Analisis Determinan Sanitasi Lingkungan terhadap Kejadian ISPA Pascabencana Banjir di Wilayah Kerja UPTD Puskesmas Tanah Jambo Aye
DOI:
https://doi.org/10.57214/jasira.v4i4.445Keywords:
Acute Respiratory Infections (ARI), Drainage Conditions, Environmental Sanitation, Flood Disaster, Wastewater and Solid Waste ManagementAbstract
Floods can damage environmental sanitation facilities and increase the risk of diseases, including Acute Respiratory Infections (ARI). Disrupted sanitation conditions following a disaster may create an unhealthy environment and increase the risk of health problems among affected communities. This study aims to analyze environmental sanitation determinants associated with ARI following the flood in Tanah Jambo Aye Public Health Center. This quantitative study employed an analytical observasional design with a cross-sectional approach. The sample included 83 households from Matang Arongan, Cot Biek, and Biara Timur villages, selected through accidental sampling. The independent variables included clean water availability, latrine conditions, wastewater and solid waste management, drainage conditions, and Clean and Healthy Living Behaviors (PHBS), while the dependent variable was ARI occurrence. The data were analyzed using univariate analysis, bivariate analysis with the Chi-Square test, and multivariate analysis using multiple logistic regression. The results showed that 52 respondents (62.7%) experienced ARI. Bivariate analysis demonstrated significant associations between wastewater and solid waste management (ρ < 0.001; OR=0.117), drainage conditions (ρ < 0.001; OR=0.060), and ARI occurrence. Multivariate analysis showed that wastewater and solid waste management (ρ < 0.001; Exp(B)=14.884) and drainage conditions (ρ < 0.001; Exp(B)=22.179) remained significantly assiciated with ARI. These findings indicate that wastewater and solid waste management and drainage conditions are the three environmental sanitation factors most associated with ARI following the flood disaster. Therefore, improving wastewater and solid waste management and restoring drainage functions are important measures for reducing the risk of ARI following flood disaster.
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