The Ministry o Health believes that healthy and hygienic behavior is among important building blocksin orming a productive and prosperous Indonesian society. In cooperation with provincial and districtlevel governments, the Ministry has introduced the Community-Led Total Sanitation (CLTS) programto various parts o the country. The program rests on triggering communities to take initiative anddevelop determination to create positive changes in regards to hygiene. It has been proven to producesustainable results in many communities. For example, in the past three years many communities onIndonesia’s main islands have declared themselves ree rom open deecation.However, very ew small island communities have been able to share in the same success. Small islandsace a unique set o challenges with regard to CLTS. Among the key challenges are limited sourceso reshwater and isolation rom the circulation o inormation on hygienic behavior. These problemsaect the thousands o small islands scattered across the archipelago rom Sabang to Merauke, aswell as other small islands outside o Indonesia. This situation makes promotion o hygienic behaviorparticularly diicult. The achievements in Ende Island to eradicate open deecation brings about a new sense o hope – thatother communities living in small islands can to start living more hygienically. The islanders’ enthusiasmought to be spread to other communities; and governments at every level would do well to encourageand support them in every way necessary. This book chronicles the journey o the people on Ende Island, and oers some tips or other regionsthat wish to replicate the process. Publication o this book is expected to inspire both governmentoicials and community leaders in other areas in Indonesia and beyond, particularly those workingwith communities on small islands. The Ministry o Health thanks all those involved in the development and execution o the CLTS program.In particular, special recognition is given to the East Nusa Tenggara Province Governor and the EndeDistrict Head who had tirelessly promoted the program, especially with the launch o the 2015 EndeDistrict Open Deecation Free Initiative. UNICEF’s collaboration with the East Nusa Tenggara Provinceand especially the District o Ende and also people o Ende Island presents an exemplary mode o cooperation; one with positive and sustainable results. We hope that this will be the irst o manyproductive ventures in the uture.Happy reading, and may this book be o great use!Jakarta, August
2012Minister o Health o the Republic o Indonesiadr. Nasiah Mboi, Sp.A, MPH
The Ende District Commission C o the Regional People’s RepresentativeCouncil: Heribertus Gani, SPd; Oice o Ende District Head: Martinus Ndate; Ende DistrictPlanning and Development Agency: drg. Dominikus Minggu, M.Kes, Andreas Worho, ST, MT,Erneseta Sri Say, ST, Yohanes Don Bosco, S.Sos, Maria Theresia Firmina Baru, S.Si, M.Sc, PatrisiusSurda, S.Si; Department o Health or the District o Ende: Anrina L.N. Mani, Ahmad Gunung;Indonesian Environmental Health Experts Association: Mukhsin Mustika; Central Ende Sub-District Oice: Petrus H. Djata; Ende Island Sub-District Oice: Fransiskus Dadjo, AMK, Haji Ali;Rendoraterua Village: Ahmad Yusu; Rorurangga Village: Junaidin P.S, Juleha Roja, Mashadin;Ndoriwoy Village: Rasjid Kuri, Muchsin Bone, Boro Koa, Wahab Abdullah, Kajo Abdullah, SaidIbrahim, Roswati, Suiah A. Ma; Redodori Village: Aliasa H.A., Hamzah Parera, Abdullah AliJawa, Adulkadir Bahlil; Aejeti Village: Golkar Yusu, Suraan Muhammad, Saudin Abdullah,Amir Jabir; Paderape Village: M. Abdullah; Puutara Village: Saleh, Pua Rasyid, Wahyah Darham,Ismail, Dede Broto; Puutara Primary School: Musosman; Ende Island Private Nurul UmmahIbtidaiyah Madrasah: Maemuna Wio; Rendomaupandi Presidential Decree Primary School:Halimah Jaenab; Ekoreko Public Primary School: Nurdin Ibrahim.
Concept and Direction:
Ministry o Health o the Republic o Indonesia: WilredH. Purba, Zainal I. Nampira, Trisno Soebarkah, Kristin Darundiyah; The CLTS Secretariat; TheNational Water Supply and Sanitation Working Group; UNICEF: Nadarajah Moorthy, JuliatyAnsye Sopacua, Dormaringan Saragih; The UNICEF WES Secretariat.
Text and Design:
Qipra Galang Kualita: Isna Maria, Laksmi Wardhani, Deasy Sekar T.Sari and Sylvana Corputty (text); M. Tauk S (layout and graphics). English version: Isna Maria,Omar Soemadipradja.July 2012