ABSTRAK

Tingginya angka kejadian diare pada balita di Desa Pager Ngumbuk, Kecamatan Wonoayu, Kabupaten Sidoarjo, menunjukkan adanya persoalan sanitasi lingkungan yang belum terselesaikan, khususnya terkait praktik Buang Air Besar Sembarangan (BABS). Data dari Puskesmas Wonoayu mencatat peningkatan kasus diare dari 1.147 (2021) menjadi 1.207 kasus pada 2023. Survei rumah tangga menunjukkan bahwa sebagian besar keluarga tidak memiliki jamban sehat dan jarak antara sumber air bersih dengan pencemar kurang dari 10 meter. Masalah ini diperburuk oleh rendahnya tingkat pengetahuan ibu rumah tangga mengenai perilaku hidup bersih dan sehat (PHBS). Meskipun Jawa Timur telah mencatatkan 92,78% desa berstatus ODF (Open Defecation Free), Kabupaten Sidoarjo, termasuk Desa Wonoayu, masih tertinggal dalam pencapaian tersebut. Kegiatan pengambian kepada mayrakat ini adalah untuk membangun Jamban Masyarakat Desa Pagerngumbuk Kec. Wonoayu Kab. Sidarjo Dalam Program Percepatan ODF (Open Devecation Free) melalui pemberdayaan  Masyarakiat Untuk  Pencegahan Penyakit Menular Tahun 2025.Kegiatan pengabdian masyarakat ini dilaksanakan selama Maret hingga   Oktober 2025 dengan pendekatan partisipatif dan pemberdayaan. Metode yang akan digunakan mencakup penyuluhan, Focus Group Discussion (FGD), pembangunan jamban sehat sesuai SNI2398:2017, serta monitoring dan coaching pasca pembangunan. Sasaran utama adalah lima rumah tangga prioritas yang belum memiliki jamban dan tergolong keluarga berpenghasilan rendah, dengan anggota rentan seperti balita dan lansia. Strategi cost-sharing diterapkan untuk meningkatkan rasa kepemilikan masyarakat terhadap fasilitas yang dibangun. Hasil kegiatan menunjukkan peningkatan signifikan dalam pemanfaatan jamban dan penerapan PHBS. Seluruh keluarga sasaran telah meninggalkan praktik BABS dan mulai merawat fasilitas jamban secara mandiri. Monitoring selama dua bulan menunjukkan bahwa 80% keluarga menerapkan perilaku hidup bersih secara konsisten. Strategi edukasi berkelanjutan, pelibatan tokoh masyarakat, dan pendekatan berbasis komunitas terbukti efektif dalam mendorong perubahan perilaku dan keberlanjutan program sanitasi. Keberhasilan kegiatan pengabdian masyarakat di Desa Pagerngumbuk sangat didukung oleh partisipasi dan motivasi masyarakat dan tokoh setempat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    

Kata Kunci: Pembangunan Jamban, Percepatan ODF, Masyarakat Desa Pager Ngumbuk

ABSTRACT

The high incidence of diarrhea in toddlers in Pager Ngumbuk Village, Wonoayu District, Sidoarjo Regency, indicates an unresolved environmental sanitation problem, particularly related to the practice of Open Defecation (BABS). Data from the Wonoayu Community Health Center recorded an increase in diarrhea cases from 1,147 (2021) to 1,207 cases in 2023. Household surveys showed that most families do not have healthy latrines and the distance between clean water sources and pollutants was less than 10 meters. This problem was exacerbated by the low level of knowledge of housewives regarding clean and healthy living behaviors (PHBS). Although East Java has recorded 92.78% of villages with ODF (Open Defecation Free) status, Sidoarjo Regency, including Wonoayu Village, was still lagging behind in achieving this goal. This community outreach activity is to build a Community Latrines in Pagerngumbuk Village, Wonoayu District, Sidoarjo Regency. Sidarjo is participating in the Open Devection Free (ODF) Acceleration Program through Community Empowerment for Infectious Disease Prevention in 2025. This community service activity will be conducted from March to October 2025 using a participatory and empowerment approach. Methods will included outreach, Focus Group Discussions (FGDs), and latrine construction. The primary target was five priority households without latrines and classified as low-income families with vulnerable members such as toddlers and the elderly. A cost-sharing strategy would be implemented to increase community ownership of the constructed facilities. The results of the activity showed a significant increasing in latrine utilization and the implementation of Clean and Healthy Living (PHBS). All target families have stopped practicing open defecation and have begun maintaining their latrine facilities independently. Two-month monitoring shows that 80% of families consistently practice clean living behaviors. The strategy of ongoing education, the involvement of community leaders, and a community-based approach have proven effective in encouraging behavior change and the sustainability of the sanitation program. The success of the community service activity in Pagerngumbuk Village is strongly supported by the participation and motivation of the community and local leaders.

Keywords: Latrine Construction, ODF Acceleration, Pagerngumbuk Village Community

Amraeni, Y., & Nirwan, M. (2021). Sosial Budaya Kesehatan Dan Lingkungan Masyarakat Pesisir Dan Tambang. Penerbit Nem.

Cahyaningrum, D., & Indriani, I. (2015). Studi Tentang Diare Dan Faktor Resikonya Pada Balita Umur 1-5 Tahun Di Wilayah Kerja Puskesmas Kalasan Sleman Tahun 2015. Stikes’aisyiyah Yogyakarta.

Demes Nurmayanti, Marlik, N. (2019). Efektifitas Pasir Kuarsa Dan Pasir Hitam Dalam Pengolahan Limbah Blackwater, Surabaya : Poltekkes Kemenkes Surabaya.

Fatimah, F. (2024). Implementasi Program Kota Tanpa Kumuh (Kotaku) Berbasis Demokratisasi Komunitas Di Kelurahan Romang Polong Kecamatan Somba Opu Kabupaten Gowa= Implementation Of The City Without Slums Program Based On Community Democratization In Romang Polong Village, So.

Indriasari, D. (2010). 100% Sembuh Tanpa Dokter, Az Deteksi, Obat Dan Cegah Penyakit. Pustaka Grahatama, Yogyakarta.

Khuluq, M. K., Irawati, N. A. V., Mutiara, H., & Suwandi, J. F. (2025). Peran Faktor Determinan Sosial Kesehatan, Personal Hygiene, Dan Lingkungan Dalam Penularan Protozoa Usus. Medical Profession Journal Of Lampung, 14(10), 1912–1916.

Marlik, Nurmayanti, D., Kriswandana, F., & Nugroho, H. S. W. (2018). Faeces Waste Treatment Design In Household With Narrow Land Area. Indian Journal Of Public Health Research And Development, 9(6). Https://Doi.Org/10.5958/0976-5506.2018.00550.8

Nabila, D., & Mulyani, K. (2025). Analisis Manajemen Risiko Pada Program Edukasi Kesehatan Berbasis Komunitas: Strategi Mitigasi Dalam Konteks Koperasi Mikro. Musytari: Jurnal Manajemen, Akuntansi, Dan Ekonomi, 18(4), 101–110.

Notoatmodjo, S. (2007). Promosi Kesehatan Dan Ilmu Perilaku. Jakarta: Rineka Cipta. In Applied Nursing Research.

Nurmayanti, Dames, Sandriana, T., Rustanti, I., Thohari, I., & Narwati. (2023). Faktor Lingkungan Dan Perilaku Orangtua Terhadap Penyakit Diare Pada Balita Di Desa Wonoayu, Sidoarjo Demes Nurmayanti. Jurnal Penelitian Kesehatan Suara Forikes, 14(April), 396–399.

Nurmayanti, Demes, Aziz, A., & Khayan, K. (2023). The Epidemiology Of Bile Acid Diarrhea In Denmark [Letter]. Clinical Epidemiology, 15, 1223–1224. Https://Doi.Org/10.2147/Clep.S453992

Peraturan Menteri Kesehatan. (2014). Peraturan Menteri Kesehatan Nomor 3 Tahun 2014 Tentang Sanitasi Total Berbasis Masyarakat (Kementerian Kesehatan (Ed.); Vol. 3, Pp. 1–17). Kementerian Kesehatan.

Rohendi, A., Mardiani, R., & Totani, A. (2022). Meningkatkan Derajat Sehat Melalui Pembuatan Sumur Bor Air Bersih Di Desa Pagerwangi Kecamatan Lembang Kabupaten Bandung Barat. Aksararaga, 4(2), 82–86.

Rukmana, S. W., Thohari, I., & Nurmayanti, D. (N.D.). Sanitasi Dasar Dan Perilaku Ibu Rumah Tangga Balita Diare Di Kelurahan Banyuanyar Kecamatan Sampang Kabupaten Sampang Tahun 2019.

Saleh, M., Yudianti, A., Damayati, D. S., Basri, S., & Amansyah, M. A. M. (2025). Evaluasi Peran Kepemilikan Jamban Dalam Kejadian Stunting: Temuan Dari Kabupaten Jeneponto, Sulawesi Selatan. Jurnal Kesehatan Lingkungan Indonesia, 24(1), 101–108.

Santoso, B. (2019). Pengaruh Melalui Media Booklet Terhaldap Peningkatan Pengetahuan, Sikap Ibu Dalam Upaya Mencegah Terjadinya Kejadian Diare Pada Balita Di Wilalah Kerja Puskesmas Siantan Hilir Kecamatan Pontianak Utara. Universitas Muhammadiyah Pontianak.

Silvia Retna Ning Tyias, Narwati, N., Demes Nurmayanti, & Suprijandani. (2024). Assessing The Correlation Between Basic Sanitation And Diarrhea Prevalence In Bulurejo Village, Gresilk: A Geographic Information System (Gis) Approach. International Journal Of Advanced Health Science And Technology, 4(1), 12–18. Https://Doi.Org/10.35882/Ijahst.V4i1.310

Sni 2398. (2017). Tata Cara Perencanaan Tangki Septik Dengan Pengolahan Lanjutan ( Sumur Resapan, Bidang Resapan, P Flow Filter, Kolam Sanita).

Sufriadi, D. (2021). Partisipasi Masyarakat Dalam Program Penyediaan Air Minum Dan Sanitasi Berbasis Masyarakat (Pamsimas) Di Kabupaten Aceh Jaya. Jurnal Pengabdian Nasional (Jpn) Indonesia, 2(2), 62–72.

Suryani, A. S. (2020). Pembangunan Air Bersih Dan Sanitasi Saat Pandemi Covid-19. Aspirasi: Jurnal Masalah-Masalah Sosial, 11(2), 199–214.

Sylviadianti, A., & Najicha, F. U. (2023). Limbah Penyebab Pencemaran Air Pada Lingkungan. Enviromental Science, 1(1), 1–5.

Triastuti, N. J., Rahman, E. Q., Devano, M. A., Fahmi, S. B., & Herawati, E. (2025). Diare Pada Anak (1st Ed.). Muhammadiyah University Press.

Tyias, S. R. N., Narwati, N., & Nurmayanti, D. (2024). Assessing The Correlation Between Basic Sanitation And Diarrhea Prevalence In Bulurejo Village, Gresilk: A Geographic Information System (Gis) Approach. International Journal Of Advanced Health Science And Technology, 4(1), 12–18.

Who, & Unicef. (2021). Progress On Household Drinking Water, Sanitation And Hygiene 2000-2020: Five Years Into The Sdgs. In Joint Water Supply, & Sanitation Monitoring Programme.