Sanitation Coverage Research Articles

English

The government of Ethiopia has been working in creating and increasing the number of open defecation free kebeles as a strategy of improving sanitation coverage in the country. However, apart from increasing sanitation coverage, data on utilization of the constructed latrines was not well investigated. Therefore, the study objective was to assess the latrine utilization coverage of the kebeles who have already declared open defecation free. Community-based cross-sectional study design with multistage sampling technique was employed. Data were checked, coded and entered into EpiInfo version 7 and analyzed using SPSS version 20. Bivariable and multivariable logistic regression model were fitted to identify factors associated with latrine utilization. Odds ratio with its 95% confidence interval was used as a measure of association. Eighty-three percent of the dwellers utilized their latrine. The odds of latrine utilization was higher among households which had latrine constructed after 2 years [AOR: 2.27; 95% CI: 1.23, 4.19], maintained latrine [AOR: 2.71; 95% CI: 1.61, 4.55], and had under-five children [AOR: 2.02; 95% CI: 1.24, 3.26]. However, households which had latrine constructed from wood and plastic [AOR: 0.44; 95% CI: 0.24, 0.81] and who constructed their latrine looking at their friends [AOR: 0.35; 95% CI: 0.18, 0.68] were less likely to use their latrine. The extent of latrine utilization is high in the community. Further strengthening of implementation modalities giving due consideration for the aforementioned factors is highly recommended. Key words: Latrine utilization, open defecation free, cross sectional, Ethiopia.

A Faecal Contamination Index for interpreting heterogeneous diarrhoea impacts of water, sanitation and hygiene interventions and overall, regional and country estimates of community sanitation coverage with a focus on low- and middle-income countries.

ObjectivesThe impact on diarrhoea of sanitation interventions has been heterogeneous. We hypothesize that this is due to the level of prevailing faecal environmental contamination and propose a Faecal Contamination Index (FAECI) of selected WASH indicators (objective 1). Additionally, we provide estimates of the proportion of the population living in communities above certain sanitation coverage levels (objective 2).MethodsObjective 1: Faecal contamination post-intervention was estimated from WASH intervention reports. WASH indicators composing the FAECI included eight water, sanitation and hygiene practice indicators, which were selected for their relevance for health and data availability at study- and country-level. The association between the estimated level of faecal environmental contamination and diarrhoea was examined using meta-regression. Objective 2: A literature search was conducted to identify health-relevant community sanitation coverage thresholds. To estimate total community coverage with basic sanitation in low- and middle-income countries, at relevant thresholds, household surveys with data available at primary sampling unit (PSU)-level were analysed according to the identified thresholds, at country-, regional- and overall level.ResultsObjective 1: We found a non-linear association between estimated environmental faecal contamination and sanitation interventions’ impact on diarrhoeal disease. Diarrhoea reductions were highest at lower faecal contamination levels, and no diarrhoea reduction was found when contamination increased above a certain level. Objective 2: Around 45% of the population lives in communities with more than 75% of coverage with basic sanitation and 24% of the population lives in communities above 95% coverage, respectively.ConclusionsHigh prevailing faecal contamination might explain interventions' poor effectiveness in reducing diarrhoea. The here proposed Faecal Contamination Index is a first attempt to estimate the level of faecal contamination in communities. Much of the world's population currently lives in faecally contaminated environments as indicated by low community sanitation coverage.

Trends and drivers of change in the prevalence of anaemia among 1 million women and children in India, 2006 to 2016

IntroductionIndia carries the largest burden of anaemia globally. Progress to reduce anaemia has been slow despite substantial economic growth and 50 years of programmatic efforts. Identification of the factors that...

Do Sanitation Improvements Reduce Fecal Contamination of Water, Hands, Food, Soil, and Flies? Evidence from a Cluster-Randomized Controlled Trial in Rural Bangladesh.

Sanitation improvements have had limited effectiveness in reducing the spread of fecal pathogens into the environment. We conducted environmental measurements within a randomized controlled trial in Bangladesh that implemented individual and combined water treatment, sanitation, handwashing (WSH) and nutrition interventions (WASH Benefits, NCT01590095). Following approximately 4 months of intervention, we enrolled households in the trial’s control, sanitation and combined WSH arms to assess whether sanitation improvements, alone and coupled with water treatment and handwashing, reduce fecal contamination in the domestic environment. We quantified fecal indicator bacteria in samples of drinking and ambient waters, child hands, food given to young children, courtyard soil and flies. In the WSH arm, Escherichia coli prevalence in stored drinking water was reduced by 62% (prevalence ratio = 0.38 (0.32, 0.44)) and E. coli concentration by 1-log (Δlog10 = −0.88 (−1.01, −0.75)). The interventions did not reduce E. coli along other sampled pathways. Ambient contamination remained high among intervention households. Potential reasons include noncommunity-level sanitation coverage, child open defecation, animal fecal sources, or naturalized E. coli in the environment. Future studies should explore potential threshold effects of different levels of community sanitation coverage on environmental contamination.

The Influence of Universal Health Coverage on Life Expectancy at Birth (LEAB) and Healthy Life Expectancy (HALE): A Multi-Country Cross-Sectional Study

Background: There are substantial differences in long term health outcomes across countries, particularly in terms of both life expectancy at birth (LEAB) and healthy life expectancy (HALE). Socio-economic status, disease prevention approaches, life style and health financing systems all influence long-term health goals such as life expectancy. Within this context, universal health coverage (UHC) is expected to influence life expectancy as a comprehensive health policy. The aim of the study is to investigate this relationship between Universal Health Coverage (UHC) and life expectancy.Method: A multi-country cross-sectional study was performed drawing on different sources of data (World Health Organization, UNDP-Education and World Bank) from 193 UN member countries, applying administrative record linkage theory. Descriptive statistics, t-tests, Pearson correlations, hierarchical linear regressions were utilized as appropriate.Result: Global average healthy life years was shown to be 61.34 ± 8.40 and life expectancy at birth was 70.00 ± 9.3. Standardized coefficients from regression analysis found UHC (0.34), child vaccination (Diphtheria Pertussis Tetanus−3: 0.17) and sanitation coverage (0.31) were associated with significantly increased life expectancy at birth. In contrast, population growth was associated with a decrease (0.29). Likewise, unit increases in child vaccination (DPT 3), sanitation and UHC would increase healthy life expectancy considerably (0.18, 0.31, and 0.40 respectively), whereas the same for population growth reduces healthy life expectancy by 0.28.Conclusion: Universal Health Coverage (UHC) is a comprehensive health system approach that facilitates a wide range of health services and significantly improves the life expectancy at birth and healthy life expectancy. This study suggests that specific programs to achieve UHC should be considered for countries that have not seen sufficient gains in life expectancy as part of the wider push to achieve the Sustainable Development Goal (SDG).

Framework for WASH Sector Data Improvements in Data-Poor Environments, Applied to Accra, Ghana

Improvements in water, sanitation and hygiene (WASH) service provision are hampered by limited open data availability. This paper presents a data integration framework, collects the data and develops a material flow model, which aids data-based policy and infrastructure development for the WASH sector. This model provides a robust quantitative mapping of the complete anthropogenic WASH flow-cycle: from raw water intake to water use, wastewater and excreta generation, discharge and treatment. This approach integrates various available sources using a process-chain bottom-up engineering approach to improve the quality of WASH planning. The data integration framework and the modelling methodology are applied to the Greater Accra Metropolitan Area (GAMA), Ghana. The highest level of understanding of the GAMA WASH sector is achieved, promoting scenario testing for future WASH developments. The results show 96% of the population had access to improved safe water in 2010 if sachet and bottled water was included, but only 67% if excluded. Additionally, 66% of 338,000 m3 per day of generated wastewater is unsafely disposed locally, with 23% entering open drains, and 11% sewage pipes, indicating poor sanitation coverage. Total treated wastewater is <0.5% in 2014, with only 18% of 43,000 m3 per day treatment capacity operational. The combined data sets are made available to support research and sustainable development activities.

Present and Future Human Emissions of Rotavirus and Escherichia coli to Uganda's Surface Waters.

Rotavirus (RV) and diarrheagenic are waterborne pathogens commonly causing diarrhea in children below five years old worldwide. Our study is a first step toward a loads-concentrations-risk modeling and scenario analysis framework. We analyzed current and future human RV and indicator (EC) emissions from sanitation facilities to surface waters in Uganda using two process-based models. Emissions were estimated for the baseline year 2015 and for three scenarios in 2030 using population, excretion rates, sanitation types, and wastewater treatment. The first model is a downscaled GloWPa-Rota H1 version, producing emissions at a 1-km resolution. The second model is newly developed for Kampala and adds emissions from pit latrines and septic tanks excluded in the first model. The scenarios Business as Usual, Industrious, and Low Emissions reflect government prospects in sanitation coverage and wastewater treatment. For the first model, 6.14 × 10 RV particles d and 1.31 × 10 EC colony-forming units (CFU) d are emitted to surface waters in 2015. The RV emissions are expected to increase in 2030 by 75% for Business as Usual and 212% for Industrious and decrease by 58% in Low Emissions. Emissions from the second model are higher for Kampala than in the first model, at 3.74 × 10 vs. 5.95 × 10 RV particles d and 8.18 × 10 vs. 1.75 × 10 EC CFU d in 2015, most of which come from the onsite-not-contained category. Simulated emissions for Kampala show the importance of including onsite sanitation in our modeling. Our study is replicable in other locations and helps identify key emission sources, their hotspots, and the importance of wastewater treatment. The scenarios can guide future sanitation safety planning.

Progress towards universal health coverage in Myanmar: a national and subnational assessment.

Attainment of universal health coverage is a global health priority. The Myanmar Government has committed to attainment of universal health coverage by 2030, but progress so far has not been assessed. We aimed to estimate national and subnational health service coverage and financial risk protection. We used nationally representative data from the Myanmar Demographic and Health Survey (2016) and the Integrated Household Living Condition Assessment (2010) to examine 26 health service indicators and explored the incidence of catastrophic health payment and impoverishment caused by out-of-pocket payments. We used logistic regression models of inequalities in, and risk factors for, indicators of universal health coverage. Nationally, the coverage of health service indicators ranged from 18·4% (95% CI 14·9-21·9) to 96·2% (95·9-96·5). Coverage of most health services indicators was below the universal health coverage target of 80%. 14·6% (95% CI 13·9-15·3) of households that used health services faced catastrophic health-care payments. 2·0% (95% CI 1·7-2·3) of non-poor households became poor because of out-of-pocket payments for health. Health service coverage and financial risk protection varied substantially by region. Although the richest quintiles had better access to health services than the poorest quintiles, they also had a higher incidence of financial catastrophe as a result of payments for health care. Of the indicators included in the study, coverage of adequate sanitation, no indoor use of solid fuels, at least four antenatal care visits, postnatal care for mothers, skilled birth attendance, and institutional delivery were the most inequitable by wealth quintile. Attainment of universal health coverage in Myanmar in the immediate future will be very challenging as a result of the low health service coverage, high financial risk, and inequalities in access to care. Health service coverage and financial risk protection for vulnerable, disadvantaged populations should be prioritised. Japanese Ministry of Health, Labour and Welfare, Ministry of Education, Culture, Sports, Science and Technology of Japan.

Urban sanitation coverage and environmental fecal contamination: Links between the household and public environments of Accra, Ghana.

Exposure to fecal contamination in public areas, especially in dense, urban environments, may significantly contribute to enteric infection risk. This study examined associations between sanitation and fecal contamination in public environments in four low-income neighborhoods in Accra, Ghana. Soil (n = 72) and open drain (n = 90) samples were tested for E. coli, adenovirus, and norovirus. Sanitation facilities in surveyed households (n = 793) were categorized by onsite fecal sludge containment (“contained” vs. “uncontained”) using previous Joint Monitoring Program infrastructure guidelines. Most sanitation facilities were shared by multiple households. Associations between spatial clustering of household sanitation coverage and fecal contamination were examined, controlling for neighborhood and population density (measured as enumeration areas in the 2010 census and spatially matched to sample locations). E. coli concentrations in drains within 50m of clusters of contained household sanitation were more than 3 log-units lower than those outside of clusters. Further, although results were not always statistically significant, E. coli concentrations in drains showed consistent trends with household sanitation coverage clusters: concentrations were lower in or near clusters of high coverage of household sanitation facilities—especially contained facilities—and vice versa. Virus detection in drains and E. coli concentrations in soil were not significantly associated with clustering of any type of household sanitation and did not exhibit consistent trends. Population density alone was not significantly associated with any of the fecal contamination outcomes by itself and was a significant, yet inconsistent, effect modifier of the association between sanitation clusters and E. coli concentrations. These findings suggest clustering of contained household sanitation, even when shared, may be associated with lower levels of fecal contamination within drains in the immediate public domain. Further research is needed to better quantify these relationships and examine impacts on health.

Determinants of rural sanitation in India and implications for public policy

Abstract This article attempts to find the economic and non-economic factors determining sanitation coverage in a low income country like India. Based on National Sample Survey data of India, the analysis finds that income has a low impact, while non-economic factors have an equal or higher impact on access to and use of latrines. The number of household members has a negative impact on both access to and use of latrines. Access to and use of latrines depends on gender, age, and education of the household head. Both access and use also depend on the main occupation, religion, and caste of households. Access to water supply and dwelling materials also impacts access to and use of latrines. Households headed by younger people or those living in hired houses are more likely to access public or common latrines. Access to sanitation also depends on the region and hence the norms and customs of the region. Contrary to expectations, a lesser proportion of households have access to latrines if they own a house versus those who reside in hired dwellings. Quality, cleanliness of latrines and other personal preferences matter in the use of latrines. Public and community toilets for youths, more than one latrine for larger households, and social campaigning are suggested for public policy.

Diagnóstico social, demográfico y económico, y situación de pobreza del municipio de Guamal, departamento del Magdalena, Colombia

This paper presents the social,demographic and economic characteristics of Guamal (Magdalena) that describe the poverty in this municipality and compares it with the general condition of the rural colombian sector, based on the descriptive and exploratory research carried out using information from the SISBEN database, which was applied criteria of descriptive statistics. In addition, with this same information, a matrix of double entry (which crosses the habitational profile with areas of the municipality) was elaborated for planning purposes. Finally, a process of analysis and participatory reflection of the same population was carried out through focus groups, which showed results about the community’s perception of their living conditions, finding basic deficiencies in coverage and quality of health, higher education, housing, basic sanitation, social participation, trust and coexistence family, situations are all more serious in the rural area of the municipality where 70% of the population lives, which constitutes a situation of poverty that is an obstacle to social integration and is both a source of conflict and destabilizing of democratic institutions, which has negative consequences for all the society.

Multi-date trends in groundwater pollution from pit latrines

Abstract This paper provides a multi-date review of trends in groundwater pollution from pit latrine sanitation structures using global, regional and South African cases. The paper focuses on three parameters which are microorganisms, nitrate and phosphorus, which are aligned with the challenge of waterborne diseases, and generally linked to poor water quality, and inadequate sanitation and hygiene. Poor sanitation and hygiene open up transmission routes for ingestion of faecal matter, which as at 2018 continue to pose risks of diarrhoea, opportunistic infections, and consequent malnutrition. These challenges currently account for approximately 1.7 million deaths annually, of which more than 90% are in developing countries, which have low sanitation coverage. While pit toilets are the generally preferred form of sanitation technology for developing countries, most provide evidence of the interconnectedness between the structures and groundwater pollution. The mechanism of pollution is generally indicated to be seepage of polluted pit latrine leachate into groundwater. This specific type of microbial and chemical routing from toilets into the environment increases the prevalence of diseases. These diseases usually result in high mortality for developing countries. Therefore, this review has highlighted the need to minimize pollution of groundwater from pit latrines, thereby contributing towards sustainable water quality management.

Enhancing sustainable sanitation through capacity building and rural sanitation marketing in Malawi

The Sustainable Development Goals on water and sanitation offer an opportunity for Malawi to examine new approaches to improving and sustaining rural household sanitation coverage by the year 2030. This paper assessed the impact of training rural pit latrine masons as sanitation entrepreneurs and the role of sanitation marketing. The paper used a tracer study of 76 masons from 15 districts in Malawi trained by Mzuzu University under a United Nations Children’s Fund (UNICEF) Malawi programme promoting the corbelled pit latrine design. The results from the study showed that pit latrines were being built by some masons, but that not all programme trainees had used their new knowledge. Masons were part-time and informal providers. Our results indicate a need to scale-up and train more pit latrine masons and the necessity to enhance the sanitation marketing programme component of the training. The registration of masons as sanitation providers, the identification of novel financing mechanisms appropriate for the masons and improved collaboration are also recommended.

The Parasitological Survey of “Assessment of the Prevalence and Burden of Soil Transmitted Helminthiasis among the three at-risk groups in Bangladesh”

Intestinal worm infestation is a global health problem. Soil-transmitted helminth (STH) infections form the most important group of intestinal worms affecting two billion people worldwide, causing considerable morbidity and suffering, though entirely preventable. In March 2017, STH Program implemented, for the first time, the Integrated Community-based Survey for STH Program Monitoring (ICSPM). The ICSPM seeks to provide the STH Program monitoring data to improve evidence-based program decision making toward elimination of STH in Bangladesh. Children without Worms provided technical and funding support (with Johnson & Johnson) for the surveys. Firstly, provide statistically valid, district-level estimates of STH prevalence and intensity of infection that are specific to, and representative of key STH at-risk age groups. Secondly, assess potential factors affecting STH infection rates including recent preventive chemotherapy coverage, sanitation coverage, and specific hygiene-related behaviors. STH control activities are more diffuse, aiming to piggy-back de-worming onto existing services such as school health activities; controlling morbidity, rather than eliminating infection, is the stated goal. In order to maximize health benefits to communities, it is vitally important that policy makers and program managers have a clear understanding of STH and implement control programs that allocate available resources in an optimal manner.

The impact of shared sanitation facilities on diarrheal diseases with and without an environmental reservoir: a modeling study

ABSTRACTEpidemiological studies have identified an increased risk of diarrheal diseases associated with using shared sanitation facilities. We hypothesized that this might be related to differences in transmission routes of pathogens. We proposed a mathematical model of two fictitious pathogens, one transmitted with an environmental reservoir and one without. We assumed that individuals susceptible to one pathogen are not susceptible to the other, and therefore, decoupled the two models. We initialized the model with 99% individuals being susceptible. We sampled the parameter space using Latin Hypercube Sampling. We simulated 10,000 parameter sets. We varied the effective shared sanitation coverage (the product of latrine coverage and users’ compliance). Our results show that, in our hypothetical scenario, across all levels of effective coverage of shared sanitation, the median final cumulative incidence of diarrheal disease was higher than that of zero coverage. Our simulation findings suggest that increasing effective coverage of shared sanitation may have limited benefits against diarrhea-causing pathogens with an environmental reservoir and may lack benefit against diarrhea-causing pathogens without an environmental reservoir given increased human contacts if latrines are poorly maintained.

Assessment of Sanitation and Water Supply Coverage in a Rural Community of Kogi State, Nigeria

Assessment of Sanitation and Water Supply Coverage in a Rural Community of Kogi State, Nigeria

ECONOMIC EVALUATION AND EFFECTIVENESS OF NATIONAL RURAL EMPLOYMENT GUARANTEE SCHEME IN VARANASI, INDIA: A CASE STUDY

Varanasi is an oldest living city of world situated at the bank of holy river Ganga. As per 2011 census, 56.56% population of Varanasi districts lives in rural areas. The sustainable development of these villages is the prime factor towards the economic growth of the nation. The Mahatma Gandhi National Rural Employment Guarantee Act (MNREGA) is a landmark legislation of Government of India in this direction. The primary objective of the MNREGA is to strengthen the rural livelihood by creating durable assets and by providing employment of 100 days in a financial year to the villagers as an unskilled manual worker. The present paper is an attempt to evaluate the significance of MNREGA in improving rural sanitation status of Varanasi District of Uttar Pradesh. Data collected from the web site of MNREGA. The trend analysis of database was performed on year to year basis with percentage increase or decrease in the completion of rural sanitation work in each block of Varanasi District. The study reveled that out of total 8390 sanitation works completed in Varanasi District during 2012-2017. The rate of works completion was found higher (66.41%) in financial year 2013-14. Two blocks of Varanasi district i.e. Harahua and Baragaon shown above 50% works completion. These sanitation works accelerated the sanitation coverage in rural areas through providing privacy and dignity particularly to women. Therefore it can be concluded that MNREGA can be an important step towards development of open defecation free rural India in addition to poverty alleviation.

Impact of drinking water, sanitation and handwashing with soap on childhood diarrhoeal disease: updated meta‐analysis and meta‐regression

Safe drinking water, sanitation and hygiene are protective against diarrhoeal disease; a leading cause of child mortality. The main objective was an updated assessment of the impact of unsafe water, sanitation and hygiene (WaSH) on childhood diarrhoeal disease. We undertook a systematic review of articles published between 1970 and February 2016. Study results were combined and analysed using meta-analysis and meta-regression. A total of 135 studies met the inclusion criteria. Several water, sanitation and hygiene interventions were associated with lower risk of diarrhoeal morbidity. Point-of-use filter interventions with safe storage reduced diarrhoea risk by 61% (RR = 0.39; 95% CI: 0.32, 0.48); piped water to premises of higher quality and continuous availability by 75% and 36% (RR = 0.25 (0.09, 0.67) and 0.64 (0.42, 0.98)), respectively compared to a baseline of unimproved drinking water; sanitation interventions by 25% (RR = 0.75 (0.63, 0.88)) with evidence for greater reductions when high sanitation coverage is reached; and interventions promoting handwashing with soap by 30% (RR = 0.70 (0.64, 0.77)) vs. no intervention. Results of the analysis of sanitation and hygiene interventions are sensitive to certain differences in study methods and conditions. Correcting for non-blinding would reduce the associations with diarrhoea to some extent. Although evidence is limited, results suggest that household connections of water supply and higher levels of community coverage for sanitation appear particularly impactful which is in line with targets of the Sustainable Development Goals.

Study of housing conditions among people of a rural community in Morang, Eastern Nepal

Background : Poor Housing condition, sanitation and hygiene is associated with adverse health conditions. This study is done to assess the housing conditions, sanitation coverage and hygiene practices among rural community in Bhaudaha VDC, eastern Nepal.Material &Methods: A cross sectional study was conducted from 22nd May 2016 to 22nd November 2016 in Bhaudaha VDC of eastern Nepal with appropriated sample size of 525 participants. A direct interview was taken with structured questionnaire. Chi square test was used to find out association of the variables.Results: Out of 525 respondents, adequate ventilation was present among 54.9% literates followed by 44.2% illiterates (p=0.01) and separate kitchen was also found among 77.2% of literates and 64.6% of illiterates (p=0.002). Among Dalit castes 74.4% had separate kitchen in their house followed by 50.7% janajatis (p<0.001). Covering of stored water was found in 75.8% Dalit and 61.2% Janajati (P=0.003). Improved sanitation was highest among other terai casts (78.1%) followed by Dalits (59.9%) and 58.2% Janajati (p=0.132).Conclusion: There is need of appropriate methods of health education to be focused on all the groups in the community for improvement in sanitation and healthy housing conditions and targeted more towards Janajati and illiterate group and further studies need to be done in different region of Nepal to understand the cause of disparities in housing and sanitation conditions among different groups.Journal of Nobel Medical CollegeVolume 6, Number 2, Issue 11 (July-December, 2017) Page: 1-8

ANALISA HASIL PEMBANGUNAN MCK PLUS BERBASIS MASYARAKAT DI PROVINSI ACEH

Implementation of development of community-based sanitation infrastructure management is a new thing for the people of Aceh, especially the community in the location of community sanitation facilities will be built. Currently more than 90 percent of Acehnese people use individual waste water systems or toilets that have not been properly managed and have not equipped septic tanks so that the sludge is discharged directly into the water body. This condition leads to the spread of disease (epidemic). Septic tanks are rarely aspirated so that it becomes a successor of wastewater that then seep in the soil and contaminate it. This is the reason for the entry of Community sanitation program into a solution in the provision of infrastructure and waste water facilities using Lavatory Plus. The Community sanitation program aims to improve the quality of the environment by increasing access to community-based sanitation facilities. This study aims to identify the results of community-based Lavatory Plus development in terms of management, institutional and financing. Knowing the level of satisfaction and public interest towards community-based Lavatory Plus development. This research will be conducted in 4 (four) regencies / cities with the lowest coverage of sanitation in Aceh Province, Kab. Pidie Jaya, Kab. Aceh Tamiang, Kab. Aceh Barat Daya and Kota Subulussalam by using quantitative methods supported by qualitative analysis. Qualitative analysis wa s conducted to look at management, institutional and financing aspects. Data collection were taken through observation and interview on the Work Unit of Environmental Sanitation System Development of Aceh Province and District Public Works Office. Data analysis was done by using SWOT analysis and its analysis tool USG (Urgency, Seriousness, and Growth) and performed data processing through Biplot Method with Mini Tab software. SWOT analysis results show the success rate of Community sanitation program management is in quadrant I. The results of analysis of the level of satisfaction and public interest by using Biplot Method assisted software Mini Tab. The level of community satisfaction is 3.63 and the level of public interest is 4.4 ie the average community feels important to the management of the Community sanitation program.