Cadres of Clean and Healthy Behaviour on Primary School Children

in Medan Marelan Garbage Final Disposal

E. Aritonang

and H. Lubis

Department of Community Nutrition, Faculty of Public Health, Universitas Sumatera Utara, Medan, 20155, Indonesia

Department of Occupational Health, Faculty of Public Health, Universitas Sumatera Utara, Medan, 20155, Indonesia

Keywords: Cadre, Healthy and Clean Life Behaviour, Primary School Children, Waste.

Abstract: Health status influenced by several factors namely heredity, health care, behavioural and environmental.

The final landfill which belongs to the environmental factor proposed is an area with poor environmental

quality. Waste that accumulates and aqueous is very possible for the proliferation of diseases such as worm

eggs. School is an educational institution that becomes the target of clean and healthy behaviour, so the

application of the behaviour becomes better. The attention of education managers and health institutions to

the practice of clean healthy living behaviour of student in the garbage final disposal is still very minimal.

The existence of student, school committees, and teacher boards at each school can be empowered to

improve better clean and healthy behaviour. Based on this need improvement effort clean and healthy

behaviour in primary school children. This effort can be done by the establishment of cadres of primary

school children who are concerned with clean and healthy behaviour. The establishment of this primary

school cadre is coordinated by a school committee in collaboration with the school. The formation of this

cadre is expected continuously and regeneration so that ultimately can reduce the problem of worms and

other health problems experienced by primary school child.

1 INTRODUCTION

Clean and healthy life behaviour is an effort to

provide a learning experience or create a condition

for individuals, families, groups and communities,

by opening the way of communication, providing

information and educating, to improve knowledge,

attitude and behaviour through leadership approach

advocacy, community building (empowerment) as

an effort to help people recognize and solve their

own problems, in their own order, in order to

implement healthy ways of life, in order to maintain,

maintain and improve health . The clean and healthy

behaviour targets include five orders: household,

school, workplace, health facilities and public places

(Indonesia Health Ministry, 2009). The high

prevalence of infection with worm infection is

caused by several factors, namely, low clean and

healthy life behaviour such as hand washing before

eating and after defecation, nails hygiene, contact

with soil habit, and footwear usage. Moreover, it can

be caused by poor environmental sanitation, such as

in Kelurahan Paya Pasir, Medan Marelan Sub-

district adjacent to Terjun Garbage Final Disposal

which is the Final Disposal Place of Waste.

Waste conditions scattered on the home page are

very likely to contain infective worm eggs and the

inclusion of garbage trucks around the home and

school environment is bad for the health of children

and very risky infected by worm eggs because the

worm eggs can be inhaled through the air with dust.

Human life with all its activities must not be

separated by the name of garbage. As time goes by,

the human population is increasing and

technological development is getting more

sophisticated resulting in lots of garbage, such as

household garbage and others. This garbage will be

collected in a place called Final Disposal Place.

Trash in this landfill if not managed properly will

be a source of diseases such as worms and anaemia

(Lina, 2016). Primary school No 067773 is located

at Jalan Paluh Nibung Kelurahan Paya Pasir Medan

Marelan District. This school is the nearest primary

school with the Trash Final Disposal Place of Medan

City namely Terjun garbage final disposal. The

school consists of 2 separate buildings consisting of

Aritonang, E. and Lubis, H.

Cadres of Clean and Healthy Behaviour on Primary School Children in Medan Marelan Garbage Final Disposal.

DOI: 10.5220/0010083106630667

In Proceedings of the International Conference of Science, Technology, Engineering, Environmental and Ramiﬁcation Researches (ICOSTEERR 2018) - Research in Industry 4.0, pages

663-667

ISBN: 978-989-758-449-7

663

buildings for classrooms and buildings for the

teacher’s office. The classroom building consists of

6 rooms, while the teacher office and principal office

buildings are combined. The school is very close to

the waste landfill even the smell of garbage can

smell from the school. Many students work as waste

pickers. Socio-economic society is down and

middle.

The location of the school is adjacent to the

homes of residents who work as scavengers whose

scattered waste. The attention of education managers

and health institutions to the practice of clean

healthy living behaviour (clean and healthy

behaviour) is still very minimal. The existence of

school committees in each school can be empowered

to improve better clean and healthy behaviour. The

empowerment of the school committee is done by

forming cadres of elementary school children who

are concerned with clean and healthy behaviour. The

formation of this cadre is expected continuously and

regeneration so that ultimately can reduce the

problem of worms and other health problems

experienced by student. the objectives of this study

are forming clean and healthy behaviour cadres in

primary school children in final waste disposal in

Medan Marelan District. The benefits of this study

are increasing partner knowledge and student about

clean and healthy living behaviour and

implementation of clean and healthy life behavior in

schools.

2 IMPLEMENTATION METHOD

2.1 Method of Approach Used in

Program Devotion

The method of approach taken during the dedication

to partners is by training, guidance and assistance to

the school committees who become partners and

targeted student. Increased knowledge of school

principals, teachers, and student about clean and

healthy behaviour after training with learning and

play methods. In addition, it is expected that with

better knowledge, can apply clean and healthy

behaviour so that worms and anaemia problems that

have been high can decrease. Through this service,

partners are also expected to be willing and able to

implement clean and healthy behaviour in a

sustainable manner

2.2 Implementation of Activity

The activities carried out for problem solving

include:

2.2.1. Socialization of Service Activities,

Namely an Explanation of the Clean

and Healthy Behaviour Training Plan

Socialization of devotion activities is given to the

school committees on the two primary schools who

become partners with the aim that partners

understand about the meaning and purpose of the

activities of dedication. In addition, this socialization

will also form an attitude and desire to want to be

fully involved in the activities of dedication. Based

on this case then the implementation of the activity

goes well.

2.2.2. Recruit Student Who Take Part in

Training for Prospective Clean and

Healthy Behaviour Cadres at School as

Participants of the Activity

Recruitment is done after the socialization of

activities. Some student and teachers who are

motivated to follow the devotion activities will be

asked for their willingness and commitment by the

community service team to become a cadre. Criteria

for selecting cadre candidates are children who

excel, have good discipline, and are liked by their

friends.

2.2.3. Training on Clean and Healthy

Behaviour

Training on clean and healthy behaviour, how to

conduct clean and healthy behaviour correctly, and

the benefits and impacts of clean and healthy

behaviour. This training was conducted by a team of

dedication accompanied by health centre staff in the

field of school health program. This training is

needed to provide a good level of understanding of

the purpose and implementation of service activities.

The existence of a good understanding of the

activities and implementation of activities will

facilitate the achievement of the purpose of

community service activities so as to form a cadre of

clean and healthy behaviour in student in school.

While the partners are willing and able to implement

clean and healthy behaviour sustainably in schools

that ultimately the incidence of worms and anaemia

in student can be reduced.

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664

2.2.4. Implementation of Clean and Healthy

Behaviour Activities

The implementation of this service is carried out for

6 months starting from the management of activities,

socialization, recruitment, training and evaluation

permits. Within 2 months after clean and healthy

behaviour training, the devotion team will ask the

principals, teachers, cadres of clean and healthy

behaviour in student related to the constraints or

problems encountered in the implementation and

clean and healthy behaviour.

2.2.5. Evaluation of Activities based on the

Implementation of Clean and Healthy

Behaviour Activities

Evaluation of activities is carried out by a team of

devotion based on inputs, suggestions, and real

problems encountered by school principals, teachers,

cadres, and student during the implementation of

clean and healthy behaviour activities. If necessary,

the results of this evaluation will be submitted to

health centres, health offices, education offices,

cleanliness agencies or other relevant agencies with

a view to resolving related issues or

recommendations. One example of follow-up is

based on an evaluation of activities to reactivate

UKS activities in schools monitored by primary

health centre on a regular basis

3 THE RESULT AND

DISCUSSION

3.1 The Preparation of Devotional

Activities

Implementation of community service in accordance

with the proposal is done in primary school No

067773 and School Min Darul Ulum Kelurahan

Terjun Subdistrict Medan Marelan. Based on the

above matter, on May 7, 2018, the team devoted the

survey to school No 067773 and school Min Darul

Ulum Kelurahan Terjun Subdistrict of Medan

Marelan with the aim of preparing the

implementation of the service activity. In the survey,

the team delivered the purpose and objectives of the

activity as well as the socialization of the activities.

Then plan the time of the activity and discuss the

things that are needed in the implementation of the

activity.

3.2 Recruit Participants in Community

Service Activities

On June 1, 2018, the team went to SD 067773 and

SD Min Darul Ulum in the Terjun District of Medan

Marelan District to recruit community service

participants, namely primary school children who

would become cadres of clean and healthy

behaviour. This cadre was recruited by 1 person

from each class so that each class had clean and

healthy behaviour cadres in both schools. Recruit

this cadre is done openly and every student have the

same right to be elected. But the chosen cadres are

determined based on the assessment of the devotion

team with certain characteristics that is having a

good learning achievement, eager and liked many

friends, and have good communication skills.

3.3 Socialization of Activities at Clean

and Healthy Behaviour Cadres

After the cadre was formed, then the team conducted

socialization activities. This socialization is about

the things that the cadres have to do in school.

Besides the training plan to increase cadre

knowledge about clean and healthy behaviour. The

implementation of clean and healthy behaviour

training was carried out 3 times every Saturday after

returning home from school so as not to interfere

with the learning activities at school. The training

schedule 3 times each Saturday is determined by

mutual agreement between the team, the cadres, the

teachers, and the principal.

3.4 Training Clean and Healthy

Behaviour on Cadre

After the socialization, the next activity is to conduct

training on clean and healthy behaviour. In the

training on June 4, 2018, participants were not only

student who became cadres, but also attended by

some teachers and parents who were members of the

school committee. This is because they have a great

curiosity about what is meant by clean and healthy

behaviour and its benefits to health. The material

from this training is an understanding of the clean

and healthy behaviour and the scope, benefits and

impact of clean and healthy behaviour. In this

training was also presented how the duties and

obligations of cadres to student in each class, how

the cadres perform the monitoring function and give

motivation to his classmates to improve clean and

healthy behaviour.

Cadres of Clean and Healthy Behaviour on Primary School Children in Medan Marelan Garbage Final Disposal

665

During the training with lecture methods and

discussion while playing using flipchart media and

distributing brochures about clean and healthy

behaviour. In the lecture session, the cadres, teachers

and parents are very serious and enthusiastic about

listening and actively asking about things that have

not been understood. It also commented on the

experiences and phenomena that exist in the

community. This lecture is very satisfying for

teachers and parents who see that many of them who

frankly say that the establishment of clean and

healthy behaviour cadres in student has a positive

impact in reducing the amount of waste that can

have a negative impact on health. In addition to

improving the health of student and the behaviour of

clean and healthy living that can prevent or reduce

the incidence of helminthiasis and anaemia in

student. The existence of this lecture is very open

insight and increase knowledge for student, teachers

and parents about the importance of clean and

healthy behaviour. Based on this it is expected to

increase knowledge for cadres, student, teachers and

parents in implementing clean and healthy behaviour

so that problems of worms and anaemia in student

can be reduced. The lecture materials include:

1. Understanding clean and healthy behaviour, its

benefits and impacts and activities in the

application of clean and healthy behaviour.

2. Monitoring the implementation of clean and

healthy behaviour in student. In addition to

lectures and discussions, the training materials

are also provided in the form of brochures,

posters and textbooks that can be a reference for

cadres and also increase the knowledge of

primary students in general

3.5 Implementation of Clean and

Healthy Behaviour by Cadre

After the cadre is trained by a team of devotion

assisted also by the health centre field officer of the

school health program, the cadres are ready to carry

out their activities. Every day before student enters

the class must wash their hands first with running

water and soap at the facilities provided by the team

devotion. In addition, the cadre also makes a

schedule to sweep the classes and pages in turns so

that the class every day is clean. Sweeping class

schedule is done by 2 students and the schedule of

sweeping the outside page in front of the class is

also done by 2 students. Based on this it is seen that

the class and yard of the school to be cleaner than

before the devotion activities. The garbage that has

been swept and collected is then disposed of in the

trash which is also provided by the team. Classroom

sweeps, in-class garbage bins, as well as broom

beds, and dustbins in the yard are also provided by

community service teams.

3.6 Evaluation Clean and Healthy

Behaviour activities by Cadre

The evaluation result of the team of dedication to the

existence of the cadre of clean and healthy

behaviour was done twice, that is the first evaluation

was done two weeks after the training of the cadre.

The second evaluation is conducted a month after

the implementation of cadre training. In addition,

this monitoring is also done by calling cadres of

trainees, teachers, principals and parents who attend

during the training. Evaluation includes difficulties

in implementing clean and healthy behaviour in both

schools. Based on monitoring and evaluation it is

known that in general found difficulty (obstacles) in

handling the outside environment that is page and

also classroom when rain falling and long duration.

T resulted in the school yard flooded even water can

get into the classroom. This results in not only dry

waste that has been collected into moist or wet that

causes unpleasant smell, but also there will be a lot

of garbage follow-up from the flood. The next

difficulty is the absence of operational tools or

vehicles in citing or collecting garbage from these

two schools and thus having to independently burn

the garbage that has accumulated. Based on the

evaluation of the team and the discussions of the

team with the cadres, teachers and parents stated that

the devotion activities performed by the team are

very satisfactory and provide great and significant

benefits for them. The obvious change seen is those

students are increasing their knowledge and

behaviour in maintaining personal hygiene and

cleanliness both in class and in school grounds.

Classrooms and school grounds also look neater and

cleaner than before this community service activity.

If this can take place continuously it will create a

clean and healthy environment with better self-

health of school children that will greatly support the

prevention and decrease occurrence of anxiety and

anaemia.

4 CONCLUSIONS

The establishment of clean and healthy behaviour

cadres in two schools namely primary school No

ICOSTEERR 2018 - International Conference of Science, Technology, Engineering, Environmental and Ramiﬁcation Researches

666

067773 and school Min Darul Ulum in Kelurahan

Terjun Subdistrict of Medan Marelan is very useful

to improve self health of student and environmental

health in school. It also establishes a healthier clean

living behaviour better in student. The existence of

this school which is close to the final waste dumps is

very risky to poor environmental health so that this

cadre succeeded in reducing the risk.

It is expected

that the cadres who have been formed actively and

routinely perform their functions in primary student.

In addition, cadres regenerate to the class when they

are graduated so that the cadre function in this

school is sustainable. Based on this, worms and

anaemia that were previously high in student in this

place could be reduced.

ACKNOWLEDGEMENT

Thank you to the Community Service Institute

(Lembaga Pengabdian Kepada Masyarakat)

Universitas Sumatera Utara as the source of Non

PNBP USU2018 research fund,Community Service

scheme,Hi-Link Research Based of Fiscal Year 2018

Number: 175/UN5.2.3.2.1/PPM/2018 16

April

2018.

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