Key Notes

WORKSHOP MULTI-SECTOR – HEALTHY AND INCLUSIVE TOILET

SESSION 1 INTRODUCTION

Opening

• Habitat for Humanity Indonesia ; Let's leverage World Toilet Day as a commitment to achieving the
goal of being open defecation-free in Babakan. This objective can only be accomplished if all
stakeholders, including NGOs, the government, and other institutions, collectively put this
commitment into action.

• Bapedalitbang - Rika Mustika ; Having a toilet is one goal of proper sanitation, as well as achieving
Open Defecation Free (ODF), which is only one stage or pillar of the 5 pillars in Community-Led Total
Sanitation (CLTS/STBM). The district government has planned to achieve Open Defecation Free
status fully by 2024. This target requires collaboration among all stakeholders actively involved in this
issue. It's important to note that the declaration of ODF doesn’t mean that the work is done;
continuous effort is required to ensure that we achieve 100% ODF practice in the community and, if
possible, reach CLTS status

• Babakan Madang Subdistrict Officials; Habitat has intervened in six villages, benefiting a total of
1552 households with various interventions such as decent houses, toilets, stalls, etc. This work
should not be stopped, as there are still communities that require support from Habitat

Presentation: Update on Implementation of Community Led Total Sanitation particularly the Open
Defecation Free in Babakan Madang sub-district (Sanitarian of Community Health Center/Puskesmas
Babakan madang)

 There are still many cases of Open Defecation (OD) in Babakan Madang, as well as improper
household waste management in the community. This is evident from the significant amount of
plastic waste stranded everywhere. In terms of open defecation practices, many people still defecate
in the river, causing the river to be highly polluted by bacteria, specifically E. Coli. E. Coli can lead to
digestive disorders such as diarrhea or other waterborne diseases if people consume the river water
or use it for domestic purposes like bathing
 There are three Community Health Center (Puskesmas) operating in Babakan Madang, each with its
designated working areas. Puskesmas Sentul covers two working areas: Sentul and Kadungmangu
villages. Puskesmas Babakan Madang serves five working areas: Cipangguan, Citaringgul, Babakan
Madang, Sumur Batu, and Karang Tengah villages. Additionally, Puskesmas Cijayanti operates in two
working areas: Cijayanti and Bojongkoneng villages
 The 5 pillars of the CLTS program have been established in every Puskesmas. This requires
Puskesmas to conduct routine awareness-raising activities, ensuring that community sanitation and
hygiene practices are improved.
 Babakan Madang subdistrict was declared Open Defecation Free (ODF) with Hand Washing with
Soap on May 22nd. It is crucial to emphasize that the declaration does not automatically imply the
 capture of people's practices as Open Defecation Free (ODF). The government grants this status with
the expectation of a commitment to achieving the ODF status in community practices. Since the
practice of open defecation is still found in the community, collaboration among all stakeholders is
essential to achieving this goal
 The government has established the ODF indicators, which include: ensuring that all communities
have access to toilets, fostering a healthy environment, improving hygiene quality, ensuring 100% of
families practice Open Defecation Free (ODF), and implementing continued monitoring by
Puskesmas or other related actors to ensure communities maintain ODF practices
 The following are the reported cases of open defecation in each village: 10.54% in Desa Sentul,
24.06% in Desa Kadunmangu, with 182 households (hhs) and 53 households (hhs) in Cijayanti and
Bojongkoneng villages having unsanitary toilets. Meanwhile, 94.27% of the community in Desa
Cipambuang practices Open Defecation Free (ODF), along with 96.5% in Babakan Madang, 95.96% in
Citaringgu, and 97.4% in Sumur Batu
 The main challenges to achieving Open Defecation Free (ODF) status include limited land availability
for individual toilets or sewage systems due to community constraints, financial limitations, a lack of
synergy between government institutions and non-governmental organizations (NGOs), the private
sector, etc., and insufficient data collection by name and address
 Puskesmas has planned a follow-up action to ensure that the declaration is accompanied by actual
changes in community practices. This involves continued efforts by Puskesmas to emphasize the
importance of proper sanitary toilets and the negative effects on people's health if they do not have
access to them. The monitoring conducted by Puskesmas indicates that these awareness campaigns
have been successful in encouraging people to build septic tanks. On the other hand, Puskesmas
expects support in several areas: the village providing regulations that support continuous
monitoring and evaluation, availability of funding, and support from various sectors and institutions
 Lastly, to achieve the CLTS goal, Puskesmas will continue to conduct regular tests on community
drinking water, environmental health inspections to check the quality of water for domestic needs,
and assess how people manage their food, household liquids, and waste management

SESSION 2 : PANEL PRESENTATION

Presentation 1 : Habitat for Humanity Indonesia ’s role in WASH Implementation in Bogor District

• Throughout 26 years, Habitat for Humanity Indonesia has assisted 196,000 families, providing them
with more than 38,000 decent houses, 26,000 clean water access points, and sanitation facilities. In
addition to that, Habitat has supported families with various kinds of training.

• In Bogor district, Habitat has been implementing its program for about 12 years covering 3 sub-
district and 8 villages

• In selecting areas for intervention, Habitat prefers to centralize its programs, focusing on one district
or subdistrict for several years. This approach facilitates the identification of community needs
related to decent houses and WASH, enabling interventions through collaboration with government
offices, institutions, local stakeholders, NGOs, and the private sector. This centralized focus is
referred to as a cluster project. Additionally, Habitat employs community-based development in
 every intervention. Therefore, the establishment of a committee or community representatives is
crucial to ensuring sustainability once the project is completed.

• Similarly to the findings presented by Puskesmas, Habitat has also identified instances of open
defecation and unhygienic practices and behaviors in the community, leading to an unhealthy
environment in Babakan Madang sub-district. Several programs have been implemented to address
this situation. However, we also realize that these efforts need to be jointly undertaken. Therefore, in
collaboration with government offices and institutions, Habitat is committed to being involved in
achieving 100% Open Defecation Free (ODF) practices and reaching the Community-Led Total
Sanitation (CLTS) status in Babakan Madang sub-district

• Another future challenge that poses a threat is the rapid population growth. While increasing
population growth has positive implications, such as the demographic bonus, it also presents
challenges. There is a growing need for decent housing, an increased demand for land leading to
limited availability, and the emergence of slum areas with poor sanitation and hygiene practices

Presentation 2 : Role and Support of BAPPEDALITBANG in CLTS implementation in Bogor

• Bappeda is expecting increased collaboration in delivering projects or interventions among

government offices or institutions, NGOs, and the private sector, so that interventions can have a
more impactful outcome. Currently, it appears that each actor works alone without effective
collaboration or coordination with other involved actors. Bappeda also recognizes the importance of
enhancing collaboration with Habitat for Humanity this collobartion can benefited wider
communities, for instance since Habitat focused in providing decent houses for low income families,
according to data there are 15.000 inadequate housing recorded and around 326.000 low income
individual, if Bappeda and Habitat working closely, this need can be alleviated properly.

• If Habitat wishes to expand its working area, there are 39 more locations that require support. This
program expansion can be more effectively achieved and provide greater benefits to wider
communities through collaboration with the government.

• Regarding the ODF declaration, Babakan Madang is one of the 178 sub-districts that have issued an
ODF declaration. However, as mentioned by another speaker, the declaration doesn't imply the
absence of open defecation cases or practices in communities. Instead, it is merely a commitment to
achieve 100% ODF. The government itself has targeted that all areas will achieve 100% ODF by 2024.
Similarly, in relation to the Sanitarian presentation, achieving ODF is not the only target; it serves as
the initial stage toward realizing the five pillars of CLTS

• The reason why do people requires a safe water sanitation, because it is highest disease that people
suffered with which around 73 % population suffered with dhiarea and other waterborne disease.
The major factor of this disease is poor water and sanitation.

• For instance, several months ago Bappeda conducted the baseline survey in Dramaga sub-district
one of the overpopulated area in Bogor and found out a poor quality of both drinking and clean
water that mostly occurred due to household sewage system and the water source-shallow well- are
very close to each other less than minimum 12 meters, and the sewage system septictank is not
 according sanitary requirements too. This actualy a picture or over populated or density area which
often followed by poor household liquid solid waste management that lead to unhealthy
environment

• To achieve 100% ODF status and reach the five pillars of CLTS, the roles of Puskesmas and Sanitation
are crucial. They play a vital role in providing basic services to the community and encouraging
changes in community behavior and practices, ultimately contributing to the achievement of
community health and wellness.

Presentation 3 : Support and Pentahelix Synergy in the Implementation of CLTS in Bogor district -
Health Department of Bogor district

• Environment and sanitation plays crucial role in determining community health and wellness which
about 40 %, and follow by behaviour 30 %, health service 20 % and genetical factor 10 %

• Government has put the stress on importance of CLTS practice by issuing regulation No.48 tahun
2022. According to that regulation 5 Pilar of CLTS consist of (1)open-defecation free, (2)hand washing
with soap, (3)household drinking water treatment, (4)household solid waste management, and
(5)household wastewater management

• Pillar 1: Out of 435 villages, 252 have declared ODF. However, continuous monitoring is required to
ensure the practice in the community. Based on lessons learned through monitoring, communities
are not aware of the importance of regularly dislodging septic tanks every 3–5 years. This is further
supported by regular water tests conducted by the Health Department, indicating that 7–10
community shallow wells are contaminated with E. Coli, even though they have a proper sewage
system or septic tank. However, it was revealed that they do not dislodge their septic tanks even
after more than 10 years

• Regarding the pillar 2, people behaviour on washing their hand with soap has increased during
Pandemic Covid 19 however it going down again once the pandemic over, people are seems to go
back to the old behaviour not washing hand with soap regularly

• Pillar 3: The Health Department conducts regular tests on community drinking water every year,
focusing on 85 locations to ensure people drink safe water. The Health Department also continues
the campaign for traditional treatment, advising boiling water contaminated with E. Coli and letting
it stand for a while before drinking.
Concerning food safety and storage, the Health Department carries out regular inspections of shops,
households, and catering services. During these inspections, Health Department officials disseminate
the importance of proper and safe food preparation and storage to ensure people's health.

• Regarding Pilar 4 : Environmental Friendly Areas (Kawasan Ramah Lingkungan or KRL) have been
established in every village. They play an important role in managing household solid waste. They
receive regular training or mentoring from the Environmental Department. However, up to now, only
a few KRLs effectively fulfill their roles, as most of them believe that waste management is only
 important during hygiene competitions. Those KRLs that have been well-established, like in Cibinong
and Bojongkoneng, have initiated plastic waste recycling and produced valuable materials.

• Pillar 5: All liquid waste from household activities, including washing, bathrooms, and kitchens,
needs to be treated first by separating household liquid waste through soak pits. The soak pits also
need to be cleaned and maintained regularly to prevent environmental pollution.

SESSION 3 . DISCUSSION

Sobar Rahmad – Head of BPPD (Badan Pengawas Pemerintah Desa Karang Tengah

Q: The issue regarding the lack of toilets and septic tanks arises from the community's insufficient funds
to build them. Consequently, they perceive open defecation as more efficient since it doesn't incur any
costs. Habitat for Humanity Indonesia has provided some families with toilets and sewage facilities.
However, out of the planned 10 individual toilets, only 7 were realized due to issues with limited land for
another 3 families. This situation is common in many families. What should be done to address this
situation in areas facing such challenges?

A: communal septictank may answer this situation, however it must be clarified is such land available for
communal septictank, and how future maintenance? Is the community are willing to maintain the
communal septictank together? These questions along any other question must be clarified first ( Senior
HUB 1 Manager of HFHI - Junianto Nugroho )

C : Posyandu (Integrated Health Service Unit) is essential to enhance its approach in educating people
about household waste management, as many still dispose of waste improperly. Posyandu programs
should not solely focus on providing nutrition and child weighing; they should also emphasize the
importance of enhancing community awareness to prevent environmental pollution. On the other hand,
Puskesmas should provide and prepare Posyandu staff with more training and guidance before they visit
households, provide services, or conduct any programs

C : There is a need to build or provide more Posyandu to meet the demands of the community in Karang
Tengah. Currently, there are only 2 Posyandu serving all communities in Karang Tengah. Although the
community has initiated to donate their land, it does not comply with regulations. The community
expects the government and all institutions involved in providing Posyandu to lower their regulations
and standards so that the community can have more Posyandu in Karang Tengah.

Eri (Yayasan - Mitra Childfund di Kabupaten Bogor)

Q : How does HFHI monitor and evaluate the program and activities, and how do you determine the
indicators to measure the accomplishment of objectives? This could serve as a valuable lesson for other
projects or organizations implementing similar initiatives

A : Babakan Madang is one of Habitat for Humanity cluster area. Habitat will stay in a cluster at least
around 10 years. The cluster approach allow Habitar to measure program achievement by having a
periodic monitoring and evaluation. In another hand, within Habitat we have PD Meal Division who is
charge in planning and conducting the monitoring and evaluation. Every project evaluation has its lesson
learned that valuable for future project. One of lesson learned that we took and in our current projects is
the importance of Committee to be established as community representative that can ensure
sustainability once project completed ( Senior HUB 1 Manager of HFHI - Junianto Nugroho )

C : Regarding collaboration, if Bappeda has a list of partners from institutions, NGOs, or private entities
regularly involved in WASH sector, we hope Bappeda could bridge or host the coordination by inviting all
actors. This will facilitate collaboration and synergize the data

A: Bappeda welcomes suggestions to facilitate collaboration and synergy among actors involved in the
WASH sector. A notable example of successful collaboration occurred during the waste cleanup activity
in Setu Citatar. This initiative successfully engaged private sectors, NGOs, the youth community of
Cibinong, and volunteer groups. Approximately 200 trucks of waste were transported. BPBD (Regional
Disaster Management Agency) and PMI (Indonesian Red Cross) were also involved, providing rubber
boats to assist in removing trash from the river. The entire team was supported with food donations
from a local restaurant in Cibinong. Importantly, this entire activity did not utilize any government funds,
illustrating that successful collaboration is indeed possible (BAPPEDALITBANG – RIKA MUSTIKA)

Sharing from IUWASH TANGGUH :

Mapping Scheme of Sanitation Ecosystem in Bogor Regency

1. Commitment and regulation

Commitment from government offices and institutions at different levels, including district, sub-district,
or village, toward the goal of sanitation and the ecosystem is very important. The commitment from
village government can be realized by providing updated data and actively engaging in awareness raising

2. Organization

Three organizations have been established in Bogor: Pokja PKP, Forum Kabupaten Sehat (Healthy District
Forum), and CSR Forum. However, these three organizations have not been actively involved. IUWASH
TANGGUH will support optimizing the functions of these organizations, particularly Pokja PKP

3. Community Preparation

Several approaches can be utilized to prepare the community. Firstly, Posyandu, Puskesmas, and village
officials should continue triggering and extend their efforts to villages that have not been covered.
Secondly, demand creation is essential; people should be encouraged so that they themselves will
request improvements in sanitation and the environment. If there is demand, funding doesn’t always
have to come from the government. For instance, IUWASH is collaborating with cooperatives that can
support the community in improving their sanitation and environment.

4. Fundings

Funding can be obtain from CSR, many corporate are interesting to support water and sanitation
improvement initiative. PUPR ( Public work and housing) Ministry has increased its allocaton to
sanitation environment for about 12 billion IDR

5. Monitoring dan evaluation

The monitoring and evaluation need to be collaborated with all actors involved so that the lessons
learned can be shared with other institutions or partners

Sesi 4. FOLLOW UP – ACTION PLAN

• Government officials/institutions, CSR, and NGOs need to collaborate and coordinate their data
regarding achievements, ongoing, and future activities so that the remaining number of needs can
be identified and, hopefully, addressed through collaboration among actors

• Habitat for Humanity Indonesia will continue for another 2 or 3 workshops to follow up on the
Mapping Scheme of Sanitation Ecosystem shared by IUWASH Tangguh

• Bappeda will facilitate the coordination meeting, inviting CSRs and NGOs, to accelerate the five
pillars of CLTS