ASSOCIATION OF SANITARY LATRINE OWNERSHIP AND CLEAN WATER AVAILABILITY WITH OPEN DEFECATION PRACTICES IN 14 ULU VILLAGE, SEBERANG ULU II DISTRICT, PALEMBANG CITY Tega Indah Suryani (a), Yadi Oktariansyah (b)*, Dwi Septiawati (a), Laura Dwi Pratiwi (a), Yuanita Windusari (a)
(a) Department of Environmental Health, Faculty of Public Health, Sriwijaya University, Palembang-Prabumulih Highway km 32, Indralaya, Ogan Ilir, Indonesia
(b) Department of Biology, Faculty of Mathematics and Natural Sciences, Sriwijaya University, Palembang-Prabumulih Highway km 32, Indralaya, Ogan Ilir, Indonesia
Abstract
Open defecation (OD) remains a major sanitation challenge in Indonesia, including in 14 Ulu Village, Palembang City. This practice has negative impacts on public health and the environment, especially in areas lacking proper sanitation facilities and access to clean water. This study aimed to determine the association between ownership of sanitary latrines and the availability of clean water with open defecation practices. A quantitative study with a cross-sectional design was conducted involving 96 respondents selected through simple random sampling. Data were collected through interviews using structured questionnaires and direct observation of latrines. Data analysis was performed using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses. The Chi-square test showed significant associations between education (p = 0.006- PR = 2.548- CI: 1.31-4.95), ownership of sanitary latrines (p = 0.001- PR = 14.85- CI: 5.70-38.69), and availability of clean water (p = 0.001- PR = 4.41- CI: 2.11-9.23) with open defecation practices. In contrast, no significant associations were found between age (p = 0.235), occupation (p = 0.627), and the role of health workers (p = 0.972) with open defecation practices. Multivariate logistic regression analysis revealed that ownership of sanitary latrines was the most dominant factor influencing open defecation (p < 0.001- PR = 298.502- CI: 30.457-2925.533). In conclusion, the ownership of sanitary latrines was the most influential factor associated with open defecation in 14 Ulu Village. Strengthening community access to sanitary latrines and clean water facilities is strongly recommended to accelerate the achievement of Open Defecation Free (ODF) targets.
Keywords: Clean Water Availability, Open Defecation, Palembang City, Sanitary Latrine Ownership, Sanitation Practices
