Financial, institutional, environmental, technical, and social (FIETS) aspects of water, sanitation, and hygiene conditions in indigenous - rural Indonesia

Trends of Water, Sanitation, and Hygiene (WASH) Research in Indonesia: A Systematic Review

This study provides an overview of water, sanitation, and hygiene (WASH) research trends in Indonesia from 1975 until April 2021. The systematic review compiled 272 articles related to the Sustainable Development Goals 6.1 and 6.2 in Indonesia, which were published in the Web of Science and Scopus databases. The results showed that the water-related topic (41%) was discussed more often than sanitation (22%) or hygiene (13%). Furthermore, the social theme (39%) was dominantly found in all these articles, mostly finding determinants of WASH-related behavior. However, few WASH implementation studies or behavioral change interventions were recorded in Indonesia, suggesting a gap between science and policy or implementation. On the other hand, hygiene-related topics (14%) and WASH-related financial themes (6%) were the least studied in Indonesia. Combinations of topics (23%) and themes (15%) were also often conducted in Indonesia, suggesting that WASH researchers started to recognize the need to analyze WASH problems holistically, i.e., from multiple perspectives. In addition, the distribution of WASH research was still dominated in the central part of Indonesia, whereas the WASH-related problems, i.e., poor WASH services, and behavior, often occur in this area. This study also offers some research gaps, both in terms of topics, themes, and regional distribution, that need to be considered for the design of future WASH research in Indonesia.

Effect of Radio-Frequency Treatment on the Changes of Dissolved Organic Matter in Rainwater

Rainwater is a potential source of drinking water, but has various components of dissolved organic matter (DOM). DOM is a reservoir of potential hazards in drinking water. Therefore, a new method is required to purify rainwater as a drinking water source in terms of DOM aspects. A radio-frequency (RF) treatment system is introduced here to purify source water with a small possibility of contamination. RF is generated by applying a frequency of 1.5 MHz through a glass reactor with a diameter of 2 mm which is wrapped by a 2 mm copper wire. The results demonstrate that UV260 value and dissolved organic carbon (DOC) are reduced during RF treatment. DOC was reduced by a lower amount compared to UV260, suggesting the partial transformation of bio-refractory DOM. A fluorescence excitation-emission matrix showed that humic-like substances in rainwater were reduced faster than protein-like ones, indicating that humic-like substances are susceptible to reduction by RF treatment. The results offer information on the use of RF treatment in a rainwater purification process for the production of drinking water.

Contextual Determinants of General Household Hygiene Conditions in Rural Indonesia

Household hygiene is critical to prevent pathogen transmission at the household level. Assessing household hygiene conditions and their determinants are needed to improve hygiene conditions, especially in rural and less developed areas where the housing conditions are relatively worse than they are in urban areas. This study used data from 278 household interviews and observations in rural areas in the district of East Sumba, province East Nusa Tenggara, Indonesia. The data were analyzed using statistical methods. In general, the household hygiene conditions in the study need to be improved. The main potential sources of pathogen transmission were from the surrounding environment, i.e., non-permanent floor and garbage, and personal hygiene, i.e., handwashing facilities with water and soap were only observed in the homes of four out of ten respondents. The presence of livestock roaming freely in the house’s yard was another source of contamination. Easy access to water and wealth significantly influenced the hygiene conditions. Implementing low-cost interventions, i.e., cleaning the house of garbage and animal feces and cleaning nails, should be the priority in immediate intervention, while providing easier access to water supply, especially during the dry season, could be a long-term intervention. This paper also argues that analyzing household hygiene conditions or practices should be complemented by analyzing contextual determinants of the hygiene conditions or practices, so that we can develop more precise intervention by considering the local or household context.