Bacteriological quality of clean water facilities, environmental hygiene sanitation, and diarrhea in Tulakan Puskesmas area, of Pacitan District

Abstract

Purwanto1, Sudarmadji2, Titik Nuryastuti2 Abstract Background: Diarrhea is the leading cause of death and morbidity in the world. Poor environmental sanitation, food and beverage sanitary hygiene, and contaminated clean water sources are among the most crucial factors. In 2018, Tulakan Public Health Center had the highest diarrhea incidence rate in Pacitan Regency, a case finding of 848 patients of the target coverage of 1,506 patients with 297 (35%) of the total sufferers were toddlers. Clean water facilities that meet the requirements are among the lowest 3 out of 24 Tulakan Public Health Center in Pacitan Regency with 53% coverage. Purpose: To analyze the relationship between Bacteriological Quality of Clean Water Facilities (SAB) and Environmental Sanitation Hygiene is a risk factor for diarrhea in the Tulakan Public Health Center Pacitan Regency. Methods: This type of quantitative analytic study was design Cross-Sectional with a sample of mothers who had children under five to seek treatment at the Tulakan Public Health Center Pacitan Regency from March to April 2020 total of 50 respondents. Data analysis used the Chi-Square test and Logistic Regression. Results and Discussion: The variables related to the incidence of diarrhea, namely 1) the bacterial quality of SAB p = 0,0018 PR 2,4 CI95% 2) healthy latrines p = 0,0002 PR value = 3.6 CI95% 3) doing CTPS p = 0,0002 PR = 2,9 CI95% 4) management of SAB p = 0,0016 PR = 2,2 CI95% 5) management of food and beverage 0,0046 PR = 2,3 CI95%. The multivariate result of the highest OR value was the behavior of doing CTPS, namely = 535 CI95% p-value = 0,003. Conclusion: The incidence of diarrhea in toddlers is related to the bacteriological quality of clean water facilities and environmental sanitation hygiene, which are risk factors. The most dominant factor related to diarrhea incidence in toddlers is washing hands with soap (CTPS). Keywords: Bacteriological Quality of Water, Environmental Sanitation Hygiene, Diarrhea, cross-sectional study