The Effect of Environmental Factors on the Event of Acute Diarrhea
Gita Sekar Prihanti1, Syuna Salimdra2, Muhammad Ilham Akbar3, Muhammad Gagas Sasongko4, Syafira Amelia Amir5
1Gita Sekar Prihanti, Lecturer of Faculty of Medicine, University of Muhammadiyah Malang, Malang, Indonesia.
2Syuna Salimdra, Instructur of Faculty of Medicine, University of Muhammadiyah Malang, Malang, Indonesia.
3Muhammad Ilham Akbar, Instructur of Faculty of Medicine, University of Muhammadiyah Malang, Malang, Indonesia.
4Muhammad Gagas Sasongko, Instructur of Faculty of Medicine, University of Muhammadiyah Malang, Malang, Indonesia.
5Syafira Amelia Amir, Instructur of Faculty of Medicine, University of Muhammadiyah Malang, Malang, Indonesia.
Manuscript received on 10 January 2020 | Revised Manuscript received on 06 February 2020 | Manuscript Published on 20 February 2020 | PP: 215-219 | Volume-9 Issue-3S January 2020 | Retrieval Number: C10470193S20/2020©BEIESP | DOI: 10.35940/ijitee.C1047.0193S20
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© The Authors. Blue Eyes Intelligence Engineering and Sciences Publication (BEIESP). This is an open-access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abstract: Diarrhea is an environment-based disease endemic in Indonesia with a high prevalence rate resulted from contaminated dug wells. From this study, we want to know the influence of environmental factors, namely microbiology of water, clean water facilities (CWF), toilet facilities and sewerage facilities (SF) and the availability of trash bins against the incidence of acute diarrhea. We used cross sectional observational analytic study with a total of 228 users of dug wells and 38 dug wells that met the inclusion criteria in the Community Health Center. We used questionnaires and checklists to collect data of variables CWF, latrine, SF and availability of trash bins also laboratory results from the Kediri Regional Health Laboratory for water microbiology. We analyzed the data by Chi square test and Linear Regression and the bivariate test results showed that water microbiological factors p = 0,000, CWF p = 0,000, toilet facilities p = 0,001 and SF p = 0,005 which significantly affected the incidence of diarrhea. The multivariate test results showed that water microbiological factors had the most significant effect on the incidence of diarrhea (p = 0,000; OR: 4,67; 95% CI: 2,51 – 8,7). The need for counseling interventions as well as improving the quality of well water and CWF by improving well construction, checking well water regularly and cooking well water before consumption. There exist a need to form a closed, permanent and non-stagnant SF and the construction of clean toilets, non-soil floors and a distance of septic tanks > 10m from CWF.
Keywords: Clean Water Facilities, Diarrhea, Dug Wells, Latrines, Waste Water Disposal Facilities.
Scope of the Article: Environmental Engineering