Quality of Handwashing in Informal Workers in Indonesia
Downloads
Introduction: Worker behavior of handwashing with soap in the informal sector has rarely not been studied in Indonesia. This study was conducted to determine factors related to the quality of handwashing performed by workers in the formal and informal sectors in Indonesia. Methods: The research used secondary data from Indonesia Basic Health Research. The research design was cross-sectional, and a total sample included was 421,404 workers at the productive age of 15-64 years across 34 provinces in Indonesia. The data collected included age, gender, marital status, education, place of residence, occupation, and handwashing practice. The determinants were identified using binary logistic regression. Results and Discussion: Results showed that 1.9% of workers did not wash their hands, and 35.0% only washed their hands with water; most of them worked in the informal sector (77.5%). Regarding the characteristics of workers, age (OR=1.17; 95% CI: 1.14–1.21), gender (OR=1.23; 95% CI: 0.93–0.99), education (OR=2.07; 95% CI: 2.01–2.14), and formal workplace (OR=1.43; 95% CI: 1.40-1.46) were mostly related to the quality of handwashing. Conclusion: The government is expected to formulate a structured policy in educating the workers, especially for male, young (15-24 years), low educated, and informal workers, about good handwashing. This study recommends that the government should use the current research findings to target proper population for the policy implementation.
Central Statistic Agency of Indonesia. February 2019: Open Unemployment Rate (TPT) of 5.01 Percent. Jakarta: Central Statistic Agency of Indonesia; 2019. https://www.bps.go.id/
Yusida H, Suwandi T, Yusuf A, Sholihah Q. Kepedulian Aktif untuk K3 Sektor Informal. Banjarmasin: Banjarmasin Post Group; 2017. http://eprints.ners.unair.ac.id/643/
World Health Organization and the United Nations Children's Fund. Hand Hygiene for All. Geneva: United Nations Children's Fund; 2020. 1–12 p. https://www.unicef.org/reports/hand-hygiene-for-all-2020
Prüss-Ustün A, Wolf J, Bartram J, Clasen T, Cumming O, Freeman MC, et al. Burden of Disease from Inadequate Water, Sanitation and Hygiene for Selected Adverse Health Outcomes: An Updated Analysis With A Focus On Low- and Middle-Income Countries. Int J Hyg Environ Health. 2019;222(5):765–777. https://doi.org/10.1016/j.ijheh.2019.05.004
Luangasanatip N, Hongsuwan M, Limmathurotsakul D, Lubell Y, Lee AS, Harbarth S, et al. Comparative Efficacy of Interventions to Promote Hand Hygiene in Hospital: Systematic Review and Network Meta-Analysis. BMJ. 2015;351(h3728):1-14. https://doi.org/10.1136/bmj.h3728
World Heatlh Organization. Evidence of Hand Hygiene as the Building Block for Infection Prevention and Control an Extract from the Systematic Literature Reviews Undertaken as the Background for the WHO Guidelines on Core Components. Switzerland: World Heatlh Organization; 2017. 1–30 p. https://apps.who.int/iris/
Centers for Disease Control and Prevention. Handwashing: Clean Hands Save Lives. New York: U.S. Department of Health & Human Services; 2020. https://www.cdc.gov/handwashing/why-handwashing.html
Central Statistic Agency of Indonesia. Proportion of Households Owning Handwashing Facilities with Soap and Water by Province (Percent), 2018-2020. Jakarta: Central Statistic Agency of Indonesia; 2021. https://www.bps.go.id/
International Labour Organization. Improving Occupational Safety, Health, and Environment in the Informal Footwear Sector. Jakarta: International Labour Organization; 2003. 1–36 p. http://www.ilo.org/jakarta/whatwedo/publications/WCMS_120633/lang--en/index.htm
International Labour Organization. The Covid19 Crisis and the Informal Sector: Immediate Responses and Policy Challenges. Jakarta: International Labour Organization; 2020. https://www.ilo.org/jakarta/whatwedo/publications/WCMS_744424/lang--en/index.htm
Jayaweera M, Perera H, Gunawardana B, Manatunge J. Transmission of Covid19 Virus by Droplets and Aerosols: A Critical Review on the Unresolved Dichotomy. Envronmental Res. 2020;188(1):1–18. https://doi.org/10.1016/j.envres.2020.109819
Ministry of Health of Republic Indonesia. Report of Basic Health Research year 2007. Jakarta: National Institute of Health Research and Development Ministry of Health; 2008. http://labdata.litbang.kemkes.go.id
Ministry of Health of Republic Indonesia. Report of Basic Health Research year 2013. Jakarta: National Institute of Health Research and Development Ministry of Health; 2014. http://labdata.litbang.kemkes.go.id
Ministry of Health of Republic Indonesia. Report of Basic Health Research year 2018. Jakarta: National Institute of Health Research and Development Ministry of Health; 2019. http://labdata.litbang.kemkes.go.id
United States Census Bureau. CSPro Training Manual. United States: United States Census Bureau; 2018. 1–23 p. https://www.census.gov/population/international/
Ministry of Health of Republic Indonesia. Strategic Planning of Ministry of Health 2015-2019. Jakarta: Ministry of Health of Republic Indonesia; 2013. http://ppid.kemkes.go.id/uploads/img_5cd07f7e6d039.pdf
Santrock JW. Life-Span Development. 13th ed. Jakarta: Erlangga; 2012.
Wang H, Peng J, Wang B, Lu X, Zheng JZ, Wang K, et al. Inconsistency between Univariate and Multiple Logistic Regressions. Shanghai Arch Psychiatry. 2017;29(2):124–128. https://doi.org/10.11919/j.issn.1002-0829.217031
World Health Organization and the United Nations Children's Fund. Progress on Household Drinking Water, Sanitation and Hygiene 2000-2020: Five Years into the SDGs. Geneva: World Health Organization; 2021. 1–162 p. https://apps.who.int/iris/handle/10665/345081
Lulla M, Rutkovskis A, Slavinska A, Vilde A, Gromova A, Ivanovs M, et al. Hand-Washing Video Dataset Annotated According to the World Health Organization's Hand-Washing Guidelines. Data. 2021;6(4):1–6. https://doi.org/10.3390/data6040038
Park S. A Study on the Perception of Hand Washing and Health Status in Korean Adults. Medicine. 2021;100(3):e24421. https://doi.org/10.1097/MD.0000000000024421
Smith L, Butler L, Tully MA, Jacob L, Barnett Y, López-Sánchez GF, et al. Hand-Washing Practices Among Adolescents Aged 12–15 Years from 80 Countries. Int J Environ Res Public Health. 2021;18(1):1–15. https://doi.org/10.3390/ijerph18010138
Gedamu H, Wgiorgis T, Tesfa G, Tafere Y, Genet M. Hand Washing Practice Among Health Care Workers in Ethiopia: Systemic Review and Meta-Analysis, 2020. Heliyon. 2021;7(5):e06972. http://dx.doi.org/10.1016/j.heliyon.2021.e06972
Sondari TR, Rachmat B, Suudi A, Widjiastuti B, Ida. Assessment of Facilities, Knowledge and Counseling on Handwashing of Elementary School Students in the District of North Bogor. J Ecophysiol Occup Heal. 2020;20(2):13–20. https://doi.org/10.18311/JEOH/2020/25275
World Health Organization and the United Nations Children's Fund. WASH in Health Care Facilities: Global Baseline Report 2019. Geneva: World Health Organization; 2019. 132 p. https://www.who.int/publications/i/item/9789241515504
Kurniawan MF. Penetapan Kelas Standar Pelayanan JKN sebagai Amanah UU SJSN. Indonesia. Yogyakarta: Center of Health Policy and Management of UGM; 2019. https://kebijakankesehatanindonesia.net/
Ministry of Health of Republic of Indonesia and the United Nations Children's Fund. GERMAS Action Plan Through Five (5) STBM Pillars, Especially Pillar 2 Washing Hands with Soap (CTPS). Jakarta: Ministry of Health of Republic of Indonesia; 2021.
Okello E, Kapiga S, Grosskurth H, Makata K, McHaro O, Kinungh'I S, et al. Factors Perceived to Facilitate or Hinder Handwashing Among Primary Students: A Qualitative Assessment of the Mikono Safi Intervention Schools in NW Tanzania. BMJ Open. 2019;9(11):1–10. https://doi.org/10.1136/bmjopen-2019-030947
Suen LKP, So ZYY, Yeung SKW, Lo KYK, Lam SC. Epidemiological Investigation on Hand Hygiene Knowledge and Behaviour: A Cross-Sectional Study on Gender Disparity. BMC Public Health. 2019;(16):401. https://doi.org/10.1186/s12889-019-6705-5
Berry TD, Mitteer DR, Fournier AK. Examining Hand-Washing Rates and Durations in Public Restrooms: A Study of Gender Differences Via Personal, Environmental, and Behavioral Determinants. Environ Behav. 2015;47(8):923–944. https://doi.org/10.1177/0013916514527590
White S, Thorseth AH, Dreibelbis R, Curtis V. The Determinants of Handwashing Behaviour in Domestic Settings: An Integrative Systematic Review. Int J Hyg Environ Health. 2020;227(1):113512. https://doi.org/10.1016/j.ijheh.2020.113512
Qazi U, Anwar S. Hand Washing Behavior Change Effect of Community-Based Hygiene and Sanitation Intervention in Low Resource Setting. J Public Health (Oxf). 2021;43(2):381–384. https://doi.org/10.1093/PUBMED/FDZ130
World Bank. Mainstreaming Gender in Water and Sanitation: Gender in Water and Sanitation. Washington: Water and Santation Program; 2010. https://www.wsp.org/sites/wsp.org/files/publications/WSP-gender-water-sanitation.pdf
Prasetyo DD, Astini FN, Fillaili R, Widjanarko H. Gender and Social Inclusion (GESI) Contextual Analysis/ Formative Research for the Plans Water for Women Project in Indonesia Gender and Social Inclusion (GESI) Contextual Analysis/ Formative Research for the Plan's Water for Women Indonesia. SMERU Res Inst. 2019;1(1). https://smeru.or.id/en/content/gender-and-social-inclusion-gesi-contextual-analysisformative-research-plan's-water-women
Johnson HD, Sholcosky D, Gabello K, Ragni R, Ogonosky N. Sex Differences in Public Restroom Handwashing Behavior Associated with Visual Behavior Prompts. Percept Mot Skills. 2003;97(3):805-810. https://doi.org/10.2466/pms.2003.97.3.805
Lindahl L, An MH. Social Proximity in Early Mother–Infant Interactions: Implications for Gender Differences?. Early Dev Parent. 1997;6(2):83–88. https://doi.org/10.1002/(SICI)1099-0917(199706)6:2%3C83::AID-EDP146%3E3.0.CO;2-K
Cerezo MA, Sierra-García P, Pons-Salvador G, Trenado RM. Parental and Infant Gender Factors in Parent–Infant Interaction: State-Space Dynamic Analysis. Front Psychol. 2017;8(1):1724. https://doi.org/10.3389/fpsyg.2017.01724
Burnett E. Perceptions, Attitudes, and Behavior Towards Patient Hand Hygiene. Am J Infect Control. 2009;37(8):638–642. https://doi.org/10.1016/j.ajic.2009.04.281
Oh HS. Knowledge, Perceptions, and Self-Reported Performance of Hand Hygiene Among Registered Nurses at Community-Based Hospitals in the Republic of Korea: A Cross-Sectional Multi-Center Study. J Prev Med Public Heal. 2018;51(3):121–129. https://doi.org/10.3961/jpmph.17.188
Teumta GMM, Niba LL, Ncheuveu NT, Ghumbemsitia MT, Itor POB, Chongwain P, et al. An Institution-Based Assessment of Students' Hand Washing Behavior. Biomed Res Int. 2019; 2019(7178645):1-8. https://doi.org/10.1155/2019/7178645
Sultana M, Alam Mahumud R, Razzaque Sarker A, Mahmud Hossain S. Hand Hygiene Knowledge and Practice Among University Students: Evidence from Private Universities of Bangladesh. Risk Manag Healthc Policy. 2016;9(1):13–20. https://doi.org/10.2147/RMHP.S98311
Yang J, Park EC, Lee SA, Lee SG. Associations Between Hand Hygiene Education and Self-Reported Hand-Washing Behaviors Among Korean Adults During MERS-CoV Outbreak. Heal Educ Behav. 2019;46(1):157–164. https://doi.org/10.1177/1090198118783829
Karnik K, Larivee C, Jha S, Narain JP. Information, Education and Communication: A Guide for AIDS Programme Managers. Geneva: World Health Organization; 2000. https://apps.who.int/iris/
Kumwenda S. Challenges to Hygiene Improvement in Developing Countries. The Relevance of Hygiene to Health in Developing Countries. IntechOpen. 2019;1(1):1-10. https://doi.org/10.5772/intechopen.80355
The United Nations Children's Fund. Handwashing Stations and Supplies for the Covid19 Response. Geneva: UNICEF Fact Sheet; 2020. https://www.unicef.org/documents/handwashing-stations-and-supplies-covid-19-response
WaterAid. Technical Guide for Handwashing Facilities in Public Places and Buildings. Canberra: WaterAid; 2020. https://washmatters.wateraid.org/publications/technical-guide-for-handwashing-facilities-in-public-places-and-buildings
Copyright (c) 2022 JURNAL KESEHATAN LINGKUNGAN
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
1. Copyright of all journal manuscripts is held by the Jurnal Kesehatan Lingkungan.2. Formal legal provisions to access digital articles of electronic journal are subject to the provision of the Creative Commons Attribution-ShareAlike license (CC BY-NC-SA), which means that Jurnal Kesehatan Lingkungan is rightful to keep, transfer media/format, manage in the form of databases, maintain, and publish articles.
3. Published manuscripts both printed and electronic are open access for educational, research, and library purposes. Additionally, the editorial board is not responsible for any violations of copyright law.
JKESLING by UNAIR is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.