Mengubah Kebiasaan Cuci Tangan Pakai Sabun pada Masa Pandemi di Pedesaan Manggarai dan Sumbawa

Behaviour Change on Handwashing with Soap during Pandemic in Rural Manggarai and Sumbawa

https://doi.org/10.33860/pjpm.v3i2.990

Authors

Keywords:

Cuci tangan, STBM, Pedesaan

Abstract

Handwashing with Soap Practice (HWWS) to prevent the infection of Covid-19 is very low in eastern Indonesia. Triggering community behavior change of HWWS is necessary, especially to make them consistent and sustainable. This community service activity uses Participatory Rural Appraisal (PRA), which combines 14 methods. This study recruited 74 respondents in rural areas of Manggarai (NTT) and Sumbawa (NTB). To evaluate their HWWS behavioral change, we conducted a pre-and post-test on their knowledge, attitude, and practice. Results showed that there was a significant change in their HWWS practice in critical times, such as; before eating, after handling animals, and after defecating. The triggering method such as arousing shame, disgust, and fear of getting infected with diseases are the most effective. Further implementation of these methods to trigger the community's HWWS behavior change in other villages with a similar scheme will be potential.

ABSTRAK

Praktik Cuci Tangan Pakai Sabun (CTPS) untuk mencegah penularan penyakit infeksi Covid-19 masih sangat rendah di Indonesia Timur. Pemicuan untuk perubahan perilaku CTPS pada masyarakat sangat diperlukan agar perilaku CTPS dapat menetap dan berkelanjutan. Kegiatan pengabdian kepada masyarakat ini menggunakan Participatory Rural Appraisal (PRA) yang mengombinasikan 14 metode pemicuan. Kegiatan ini melibatkan 74 responden yang bertempat tinggal di pedesaan Manggarai (NTT) dan Sumbawa (NTB). Keberhasilan kegiatan pengabdian masyarakat ini dilakukan dengan mengukur kebiasaan CTPS sebelum dan sesudah dilakukan pemicuan. Hasil menunjukkan bahwa setelah pemicuan terjadi perubahan signifikan pada praktik CTPS sebelum makan, setelah memegang hewan, dan setelah BAB. Metode pemicuan yang menggugah rasa malu, rasa jijik dan rasa takut sakit merupakan kombinasi metode pemicuan yang paling efektif dalam mengubah perilaku CTPS di lokasi kegiatan. Pemicuan di seluruh pedesaan dengan skema serupa berpotensi dalam mencegah penyebaran virus Covid-19 di NTT dan NTB. 

References

Agestika, L., Otsuka, Y., Widyarani, Sintawardani, N., & Yamauchi, T. (2019). Handwashing skills, hand bacteria reduction and nutritional status of elementary school children in an urban slum of Indonesia. Journal of Sanitation Value Chain, 3(1), 13–23. Retrieved from https://www.jstage.jst.go.jp/article/svc/3/1/3_00012/_pdf/-char/en

Alzyood, M., Jackson, D., Aveyard, H., & Brooke, J. (2020). COVID‐19 reinforces the importance of handwashing. Journal of clinical nursing. 29(15–16): 2760–2761. https://doi.org/10.1111/jocn.15313.

Aunger, R., Greenland, K., Ploubidis, G., Schmidt, W., Oxford, J., & Curtis, V. (2016). The determinants of reported personal and household hygiene behaviour: A multi- country study. PLoS ONE, 11(8), 1–35. https://doi.org/10.1371/journal.pone.0159551

Friskarini, K., & Sundari, T. R. (2020). Pelaksanaan Cuci Tangan Pakai Sabun (Tantangan Dan Peluang) Sebagai Upaya Kesehatan Sekolah Di Sekolah Dasar Negeri Kecamatan Bogor Utara Kota Bogor. Jurnal Ekologi Kesehatan, 19(1), 21-34. Retrieved from https://ejournal2.litbang.kemkes.go.id/index.php/jek/article/view/3058

Gilmore, B., Ndejjo, R., Tchetchia, A., de Claro, V., Mago, E., Diallo, A. A., Lopes, C., & Bhattacharyya, S. (2020). Community engagement for COVID-19 prevention and control: A rapid evidence synthesis. BMJ Global Health, 5(10). https://doi.org/10.1136/bmjgh-2020-003188

Kalam, M. A., Davis, T. P., Islam, M. A., Islam, S., Kittle, B. L., & Casas, M. P. (2021). Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in bangladesh: Findings from a barrier analysis. Journal of Water Sanitation and Hygiene for Development, 11(6), 1006–1015. https://doi.org/10.2166/washdev.2021.070

Kementerian Kesehatan Republik Indonesia. (2012). Pedoman Pelaksanaan Teknis Sanitasi Total Berbasis Masyarakat (STBM). Jakarta: Kementerian Kesehatan R.I. Retrieved from http://stbm.kemkes.go.id/public/app/reference/4/pedoman-pelaksanaan-teknis-stbm

Ministry of Health of Indonesia. (2018). Baseline Health Research 2018. In Kementerian Kesehatan RI. Retrieved from https://ghdx.healthdata.org/record/indonesia-basic-health-research-2018

National Population and Family Planning Board (BKKBN), Statistics Indonesia (BPS), Ministry of Health (Kemenkes), and I. (2017). Indonesia 2017 DHS. Retrieved from https://www.bps.go.id/statictable/2020/10/21/2111/laporan-survei-demografi-dan-kesehatan-indonesia.html

Neal, D., Vujcic, J., Hernandez, O., Wood, W., Vujcic, J., Hernandez, O., & Wood, W. (2015). The Science of Habit: Creating disruptive and sticky behaviour change in handwashing behaviour. October, 24. www.washplus.org

Otsuka, Y., Agestika, L., Widyarani, Sintawardani, N., & Yamauchi, T. (2018). Risk Factors for Undernutrition and Diarrhea Prevalence in an Urban Slum in Indonesia: Focus on Water, Sanitation, and Hygiene. American Journal of Tropical Medicine and Hygiene, 1, 0–14. https://doi.org/10.1227/NEU.0b013e318201c293

Petty, W. C. (2009). PACU—Why hand washing is vital!. Journal of PeriAnesthesia Nursing, 24(4), 250-253. Retrieved from https://pubmed.ncbi.nlm.nih.gov/19647664/

Pickering, A. J., Boehm, A. B., Mwanjali, M., & Davis, J. (2010). Efficacy of waterless hand hygiene compared with handwashing with soap: A field study in Dar es Salaam, Tanzania. American Journal of Tropical Medicine and Hygiene, 82(2), 270–278. https://doi.org/10.4269/ajtmh.2010.09-0220

Purnama, S. G., & Susanna, D. (2020). Hygiene and Sanitation Challenge for COVID-19 Prevention in Indonesia. Kesmas: National Public Health Journal, 15(2), 6–13. https://doi.org/10.21109/kesmas.v15i2.3932

Raintung, A. (2020). Modul Pelatihan: Pelaksanaan STBM yang Sensitif Nutrisi, Berkesetaraan Gender dan Inklusif (N. Noerdiyanti, S. Landa, & H. Ferdian, Eds.). Yayasan Plan Internasional Indonesia.

Seimetz, E., Slekiene, J., Friedrich, M. N. D., & Mosler, H. J. (2017). Identifying behavioural determinants for interventions to increase handwashing practices among primary school children in rural Burundi and urban Zimbabwe. BMC Research Notes, 10(1), 1–9. https://doi.org/10.1186/s13104-017-2599-4

UNICEF. (2013). A Guide to CLTS Triggering Tools that Result in Hand Washing Practice How to Trigger for Hand Washing with Soap. https://www.communityledtotalsanitation.org/sites/communityledtotalsanitation.org/files/How_to_TriggerHWWS_Oct2013version.pdf

WHO. (2022). COVID-19 Weekly Epidemiological Update. https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---1-february-2022

World Health Organization (WHO). (2022). Recent Global Data for Indonesia on Covid. WHO. https://covid19.who.int/region/searo/country/id

Yusuf, E., Dirgantara, E., Irfan, M., Friedrich, M., Harter, M., & Palacios, S. (2021). Behaviour change interventions for strengthening handwashing with soap in Indonesia. https://www.unicef.org/indonesia/reports/behaviour-change-interventions-strengthening-handwashing-soap-indonesia

Published

2022-06-30

How to Cite

Helmi, A., & Agestika, L. . (2022). Mengubah Kebiasaan Cuci Tangan Pakai Sabun pada Masa Pandemi di Pedesaan Manggarai dan Sumbawa : Behaviour Change on Handwashing with Soap during Pandemic in Rural Manggarai and Sumbawa. Poltekita: Jurnal Pengabdian Masyarakat, 3(2), 342–354. https://doi.org/10.33860/pjpm.v3i2.990

Issue

Section

Articles

Similar Articles

You may also start an advanced similarity search for this article.