The relationship between water quality and proper sanitation to the incidence of diarrhea among children under five in Surabaya city 2019-2022

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Nastiti Aryudaningrum, Qatrunnada Naqiyyah Khusmitha, Meylani Zakaria

2026 AIP Conference Proceedings Vol. 3319 Issue 1 Conference paper Cited by 0

Abstract

Diarrhoea is when the stool becomes more fluid, and the frequency of bowel movements increases. Diarrhoea is caused by bacterial, viral, and parasitic infections, especially rotavirus and Escherichia Coli bacteria. Sustainable Development Goal 6 (SDG-6) aims to achieve universal and equitable access to all drinking water, sanitation and hygiene by 2030. This study aims to analyze the relationship between water quality and access to proper sanitation and the incidence of diarrhoea in Surabaya City children under five years of age in 2019-2022. Method: This type of research is analytically observational with a cross-sectional study design. The data used in this study are secondary data obtained from the Surabaya City Health Profile Report 2019-2022 and Surabaya City Water Quality Index data 2019-2022. The data analysis used was descriptive, ANOVA, correlation, and regression analysis. Result: The water quality index in Surabaya in 2019-2024 is in the medium category. The average number of cases of diarrhoea in children under five in Surabaya from 2019 to 2022 was 1140.5, 1130.6, 1132.4, and 1140.9 cases. Conclusion: Water quality, which can affect sanitation, is one of the contributors to the incidence of diarrhoea in Surabaya. However, several other factors cause diarrhoea in toddlers, such as diarrhoea pathogens (viruses, bacteria, and protozoa), WASH, nutritional status, education and parental age. © 2025 Author(s).

Affiliations

Department of midwifery, Faculty of Medicine, Universitas Negeri Surabaya, Surabaya, 60213, Indonesia