FAKTOR SANITASI LINGKUNGAN YANG BERPERAN TERHADAP PREVALENSI PENYAKIT SCABIES Studi pada Santri di Pondok Pesantren Kabupaten Lamongan

Isa Ma’rufi, Soedjajadi Keman, Hari Basuki Notobroto

Abstract


Scabies is a common skin disease among students (Santri) of Qor’an schools (Pondok Pesantren). It is caused by infestation of mite of Sarcoptes scabiei that spreads easily from human to human, from animal to animal or from human to animal vice versa. The aim of this study was to measure prevalence of Scabies disease and to analyse environmental sanitation factors influencing the prevalence of Scabies among students of Qor’an schools in regency of Lamongan, East Java. This study was designed as a cross-sectional observational study, carried out in 12 dormitories of Qor’an schools across Lamongan regency, East Java, in October 2003 until June 2004. The total population was 59.650 students with 338 student samples taken by a multistage random sampling method. The environmental sanitation factor included dormitory sanitation, personal hygiene, and health behaviour. Association of each parameter of these variables with the prevalence of Scabies was analysed by using Chi-square statistical test. All parameters significantly associated with the prevalence of Scabies were put together for statistical analysis purposes of Multiple Logistic Regression.

The results showed that most of Qor’an schools including dormitories had poor sanitation, personal hygiene, and health behaviour. The prevalence of Scabies among students of Qor’an schools was high i.e. 48.81 %, and sanitation factors influenced the disease were bedroom sanitation, personal hygiene, room ventilation, and unsanitary behaviour (Multiple Logistic Regression, all p<0.05).

It is concluded that environmental sanitation factors influencing the prevalence of Scabies among students of Qor’an schools are bedroom sanitation, personal hygiene, room ventilation, and unsanitary behaviour. It is suggested to school management to put more effort for personal hygiene and environmental sanitation such as better water supply, improvement of bedroom and bathroom sanitation, reducing population density of dormitory, and to establish standard procedure with tight monitoring of dormitory sanitation, personal hygiene and healthy behaviour.

 

Keywords :Environmental sanitation, healthy behaviour, personal hygiene, Scabies

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