The Analysis of the Health Workers Roles in the Implementation of STBM Pillar I in the Work Area of the Sentosa Baru Public Health Center, Medan Perjuangan District, Medan City

Abstract

The 2020 Indonesian Health Survey found a fact that 74.4% of households in Indonesia had drinking water contaminated by E. coli bacteria. To address this issue, the Indonesian government developed the Community-Based Total Sanitation (STBM) program. The purpose of this study was to gain a deeper understanding of the role of health workers in the implementation of STBM Pillar I in the Sentosa Baru Community Health Center (UPT) work area. This qualitative study was conducted in Tegal Rejo Village, due to its high open defecation (OD) rate. Informants consisted of sanitarian officers, village heads, health center heads, STBM cadres, and one community representative. Primary data were obtained through in-depth interviews using interview guidelines and voice recorders, while secondary data were obtained from relevant agencies. Data analysis was the data reduction, and the presentation in images and narrative descriptions. The results showed that advocacy for the implementation of STBM Pillar I generated support from the village. Supporting factors were obtained from the shared goals between agencies in the implementation of STBM, while inhibiting factors were community characteristics that had unsupportive behavior or were ignorant. The triggering process began with fostering a positive atmosphere within the community through games, followed by agreeing on terms through discussions with the community, and culminating in a joint commitment. Recording and reporting were done manually by filling out the provided form. Health workers were expected to routinely report progress toward stopping open defecation in each Sentosa Baru Community Health Center work area on the provided website and to continuously maintain and enhance their role as triggers in strengthening changes in good and correct defecation behavior.