The Relationship between Maternal Knowledge, Personal Hygiene, and Family Economic Status and the Incidence of Diarrhea in the Working Area of the Pekauman Public Health Center, Banjarmasin

Vitria; Muhammad Ra’uf; Darmayanti Wulandatika; Sri  Sundari

doi:10.64141/pmhs.v2i2.29

Authors

Vitria Bachelor of Nursing Program, Faculty of Nursing and Health Sciences, University of Muhammadiyah Banjarmasin
Muhammad Ra’uf Bachelor of Nursing Program, Faculty of Nursing and Health Sciences, University of Muhammadiyah Banjarmasin
Darmayanti Wulandatika Bachelor of Nursing Program, Faculty of Nursing and Health Sciences, University of Muhammadiyah Banjarmasin
Sri Sundari Bachelor of Nursing Program, Faculty of Nursing and Health Sciences, University of Muhammadiyah Banjarmasin

DOI:

https://doi.org/10.64141/pmhs.v2i2.29

Keywords:

Diarrhea, Maternal Knowledge, Personal Hygiene, Family Economic Status, Under-Five Children, Public Health Center

Abstract

Diarrhea remains a major public health problem among under-five children in Indonesia, particularly in areas with limited sanitation and disadvantaged socioeconomic conditions. Maternal knowledge, personal hygiene, and family economic status are key factors influencing the incidence of diarrhea. This study aimed to analyze the relationship between maternal knowledge, personal hygiene, and family economic status and the incidence of diarrhea in the working area of the Pekauman Public Health Center, Banjarmasin. A cross-sectional design was employed using accidental sampling, involving 40 mothers with children aged 2–5 years who visited the Pekauman Public Health Center. Data were collected using a structured questionnaire and analyzed using the Spearman Rank correlation test. The results demonstrated significant associations between maternal knowledge (p = 0.008; r = 0.412), personal hygiene (p = 0.000; r = 0.710), and family economic status (p = 0.000; r = 0.645) and the incidence of diarrhea, with personal hygiene showing the strongest correlation. This study contributes to public health practice by emphasizing the importance of integrated, family-based interventions, including strengthening maternal education, improving hygienic behaviors, and enhancing family economic capacity, to reduce diarrhea incidence at the primary health care level.

References

Afifah, S., & Pranata, Y. (2023). Household characteristics and clean behavior in toddlers: The role of sibling size. Asian Journal of Child Health, 6(1), 44–53. https://doi.org/10.21089/ajch.2023.44

Aung, T. T., Win, M. M., & Hlaing, M. M. (2023). Hygiene practice and diarrhea prevalence among under-five children in Myanmar. BMC Pediatrics, 23(1), 123. https://doi.org/10.1186/s12887-023-03945-x

Data Penduduk. (2024). Profil SKPD Kecamatan Banjarmasin Selatan. https://selatan.banjarmasinkota.go.id/p/profil.html

Data Puskesmas Pekauman. (2024). Data penyakit diare di Puskesmas Pekauman tahun 2024. Banjarmasin: Puskesmas Pekauman (Arsip Internal).

Dinkeskota. (2024). Profil kesehatan tahun 2024 Kota Banjarmasin. Banjarmasin: Dinas Kesehatan Kota Banjarmasin.

Fassa, M. E. G., Amin, F. A., Arbi, A., & Khairuman, K. (2024). Factors associated with the incidence of diarrhea in toddlers in the Meureubo Health Center working area, Meureubo Sub-District, West Aceh District in 2023. 1(5), 1–18. https://doi.org/10.62872/1p62hb80

Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach (4th ed.). New York: McGraw-Hill Education. https://books.google.co.id/books/about/Health_Program_Planning_An_Educational_a.html?id=_VRqAAAAMAAJ&redir_esc=y

Hairani, B., Suriani, S., Andiarsa, D., & Juhairiyah, J. (2019). Hubungan pengetahuan ibu tentang diare dan perilaku memasak air minum dengan kejadian diare balita di Puskesmas Baringin Kabupaten Tapin tahun 2014. 3(1), 10–14. https://doi.org/10.22435/jhecds.v3i1.1808

Hudoyoko, Wahyu, & Iravati, A. Dra. S. (2014). Hubungan sanitasi lingkungan dengan kejadian diare pada balita di Kabupaten Boyolali. http://etd.repository.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=71844

Kamilla, L., Suhartono, S., & Wahyuningsih, N. E. (2013). Hubungan praktek personal hygiene ibu dan kondisi sanitasi lingkungan rumah dengan kejadian diare pada balita di Puskesmas Kampung Dalam Kecamatan Pontianak Timur. 11(2), 138–143. https://doi.org/10.14710/jkli.11.2.138

Khan, S., Syed, A. S., & Ahmad, T. (2023). Maternal knowledge and practices related to childhood diarrhea at a tertiary care hospital in District Mardan. Journal of Farkhanda Institute of Nursing and Public Health (JFINPH), 3(1), 25–28. https://doi.org/10.37762/jfinph.95

Khaliq, Q., Amreen, Jameel, N., & Krauth, S. J. (2022). Knowledge and practices on the prevention and management of diarrhea in children under-2 years among women dwelling in urban slums of Karachi, Pakistan. Maternal and Child Health Journal, 26(7), 1442–1452. https://doi.org/10.1007/s10995-022-03391-9

Kurniawati, D. P., Arini, S. Y., Awwalina, I., & Pramesti, N. A. (2021). Poor basic sanitation impact on diarrhea cases in toddlers. 13(1), 41–47. https://doi.org/10.20473/jkl.v13i1.2021.41-47

Looha, M. A., Shahrbabaki, A. S., Mohammadpoor, A., Zamani, M. R., Sadeghloo, Z., Jameie, M., Mousavi, H., Niaki, S. R. P., Mohebbi, H., Asadimanesh, N., Norouzi, F., Banar, S., Jalalinejad, M., Yousefi, M., Mojahed, S. S., Masheghati, F., Ghalandarlaki, M., & Bahadorimonfared, A. (2025). Global and regional trends in under-five diarrheal disease burden: Impact of human development index and geographic disparities, 1990–2021. 18(2), 177–195. https://doi.org/10.22037/ghfbb.v18i2.3158

Manurung, N. (2022). Pengaruh pengetahuan ibu dan sikap terhadap pencegahan diare pada balita di Dusun Siswo Mulio Timur Desa Kwala Begumit Stabat Kabupaten Langkat. Jurnal Ilmiah Keperawatan IMELDA, 8(1), 74–77. https://doi.org/10.52943/jikeperawatan.v8i1.777

Merid, M. W., et al. (2024). Impact of shared sanitation facilities on diarrheal diseases in urban settings. Ethiopian Journal of Health Sciences, 34(2), 112–125. https://doi.org/10.4314/ejhs.v34i2.5

Moniz, E. P., Fernandes, D., Belo, I., Santos, A. R. O., & Carvalho, M. (2025). Risk factors affecting the incidence of diarrhea in children aged 12–59 months, 3134–3140. https://doi.org/10.38124/ijisrt/25jul617

Muramatsu-Noguchi, Y., Nonaka, D., Kounnavong, S., & Kobayashi, T. (2022). Association between socio-economic status and the presence of soap at handwashing facilities in Lao People’s Democratic Republic: A cross-sectional study. Asia-Pacific Journal of Public Health, 34, 423–426. https://doi.org/10.1177/10105395211072478

Novrianda, D., Yeni, F., & Asterina. (2014). Hubungan karakteristik ibu dengan pengetahuan tentang penatalaksanaan diare pada balita. Ners: Jurnal Keperawatan, 10(2), 150–157. https://doi.org/10.25077/njk.v10i2.321

Okeyo, F. A., Nyang’echi, E., & Guyah, B. (2024). Determinants of diarrheal disease in children undergoing complementary feeding in a low-income urban setting in Kenya. Tropical Medicine & International Health. https://doi.org/10.1111/tmi.14035

Putri, S. R., & Hendrawati, S. (2021). Hubungan jumlah anak dengan praktik higiene ibu dalam pencegahan diare. Jurnal Keperawatan Indonesia, 24(3). https://doi.org/10.7454/jki.v24i3.1201

Ramadhani, Z. T., Muniroh, L., & Abihail, C. T. (2023). Hubungan sumber air bersih, kepadatan hunian, dan daerah tempat tinggal dengan kejadian diare pada balita di Indonesia. Jurnal Ilmiah Universitas Batanghari Jambi. https://doi.org/10.33087/jiubj.v23i3.4074

Rita Puspa Sari, Hidayat, R., Widiastuti, I. A. K., & Ruminem, R. (2024). Hubungan tingkat pengetahuan ibu dan penanganan diare di rumah pada balita di wilayah kerja Puskesmas Segiri Kota Samarinda. Journal of Nursing Innovation, 3(2), 46–54. https://doi.org/10.61923/jni.v3i2.36

Riskesdas. (2018). Laporan nasional riset kesehatan dasar 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI.

Safaryna, A. M., Putri, L. N., & Isfandiari, M. A. (2024). Hygiene as risk factors for diarrhea among toddlers in Mulyorejo Primary Health Center, Surabaya. Jurnal Berkala Epidemiologi, 12(3), 290–297. https://doi.org/10.20473/jbe.v12i32024.290-297

Sulfiati, S. D., & Soesanty, S. (2020). Gambaran pengetahuan dan sikap ibu dalam pencegahan diare pada balita di Puskesmas Kalumata Kota Ternate. 1(1). https://doi.org/10.33387/kmj.v1i1.1664

Susanti, N., Rasyid, Z., Hasrianto, N., Redho, A., & Fadhli, R. (2024). Analisis penyakit diare di Desa Cipang Kiri Hulu dan faktor lingkungan fisik yang mempengaruhinya. Jurnal Kesehatan Lingkungan Indonesia, 23(3), 374–381. https://doi.org/10.14710/jkli.23.3.374-381

Tessema, Z. T., et al. (2023). Spatial analysis of diarrhea and its associated factors among under-five children in Ethiopia. Scientific Reports, 13, 2100. https://doi.org/10.1038/s41598-023-29112-w

Widyastuti, D., Mulyana, Rivani, V. D., Sinaga, S. N. S., Sinulingga, E. A., & Girsang, V. I. (2025). Distribusi spasial kasus diare: Interaksi antara kepadatan penduduk, sanitasi, dan aksesibilitas fasilitas kesehatan di Provinsi Sumatera Utara tahun 2022–2023. Prima Wiyata Health, 6(2), 130–140. https://doi.org/10.60050/pwh.v6i2.99

World Health Organization. (2024). Diarrhoeal disease: Fact sheet. https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease

Yohana, L., Nurdin, A., Fitria, U., & Dinen, K. A. (2024). Faktor-faktor yang mempengaruhi diare pada anak. Public Health Journal, 1(2). https://doi.org/10.62710/hztbrj10

Zhu, Y., Xu, F., Zhao, W., Wang, H., & Wang, H. (2025). The global burden of childhood diarrhea and its epidemiological characteristics from 1990 to 2021. Frontiers in Pediatrics, 13. https://doi.org/10.3389/fped.2025.1656234