Association Of Healthy Latrine Ownership And Clean Water Availability With Open Defecation Practices: A Study In 14 Ulu Village, Palembang, Indonesia

Abstract

Open defecation (OD) remains a significant public health and sanitation challenge in Indonesia, particularly in communities like 14 Ulu Village, Palembang City. This practice poses substantial health and environmental risks, especially in areas lacking adequate sanitation facilities and access to clean water. This study aimed to analyze the association between healthy latrine ownership, clean water availability, and the practice of open defecation. A quantitative, cross-sectional design was employed, with a sample of 96 respondents selected via simple random sampling. Data were collected using structured questionnaires and direct latrine observation. Statistical analysis included univariate, bivariate (chi-square test), and multivariate (multiple logistic regression) methods. The bivariate analysis revealed significant associations between open defecation and education (p=0.006; PR = 2.548; 95% CI: 1.31–4.95), healthy latrine ownership (p<0.001; PR = 14.85; 95% CI: 5.70–38.69), and clean water availability (p<0.001; PR = 4.41; 95% CI: 2.11–9.23). Conversely, age (p=0.235), occupation (p=0.627), and the role of health workers (p=0.972) were not significantly associated with the practice. Multivariate logistic regression identified healthy latrine ownership as the most dominant predictor of open defecation (p<0.001; PR = 298.502; 95% CI: 30.457–2925.533). In conclusion, access to a healthy latrine is the most critical factor in mitigating open defecation in the study area. Interventions focused on improving community access to sanitation facilities are crucial for accelerating the achievement of Open Defecation Free (ODF) status.