Dampak Intervensi Sanitasi dan Higiene terhadap Penurunan Kejadian Diare di Daerah Berisiko Tinggi: Literature Review
DOI:
https://doi.org/10.59024/jikas.v4i3.2132Keywords:
Diarrhea, High-Risk Areas, Hygiene, Sanitation, WASHAbstract
Diarrhea remains a major public health problem in low- and middle-income countries, particularly in settings with limited access to safe water, inadequate sanitation, and poor hygiene practices. This review aimed to identify, map, and analyze evidence on the effects of Water, Sanitation, and Hygiene (WASH) interventions on diarrhea in high-risk areas. A literature review was conducted following the PRISMA-ScR framework. Articles were searched in PubMed, Scopus, Web of Science, ScienceDirect, Google Scholar, and national journal portals. Eligible studies were observational, experimental, or quasi-experimental, published within the last five years, available in full text, and reporting diarrhea-related outcomes. Data were extracted using the Population, Concept, and Context framework and synthesized descriptively and thematically. Of 27 records identified, 10 studies met the inclusion criteria. The findings indicate that WASH interventions generally support diarrhea reduction, especially when safe water, adequate sanitation, handwashing with soap, household water treatment, and hygiene education are implemented in an integrated manner. Handwashing practices, improved latrine ownership and use, drinking-water quality, contextual vulnerability, and sustained community participation were the most frequently reported determinants. Integrated, context-sensitive, and community-based WASH programs should be prioritized in high-risk areas.
References
Ainun, N. R., Mannyullei, S., & Amqam, H. (2021). Hasanuddin Journal of Public Health, 3(1), 99–114. https://doi.org/10.30597/hjph.v3i1.21084
Ante-Testard, P. A., Rerolle, F., Nguyen, A. T., Ashraf, S., Parvez, S. M., Naser, A. M., Benmarhnia, T., Rahman, M., Luby, S. P., Benjamin-Chung, J., & Arnold, B. F. (2024). WASH interventions and child diarrhea at the interface of climate and socioeconomic position in Bangladesh. Nature Communications, 15(1). https://doi.org/10.1038/s41467-024-45624-1
Auma, B., Musinguzi, M., Ojuka, E., Kigongo, E., Tumwesigye, R., Acup, W., Kabunga, A., & Opio, B. (2024). Prevalence of diarrhea and water, sanitation, and hygiene (WASH)-associated factors among children under five years in Lira City, Northern Uganda: A community-based study. PLoS ONE, 19(6), 1–14. https://doi.org/10.1371/journal.pone.0305054
Bauza, V., Ye, W., Liao, J., Majorin, F., & Clasen, T. (2023). Interventions to improve sanitation for preventing diarrhoea. Cochrane Database of Systematic Reviews, 2023(1). https://doi.org/10.1002/14651858.CD013328.pub2
Bushen, G., Merga, H., & Tessema, F. (2022). Effects of community-led total sanitation and hygiene implementation on diarrheal disease prevention in children less than five years of age in southwestern Ethiopia: A quasi-experimental study. PLoS ONE, 17(4), 1–16. https://doi.org/10.1371/journal.pone.0265804
Cha, S., Jung, S., Bizuneh, D. B., Abera, T., Doh, Y.-A., Seong, J., & Schmidt, W.-P. (2021). Effect of a community-led total sanitation intervention on the incidence and prevalence of diarrhea in children in rural Ethiopia: A cluster-randomized controlled trial. The American Journal of Tropical Medicine and Hygiene, 105(2), 532–543. https://doi.org/10.4269/ajtmh.20-0014
Farkhati, D. U. (2021). Gambaran kondisi sanitasi lingkungan rumah dengan kejadian diare pada balita. Muhammadiyah Public Health Journal, 1(2), 115–128. https://doi.org/10.24853/mphj.v1i2.8443
Fatmawati, D. A., Sumardiyono, & Murti, B. (2024). Meta-analysis of the effects of handwashing behavior using soap and latrine availability on diarrhea incidence in children under five. Journal of Health Promotion and Behavior, 9(2), 119–131. https://doi.org/10.26911/thejhpb.2024.09.02.03
George, C. M., Monira, S., Zohura, F., Thomas, E. D., Hasan, M. T., Parvin, T., Hasan, K., Rashid, M. U., Papri, N., Islam, A., Rahman, Z., Rafique, R., Islam Bhuyian, M. S., Saxton, R., Labrique, A., Alland, K., Barman, I., Jubyda, F. T., Afroze, F., … Alam, M. (2021). Effects of a water, sanitation, and hygiene mobile health program on diarrhea and child growth in Bangladesh: A cluster-randomized controlled trial of the Cholera Hospital-Based Intervention for 7 Days (CHoBI7) mobile health program. Clinical Infectious Diseases, 73(9), E2560–E2568. https://doi.org/10.1093/cid/ciaa754
Indah, F. P. S., Ismaya, N. A., Puji, L. K. R., Hasanah, N., & Jaya, F. P. (2021). Penerapan program Sanitasi Total Berbasis Masyarakat (STBM) dengan kejadian diare pada balita. Jurnal Ilmiah Kesehatan, 20(1), 10–15. https://doi.org/10.33221/jikes.v20i1.596
Komala, S., & Pangestika, R. (2024). Hubungan higiene perorangan dan sanitasi lingkungan dengan kejadian diare pada balita di Kelurahan Mekarjaya, Kota Depok. Ruwa Jurai: Jurnal Kesehatan Lingkungan, 18(1), 26–32. https://doi.org/10.26630/rj.v18i1.4461
Muhtarom, M. J., & Yudhastuti, R. (2025). Hubungan sanitasi lingkungan dan perilaku kesehatan dengan kejadian diare pada balita di daerah slum area Surabaya (Studi kasus di Puskesmas Simolawang). Jurnal Kesehatan Tambusai, 6(2), 4409–4416. https://doi.org/10.31004/jkt.v6i2.44873
Quattrochi, J. P., Croke, K., Dohou, C., Ghib, L. S., Lokaya, Y., Coville, A., & Mvukiyehe, E. (2025). Effects of a community-driven water, sanitation, and hygiene intervention on diarrhea, child growth, and local institutions: A cluster-randomized controlled trial in rural Democratic Republic of Congo. PLoS Medicine, 22(3). https://doi.org/10.1371/journal.pmed.1004524
Sari, D. P., Yusuf, S., Andid, R., Darussalam, D., & Amna, E. Y. (2024). Water, sanitation, and hygiene (WASH) factors associated with stunting among under-fives: A hospital-based cross-sectional study in Banda Aceh, Indonesia. AcTion: Aceh Nutrition Journal, 9(3), 614–622. https://doi.org/10.30867/action.v9i3.2022
Solomon, E. T., Gari, S. R., Kloos, H., & Alemu, B. M. (2021). Comparing the effect of independent and combined interventions of household chlorination and handwashing on diarrhea among under-five children in rural Dire Dawa, eastern Ethiopia: A cluster-randomized controlled trial. Pan African Medical Journal, 40, 1–13. https://doi.org/10.11604/pamj.2021.40.239.29785
Syahrizal. (2023). Pengaruh penerapan program Sanitasi Total Berbasis Masyarakat (STBM) dengan kejadian diare di wilayah kerja Puskesmas Darul Imarah. Jurnal SAGO Gizi dan Kesehatan, 4(2). https://doi.org/10.30867/gikes.v4i2.1261
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Trisiyani, G., Syukri, M., Halim, R., & Islam, F. (2021). Faktor risiko kejadian diare pada anak usia 6–24 bulan di Kota Jambi. Jurnal Sehat Mandiri, 16(2), 158–169. https://doi.org/10.33761/jsm.v16i2.424
Wolf, J., Hubbard, S., Brauer, M., Ambelu, A., Arnold, B. F., Bain, R., Bauza, V., Brown, J., Caruso, B. A., Clasen, T., Colford, J. M., Freeman, M. C., Gordon, B., Johnston, R. B., Mertens, A., Prüss-Ustün, A., Ross, I., Stanaway, J., Zhao, J. T., … Boisson, S. (2022). Effectiveness of interventions to improve drinking water, sanitation, and handwashing with soap on the risk of diarrhoeal disease in children in low-income and middle-income settings: A systematic review and meta-analysis. The Lancet, 400(10345), 48–59. https://doi.org/10.1016/S0140-6736(22)00937-0
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