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Introduction: Indonesia is a country with a high geographical distribution of hepatitis A. In June 2019, the government established the status of hepatitis A outbreaks in Pacitan District, which is spread across several districts. Based on data from the District Health Office of Pacitan, there were 1,310 peoples with hepatitis A on October 2019. Through this study, the relation between knowledge, attitudes, and personal hygiene as risk factors of hepatitis A outbreaks in Pacitan District can be identified. Methods: Observational analytic methods and case control research design were used in this study. The population was 280 people. The sample consisted of 60 peoples with case of 30 peoples and control of 30 peoples. Case and control samples were taken randomly (simple random sampling). The research data were collected using the interview method, then analyzed using the Chi Square test and the Contingency Coefficient. Results and Discussion: There was a correlation between knowledge level with the occurrence of hepatitis A outbreaks (p-value = 0.002 <0.05), attitudes with hepatitis A (pvalue = 0.004 <0.05), and personal hygiene with the occurrence of hepatitis A outbreaks (pvalue = 0.001 <0.05). Conclusion: Inadequate knowledge, inappropriate personal hygiene lead to the spread of hepatitis A outbreaks in the working area of Primary Health Care of Ngadirojo, Pacitan District.

Introduction: Community-Led Total Sanitation (CLTS) is an effort by the government to improve public health. The main focus of pillar one is to stop open defecation. Sagulung Subdistrict has verified and non-verified ODF villages in their working area. This paper aims to create a CLTS model based on the pillar of one ODF in the Sagulung Subdistrict. Methods: This research used a mixed-method that combining qualitative and quantitative approaches. An amount of 90 families were chosen as respondents using a simple random sampling technique. Besides that, three programmers and five implementers from the government also became respondents. Data were analysed with a Chi-Square test and descriptive analysis. Results and Discussion: This research showed that ODF declaration and local policies were the aspects that had not been fulfilled to the maximum on CLTS pillar one in the Sugulung Subdistrict Government. Sungai Lekop Primary Health Care had not fully fulfilled three aspects: the concept, planning, and targets (advocated and local policies). As a Non-ODF village, Sungai Langkai primary health care did not fulfil the concept, planning, and target (certificate of the training program, advocated, declaration of ODF and local policies). Conclusion: Variables that have not been fulfilled optimally can be arranged as a recommendation model to successful ODF in Sagulung Subdistrict.