https://doi.org/10.4081/hls.2024.13109
The effectiveness of community-led total sanitation cadre intervention in improving stunting knowledge and behavior
Submitted: 15 September 2024
Accepted: 7 November 2024
Published: 10 December 2024
Accepted: 7 November 2024
Abstract Views: 45
PDF: 23
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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The prevalence of stunting remains high in Central Sulawesi Province, Indonesia. Poor sanitation is a significant risk factor for stunting, and community-based interventions such as Community-Led Total Sanitation (CLTS) show promise in addressing this issue. Despite the government’s multi-sectoral and integrated approach, encompassing both specific and sensitive nutrition interventions, the problem of stunting persists. This study aimed to assess the effectiveness of cadre-led interventions in improving community knowledge and behavior related to CLTS as a means of stunting prevention. A quasi-experimental, non-randomized design was used, with proportional stratified random sampling applied to a population of 332, resulting in a sample size of 182 individuals. Data collection was conducted from July to September 2023. The intervention involved CLTS cadres delivering counseling and triggering activities to mothers of stunted children. Knowledge and behavior regarding the five pillars of CLTS were measured as the dependent variables using a CLTS questionnaire with a scoring system. Data analysis was performed using SPSS version 22.0, specifically employing the independent-sample t-test with a significance threshold of p<0.05. Results indicated a significant increase in knowledge across the five pillars of CLTS (p=0.000), as well as a significant improvement in behavior concerning handwashing with soap, drinking water, food management, and household wastewater management (p=0.000). The findings suggest that cadres play an effective role in enhancing community knowledge and behavior regarding CLTS, contributing to stunting prevention efforts.
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How to Cite
Syam, D. M., & Bungawati, A. (2024). The effectiveness of community-led total sanitation cadre intervention in improving stunting knowledge and behavior. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13109
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