Strengthening Community-Based Total Sanitation (CBTS) in Stunting Prevention at Telaga Dewa Public Health Center, Bengkulu City
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Health Education,
Sanitation,
Stunting
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Nopia Wati
Emi Kosvianti
Andry Sartika
Abstract
Background: Poor sanitation is one of the main causes of the high prevalence of stunting and infectious diseases, especially in developing countries like Indonesia. Community-Based Total Sanitation (CBTS) is a strategic approach that involves active community participation in creating a clean and healthy environment through five main pillars: stopping open defecation, handwashing with soap, safe management of drinking water and food, household waste management, and household liquid waste management.
Aims: The goal of this activity is to strengthen CBTS (Comprehensive Integrated Service Delivery System) in preventing stunting and reducing the risk of infection spread.
Methods: The method used in this research was health education on strengthening CBTS, encompassing the stages of planning, preparation, implementation, and evaluation.
Results: Results show that before the intervention, the average knowledge score of respondents was 2.88 with a standard deviation of 0.71 and a standard error of 0.14. After the intervention, the average score increased to 4.35 with a standard deviation of 0.63 and a standard error of 0.12. The increase in the average score of 1.46 points indicates that the intervention had a positive impact on increasing respondents' knowledge.
Conclusion: This CBTS strengthening education program can increase public understanding and knowledge about CBTS and its relationship to stunting in toddlers. Through synergy between the government, the community, and other stakeholders, CBTS can become a sustainable solution to address complex public health issues. Practical strategies for strengthening CBTS in local communities, including community empowerment, and community-based education, are needed.
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Copyright (c) 2025 Nopia Wati, Emi Kosvianti, Andry Sartika
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References
Alum, E. U., Obeagu, E. I., & Ugwu, O. P. C. (2024). Enhancing quality water, good sanitation, and proper hygiene is the panacea to diarrhea control and the attainment of some related sustainable development goals A review. Medicine (United States), 103(38), e39578. https://doi.org/10.1097/MD.0000000000039578
Amanabo-Arome, U. H., & Abbas, A. M. (2021). Environmental and Health Implications of Poor Sanitation in Nigeria. Merit Research Journal of Agricultural Science and Soil Sciences, 9(10), 101–104. https://doi.org/10.5281/zenodo.5745751
Aprihatin, Y., Barlian, E., Fatimah, S., Yanti, E., & Armaita. (2020). Impact of environmental sanitation and infection disease as a determining stunting factor for children. Sumatra Journal of Disaster, Geography and Geography Education, 4(2), 209–211. https://doi.org/10.24036/sjdgge.v4i2.336
Azwari, T., Dewi, A., Ariyani, E., Aulia, A., Rahman, F., & Prismadanu, A. (2025). Strategies for Community-Based Total Sanitation in Improving Hygiene Behavior: A Case Study of Purwosari II Village, Tamban District. Jurnal Public Policy, 11(2), 157–168. https://doi.org/10.35308/jpp.v11i2.11072
Boekoesoe, L., Maksum, T. S., & Hiola, D. S. (2023). Edukasi Pilar Sanitasi Total Berbasis Masyarakat (CBTS) dan Optimalisasi Peran Kader Posyandu Menuju Desa Zero Stunting. Jurnal Sibermas (Sinergi Bersama Masyarakat), 12(2), 244–254. https://doi.org/10.37905/sibermas.v12i2.18450
Cha, Y. E., Fu, Y. Z., & Yao, W. (2021). Knowledge, practice of personal hygiene, school sanitation, and risk factors of contracting diarrhea among rural students from five western provinces in China. International Journal of Environmental Research and Public Health, 18(18). https://doi.org/10.3390/ijerph18189505
Challa, J. M., Getachew, T., Debella, A., Merid, M., Atnafe, G., Eyeberu, A., Birhanu, A., & Regassa, L. D. (2022). Inadequate Hand Washing, Lack of Clean Drinking Water and Latrines as Major Determinants of Cholera Outbreak in Somali Region, Ethiopia in 2019. Frontiers in Public Health, 10(May), 1–11. https://doi.org/10.3389/fpubh.2022.845057
Fitrianingrum, R. E. (2020). Community-Based Total Sanitation Health Promotion Strategy in Kebaman Village, Srono District, Banyuwangi Regency. Journal for Quality in Public Health, 3(2), 611–618. https://doi.org/10.30994/jqph.v3i2.111
Indah, F. P. S., Cardiah, T., Rahmat, A., Sulandjari, K., Andiyan, A., & Hendayani, N. (2022). Effect of Community-Based Total sanitation Program with diarrhea Incidents in toddler at communities near rivers. Materials Today: Proceedings, 63, s349–s353. https://doi.org/10.1016/J.MATPR.2022.03.538
Islam, M. S., Zafar Ullah, A. N., Mainali, S., Imam, M. A., & Hasan, M. I. (2020). Determinants of stunting during the first 1,000 days of life in Bangladesh: A review. Food Science and Nutrition, 8(9), 4685–4695. https://doi.org/10.1002/fsn3.1795
Kustanto, A., Rachmat, O., & Setyadi, S. (2025). The Prevalence of Stunting in Indonesia: An Examination of the Health, Socioeconomic Status, and Environmental Determinants. Journal of Iranian Medical Council, 8(1), 67–79. https://doi.org/10.18502/jimc.v8i1.17062
Maksum, T. S., Nakoe, M. R., & Hutuba, A. H. (2024). Strengthening the CBTS Pillars and Developing Moringa Leaf Powder Beverage Products as a Preventive Effort Against Stunting Occurrence. Jurnal Kolaboratif Sains, 7(10), 3667–3674. https://doi.org/10.56338/jks.v7i10.6224
Meliati, L., Sudarmi, S., & Halimatusyaadiah. (2025). Influence of the First Thousand Days of Life on Stunting Incidence. J Holis t Nurs Midwifery, 35(3), 161–167. https://doi.org/10.32598/jhnm.35.3.2622
Nisa, L. S. (2018). Kebijakan Penanggulangan Stunting di Indonesia. Jurnal Kebijakan Pembangunan, 13(2), 173–179. Google Scholar
Rahmuniyati, M. E. (2020). Peran puskesmas dalam upaya mengurangi kasus stunting melalui program sanitasi total berbasis masyarakat (CBTS). Prosiding Seminar Nasional Multidisiplin Ilmu, 2(1), 511–517. Google Scholar
Rahmuniyati, M. E., & Sahayati, S. (2021). Implementasi Program Sanitasi Total Berbasis Masyarakat (CBTS) Untuk Mengurangi Kasus Stunting Di Puskesmas Wilayah Kabupaten Sleman. PREPOTIF : Jurnal Kesehatan Masyarakat, 5(1), 80–95. https://doi.org/10.31004/prepotif.v5i1.1235
Saputri, R. A., Anggraeni, D., Sujadmi, & Sopamena, N. (2020). Environmental Sanitation and Stunting (Study of the Role of Women in Stunting Intervention). Journal of Physics: Conference Series, 1655(1). https://doi.org/10.1088/1742-6596/1655/1/012083
Scheffler, C., & Hermanussen, M. (2022). Stunting is the natural condition of human height. American Journal of Human Biology, 34(5), 1–13. https://doi.org/10.1002/ajhb.23693
Scheffler, C., Hermanussen, M., Bogin, B., Liana, D. S., Taolin, F., Cempaka, P. M. V. P., Irawan, M., Ibbibah, L. F., Mappapa, N. K., Payong, M. K. E., Homalessy, A. V., Takalapeta, A., Apriyanti, S., Manoeroe, M. G., Dupe, F. R., Ratri, R. R. K., Touw, S. Y., K, P. V., Murtani, B. J., … Pulungan, A. (2020). Stunting is not a synonym of malnutrition. European Journal of Clinical Nutrition, 74(3), 377–386. https:/doi.org/10.1038/s41430-019-0439-4
Shrestha, A., Six, J., Dahal, D., Marks, S., & Meierhofer, R. (2020). Association of nutrition, water, sanitation and hygiene practices with children’s nutritional status, intestinal parasitic infections and diarrhoea in rural Nepal: A cross-sectional study. BMC Public Health, 20(1), 1–21. https://doi.org/10.1186/s12889-020-09302-3
Wulandari, D. T., Azizah, N., Rahmawati, V. E., & Annuchasari, H. (2025). Community-Based Insights on Maternal Nutrition Knowledge and Its Role in Preventing Stunting and Wasting in Rural Indonesian Children. Journal of Current Health Sciences, 2025(3), 145–154. https://doi.org/10.47679/jchs.2025128
Zuhri, I. El, & Faresta, R. A. (2025). Investigating Community of Practice in Sumbawa and Manggarai to Support Environmental Sustainability Through CBTS Development Plan. IOP Conference Series: Earth and Environmental Science, 1493(1). https://doi.org/10.1088/1755-1315/1493/1/012003