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The waste problem in Indonesia has now reached a critical stage and has become an increasingly serious environmental issue. The ever-increasing volume of waste is not being managed effectively, leading to various negative impacts, particularly environmental pollution. This study aims to examine the state of waste management in Indonesia and its impact on water pollution from the perspective of the Sustainable Development Goals (SDGs). The method used is descriptive qualitative research through a literature review utilizing various sources such as journals, official reports, and legislation. The results indicate that the majority of waste originates from household activities, while management practices remain rudimentary, such as the “collect-transport-dispose” method and open dumping. This situation leads to waste accumulation, which contributes to water pollution, deteriorating environmental quality, and increased health risks for the community. Furthermore, suboptimal waste management also poses a challenge in achieving sustainable development goals, particularly regarding responsible consumption and access to clean water and sanitation. Therefore, improved efforts are needed through the application of the reduce, reuse, recycle (3R) principles, increased public awareness, and the active role of the government and the private sector in providing a sustainable waste management system. With the right measures, it is hoped that the waste problem in Indonesia can be reduced and the environment preserved.

Diarrhea is a significant health issue that leads to a lot of illness and death, ranking third in Indonesia. The causes of diarrhea include inadequate environmental cleanliness, contaminated water sources, and insufficient knowledge in the community. When the community lacks knowledge, it can result in unsuccessful treatment outcomes. This ponder pointed to analyze how mother strengthening and family prosperity information influence loose bowels treatment in Karanganyar Kubu Karangasem Town, Bali. This think about executed a Pre Exploratory Plan, especially utilizing a one gather pre-post test arrange. The subjects of this ponder were moms chosen based on foreordained consideration and avoidance rules, centering on strengthening and family wellbeing. Data to assess the advancement of knowledge was gathered using questionnaires during the pretest, posttest I, and posttest II phases. Members included moms who were portion of family welfare activities in Karanganyar Kubu Karangasem town in Bali. Speculation testing was carried out to compare the comes about from the pretest to posttest I p <0.001, pretest to posttest II p <0.001, and posttest I to posttest II p <0.001, illustrating a noteworthy improvement in information after experiencing instruction through the CBIA strategy.

Diarrhea is a significant health issue that leads to a lot of illness and death, ranking third in Indonesia. The causes of diarrhea include inadequate environmental cleanliness, contaminated water sources, and insufficient knowledge in the community. When the community lacks knowledge, it can result in unsuccessful treatment outcomes. This ponder pointed to analyze how mother strengthening and family prosperity information influence loose bowels treatment in Karanganyar Kubu Karangasem Town, Bali. This think about executed a Pre Exploratory Plan, especially utilizing a one gather pre-post test arrange. The subjects of this ponder were moms chosen based on foreordained consideration and avoidance rules, centering on strengthening and family wellbeing. Data to assess the advancement of knowledge was gathered using questionnaires during the pretest, posttest I, and posttest II phases. Members included moms who were portion of family welfare activities in Karanganyar Kubu Karangasem town in Bali. Speculation testing was carried out to compare the comes about from the pretest to posttest I p <0.001, pretest to posttest II p <0.001, and posttest I to posttest II p <0.001, illustrating a noteworthy improvement in information after experiencing instruction through the CBIA strategy.

Atrophic rhinitis or ozena is a chronic infection of the nasal cavity characterized by progressive atrophy of the nasal mucosa and turbinate bones accompanied by the formation of foul-smelling nasal crusts. This condition is more commonly found in females, particularly during puberty, and is frequently associated with populations of low socioeconomic status and poor environmental sanitation. The exact etiology of atrophic rhinitis remains unclear; however, several factors are believed to contribute, including chronic infection by *Klebsiella ozaenae*, vitamin A and iron deficiency, chronic sinusitis, hormonal imbalance, collagen diseases, trauma, and genetic predisposition. Common clinical manifestations include nasal obstruction, thick greenish nasal discharge, crust formation, epistaxis, anosmia, and *foetor ex nasi*, which is often more noticeable to people around the patient. Anterior rhinoscopy typically reveals widened nasal cavities, turbinate atrophy, thin and dry nasal mucosa, as well as purulent secretions and greenish crusts. Diagnosis is established through history taking, ENT physical examination, and supporting investigations such as microbiological culture, histopathological examination, radiological imaging, and paranasal sinus CT-scan. Management may be conservative with antibiotics, nasal irrigation, nasal drops, vitamin A supplementation, and iron preparations, or surgical in severe cases or those unresponsive to conservative therapy.

This study aims to analyze the influence of organizational culture on employee performance through job satisfaction at the Banda Aceh City Environmental, Sanitation, and Beautification Office. This study employs a quantitative approach using an associative method. The study population consisted of 44 civil servants, all of whom were included in the sample using a census method. Data collection was conducted via a questionnaire using a Likert scale, supplemented by observations and interviews. The data analysis techniques employed included path analysis, t-tests, the coefficient of determination (R²), and the Sobel test to examine the mediating role. The results of the study indicate that organizational culture has a positive and significant effect on employee performance, with a significance value of 0.004 and a calculated t-value of 3.014. Organizational culture also has a positive and significant effect on job satisfaction, with a p-value of 0.003 and a t-statistic of 3.940. Furthermore, job satisfaction has a positive and significant effect on employee performance with a significance value of 0.000 and a t-value of 5.174. A mediation test using the Sobel test indicates that job satisfaction significantly mediates the effect of organizational culture on employee performance with a t-value of 3.818 (>1.96). The coefficient of determination of 0.832 indicates that 83.2% of the variation in employee performance can be explained by organizational culture, job satisfaction, and their interaction, while the remainder is influenced by other variables outside the scope of this study. Thus, it can be concluded that organizational culture has a strong influence on improving employee performance, both directly and through job satisfaction as a mediating variable.

Undernutrition among children under five remains a significant public health challenge in Indonesia, including in Ogan Ilir District. This condition can adversely affect growth, cognitive development, and immune function. This study aimed to determine the risk factors associated with undernutrition among children under five in the working area of Seri Tanjung Public Health Center, Ogan Ilir District, in 2025. This was an analytical study with a cross-sectional design. A total of 95 children under five were selected using cluster sampling. Data were collected through structured interviews using a questionnaire and anthropometric measurements of weight-for-age (W/A), then analyzed using the Chi-Square test with a significance level of 0.05. The results showed that economic status (p=0.012; OR=3.25; 95%CI=1.29–8.20), environmental sanitation (p=0.021; OR=2.98; 95%CI=1.18–7.53), infectious diseases (p=0.004; OR=3.85; 95%CI=1.55–9.58), and maternal health history (p=0.037; OR=2.67; 95%CI=1.06–6.74) were significantly associated with undernutrition. The strongest influencing factor was infectious diseases. This study recommends strengthening infection prevention efforts, improving environmental sanitation, providing nutrition education for families, and monitoring maternal health during pregnancy to reduce the prevalence of undernutrition among children under five.

The hospitality industry is a strategic sector within the global tourism system that heavily depends on service quality and food safety assurance. In hotel operations, the pastry division represents a high-risk unit due to the use of perishable ingredients and intensive manual handling processes. This study aims to analyze the implementation of hygiene and sanitation practices in the Pastry Division of Hotel Aruss Semarang in supporting food safety standards within the hospitality industry. This research employs a qualitative approach with a case study design. Data were collected through participatory observation, semi-structured interviews, and document analysis, including Standard Operating Procedures (SOPs), sanitation checklists, and temperature control records. Data validity was strengthened through triangulation and member checking, while thematic analysis was used to identify key implementation patterns. The findings indicate that the implementation of personal hygiene, environmental sanitation, and Good Manufacturing Practices (GMP) has generally complied with most of the requirements of Good Processed Food Manufacturing Practices (CPPOB). The availability of sanitation facilities, periodic medical check-ups, equipment maintenance, and FIFO-based storage systems demonstrate management commitment to preventive risk control. However, inconsistencies in handwashing practices and minor construction details that do not fully meet hygienic design standards indicate areas requiring improvement. Overall, hygiene and sanitation implementation in the Pastry Division has been effective in supporting food safety. Strengthening behavioral compliance, continuous training, and facility optimization are recommended to achieve a more sustainable and comprehensive food safety management system.

Entamoeba histolytica is an intestinal protozoan that can cause diarrhea through fecal–oral transmission due to the consumption of food or water contaminated with parasitic cysts. Based on data from the Badan Pusat Statistik in 2017–2019, Simpang Keramat District, particularly Paya Leupah Village, still had limited access to clean water and low ownership of permanent sanitary latrines, which may increase the risk of environmental contamination. This study aimed to analyze the characteristics of dug wells and the risk factors associated with Entamoeba histolytica contamination in community well water. An observational analytic study with a cross-sectional design was conducted on 50 dug wells selected using purposive sampling. Data were obtained through field observations and laboratory examinations of well water samples. The results showed that most wells had distances to septic tanks that did not meet health standards (58%) and inadequate well floor conditions (82%), while the majority of wells had depths that fulfilled the recommended standard (76%). All well water samples tested negative for Entamoeba histolytica cysts; therefore, the association between risk factors and contamination could not be determined.

This study aims to determine the effectiveness of supervision conducted by the Environmental and Sanitation Agency (DLHK) of Karawang Regency regarding the mining activities of PT Mas Putih Belitung based on Law Number 32 of 2009 concerning Environmental Protection and Management. The study also examines the obstacles faced in monitoring the impacts of mining activities on public health and the environment. The research used an empirical juridical method with legislative and empirical approaches. Data were collected through interviews, observations, and literature studies, then analyzed qualitatively using Soerjono Soekanto’s theory of legal effectiveness. The findings show that DLHK supervision has been implemented but has not yet operated effectively. Several factors contribute to this condition, including limited human resources, inadequate facilities and infrastructure, weak administrative law enforcement, low community participation, and insufficient compliance by the company in environmental management practices. Therefore, stronger supervision, improved law enforcement, and greater collaboration between government, companies, and communities are necessary to ensure environmental protection and public health sustainability.

Family health is a fundamental component of public health development, as the family represents the smallest social unit shaping individual health behaviors. This study aimed to analyze the family health conditions of the community in Pulau Jambu Village, Kampar District, based on demographic, behavioral, socioeconomic, and environmental factors. A descriptive quantitative approach was employed with a total sample of 153 respondents selected using random sampling, ensuring equal probability for each population member to be included.The results indicated that most respondents were in the productive age group of 19–60 years (68.8%), with farming as the dominant occupation (47.1%). The majority relied on borehole wells as their water source (61.4%); however, 47.1% had septic tank distances ≤10 meters, posing potential risks of water contamination. Regular physical activity was reported by 60.8% of respondents, yet the prevalence of smoking was very high (78.4%). Most respondents had a junior high school education (45.1%), influencing health literacy levels, although 58.2% demonstrated good knowledge of clean and healthy living behavior (PHBS). Health service utilization was relatively high (86.3%), though some residents still practiced traditional treatment.In conclusion, family health conditions are influenced by a combination of behavioral, environmental sanitation, and socioeconomic factors. Strengthening family-based health interventions through PHBS education, smoking control, and environmental sanitation improvement is essential to enhance sustainable community health status.

Hydrometeorological disasters increase the risk of infectious diseases due to environmental changes, damaged sanitation systems, and limited access to health services. These conditions highlight the need to strengthen community-based early detection systems as part of an early warning strategy. This community service activity aims to enhance the capacity of community health volunteers in the early detection and reporting of infectious diseases through the digitalization of a simple surveillance system. The program was implemented in disaster-affected areas, involving community health volunteers as key partners. The methods included health education on post-disaster infectious diseases, technical training on the use of surveillance instruments, and assistance in implementing health surveillance forms in accordance with guidelines from the Ministry of Health of the Republic Indonesia. The results showed a significant improvement in the knowledge of participants, with ≥80% of volunteers passing the post-test evaluation. In addition, participants demonstrated improved skills in recording, identifying symptoms, and systematically reporting infectious disease cases. The digitalization of surveillance forms facilitated real-time data collection and reporting, enabling faster responses to potential outbreaks. This program contributes to strengthening community-based early warning systems and enhancing the role of community health volunteers as the frontline in post-disaster infectious disease control. The implementation of this initiative is expected to support rapid interventions by health service facilities, improve cross-sector coordination, and serve as a replicable model for strengthening community surveillance systems in other disaster-prone areas.

Helminth infections caused by Soil Transmitted Helminths (STH) and Taenia sp. remain a major public health concern in tropical regions, including Indonesia, particularly among elementary school children. This study aimed to identify the presence of eggs and larvae of intestinal nematodes and cestodes in fecal samples collected from elementary school children in Bekoso Village, East Kalimantan. The research employed a descriptive survey method with a cross-sectional approach, and laboratory examinations were conducted using the Kato-Katz technique. A total of 16 fecal samples were examined to detect Ascaris lumbricoides, hookworm, and Taenia sp. eggs. The results showed that 12.5% of samples were positive for hookworm eggs, 12.5% for Taenia sp. eggs, and 6.25% for Ascaris lumbricoides eggs. These findings indicate that poor personal hygiene and inadequate environmental sanitation contribute to an increased risk of intestinal helminth transmission. The study highlights the importance of preventive efforts through the promotion of clean and healthy living behaviors, consistent use of footwear, handwashing with soap, and community participation in mass deworming programs to reduce the prevalence of intestinal helminth infections among elementary school children.

Nosocomial infections, also known as Healthcare-Associated Infections (HAIs), are infections acquired by patients during their stay in healthcare facilities. These infections remain a serious problem because they can increase morbidity and mortality rates, prolong the length of hospital stay, and raise healthcare costs. One classical yet highly relevant approach to preventing nosocomial infections is Florence Nightingale’s Environmental Theory. This theory emphasizes the importance of maintaining a clean environment, adequate ventilation, proper lighting, effective sanitation, and good personal hygiene to support patient recovery and reduce infection risks. Nightingale believed that environmental factors play a crucial role in improving patient health outcomes and preventing disease transmission. In modern nursing practice, the principles of Nightingale’s theory are still widely applied through infection prevention and control programs, environmental cleanliness standards, and patient-centered care. Therefore, understanding and implementing environmental management in healthcare settings remain essential strategies to reduce nosocomial infection rates and improve the overall quality of healthcare services.

Clean and Healthy Living Behavior (PHBS) is a promotive and preventive effort aimed at improving the level of public health. The Baduy indigenous community in Leuwi Damar, Kanekes Village, Lebak Regency, Banten Province has local wisdom and traditional lifestyles that influence daily health practices. However, limited access to information and health services is a challenge in implementing PHBS optimally. This article aims to describe the implementation of PHBS education in the Baduy Leuwi Damar community and its impact on community knowledge and attitudes. The method used is a descriptive approach with educational activities through counseling, discussion and simple demonstrations adapted to local culture. Educational material includes personal hygiene, clean water management, environmental sanitation, and healthy living behavior in daily life. The results of the activity showed an increase in public understanding regarding the importance of personal and environmental hygiene, as well as the emergence of a positive attitude towards implementing PHBS without eliminating the traditional values adhered to. PHBS education carried out using a simple cultural and communication approach is considered effective in increasing the health awareness of the Baduy community. Therefore, health education programs based on local wisdom need to continue to be developed as a strategy to improve the health of indigenous communities. .(Riset Kesehatan Dasar,2019).

This study aims to analyze the effectiveness of waste management in preventing fires at the Alak Landfill (TPA) in Kupang City using a qualitative case study approach. Data was collected through interviews, observations, and documentation involving officials from the Environmental and Sanitation Office, landfill workers, waste pickers, and surrounding communities. The findings indicate that the effectiveness of waste management remains low. In terms of input, financial resources, infrastructure, and human resources are insufficient to support optimal operations. During the process stage, waste collection and transportation are hindered by low public compliance, limited vehicles, and minimal waste segregation. Final waste processing still relies on the open dumping method, which increases waste accumulation, methane generation, and fire risks. In terms of output, various mitigation efforts have not successfully reduced the recurring fire incidents due to limited facilities, inadequate compaction, and the absence of gas monitoring systems. The results highlight the need for increased budget allocation, improved facilities, enhanced human resource capacity, and the implementation of safer and more sustainable waste management methods to reduce fire risks at the Alak Landfill.

This study aims to describe the condition of clean water access and its impact on public health in Swadaya Village. The research employed a qualitative approach through in-depth interviews with household heads, community leaders, health workers, and local water managers. The findings reveal that access to clean water in Swadaya Village remains very limited. Most residents rely on dug wells and river water for daily needs, while only a small portion use water from the local water utility (PDAM) due to high installation costs and limited pipeline coverage. The water quality often decreases during the dry season, becoming cloudy, odorous, and causing skin irritation. These conditions contribute to the increasing incidence of waterborne diseases such as skin infections, diarrhea, and typhoid fever. Besides infrastructure limitations, the lack of community awareness regarding hygiene and sanitation practices worsens the situation. Although the village government has proposed clean water development programs, their implementation has been hampered by budget constraints. The study concludes that clean water problems in Swadaya Village are not only related to resource availability but also to environmental management and community behavior. Therefore, improving water infrastructure must be accompanied by community education to promote a healthy, safe, and sustainable living environment.

Stunting remains one of the major chronic nutritional problems in Indonesia, including in Oesapa Village, Kelapa Lima District, Kupang City, East Nusa Tenggara Province. This condition is not only caused by inadequate nutritional intake but is also closely related to chronic infections resulting from poor hygiene and sanitation, particularly intestinal parasitic diseases. To reduce the risk of parasitic infections and improve children’s nutritional status, preventive efforts through education and health promotion are essential.This community service activity aimed to increase public awareness and knowledge, especially among parents and caregivers of stunted children, regarding the importance of maintaining hygiene and sanitation to prevent intestinal parasitic diseases. The methods used included participatory approaches such as interactive lectures, group discussions, and practical demonstrations of clean and healthy living behavior (PHBS), food hygiene, clean water management, and household waste disposal. Evaluation was conducted using pre-test and post-test instruments to measure changes in participants’ knowledge.The activities, carried out from May to September 2025 in Oesapa Village, showed a significant improvement in community understanding of hygiene and sanitation practices. Participants demonstrated greater commitment to maintaining environmental cleanliness and adopting healthier daily behaviors. Continuous educational efforts and multisectoral support are needed to help reduce the prevalence of stunting in the region

Environmental cleanliness is a critical factor in the effective management of nature-based tourist destinations, as it strongly shapes tourists’ perceptions of destination quality, comfort, and overall attractiveness, as well as their intention to visit and revisit. This study aims to examine the extent to which environmental cleanliness influences tourists’ visit intention in the Harau Valley tourism area (Lembah Harau), Kanagarian Tarantang, Harau District, Lima Puluh Kota Regency. The research employed a quantitative survey method by distributing structured questionnaires to 50 tourists during their visit to Lembah Harau. The variables measured include tourists’ perceptions of environmental cleanliness, such as waste management practices, sanitation conditions, and the availability of waste disposal facilities, as well as visit intention indicators, including intention to return and willingness to recommend the destination to others. The findings highlight the importance of maintaining a clean environment to enhance tourists’ positive behavioral intentions. The implications of these findings suggest that destination managers and local government authorities should consistently enforce cleanliness policies, strengthen integrated waste management systems, and provide adequate sanitation facilities to enhance the attractiveness of Lembah Harau and support sustainable tourism development, without neglecting the need for continuous monitoring, evaluation, and improvement in these areas.

Sanitation is an important aspect in the fish feed industry to ensure product quality, product safety, and employee health. PT. CentralPertiwi Bahari is a fish feed industry that has implemented sanitation as part of its product quality assurance system. This study aims to examine the implementation of sanitation at PT. CentralPertiwi Bahari to obtain an overview of the implementation of sanitation based on Permenkes No. 70 of 2016. This study uses a qualitative descriptive method carried out in January-February 2025. Data collection was carried out through observation, interviews, document reviews and scientific literature. Aspects studied include external environmental sanitation, factory environmental sanitation, building sanitation, production process sanitation, raw material sanitation, and employee sanitation. The results of the study indicate that PT. CentralPertiwi Bahari has implemented sanitation in accordance with the provisions of Permenkes No. 70 of 2016 as indicated by clean environmental and building conditions, the availability of good sanitation facilities, proper management of raw materials, and employee sanitation that is consistently implemented. The implementation of sanitation at PT. CentralPertiwi Bahari has supported efforts to maintain quality and occupational health. However, conditions requiring attention, such as water pooling outside the factory during rainy seasons, require remedial measures to optimize sanitation implementation. The results of this study are expected to serve as a basis for company evaluation and a reference for similar industries in improving sustainable sanitation practices.

This research explores the development of a participatory governance model for community based waste management systems, aiming to enhance both legal compliance and public social welfare outcomes. Community based waste management (CBWM) plays a critical role in addressing environmental and health challenges, yet its success is often hindered by weak governance structures, limited community involvement, and insufficient regulatory frameworks. The study introduces a governance model that integrates local community participation into decision making processes, encouraging ownership and responsibility among residents. The primary goal is to improve compliance with environmental regulations while promoting social welfare by fostering better public health and community cohesion. A review of literature highlights key theories of participatory governance, focusing on its ability to enhance legal adherence and increase social equity. Previous studies on CBWM demonstrate the potential of community involvement in overcoming barriers to legal compliance, such as weak enforcement and fragmented governance. However, challenges like inadequate infrastructure, socio economic factors, and cultural habits still impede full participation and compliance. The study utilizes a mixed methods approach, including stakeholder analysis, participatory workshops, and regulatory compliance assessments, to evaluate the effectiveness of the model. The results show that communities involved in participatory governance exhibit higher compliance with waste management laws, improved sanitation, and healthier living conditions. Furthermore, the model fosters social capital and community empowerment, contributing to long term sustainability. In comparison to centralized waste management systems, the participatory approach is found to be more adaptable, accountable, and socially accepted. While the model presents several benefits, challenges such as infrastructure limitations and cultural barriers remain. Future research should further investigate how to address these challenges, particularly through technological integration and cross sector collaborations, to ensure the scalability and sustainability of the participatory governance model.