Environmental Health Implementation Strategies in GEDSI-Friendly Health Facilities: Towards Inclusive and Equitable Services
DOI:
https://doi.org/10.22487/zdtr5g45Keywords:
kesehatan repro, gedsi, gender, kesehatan ibu dan anakAbstract
Inclusive health services are vital for ensuring equitable access, especially for vulnerable groups such as women, persons with disabilities, the elderly, and children. However, environmental health (Kesling) strategies in many health facilities still emphasize technical aspects, often neglecting gender, disability, and social inclusion (GEDSI). This qualitative study aimed to explore GEDSI-responsive Kesling strategies through Focus Group Discussions (FGDs) involving 33 environmental health officers from various institutions. Data were collected from group discussions, observational notes, and documentation of strategy proposals. Using thematic analysis, researchers identified key ideas and categorized them into three main themes: (1) gender responsive; (2) disability inclusive; and (3) socially inclusion. Proposed interventions included gender-neutral toilets, menstrual hygiene facilities, wheelchair access, child-friendly waiting rooms, and inclusive health education. The study demonstrates that FGD is an effective method to elicit grounded insights and collaborative strategies. It concludes that integrating GEDSI principles into environmental health planning requires not only technical adjustments but also inclusive dialogue with stakeholders.
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References
WHO & UNICEF. Water and Sanitation Health Facility Improvement Tool (WASH FIT): a practical guide for improving quality of care through water, sanitation and hygiene in health care facilities. 2nd ed. World Health Organization, editor. Geneva; 2022.
2. Kementerian Kesehatan. Final Modul Pelatihan Bagi Pelatih Manajemen Kesling di Fasyankes. Jakarta: Kementerian Kesehatan; 2024.
3. Wash in HCF W& U. https://www.washinhcf.org/wash-fit/. 2025. Impacts Associated With WASH FIT.
4. Rembis Michael and Djaya HP. Gender, Disability, and Access to Health Care in Indonesia: Perspectives from Global Disability Studies. In: Smith Korydon H. and Ram PK, editor. Transforming Global Health: Interdisciplinary Challenges, Perspectives, and Strategies [Internet]. Springer International Publishing; 2020. p. 97–111. Available from: https://doi.org/10.1007/978-3-030-32112-3_7
5. Dwipayanti NM, Nastiti A, Powell B, Loehr J, Hadwen W, Vada S, et al. Guideline For Gender Equality, Disability, and Social Inclusion in Water, Sanitation, and Hygiene in the Community in Tourism Destinations [Internet]. Griffith University; 2021. Available from: www.watercentre.org
6. PKMK UGM. https://fkkmk.ugm.ac.id/pkmk-ugm-inclusive-healthcare-services-for-people-with-disabilities/. 2024. Inclusive Healthcare Services for People with Disabilities.
7. Kementerian Kesehatan. https://ditmutunakes.kemkes.go.id/index.php/detail-kurikulum-pelatihan/pelatihan-bagi-pelatih-manajemen-kesehatan-lingkungan-di-fasilitas-pelayanan-kesehatan/4d7a497a4e544d7a4d7a51744d7a457a4d6930304d6a4d354c5749344d7a67744d7a4d7a4e6a4d304d7a637a4f544d35. 2024. Pelatihan Bagi Pelatih Manajemen Kesehatan Lingkungan Di Fasilitas Pelayanan Kesehatan.
8. SWA (Sanitation and Water for all) Brief Series. Strengthening gender equality in access to water, sanitation and hygiene [Internet]. 2021 [cited 2025 Oct 20]. Available from: https://www.sanitationandwaterforall.org/sites/default/files/2021-04/SWA%20Briefing%20Paper%20-%20WASH%20and%20gender_FINAL.pdf
9. United Nations Population Fund (UNFPA). MENSTRUAL HYGIENE MANAGEMENT IN EMERGENCIES Perspectives and Practices from the Arab Region [Internet]. 2020. Available from: https://www.unicef.org/gender/files/MHM_Brochure_FINAL.pdf
10. UNFPA. https://www.unfpa.org/resources/integrating-gender-wash-and-health-programming. 2021. Integrating Gender in WASH and Health Programming.
11. Eva Rolia AKYCNMFMWSHI. Health Promotion of Inclusive WASH Facilities on Outpatient Satisfaction. Community Res Epidemiol. 2024;4(2):105–8.
12. Pattabi A, Nazarene A, Varghese S, Hassan SM, Nashwan AJ, Patil SK, et al. Assessing child satisfaction and expectations for developing a child-friendly environment at the pediatric department in a general hospital in Qatar. Front Pediatr [Internet]. 2024 [cited 2025 Oct 21];12. Available from: 10.3389/fped.2024.1279033
13. Mactaggart I, Baker S, Bambery L, Iakavai J, Kim MJ, Morrison C, et al. Water, women and disability: Using mixed-methods to support inclusive wash programme design in Vanuatu. Lancet Reg Health West Pac. 2021 Mar 1;8.
14. Kohler P RSLC. WASH and gender in health care facilities: The uncharted territory. Health Care Women Int. 2019 Jan;
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