The Effectiveness of Clean and Healthy Lifestyle Behavior Education in Preventing Scabies among Children at the Medan Juvenile Correctional Institution
DOI:
https://doi.org/10.58344/locus.v5i4.5743Keywords:
scabies, clean and healthy living behavior, health education, health promotion, juvenile correctional institution (LPKA)Abstract
Scabies is a contagious skin disease that remains a public health problem, particularly among children living in communal settings with high population density, such as Juvenile Correctional Institutions (Lembaga Pembinaan Khusus Anak/LPKA). Clean and Healthy Living Behavior (Perilaku Hidup Bersih dan Sehat/PHBS) plays an important role in preventing the transmission of scabies through changes in individual behavior. This study aimed to analyze the effectiveness of a community health promotive intervention through PHBS education in preventing scabies among children at LPKA Class I Medan. This study employed a quasi-experimental design with a pre-test and post-test group design. The research sample consisted of all 125 children residing at LPKA Class I Medan, selected using total sampling technique. The intervention comprised PHBS education delivered using PowerPoint presentation media. Data were collected before and after the intervention using a structured questionnaire assessing knowledge, attitudes, and practices related to PHBS for scabies prevention. Data analysis was performed using univariate and bivariate analyses, with the Wilcoxon Signed Rank Test applied due to non-normal data distribution. The results showed a significant increase in respondents’ knowledge and attitudes following the PHBS educational intervention (p < 0.001), as well as a significant improvement in scabies prevention practices (p = 0.010). The greatest improvement was observed in the knowledge aspect, while changes in practice were relatively lower, possibly influenced by limitations in facilities and environmental conditions within the LPKA.
References
Arlian, L. G., & Morgan, M. S. (2022). Immunopathogenesis of scabies and prospects for new therapies. Current Opinion in Infectious Diseases, 35(2), 95–101. https://doi.org/10.1097/QCO.0000000000000815
Engelman, D., Kiang, K., Chosidow, O., McCarthy, J., Fuller, C., Lammie, P. J., ... & Steer, A. C. (2020). Toward the global control of human scabies: Introducing the International Alliance for the Control of Scabies. PLoS Neglected Tropical Diseases, 14(8), e0008487. https://doi.org/10.1371/journal.pntd.0008487
Fitriani, N., Suryani, D., & Hakim, A. (2022). Perilaku hidup bersih dan sehat dalam pencegahan penyakit berbasis lingkungan di sekolah dasar. Jurnal Promkes, 10(1), 45–54. https://doi.org/10.20473/jpk.V10.I1.2022.45-54
Girma, A., & Abdu, G. (2024). Prevalence and determinants of scabies among schoolchildren in Ethiopia: A systematic review and meta-analysis. Health Science Reports, 7(2), e1412. https://doi.org/10.1002/hsr2.1412
Hardy, M., Samuela, J., Kama, M., Tuicakau, M., Romani, L., Whitfeld, M. J., et al. (2021). Community control strategies for scabies: A cluster randomised noninferiority trial. PLoS Medicine, 18(11), e1003849. https://doi.org/10.1371/journal.pmed.1003849
Kementerian Kesehatan Republik Indonesia. (2021). Pedoman pembinaan perilaku hidup bersih dan sehat. Kementerian Kesehatan RI.
Lubis, R., & Siregar, H. (2022). Efektivitas edukasi PHBS terhadap peningkatan kebersihan diri pada anak sekolah dasar. Jurnal Kesehatan Masyarakat Andalas, 16(2), 123–131. https://doi.org/10.25077/jkma.v16i2.123-131
Mitchell, E., Wallace, M., Marshall, J., Whitfeld, M., & Romani, L. (2024). Scabies: Current knowledge and future directions. Frontiers in Tropical Diseases, 5, 1–12. https://doi.org/10.3389/ftd.2024.00005
Mulyadi, A., & Pratama, D. (2021). Sistem pembinaan anak yang berkonflik dengan hukum dalam perspektif peradilan anak di Indonesia. Jurnal Hukum dan Pembangunan, 51(3), 645–662. https://doi.org/10.21143/jhp.vol51.no3.3072
Nutbeam, D. (2021). Health promotion and health education: Advancing the concepts. Health Education & Behavior, 48(5), 566–573. https://doi.org/10.1177/10901981211024040
Prasetyo, A., & Widodo, H. (2021). Determinan perilaku hidup bersih dan sehat pada masyarakat perkotaan di Indonesia. Jurnal Kesehatan Lingkungan Indonesia, 20(3), 145–154. https://doi.org/10.14710/jkli.20.3.145-154
Pratama, Y., Dewi, A., & Rahayu, T. (2023). Handwashing behavior and its impact on infectious diseases among Indonesian schoolchildren: A systematic review. BMC Public Health, 23(1), 231. https://doi.org/10.1186/s12889-023-15231-3
Putri, R., & Nugroho, A. (2025). Child rights-based approach in juvenile detention: Implication for health and education. International Journal of Child and Adolescent Health, 18(1), 22–33.
Rahman, F., Astuti, Y., & Lubis, H. (2024). Promoting personal hygiene through PHBS education in juvenile correctional institutions: An intervention study. Jurnal Kesehatan Masyarakat Indonesia, 19(2), 145–153. https://doi.org/10.7454/jkmi.v19i2.145-153
Romani, L., Marks, M., Sokana, O., Nasi, T., Kamoriki, B., Cordell, B., ... & Steer, A. C. (2021). Mass drug administration for scabies control in a population with endemic disease. Clinical Infectious Diseases, 73(11), e3991–e3999. https://doi.org/10.1093/cid/ciaa1770
Sari, D., Handayani, L., & Yusuf, M. (2023). Health challenges in juvenile detention centers: A cross-sectional study in Indonesia. BMC Public Health, 23(1), 412. https://doi.org/10.1186/s12889-023-15412-7
Utami, T. N., Usiono, U., & Sayekti, R. (2022). Analyzing the adoption of clean and healthy living behaviors against COVID-19 students in Indonesia. The Open Public Health Journal, 15, e187494452208290. https://doi.org/10.2174/1874944502215010290
Wardani, N., & Susilo, A. (2022). Overcrowding and infectious disease risks in juvenile correctional institutions: A public health perspective. Journal of Correctional Health Care, 28(4), 267–275. https://doi.org/10.1089/jchc.21.02.20
Yulfi, H., Zulkhair, M. F., & Yosi, A. (2022). Scabies infection among boarding school students in Medan, Indonesia: Epidemiology, risk factors, and recommended prevention. Tropical Parasitology, 12(1), 34–40. https://doi.org/10.4103/tp.tp_34_21
Yuliana, D., Hasanah, U., & Fauzi, R. (2024). PHBS education as a sustainable investment for children’s health behavior in Indonesia. International Journal of Community Health, 9(1), 22–31.
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