ENVIRONMENTAL PHYSICAL CONDITIONS OF ISLAMIC BOARDING SCHOOL DORMITORIES AND THEIR ASSOCIATION WITH TUBERCULOSIS RISK IN BANYUMAS REGENCYPlease Just Try to Submit This Sample Abstract Dwi Sarwani Sri Rejeki a,b, Siwi Pramatama Mars Wijayanti a,b, Rafi Ashza Sejati a
(a) Department of Public Health, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, 53122, Central Java, Indonesia
(b) Research Centre of Rural Health, Institute for Research and Community Service, Universitas Jenderal Soedirman, Purwokerto, 53122, Central Java, Indonesia
Abstract
Background: Tuberculosis (TB) remains a major public health burden in Indonesia, contributing significantly to morbidity and mortality rates. Beyond biological factors, the spread of TB is strongly influenced by environmental and social determinants. Populations living in marginal communities, such as traditional Islamic boarding schools (pondok pesantren), face heightened risks due to overcrowded dormitories, poor ventilation, limited sanitation, and shared sleeping arrangements.
Methods: Use a cross-sectional observational descriptive study using environmental checklist instruments. The data included room size, number of occupants, ventilation, lighting, sanitation, waste management, and the availability of isolation facilities. Ventilation-to-floor ratios and occupancy density were calculated and compared against national healthy housing standards.
Results: Room size ranged between 6.84-63.95 m^2 with 3-20 occupants (mean 7). The average occupancy density was 2.32 m^2 per person, which is below the minimum of 4.5 m^2 per person. Ventilation ranged from 0.23 to 6.36 m^2, but only twenty percent of rooms met the >= ten percent ventilation-to-floor area ratio. The lighting was uneven, with some rooms lacking sufficient natural light. Sanitation problems included waste accumulation, the absence of handwashing facilities with soap, and inadequate sputum disposal management. No isolation room was available for prolonged cough cases, and several students were unable to access health services during their illness.
Conclusion: These findings indicate most dormitory a high risk of TB transmission, underscoring the need for environmental improvements and preventive health education in boarding schools.
