Increase community participation

Oct 13, 2025 by wbrum.org 31 views

Introduction

In 2019, the Bonandolok I Puskesmas in Humbang Hasundutan Regency embarked on a crucial initiative to improve public health through the implementation of the Community-Based Total Sanitation Program (STBM) with a focus on the BABS defecation stop (BABS). This program aimed to provide decent sanitation facilities and encourage clean living behavior among the community. However, the achievement of this program was only 50% with 42.38% of families using healthy latrines. This study aims to describe the implementation of the Stop Babs program through a system approach that includes input and process.

Background

The importance of sanitation and environmental health cannot be overstated. Poor sanitation is a major contributor to the spread of diseases, and it is essential to address this issue to improve public health. The STBM program is a community-based initiative that aims to provide decent sanitation facilities and encourage clean living behavior. The program involves the participation of various stakeholders, including the government, community, and other institutions.

Methodology

The research method used in this study is evaluative-descriptive, with data collection carried out through interviews with various parties, such as the Head of Puskesmas, Sanitarian, Facilitator, Sanitation Committee, and the community. The results of the study showed that the highest achievement of this program was a house that meets health requirements with a success rate of 97.67%. Meanwhile, the village coverage that implements STBM has only reached 20%, and there is no significant progress for public places and food processing places that meet health requirements.

Results

The results of this study showed that the promotion and triggering of STBM behavior is carried out by involving community participation through the Participatory Rural Appraisal (PRA) method. The success of this program is very dependent on the level of community participation in the implementation process. However, there are several factors that hamper the success of the Stop Babs program, including the lack of availability of sanitation facilities, support from various parties, as well as changes in the understanding and socio-economic conditions of the community.

Discussion

The results of this study highlight the importance of community participation in the implementation of the STBM program. The PRA method is an effective way to involve the community in the decision-making process and to ensure that their needs and concerns are addressed. However, the lack of availability of sanitation facilities and support from various parties are major challenges that need to be addressed to ensure the success of the program.

Conclusion

In conclusion, this study highlights the importance of community-based initiatives in improving public health. The STBM program is a crucial initiative that aims to provide decent sanitation facilities and encourage clean living behavior among the community. However, the success of this program is dependent on the level of community participation and the availability of sanitation facilities and support from various parties. Therefore, it is essential to address these challenges to ensure the success of the program and to improve public health.

Recommendations

Based on the results of this study, the following recommendations are made:

Increase community participation: The level of community participation is crucial to the success of the STBM program. Therefore, it is essential to increase community participation through the PRA method and other community-based initiatives.
Improve sanitation facilities: The lack of availability of sanitation facilities is a major challenge that needs to be addressed. Therefore, it is essential to improve sanitation facilities and to ensure that they are accessible to all members of the community.
Provide support: Support from various parties is essential to the success of the STBM program. Therefore, it is essential to provide support to the community and to ensure that they have the resources they need to implement the program.
Address changes in understanding and socio-economic conditions: Changes in understanding and socio-economic conditions can affect the success of the STBM program. Therefore, it is essential to address these changes and to ensure that the program is adapted to the needs of the community.

Limitations

This study has several limitations, including:

Limited sample size: The sample size of this study is limited, which may affect the generalizability of the results.
Limited data collection: The data collection method used in this study is limited, which may affect the accuracy of the results.
Limited scope: The scope of this study is limited to the Bonandolok I Puskesmas in Humbang Hasundutan Regency, which may affect the generalizability of the results.

Future Research Directions

This study highlights the importance of community-based initiatives in improving public health. Therefore, future research should focus on the following areas:

Community-based initiatives: Future research should focus on the development and implementation of community-based initiatives that aim to improve public health.
Sanitation facilities: Future research should focus on the development and implementation of sanitation facilities that are accessible to all members of the community.
Support from various parties: Future research should focus on the development and implementation of support systems that are essential to the success of community-based initiatives.

Conclusion

Q: What is the Community-Based Total Sanitation Program (STBM) STOP BABS?

A: The Community-Based Total Sanitation Program (STBM) STOP BABS is a community-based initiative that aims to provide decent sanitation facilities and encourage clean living behavior among the community. The program focuses on the BABS defecation stop (BABS) and aims to improve public health through the provision of sanitation facilities and education on clean living behavior.

Q: What are the goals of the STBM program?

A: The goals of the STBM program are to:

Provide decent sanitation facilities to all members of the community.
Encourage clean living behavior among the community.
Improve public health through the provision of sanitation facilities and education on clean living behavior.

Q: What are the challenges faced by the STBM program?

A: The challenges faced by the STBM program include:

Lack of availability of sanitation facilities.
Limited support from various parties.
Changes in understanding and socio-economic conditions of the community.

Q: How can community participation be increased in the STBM program?

A: Community participation can be increased in the STBM program through the following methods:

Participatory Rural Appraisal (PRA) method.
Community-based initiatives.
Education and awareness programs.

Q: What is the role of the government in the STBM program?

A: The government plays a crucial role in the STBM program by:

Providing support and resources to the community.
Ensuring the availability of sanitation facilities.
Providing education and awareness programs.

Q: What is the role of the community in the STBM program?

A: The community plays a crucial role in the STBM program by:

Participating in the decision-making process.
Providing support and resources to the program.
Implementing the program at the community level.

Q: What are the benefits of the STBM program?

A: The benefits of the STBM program include:

Improved public health.
Increased access to sanitation facilities.
Encouragement of clean living behavior.

Q: What are the limitations of the STBM program?

A: The limitations of the STBM program include:

Limited sample size.
Limited data collection.
Limited scope.

Q: What are the future research directions for the STBM program?

A: The future research directions for the STBM program include:

Community-based initiatives.
Sanitation facilities.
Support from various parties.

Q: How can the STBM program be sustained in the long term?

A: The STBM program can be sustained in the long term by:

Ensuring the availability of sanitation facilities.
Providing education and awareness programs.
Encouraging community participation.

Conclusion

In conclusion, the STBM program is a crucial initiative that aims to provide decent sanitation facilities and encourage clean living behavior among the community. The program faces several challenges, including lack of availability of sanitation facilities, limited support from various parties, and changes in understanding and socio-economic conditions of the community. However, with increased community participation, support from various parties, and education and awareness programs, the STBM program can be sustained in the long term and improve public health.