The Implementation Analysis of Community-Based Total Sanitation Program as Strategy for Improving Clean and Healthy Living Behavior by Primary Health Care Center Workers in Grobogan Regency

In Grobogan district, the occurrence of diarrhea, morbilli, framboesia, and diphtheria was relativelyhigh. The presence of these diseases was an indicator of hygienic and healthy live behavior (PHBS)of a community. Objective of community based total sanitation (STBM) was to reduce those diseases.However, the implementation of STBM program was still inadequate. Indicators of STBM programwere improper defecation, washing hand using soap, clean water management, waste management, and liquid waste management. Objective of this study was to describe the implementation of STBMprogram in Grobogan district.This was a qualitative study with phenomenon approach. Data collection was done by conductingin-depth interview to 8 main informants: health promotion and environmental health workers.Focus group discussion was conducted to triangulation informants; triangulation informantsconsisted of cadres, local religious leaders, local community leaders, and local people. Data wereanalyzed using content analysis method.Results of the study showed that the majority of workers implemented STBM program well. A thingthat was still insufficient or inadequate was monitoring. The majority of worker's knowledgeregarding the implementation of STBM program was sufficient. Not all workers had good attitudein the implementation of STBM program. The majority of workers did not know regulations inimplementing STBM program; however, cadres knew the regulation. All workers had received STBMprogram training. All heads of primary healthcare centers (puskesmas) had conducted routinesupervision. Facilities were in the form of water closet maker instruments, hand washing facility,waste management instruments, and flip charts.Suggestions for District Health Office were to improve cross program and sector collaborations inthe implementation of STBM program, to increase the role of cadres in the implementation ofSTBM program