THE RELATIONSHIP BETWEEN THE ROLE OF: HEALTH WORKERS, COMMUNITY FIGURES, FACILITATORS OF PAMSIMAS AND UTILIZATION OF HEALTHY LATRINES IN PAMSIMAS AREAS IN MENTAWAI ISLANDS DISTRICT IN 2019
Authors: RAHAYU PUJI 
Published: February 2023

<p><strong><span>Background</span></strong><span>: </span><span lang="IN">The PAMSIMAS program is one of the government main program in the provision of clean water and sanitation for rural communities through a community-based approach</span><span>. </span><span lang="IN">The problem of sanitation development in Indonesia is a socio-cultural challenge, one of the biggest problem is the behaviour of people who are accostumed to defecating in the open. </span><strong><span>This study aims</span></strong><span>: </span><span lang="IN">to identify the relationship between the role of: health workers, community figures, facilitators of PAMSIMAS and the utilization</span><span> of healthy </span><span lang="IN">latrines in PAMSIMAS locations in Mentawai Islands District in 2019</span><span>. <strong>Research method</strong>: </span><span>quantitative research with a case control design with purposive sampling technique carried out </span><span lang="IN">on Januari</span><span> 20</span><span lang="IN">20</span><span>. The study population was </span><span lang="IN">90 </span><span>sample </span><span lang="IN">consist of head of family</span><span lang="IN">who had accessed to healthy latrines in PAMSIMAS location </span><span>in Mentawai </span><span lang="IN">I</span><span>sland</span><span lang="IN">s</span><span lang="IN">D</span><span>istrict. </span><span lang="IN">This researched used </span><span>univariate analysis and bivariate analysis</span><span lang="IN"> (p=0,05)</span><span lang="IN">. </span><strong><span lang="IN">Result</span></strong><span>:</span><span lang="IN"> by using chi-square statistic, it was identified that the influential factors of the utilization of healthy latrines were health workers (p value = 0,841), the role </span><span>of community figures (p value = </span><span lang="IN">0,018</span><span>) and the role of </span><span lang="IN">facilitators of Pamsimas </span><span>(p value = </span><span lang="IN">0,010</span><span>)</span><span lang="IN">. </span><strong><span>Conclusion</span></strong><span>: there </span><span lang="IN">was</span><span> a </span><span lang="IN">significant </span><span>relationship between</span><span lang="IN"> the independent variables (</span><span>the role of </span><span lang="IN">community figures and the role of facilitators of Pamsimas) and the dependent variable (</span><span>the </span><span lang="IN">utilization</span><span> of healthy </span><span lang="IN">latrines); </span><span>there </span><span lang="IN">was</span><span> no </span><span lang="IN">significant </span><span>relationship between </span><span lang="IN">independent variables (the health workers) and the utilization of healthy latrines</span><span>.</span><span lang="IN"> The most influencing factor to the utilization of healthy latrine is the role of Pamsimas facilitators. <strong>Recommendation</strong></span><span>: </span><span lang="IN">community figures and facilitators of PAMSIMAS have </span><span>to provide information about proper sanitation</span><span lang="IN"> (</span><span>healthy latrines</span><span lang="IN">)</span><span> and their benefits </span><span lang="IN">to the community. It is strongly recommended to the local government to provide environmental health workers in the remote areas in Mentawai Islands Distric.</span></p>