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Nov 23, 2025
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Dec 18, 2025
Published
Dec 28, 2025
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Abstract

Diarrhea remains a public health problem in the Kaledupa Community Health Center working area, affecting 35.7% of the population. There have been fluctuations in the incidence of diarrhea from year to year. In 2021, there were 2,774 cases of diarrhea in Wakatobi District. One of the factors contributing to the high incidence of diarrhea is poor hand washing with soap (HWS/CTPS). This study aims to analyze the relationship between HWS practices and the incidence of diarrhea before and after health education interventions. This is a quantitative study with a cross-sectional design. The population consists of the entire community in the Kaledupa Community Health Center working area, totaling 5,865 people, with a sample of 99 respondents determined using the Slovin formula and proportional random sampling technique. Data were collected through a structured questionnaire. The post-test also found a significant relationship. Respondents with good HWS practices experienced diarrhea less frequently than respondents with poor HWS practices. It was concluded that health education interventions using pamphlets were effective in increasing community knowledge about HWS practices and as an effort to reduce the incidence of diarrhea. It is recommended that the Kaledupa Community Health Center continue to strengthen health promotion programs such as counseling and demonstrations related to CTPS, provide CTPS facilities and infrastructure, and involve families and the community in daily CTPS practices.

Keywords

Diarrhea CTPS health counseling kaledupa community health center

Article Details

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How to Cite
Syaputri, F., Solihin, S. and Serli, S. (2025) “CTPS Intervention as an Effort to Prevent Diarrhea in the Kaledupa Community Health Center Work Area, Wakatobi”, Miracle Journal of Public Health , 8(2), pp. 241-248. doi: 10.36566/mjph.v8i2.492.

References

  1. 1. Ainun N, Rahmawati I, Nurhayati S. Perilaku cuci tangan pakai sabun dalam pencegahan penyakit berbasis lingkungan. J Kesehat Masy Indones. 2023;15(2):101–110.
  2. 2. Kementerian Kesehatan Republik Indonesia. Pedoman perilaku hidup bersih dan sehat (PHBS). Jakarta: Kemenkes RI; 2023.
  3. 3. Suhendar, W R. Edukasi perilaku cuci tangan pakai sabun dalam pencegahan diare pada anak usia sekolah. J Promosi Kesehat. 2019;7(1):45–53.
  4. 4. Helmi A, Agestika L. Mengubah kebiasaan cuci tangan pakai sabun pada masa pandemi di pedesaan Manggarai dan Sumbawa. Poltekita J Pengabdi Masy. 2022;3(2):342–354.
  5. Available from: https://doi.org/10.33860/pjpm.v3i2.990
  6. 5. World Health Organization. Diarrhoeal disease. Geneva: WHO; 2017.
  7. 6. Rora E, Wisudawati S, Romadhon M. Hubungan pengetahuan dan sikap terhadap tindakan cuci tangan pakai sabun (CTPS). Kesehat dan Pembang. 2017;11(21):28–34.
  8. 7. Badan Pusat Statistik Kabupaten Wakatobi. Kabupaten Wakatobi dalam angka 2021. Wakatobi: BPS Kabupaten Wakatobi; 2021.
  9. 8. Puskesmas Ambeua. Laporan tahunan Puskesmas Ambeua tahun 2025. Wakatobi: Dinas Kesehatan Kabupaten Wakatobi; 2025.
  10. 9. Rooroh B, N D, Malau NA, S F, Aergiyansyah A, Lapu J. Jurnal komputasi terdistribusi. J Komputasi Terdistribusi. 2023;6(4):82–93.
  11. 10. Badan Pusat Statistik. Sulawesi Tenggara dalam angka 2024. Jakarta: BPS; 2024.
  12. 11. World Health Organization. Guidelines on hand hygiene in health care. Geneva: WHO; 2020.
  13. 12. Cairncross S, Valdmanis V. Water supply, sanitation, and hygiene promotion. In: Jamison DT, Breman JG, Measham AR, editors. Disease control priorities in developing countries. Washington DC: World Bank; 2006. p. 771–792.
  14. 13. Curtis V, Cairncross S. Effect of washing hands with soap on diarrhoea risk in the community: a systematic review. Lancet Infect Dis. 2003;3(5):275–281.
  15. 14. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15(3):259–267.
  16. 15. Pengpid S, Peltzer K. Hygiene behaviour and health attitudes in African countries. Curr Opin Psychiatry. 2012;25:149–154.
  17. 16. Ejemot-Nwadiaro RI, Ehiri JE, Arikpo D, Meremikwu MM, Critchley JA. Hand washing promotion for preventing diarrhoea. Cochrane Database Syst Rev. 2015;9:CD004265.
  18. Available from: https://doi.org/10.1002/14651858.CD004265.pub3
  19. 17. Koulouvari AD, Margariti A, Sakellari E, Barbouni A, Lagiou A. Applications of behavioral change theories and models in health promotion interventions: a rapid review. Behav Sci. 2025;15(5):580.
  20. Available from: https://doi.org/10.3390/bs15050580
  21. 18. Nasution NH, Harahap D, Hyaturramadhan H, Widya, Angraini T, Devita SE. Peningkatan kesadaran dan kemampuan anak dalam cuci tangan pakai sabun (CTPS) 20 detik pada masa libur sekolah di masa pandemi COVID-19. J Pengabdi Masy Aufa. 2021;3(3):42–47.
  22. 19. Safaryna AM, Putri LN, Isfandiari MA. Hygiene as risk factors for diarrhea among toddlers in Mulyorejo Primary Health Center, Surabaya. J Berkala Epidemiol. 2024;12(3):290–297.
  23. Available from: https://doi.org/10.20473/jbe.v12i32024.290-297
  24. 20. Yunitawati D, Khairunnisa M, Latifah L. Risk factors of diarrhea in children under five in rural–urban areas of Indonesia. 26911.