CHAPTER IV RESULTS AND DISCUSSION

4.1. Overview District Purwakarta Sub Sub Purwakarta is one Purwakarta district located in urban areas with the east boundary is the District Campaka, north of the District Bungursari, the District Pasawahan south and west by the District Babakan Cikao and Jatiluhur. Its geographical consists of residential and paddy. Sub Purwakarta has a height of between 150-800 meters above sea level, with a maximum temperature of 32 Celsius. District of Purwakarta consists of 3 Sub and 1 village. The village is divided into 41 RW, 205 RT with a distance of 10 Km from the farthest village district and takes about 15 minutes using 4-wheel vehicles. The total area of 1385.511 ha Munjuljaya health center work. Figure 4.1. Map of Work Area Health Center Munjuljaya Sub District Purwakarta Purwakarta 4.2 Open Coding 4.2.1 In-depth Interviews Open Coding Table 4.1 Open Coding Depth Interview Respondents 1 Respondents 1 Category Q: Good morning mom, we want to know why this elementary school students often get diarrhea? R: Yes, probably because of the food, snacks here it is not closed, so cleanliness is not guaranteed. Yes of it as possible, open food. Yes that is, not maintained clean. Q: That means the problem is in the Q: What are the main factors that habit of eating snacks, hygiene and cause diarrhea, Mom? R: Probably from their home environment really. Her home is right here seedy neighborhood, less clean, especially not enough water to drain dirty water and attached home environment.

home school environments yes, ma'am? Of the problem, which are the most difficult to overcome, and why? R: Yes obstacles, society should intervene protecting the environment, yes trash-trash. Public awareness, many laymen, lack of education.

Q: What are your expectations for the government Mother? R: Yes it might improvement of the environment. Pengennya dipager school for the afternoon is often used by children to play around so dirty. P: That cleanliness is not only

Q: Is there a program out of the school to resolve the issue? R: Of course there's school, every Friday held a mass cleanliness, every day there is also a class picket. Q: Is the program has been successful? R: Yes, there is a slight increase. Ga 100% increase but no effort. Ga is too severe. Q: Is it as expected or are lacking? R: Yes, still less, still need more attention. Q: What are your plans next program to address hygiene issues that cause diarrhea? R: Yes, because this rainy season, for improvement of hygiene kids junk snacks, that are thrown in the garbage, so that the flow of water to flow smoothly so as not clogged, so that there is no stagnant water.

influenced school student, yes? R: Yeah. Children around it if home school, home to school, play here. Because there is no place to play. Maybe if fenced so it's safer. P: Well, thank ya ma'am.

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Hope Hope Constraints Constraints

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Table 4.2 Open Coding Depth Interview Respondent 2 Respondents 2 Category Q: Good morning, ma'am. I'm curious why this elementary students often get diarrhea? R: Probably because of the weather, the food, the cleanliness. Because of Hope their lack of cleanliness here. Because sometimes, the parents rarely notice. 90% of the children here child scavengers. So the lack of cleanliness in the family. Q: What is an obstacle difficult to Hope overcome that problem? R: The weather and environment, constantly sometimes I liked to come to the family. But still wrote his family

cool. Due to lack of hygiene maintained, eventually many flies. So when eating many hands are still dirty, seldom washed. Although already given direction, but it's a habit. P: Of course the school itself, is there to resolve the issue? R: Yes, there is. For example, a look huckster, and the influence of weather and condition of the child. Already know given the same mother and the school to the traders. Q: Are there any special programs or formal? R: Oh no. Q: Is the advice from Mom? R: Mom suggested every day hygiene and of food. Yes especially warned for breakfast. But because here the parents, either too busy, or how, so never noticed her. Q: How Mother hopes the Government to support the hygiene and health of the school? R: Mrs. Hope, said each school will take precedence if there is a special part of environmental health, the child continues routine inspection.

Q: For snacks outside, if there is no limit? R: This problem is often called upon and given a warning. But do not be too hard because they also earn a living. Sometimes there are foods that have expired, but the seller does not want to know because she just deposited. So my mother told me to convey to the had. Continue to do in the morning was selling ice. If anything engga afternoon snack of ice, because already in the eating. Mom reminded so often but still. Q: Are there any education to parents on this issue? R: No special meetings, just talk. They often ask Mom and give direction. P: Yes, well thank you, ma'am.

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Table 4.3 Open Coding Depth Interview Respondent 3 Respondents 3 Category Q: Good afternoon, sir. We want to know why this elementary school students often get diarrhea? R: Most if diarrhea due to eating snacks at school. The home

Hope

environment is also influential.

Sometimes kids ga early breakfast at home. Breakfast ya at school snack potluck. Sometimes children are more morning snack from the teacher. So it is not controlled. Early morning breakfast because their parents do not work, so breakfast here. In the school also does not provide clean drinking water, so yes snack. Q: How to handle it, sir? R: If his diarrhea here, there UKS. Continue if caught early morning snack yes prohibited. Q: How is an attempt to solve it? R: The sale of most people here parents. So it had been notified as well, but the kids still like snacks, let alone ice. Q: Is the hope of the future for Mr. solve this problem? R: Most snacks and hygiene control problems. Hope I have the cooperation of the parents, because breakfast is important. But we can not force due to busy parents.

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Q: All right, sir. It is finished. Thank you.

Q: There is a school program or activity to prevent diarrhea? R: Usually clean school environment. Table 4.4 In-depth Interview Respondents Open Coding 4 Respondents 4 Category Q: Good afternoon, ma'am. Why is this elementary school students often get diarrhea? R: It happened like at home. If the school house rarely, never from food or the environment. Most knew it already at the hospital wrote, brought his parents. He said an upset stomach. So we taunya already in the hospital. If straight from the school house, ga ever. Q: Usually the possible causes diarrhea what, Mom? R: The causes of food rich mah. If you do not know what meals, two daily abdominal pain, tau-tau already hot bodies. Immediately taken to the hospital by his parents. Q: What response effort in school? R: Usually when abdominal pain was taken to the office, was given a warm drink, drugs continue to be impromptu. For example eucalyptus. Usually love instantly healed. If taking medication, engga anyway. Solution Q: Is the hope of the government? R: Hopefully no children as a routine periodic dental, ear and eye. For example, every semester or every month. But different topic. Q: Okay, thank you, ma'am. Q: Are there any efforts of the school to support the health and hygiene? R: In each class room should be clean. If you want to have to wash your hands before eating, take food from home. So if it breaks, eat lunch from home. Q: If from food what, ma'am? R: If from the likes of hawker food. For example, there lalatnya food, do not eat it. Continue in the classroom should also be clean.

Solution Solution Hope

Table 4.5 Open Coding Depth Problem Solution Interview Respondents 5 Respondents 5 Category Q: Good afternoon, ma'am. Why is it here elementary students often get diarrhea? R: School children often get diarrhea, Solution first because jajannya carelessly, kept most children learn that when it might hold something breaks continued pas ga washing hands first. Maybe it ya here mah. Indeed, from the teachers themselves do not get children to wash their hands before eating. When I became coach ceremony, usually reminds problems picking up garbage, trash or when flushing the bowel and bladder. It is not specific, it is still in a healthy environment. Yet hand washing issues. Problem Solution Q: The problems are most difficult to find a way out? R: Probably about litter. Usually it's the guards who like to sweep the school, so the child feels he is not a

task. Janitors like ngelapor lot of garbage strewn about. Means children are still wasting lacquer indiscriminate yes. If you've ga ga litter may be troublesome sweep. Q: What is the business of the school to address the problem? R: The first might be reminded of the dedication and time to learn in the classroom. For example, kalu to school must first breakfast, morning snack should not, continue to see first the food is covered or not, brightly colored or not. Q: Is here provided by the sink? R: In the classroom like never sinks, but if the water is filled, like using that finger bowl lah, lah fall. If low grade any more. Equally high class, using that time-punch that. Q: How do the results obtained from the school's efforts? R: Still felt less, unless there is a fine or penalty may be yes. If no written rules as possible. This house does not exist, for example if you have to pay a fine of 500 so. Well there is no hell. New warning doang. Q: According to the mother, whether the child is more likely to get diarrhea

as at home or at school? R: If I said pleasantly, rich often get diarrhea at home. Because more children living in the home, at school just a few moments. Q: Are there any plans in the future? R: Probably should of policy principals yes, there should be a meeting or input from the teacher to the principal. So far mah yet. Q: Is there a program for maintaining health and hygiene? R: probably yes Piket class from grades 1-6, continues every Friday bebersih up outside the school environment. Q: Is the program has been successful? R: Yes, quite. If you are still scared of the low-grade teacher. Ga ditungguin also scramble broom, to want to sweep. If high grade blur mah brother, there is no awareness. Q: Is the mother hopes the government? R: Maybe it's a lot of tree planting policy issues. Here ya ga facilities still exist. In the future hopefully amenities provided, in order to follow the program. Do not just its course a good

program. Q: If you hope for health in schools? R: Actually, no, stay dijalanin wrote. This is always the problem of lack of awareness aja. Solution P: Well, ma'am. Thank ya.

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Constraints Hope Table 4.6 Open Coding Depth Interview Respondents 6 Respondents 6 Category Q: Good afternoon, ma'am. We want to know, according to the mother, why elementary school children often suffer from diarrhea? R: Maybe kids do not have breakfast at home, continue to come here want kids love snacks. There's hawker foods that are less well to the stomach, no ice as well so they are not controlled. In particular grade 1 had breakfast every day were used to, so if you want any snacks, these factors are ga Constraints diarrhea will not hurt, it can ONLY of these foods may be due to the less sterile-hawker street food are mostly poor hygiene, infestation by flies, can also cause diarrhea. Children do not understand it. They are important hungry, snack wrote that they want. We as a substitute parent (teacher) Hope always reminds some breakfast, drank milk first, or a bite of rice may also to strengthen our bodies.

caretaker, should be concerned. Q: According to the mother, mostly because it causes diarrhea alone at home / at school cause? R: At home can, at school can. At school mostly because snacks are not controlled, at home it could also be because we do not know the state of their homes, plus his lack of hygiene especially now that the rainy season every day why she does not get tired of reminding every day to be reminded that if children could remember. Q: Is there a suggestion for hand washing? R: There is, if you want to wash your hands before eating anything so clean from germs such as coincidence has provided her wash basins. After the ceremony, performed community service picking up trash, we also recommended washing hands afterwards. Q: For those who sell themselves if no Q: Of all the causes of what was palng hard to find his way out? R: Most difficult more because why not bored individual consciousness teachers reminded the other day in addition to the ceremony, face the rainy season should also clean up the waste should not rely on the school Q: What programs does the school held to address the problem of diarrhea? R: Just picket classroom every day selection before or acquitted? R: No, just the free vend most teachers see clean or not Q: If the sink is there specially made? R: There is no hand washing facilities in every classroom, there should be, well, like it was supposed infomasi there. If the trash is already provided, while hand washing place is still united with a BAK. Q: Is there a school program for health problems? R: There are no small physician, but only where there is the UKs only. If the child is not the breakfast ceremony, kelhatan dizziness, teachers have a break next melhat Children unknowingly snack straight out to go anywhere, the teacher for help "son, reminding his friend also taken its own waste, waste in place because it has provided in each classroom", but his lack of awareness may be due to a child as well.

there, else it does not exist. Q: Hope for the future mothers about health problems bu? R: Doctors held little importance for, so any event prior to the doctor or health center so they know what to do first. Q: Public Health Program itself felt important or not? R: It is important for the health of the children here especially for class 1 priority immunization. Important also conducted counseling that Indonesian children healthy always. P: Well, thank you ma'am. Solution Problem Constraints Solution

Solution Constraints

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Hope Constraints Hope Solution Constraints Table 4.7 Open Coding Depth Interview Respondents 7 Respondents 7 Category Q: According to the mother, the problem of diarrhea in elementary school, for whatever reason? R: His usual hawker in the street, the

neighborhood, sometimes right at home rarely eat first, keep snacks were pepper-pepper and tamarindsour, but his pocket carelessly. Q: When children of his pocket what? R: No canteen, but many snacks outside school

Problem

Constraints Q: According to the mother why the incidence of diarrhea is still high? R: Because it may not eat at home first so the habit of children tuh so, every morning rarely eat, most people do not pay attention to his parents, especially his parents right here difficult. P: I wonder what the solution of school bu? There is a program what mom? R: Preferred children not to snack at random because the morning had breakfast, should eat first at home so the school does not snack at random, so it will not cause pain. Q: Hope's own mother how her future? R: I hope if I can clean it must be covered so as not exposed to flies for difficult children were told so we give explanations to the seller only. Hope P: Well, thank you ma'am. Solution Solution Constraints Problem

home a lot of snacks, the school's rare. Just a break wrote could jajannya Table 4.8 Open Coding Depth Interview Respondents 8 Respondents 8 Category Q: Good afternoon, ma'am. According to the mother what causes diarrhea in school children? R: Snack carelessly, at home as well not continue in school breakfast snack ice immediately. Since my gym teacher, I am always reminded that first morning snack should not have to eat first at home, may bring food from home if you do not have time to eat, exercise abis do eat with children are also asked to bring drinking water from home. Cultivated also keep any sports, commercial builders as well like I see no good effect. Always reminded also to preview snacks to be purchased see its trade artisan, his place is not clean, its hawker dyes do not wear, especially when striking colors that stick in hand should be avoided because it will be fatal. Especially during the dry season is not kept clean and hard water so many are experiencing skin problems Q: According to Mother, diarrhea alone is more common in the home or school? R: Balance ya at the same school. At Q: The issue of cleanliness alone how, ma'am? R: If your child's school is difficult, yes, the new high school is easy. Today practically do not waste, the next day there was more to dispose of, but yes we slowly wrote you know. Yes this is the environment. We try to "trash my responsibility", we instil in children that way. Waste not the responsibility of a friend or caretaker. We let know where to dispose of waste properly. There is also a class picket every day, but we also pity you tell the caretaker if asked to pick up garbage continues. From now discipline yourself, so if Q: Are there special programs in schools to deal with health issues? R: Most teachers themselves often warned to avoid dirty hawker. If the special program of immunization clinic there. If the diarrhea itself does not exist. Most of the existing health Pepsodent month extension of time, given the toothpaste and toothbrush, taught how to brush their teeth. and time is also limited, at least half an hour. At home it is not limited to time, especially parents worked so free child unsupervised.

you've snack, garbage waste into the trash. P: When to wash hands, is there a special place yourself? R: Ga anyway. There are only taps for ablution. Only if I teach sports always say wash your hands after eating. If they were after playing football, I suru they wash away and wash your hands in place. Problems shoes too difficult yes, here environment many children scavengers, so they want schools we've Alhamdullilah. Can not have too many rules this should be it. They brought shoes, wrapped in black crackle. When this ceremony where his shoes were, they replied in the bag because teu ngeunaheun in sapatu, so carry aja shoes accustomed so, there are also rules that bind. Should not you be wearing shoes no justice in the class I'll be praying Duha and midday, the prayer must be clean but ya ya's hard to elementary school children. Today diingetin yes today doang dilakuinnya. Tomorrow forgot to mention. While a lot of teacher job. If the PE teachers related to health, hygiene so sometimes charged only to the gym teacher. My first week in class 1x, tomorrow move again to another class, so the next week another new entry to inspect nails and

others. Children asked to check the nails and teeth before entering, seudah pray viewed and examined, especially small children, grade 3 down. Children grades 4, 5 and 6 it already understands yes they are. It wrote anyway. Prior to teaching, the children already know: let's check the nails Bu, Bu clean my nails. There's also say that I forgot, ma'am. P: That negligent cutting nails yourself if there is a special punishment? R: If negligent, tomorrow's mother reported to have been cut. If garbage so well, ga be punished. Must be a lot of tolerance if all elementary school children. Our most gabosen mah aja remind each ceremony hygiene problems. Q: Is the hope of the future mothers regarding diarrhea problems? R: There are counseling may be yes, continue to diarrhea alone understanding what causes than what we know, that we know only from food. Q: Is there a program that Mom would expect in the future? R: young doctor is important, yes, but now there is rarely little doctor. UKS also i have office but not active, its

just limited to children fainted during the ceremony, yes ditidurin in situ, given the sweet tea and oil applied wind. That deal is also a teacher myself, so if it takes a special person funding and training as well. Yes we are not tired of trying, had the participation of the parents themselves anyway. Teacher's limited yes, teaching moved around the classroom as well. It wrote anyway. I wish there was an active UKS, counseling young doctor, here's just a small doctor's identical to the school well. If here tuh mah good though uncommon, the disease mostly identical to my students. When a rich kid's already clear he knows, there are parents who pay attention too. If it's the parents rarely tell their children. Her son was going to school they are grateful. Sometimes even a single hair problem is the task of teachers. Longish hair that has been cut off by the teacher. Once also during exercise, I saw a child kutunya very much. So I am looking for a comb kutunya syringe. Teachers here get so anyway, knowing it's slums. Dedication of teachers. P: Well, thank you very much, ma'am.

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Constraints Table 4.9 Open Coding Depth Interview Respondents 9 Respondents 9 Category Q: Good morning, ma'am. I want to Hope ask what is the cause of many of diarrhea in SD? R: Diarrhea because of food ya ya, or at his parents' home may not have time to prepare food, many are too busy working his factory so much eating out at random. Just regents also Hope Constraints membawea provision program to schools from home so ga snack at random. Fine so aja ya neng. Q: So, according to the mother apart

from the food, if there are other causes that can cause diarrhea? R: In this area a bit less good hygiene, especially areas that house huddled there like that, so dumping water also do not know how. I also rarely walk into the palace, happened to my home is not in this area. Q: So roughly there is not a solution of the school? R: There's school program of regents to bring their own food from home, do not buy-buy. If the parents of the home cook, not fast food. Fast food it is not necessarily healthy. Q: Are there any other programs besides bringing lunch at school? R: If you own any of the schools, yes, there is no program for diarrhea rich. Q: Hope's own mother what the problem is? R: hope ya ga parents understand their children snack at random, given the same provision of healthy parents. Yeah just like that. Q: Thank you, ma'am. Constraints Problem Constraints Solution Constraints Solution

environment. Own means of environmental constraints, when the existing school caretaker. In fact, Hope Table 4.10 Coding Open-depth Interviews Respondents 10 Respondents 10 Categories Q: Good afternoon, ma'am. I want to ask, according to the mother why the problem of diarrhea often occur in elementary school children? R: On average yes because no breakfast, kept a lot of his parents scavengers, so in her filthy kept the children were often open shoes. In fact, hanged by the neck, carry to school. Asks, why do we love shoes digituin, the disease in future. Continues to nail the problem we did not check all the classes. Q: Is there a program providing Q: There is indeed a dirty nails or long? R: Yes, long nails, ya dirty. It's often so becandaan. Which nails grandmother enclosed. Q: But do they know how to wash your hands? According to the mother is the biggest obstacle? R: Know. Kan of the clinic have been told how to wash hands right, brushing teeth already, so most of the dirty healthy canteen? R: No healthy canteen. Most pocketpocket so, there are deep-fried chicken so. Sometimes we are too hard to regulate the selling, want firm also difficult. So its only elementary school children that we give out. Yesterday was the season blown beverages, mother always warned not to buy it because it is not clean, do we know for ever collecting used goods. Q: Is there a solution to the school itself? Is there a special program? R: Yes, we come from the clinic. Most of the schools we remind sellau, and after the ceremony melajkukan nail inspection. Its dirty, use markers streak mother so, when pinched ga it may, if it can be deleted stricken. I'll say the same of his parents crossed the same mother as dirty. when I teach, there are children who smelled the odor until I asked him if he had no soap, no shower. The answer is no. So at least we should know how to love. They come home from school to help their parents scavengers.

Q: So that sells itself must permit the school or not? R: No, most are selling so residents here and the parents, so it is difficult to set. Q: What are your expectations for the future mother yourself? R: The hope is that children are healthy, care for cleanliness. We also each ceremony also're always reminded to dispose of waste in place. P: Well, ma'am. Much obliged. Constraints Solution

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4.3 Selective Coding 4.3.1 In-depth Interviews Selective Coding Table 4.11 Selective Coding depth Interviews Category Issues Respondents Category Issues 1 2 3 4 5 6 7 8 9 10th

Table 4.12 Selective Coding Categories Reason In-depth Interviews Respondents Reasons Categories 1 2

3 4 5 6 7 8 9 10 Table 4.13 Selective Coding Solution Categories depth Interviews Respondents Category Solutions 1 2 3 4 5 6 7 8 9 10 Table 4.14 Selective Coding Categories Expectations In-depth Interviews Respondents Category Hope 1 2 3 4 5 6 7 8 9 10

4.4 Main Theory 4.4.1 Problems

4.4.2 Reasons

4.4.3 Solution 4.4.4 Expectations