Benishangul Gumuz Regional State, North West Ethiopia. BMC Pediatrics, 14(1), 1–9. https://doi.org/10.1186/1471-2431-14-102/TABLES/5
- Tamiso, A., Yitayal, M., & Awoke, A. (2014). Prevalence and Determinants of Childhood Diarrhoea among Graduated Households, in Rural Area of Shebedino District, Southern Ethiopia, 2013. Science Journal of Public Health, 2(3), 243. https://doi.org/10.11648/J.SJPH.20140203.28
- Thiam, S., Diène, A. N., Fuhrimann, S., Winkler, M. S., Sy, I., Ndione, J. A., Schindler, C., Vounatsou, P., Utzinger, J., Faye, O., & Cissé, G. (2017). Prevalence of diarrhoea and risk factors among children under five years old in Mbour, Senegal: a cross-sectional study. Infectious Diseases of Poverty, 6(1). https://doi.org/10.1186/S40249-017-0323-1
- Troeger, C., Blacker, B. F., Khalil, I. A., Rao, P. C., Cao, S., Zimsen, S. R., Albertson, S. B., Stanaway, J. D., Deshpande, A., Abebe, Z., Alvis-Guzman, N., Amare, A. T., Asgedom, S. W., Anteneh, Z. A., Antonio, C. A. T., Aremu, O., Asfaw, E. T., Atey, T. M., Atique, S., … Reiner, R. C. (2018). Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Infectious Diseases, 18(11), 1211–1228. https://doi.org/10.1016/S1473-3099(18)30362-1
- Ullah, M. B., Mridha, M. K., Arnold, C. D., Matias, S. L., Khan, M. S. A., Siddiqui, Z., Hossain, M., Paul, R. R., & Dewey, K. G. (2019). Factors associated with diarrhea and acute respiratory infection in children under two years of age in rural Bangladesh. BMC Pediatrics, 19(1), 386. https://doi.org/10.1186/s12887-019-1738-6
- WHO. (2024). Penyakit Diare.
- Yunitasari, E., Pradanie, R., Arifin, H., Fajrianti, D., & Lee, B. O. (2021). Determinants of stunting prevention among mothers with children aged 6–24 months. Open Access Macedonian Journal of Medical Sciences, 9(B), 378–384. https://doi.org/10.3889/oamjms.2021.6106
- Zhang, Z., Lai, S., Yu, J., Geng, Q., Yang, W., Chen, Y., Wu, J., Jing, H., Yang, W., & Li, Z. (2017). Etiology of acute diarrhea in the elderly in China: A six-year observational study. PLOS ONE, 12(3), e0173881. https://doi.org/10.1371/journal.pone.0173881