STUDY OF KNOWLEDGE, ATTITUDE AND STUDY OF KNOWLEDGE, ATTITUDE AND PRACTICE (KAP) ON HYGIENE, PRACTICE (KAP) ON HYGIENE,

SANITATION AND WATER USE IN SANITATION AND WATER USE IN SUKABUMI DISTRICTSUKABUMI DISTRICT

THE PURPOSES OF THE STUDYTHE PURPOSES OF THE STUDY

To find out the extent of the people’s To find out the extent of the people’s knowledge on hygiene, sanitation and knowledge on hygiene, sanitation and water usewater use

To find out the attitude of the people on To find out the attitude of the people on hygiene, sanitation and water usehygiene, sanitation and water use

To find out the practice of the people on To find out the practice of the people on hygiene, sanitation and water usehygiene, sanitation and water use

THE SIGNIFICANCES OF THE THE SIGNIFICANCES OF THE STUDYSTUDY

To develop an effective campaign model in To develop an effective campaign model in promoting people’s knowledge and awareness promoting people’s knowledge and awareness on healthy lifeon healthy life

To develop intervension program in overcoming To develop intervension program in overcoming the problem of sanitation facilities especially the problem of sanitation facilities especially water and latrine water and latrine

To enhance the people’s participation in health To enhance the people’s participation in health programprogram

To enhance health service quality for the To enhance health service quality for the communitycommunity

To promote health extent in Sukabumi DistrictTo promote health extent in Sukabumi District

RESEARCH RESEARCH METHODOLOGYMETHODOLOGY

The research conducted used FGD The research conducted used FGD (Focused Group Discussion) (Focused Group Discussion) method, a focus discussion on the method, a focus discussion on the aspects studied to the group aspects studied to the group consisted of ten people maximum.consisted of ten people maximum.

THE ASPECTS OF THE STUDYTHE ASPECTS OF THE STUDY

HygieneHygiene- Hands washing with soap- Hands washing with soap- Toothbrushing- Toothbrushing- Bathing- Bathing- Shampooing- Shampooing- Nail Cutting- Nail Cutting

SanitationSanitation- Defecation- Defecation- Latrine (latrine cleanliness & septic tank)- Latrine (latrine cleanliness & septic tank)

Water UseWater Use

- Water Sources- Water Sources

- Water Collecting- Water Collecting

- Water Management- Water Management

Environment SanitationEnvironment Sanitation

- Solid Waste- Solid Waste

- Liquid Waste- Liquid Waste

- Animal Stable- Animal Stable

Communication ChannelsCommunication Channels- Information Sources- Information Sources- Effective Media- Effective Media- Effective messages- Effective messages

Other Influencing FactorsOther Influencing Factors- Government Program- Government Program- Non Government Program- Non Government Program- Community Participation- Community Participation- Community Priority- Community Priority

HygieneHygiene Hands washing with soapHands washing with soap

“…“…..smelt..if the hands produce unpleasant smell I wash smelt..if the hands produce unpleasant smell I wash my hands if not I won’t...my hands if not I won’t...…..”…..”

It shows thatIt shows that- Hands washing with soap is not commonly practicedHands washing with soap is not commonly practiced- Washing hands if the hands produce unpleasant smellWashing hands if the hands produce unpleasant smell

The The AlternativeAlternative ways to eliminate unpleasant smell ways to eliminate unpleasant smell- With leavesWith leaves- mudmud

THE RESULT OF THE RESULT OF THE STUDYTHE STUDY

Bathing and toothbrushingBathing and toothbrushing The habit of taking a bath relates to the children’s The habit of taking a bath relates to the children’s

activitiesactivities

ShampooingShampooing In certain condition the children wash their hair with In certain condition the children wash their hair with

water onlywater only

• Nail cuttingNail cutting The habit of nail cutting relates to the school The habit of nail cutting relates to the school

punishmentpunishment

DefecationDefecationThe use of latrine and its cleanlinessThe use of latrine and its cleanliness

“…“…..It is not comfortable to defecate in the It is not comfortable to defecate in the latrine...I prefer to do it in the river more latrine...I prefer to do it in the river more comfortablecomfortable…”…”

It ShowsIt Shows Latrine is not commonly used to defecateLatrine is not commonly used to defecate Private latrine is usually cleaned three times a Private latrine is usually cleaned three times a

week while for public latrine no one is in chargeweek while for public latrine no one is in charge

The use of septic tankThe use of septic tank

“…“…..The feces is disposed to the pond, and let the The feces is disposed to the pond, and let the fish eat it then the fish is eaten by usfish eat it then the fish is eaten by us….”….”

It showsIt shows The use of septic tank is still lowThe use of septic tank is still low Most of the people who have septic tank are not Most of the people who have septic tank are not

based on their knowldge of the important of it but based on their knowldge of the important of it but their houses are far from the rivertheir houses are far from the river

Other factorsOther factors

in the coast line area some people have a in the coast line area some people have a problem in building septic tank as the water has problem in building septic tank as the water has come up in two metres depthcome up in two metres depth

Water Use Water Use water sources for drinkingwater sources for drinking

- well- well- spring water- spring water- PDAM- PDAM- AMDK (processed water)- AMDK (processed water)

In a certain condition and areas :In a certain condition and areas :- river- river- pond- pond“…“…..for bathing and washing we usually collect water from ci for bathing and washing we usually collect water from ci maja river, we see that the water is clear and it means the maja river, we see that the water is clear and it means the water is clean...water is clean...””“…“…We let the water boiling for a moment, if not it can cause We let the water boiling for a moment, if not it can cause diseases diseases (jeungjeuriheun)…”(jeungjeuriheun)…”

It showsIt shows The accessibility to get water for drinking is difficultThe accessibility to get water for drinking is difficult The understanding on how to consume water for drinking is relativley The understanding on how to consume water for drinking is relativley

goodgood

Tha causes of the accessibility problemTha causes of the accessibility problem:: The distance of the water sources The distance of the water sources The distance among one house to anotherThe distance among one house to another Water Fe contamination in water from some wells (in Water Fe contamination in water from some wells (in

Pelabuhan Ratu)Pelabuhan Ratu) The exploitation of natural resources by the The exploitation of natural resources by the

companies such ascompanies such as : : plantationplantation,,miningmining, , water for water for drinking companies)drinking companies)

Water QualityWater Quality

The knowledge of people of safe water is The knowledge of people of safe water is only judged from its appearance, no color, only judged from its appearance, no color, no odor and no taste. If the water is clear, no odor and no taste. If the water is clear, they think it safe.they think it safe.

Environment SanitationEnvironment Sanitation Soild WasteSoild Waste

“…“…..the garbage is disposed to the the garbage is disposed to the backyard...then burn it....but there are many backyard...then burn it....but there are many people who dispose it to the river people who dispose it to the river ….”….”

It shows that:It shows that: The awareness of disposing garbage to its proper The awareness of disposing garbage to its proper

place is still lowplace is still low The understanding of waste management is still lowThe understanding of waste management is still low

Liquid WasteLiquid WasteThe liquid waste from the household is usually The liquid waste from the household is usually disposed or connected to the ditch, river and yarddisposed or connected to the ditch, river and yard

Animal StableAnimal Stable“…“…..I have stable near to my house for then years and I have stable near to my house for then years and so far i haven’t got any problemso far i haven’t got any problem….”….”

It indicates: It indicates: The understanding of safe distance between The understanding of safe distance between

house and stable is still lowhouse and stable is still low People tend to keep their bad habits and will People tend to keep their bad habits and will

change until something bad happens to themchange until something bad happens to them

Communication ChannelsCommunication ChannelsInformation MediaInformation Media

- Television- Television- Radio- Radio

Some People in the field study get information from:Some People in the field study get information from:- Newspaper- Newspaper- Magazine- Magazine“…“…well from the radio we only listen to the music, well from the radio we only listen to the music, and from tv sinetron and from tv sinetron ….”….”“…“…....in the community the messages (health in the community the messages (health messages) are not more than slogansmessages) are not more than slogans….”….”

It indicates:It indicates: People’s anthusiasm on health information is still lowPeople’s anthusiasm on health information is still low There is only small portion for health information in the There is only small portion for health information in the

information mediainformation media People tend to be apatic to the health informationPeople tend to be apatic to the health information

Effective MediaEffective Media

Base on the result of the study, the Base on the result of the study, the effective media is direct information from effective media is direct information from health office officershealth office officers

Hindrance factors:Hindrance factors: Key people have not given significant Key people have not given significant

contribution to convey health messagescontribution to convey health messages The amount of health office officers is not The amount of health office officers is not

equal to the amount of the people and the equal to the amount of the people and the areaarea

Effective MessagesEffective Messages

There is no effective message in the communityThere is no effective message in the community

“…“…....in the community the messages (health in the community the messages (health messages) are not more than slogansmessages) are not more than slogans….”….”

It shows:MenunjukanIt shows:Menunjukan

People tendd to be apatic to the health People tendd to be apatic to the health messagesmessages

The example of health meassages in the The example of health meassages in the communitycommunity

““....Leuweung weuteuh, taneuh maneh, cai moal ....Leuweung weuteuh, taneuh maneh, cai moal euweuh.....”euweuh.....”

““...Al-aqli salim fii nafsi saliim....”...Al-aqli salim fii nafsi saliim....”

Other infleuncing factors:Other infleuncing factors:“…“…..Economic first...then healthEconomic first...then health….”….”

“…“…..It is difficult to ask people to clean the surrounding It is difficult to ask people to clean the surrounding environment....they says ‘let them who get BLT do it’....environment....they says ‘let them who get BLT do it’....””

It shows:It shows: Health has not become their priorityHealth has not become their priority The decrease of social capital ‘communal work’The decrease of social capital ‘communal work’ IndividualisticIndividualistic

Other faactors:Other faactors: The government programs seem to overlap to one The government programs seem to overlap to one

another and no continuous evalution and supervisionanother and no continuous evalution and supervision Less coordination between government and non Less coordination between government and non

government organizationgovernment organization The companies around the filed study have not given real The companies around the filed study have not given real

contribution to promote people’s health conditioncontribution to promote people’s health condition