Analysis of Latrine Conditions, Clean Water Facilities, and Personal Hygiene on Diarrhea Incidence in Children Aged 24–59 Months
Abstract
Diarrheal disease remains a critical public health concern in Indonesia, particularly among children under five, where it ranks as a leading cause of morbidity. This study investigates the persistently high diarrhea prevalence among children aged 24–59 months in Paluh Sibaji Village, Pantai Labu District. Indonesia's SKI 2023 reported a national prevalence of 7.4% in under-fives, peaking at 11.5% among the 1–4 age group. Focusing on this coastal community, the study uniquely examines the combined influence of environmental conditions and personal hygiene behaviors. Data were collected from 70 children aged 24–59 months and their mothers, randomly selected from 232 households. The researcher wanted to see if things like the condition of their toilets, access to clean water, and their hygiene practices were linked to whether or not the children had diarrhea. The result showed that over 30% of the children had experienced diarrhea. The analysis revealed strong associations between the condition of toilets, access to clean water, personal hygiene, and the occurrence of diarrhea. While the numbers suggest a strong link, other factors the researcher did not measure or potential biases in how the data were collected could be influencing these results. Personal hygiene seemed to have the strongest connection to diarrhea. In conclusion, the study emphasizes that a combination of sanitation issues and hygiene habits is significantly linked to diarrhea in this coastal community. Future studies that follow children over time could help us better understand the causes of diarrhea and rule out other contributing factors.
References
Nurhayati. Diare dan Penatalaksanaannya [Diarrhea and Its Management]. Jakarta: EGC; 2020.
Riskesdas. Laporan Riskesdas [Riskesdas report] 2018 Nasional. 2018.
Kementerian Kesehatan. Peraturan Menteri Kesehatan Republik Indonesia [Regulation of the Minister of Health of the Republic of Indonesia] Nomor 2 Tahun 2023. Kemenkes Republik Indones. 2023;151(2):Hal 10-17.
Febriawati H, Wati N. Analisis Faktor Sanitasi Lingkungan yang Berhubungan dengan Kejadian Diare [Analysis of Environmental Sanitation Factors Related to Diarrhea Incidence]. 2019;20(11):43–53.
Komala S, Pangestika R. Hubungan Higiene Perorangan dan Sanitasi Lingkungan dengan Kejadian Diare pada Balita di Kelurahan Mekarjaya, Kota Depok [The Relationship Between Personal Hygiene and Environmental Sanitation with the Incidence of Diarrhea in Toddlers in Mekarjaya Subdistrict, Depok City]. J Kesehat Lingkung. 2024;18(1):26–32.
Siti Hastia, Tarianna Ginting. Hubungan Sanitasi Lingkungan dan Personal Hygiene Ibu dengan Kejadian Diare pada Balita di Kelurahan Sidorejo Puskemas Sering [The Relationship between Environmental Sanitation and Mother's Personal Hygiene with the Incidence of Diarrhea in Toddlers in Sidorejo Village, Sering Health Center]. J Prima Med Sains. 2019;1(1):1.
Candra, A., Hadi, A., Yulianty R. Hubungan Keadaan Sarana Air Bersih dengan Kejadian Diare pada Balita [The Relationship between the Condition of Clean Water Facilities and the Incidence of Diarrhea in Toddlers]. 2019.
Salmawati S, Warouw F, Umboh JM. Hubungan Antara Sarana Air Bersih dan Jamban Keluarga dengan Kejadian Diare pada Balita di Desa Waleure [The Relationship Between Clean Water Facilities and Family Latrines and the Incidence of Diarrhea in Toddlers in Waleure Village]. J KESMAS. 2021;10(6):24–30.
Mariana, D., Sitorus, R.J., Destriatania S. Hubungan Sanitasi Lingkungan dan Perilaku Kesehatan Ibu dengan Kejadian Diare pada Balita [The Relationship between Environmental Sanitation and Maternal Health Behavior with the Incidence of Diarrhea in Toddlers]. Universitas Sriwijaya; 2018.
WHO, UNICEF. Drinking-Water, Sanitation and Hygiene in Health Care Facilities. 2019.
Kemenkes. Peraturan Menteri Kesehatan Republik Indonesia Nomor 3 Tahun 2014 tentang Sanitasi Total Berbasis Masyarakat [Regulation of the Minister of Health of the Republic of Indonesia Number 3 of 2014 concerning Community-Based Total Sanitation]. In 2014.
Ariani D, Agustiani MD, Fadhilah S. Hubungan Sarana Air Bersih dan Kepemilikan Jamban dengan Kejadian Diare pada Balita [The Relationship Between Clean Water Facilities and Toilet Ownership and the Incidence of Diarrhea in Toddlers]. J Ilmu Kebidanan. 2024;13:145–56.
Joniyan Syahputra Y, Priyo Hastono S, Author C. Determinan Kejadian Diare pada Balita di Jawa Barat (Analisis Data Survei Kesehatan Indonesia 2023) [Determinants of Diarrhea Incidence in Toddlers in West Java (Analysis of 2023 Indonesian Health Survey Data)]. Jusindo. 2025;7(2):1403–14.
Ambodale S, Nurhasana N, Arni F, Sudirman S. Peran Sanitasi Lingkungan terhadap Kejadian Diare : Studi Cross-Sectional [The Role of Environmental Sanitation on Diarrhea Incidence: A Cross-Sectional Study]. Prepotif J Kesehat Masy. 2024;8(3):7485–92.
Silalahi DK, Wulandari RA. Dampak Faktor Lingkungan terhadap Kejadian Diare di Provinsi Sumatera Utara [The Impact of Environmental Factors on Diarrhea Incidence in North Sumatra Province]. Komunitas Kesehat Masy. 2024;16(November):204–12.
Utami KM. Hubungan Kondisi Sarana Air Bersih dengan Kejadian Diare pada Balita di Wilayah Kerja Puskesmas Nanggalo Tahun 2020 [The Relationship Between Clean Water Facilities and Diarrhea Incidents in Toddlers in the Nanggalo Community Health Center Work Area in 2020]. J Ilmu Kesehat Indones. 2021;2(1).
UNICEF. Improving Water, Sanitation and Hygiene to Prevent Diarrhoea. New York: UNICEF; 2022.
Yunitawati D, Khairunnisa M, Mulyantoro DK, Ashar H, Latifah L. Diarrhea among Children Under-five: Comparing Risk Factors in Urban and Rural Areas in Indonesia. Clin Epidemiol Glob Heal. 2025;35(April).
Hashi A, Kumie A, Gasana J. Hand Washing with Soap and WASH Educational Intervention Reduces Under-five Childhood Diarrhoea Incidence in Jigjiga District, Eastern Ethiopia: A Community-based Cluster Randomized Controlled Trial. Prev Med Reports. 2017;6:361–8.
Aminah S, Rahmawati D. Hubungan Sanitasi Makanan dan Personal Hygiene dengan Kejadian Diare pada Balita [The Relationship between Food Sanitation and Personal Hygiene and the Incidence of Diarrhea in Toddlers]. Mega Buana J Public Heal. 2024;3(1).
Azis A, Munir A. Hubungan Sanitasi Lingkungan dan Higiene Perorangan terhadap Kejadian Diare pada Masyarakat Pesisir [The Relationship between Environmental Sanitation and Personal Hygiene and the Incidence of Diarrhea in Coastal Communities]. J Kolaka Med Cent. 2022;1(2).
Fadhilah N. Hubungan Sanitasi Lingkungan dan Personal Hygiene Orang Tua dengan Kejadian Diare pada Balita [The Relationship between Environmental Sanitation and Parents' Personal Hygiene with the Incidence of Diarrhea in Toddlers]. Universitas Islam Negeri Maulana Malik Ibrahim Malang; 2025.
Hidayat R. Hubungan Higiene Perorangan dan Sanitasi Lingkungan dengan Kejadian Diare pada Balita di Kelurahan Mekarjaya, Kota Depok [The Relationship Between Personal Hygiene and Environmental Sanitation with the Incidence of Diarrhea in Toddlers in Mekarjaya Subdistrict, Depok City]. J Kesehat Lingkung. 2025;12(1).
Maulinda S, Permata A. Hubungan Sanitasi Lingkungan terhadap Kejadian Diare pada Balita [The Relationship between Environmental Sanitation and the Incidence of Diarrhea in Toddlers.]. J Avicenna. 2024;7(1).
Solomon ET, Gari SR, Kloos H, Alemu BM. Handwashing Effect on Diarrheal Incidence in Children Under 5 Years Old in Rural Eastern Ethiopia: A Cluster Randomized Controlled Trial. Trop Med Health. 2021;49(1):1–11.
Purnama A. Faktor Risiko Kejadian Diare pada Balita di Indonesia [Risk Factors for Diarrhea in Toddlers in Indonesia]. J Kesehat Lingkung. 2021;11(1).
Copyright (c) 2026 Seri Asnawati Munthe, Misi Septiani, Jasmen Manurung, Liarosa Veronika Sinaga

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.


