LATRINE USE AND ASSOCIATED FACTORS AMONG RURAL COMMUNITY IN INDONESIA

Indonesia is the second-most-populated country still practicing open defecation. The low utilization of latrines is a big
problem that can affect human health and the environment. Several sub-districts in Tanggamus Regency have the lowest
reported use of a latrine. This study aimed to determine associated factors of latrine usage in Tanggamus Regency in
2017.. A cross-sectional study was conducted among 399 households in Tanggamus Regency, Lampung. Sampling was
proportional to the total number of household in 20 sub-districts. Respondents were interviewed by a structured
questionnaire . Data were analyzed using SPSS version 18.0. The study observed that a majority (55.6%) of the
respondents used a latrine; furthermore, more than half of all respondents indicated good knowledge (55.9%), positive
attitude (57.4%), good economic status (56.1%), access to a proper latrine (57.6%), good support from health office
(55.4%), and availability of clean water (53.4%). Multivariate analysis showed that attitude was the most dominant factor
related to the utilization of latrine (P<0.05 and adj OR=3.2). Encouraging communities to translate their positive
attitudes into the behavior was very important. Policies, community leaders, and heads of households should all be
influenced to change community attitudes to drive consistent latrine use.