The Association of Household Waste Management with the Risk of Scabies Incidence in Endemic Areas
Abstract
Introduction: Scabies is a contagious skin disease that remains a public health problem in endemic areas, especially in environments with poor sanitation and waste management. Ecosystem-based household waste management is believed to contribute to the prevention of environment-based diseases through improvements in sanitation and community behavior. This study aims to analyze the relationship between ecosystem-based household waste management and the risk of scabies in endemic areas, as well as to identify factors that play a significant role in its transmission.
Methods: The study used a cross-sectional design with 248 respondents from households in an area endemic for scabies, namely Rumak Village, West Lombok, Indonesia. Data were collected through structured interviews and field observations using a standardized questionnaire. Data analysis used the Chi-square test and logistic regression to determine the dominant factors associated with the incidence of scabies.
Results: A total of 39.1% of respondents reported having experienced scabies. Logistic regression analysis showed that the most influential factors affecting the incidence of scabies were poor local final waste management (p=0.001), followed by lack of waste sorting (p=0.004), presence of pets (p=0.004), and lack of organic composting (p=0.008). Other significant factors included poor personal hygiene (p=0.008) and low knowledge about scabies (p=0.023).
Conclusion: The results of the study confirm that ecosystem-based household waste management plays an important role in reducing the risk of scabies. Good environmental management practices, accompanied by hygienic behavior and increased public knowledge about scabies, are effective strategies for controlling this disease in endemic areas.
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References
- Dejen P, Girma M, Chernet A, Vaz Nery S, Shimelis T. Assessment of scabies and its associated factors in Hawassa Zuria District, Southern Ethiopia: A cross-sectional study. PLoS One. 2024;19(11):e0314140. doi: 10.1371/JOURNAL.PONE.0314140. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0314140
- Gustina M, Yorita E. Analysis of Environmental Sanitation Risk Factors Scabies in Adolescents. Contagion: Scientific Periodical Journal of Public Health and Coastal Health. 2023;5(2):664–72. doi: 10.30829/contagion.v5i2.15515. Available from: http://jurnal.uinsu.ac.id/index.php/contagion/article/view/15515
- Roswendi AS, Zakiyah Y. Relationship Between Environmental Sanitation and the Incidence of Scabies: A Literature Review. In: KnE Medicine. Knowledge E DMCC; 2022. p. 207–215. doi: 10.18502/KME.V2I2.11083. Available from: https://kneopen.com/kne-medicine/article/view/11083/
- Galván-Casas C, Mitjá O, Esteban S, Kafulafula J, Phiri T, Navarro-Fernández Í, et al. A facility and community-based assessment of scabies in rural malawi. PLoS Negl Trop Dis. 2021;15(6):1–11. doi: 10.1371/journal.pntd.0009386. Available from: https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0009386
- Azene AG, Aragaw AM, Wassie GT. Prevalence and associated factors of scabies in Ethiopia: Systematic review and Meta-analysis. BMC Infect Dis. 2020;20(380):1–10. doi: 10.1186/S12879-020-05106-3/FIGURES/8. Available from: https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-020-05106-3
- Melese F, Malede A, Sisay T, Geremew A, Gebrehiwot M, Woretaw L, et al. Cloth sharing with a scabies case considerably explains human scabies among children in a low socioeconomic rural community of Ethiopia. Trop Med Health. 2023;51(1):52. doi: 10.1186/s41182-023-00544-6. Available from: https://tropmedhealth.biomedcentral.com/articles/10.1186/s41182-023-00544-6
- Widaty S, Miranda E, Cornain EF, Rizky LA. Scabies: update on treatment and efforts for prevention and control in highly endemic settings. J Infect Dev Ctries. 2022;16(2):244–51. doi: 10.3855/jidc.15222. Available from: https://www.jidc.org/index.php/journal/article/view/35298417
- Alga N, Noerjoedianto D, Fitri A, Guspianto G, Eka Putri F. The Relationship of Personal Hygiene and Physical Environmental Conditions with Scabies Symptoms. KESANS?: International Journal of Health and Science. 2023;3(2):194–204. doi: 10.54543/kesans.v3i2.244. Available from: https://kesans.rifainstitute.com/index.php/kesans/article/view/244
- Nurtafiana F, Ridwan M, Sari P, Hidayati F, Azhari R. Determinants of Scabies Symptoms in Students at Al Falah Sukajaya Islamic Boarding School in 2024. International Journal of Medicine and Health. 2024;3(4):116–26. doi: 10.55606/ijmh.v3i4.4604. Available from: https://journal.amikveteran.ac.id/index.php/ijmh/article/view/4604
- Ayele A, Adane M, Adane B, Berihun G, Gebrehiwot M, Woretaw L, et al. Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysis. J Health Popul Nutr. 2023;42(1):134. doi: 10.1186/s41043-023-00471-6. Available from: https://jhpn.biomedcentral.com/articles/10.1186/s41043-023-00471-6
- Dewi M, Mustika M, Kalalinggi SY, Kristin J, Ma’ruf MJ, Wanto WA, et al. Pengolahan Sampah sebagai Upaya Penurunan Populasi Vektor dan Binatang Pembawa Penyakit. In: Prosiding Konferensi Pengabdian Masyarakat. 2023. p. 6–11. Available from: https://pub.borneorec.com/index.php/pkpm/article/view/130
- Pallant J. SPSS Survival Manual: A step by step guide to data analysis using IBM SPSS. 7th Editio. London: Routledge; 2020. 378 p. doi: 10.4324/9781003117452. Available from: https://www.taylorfrancis.com/books/mono/10.4324/9781003117452/spss-survival-manual-julie-pallant
- Wu M-H, Li C-Y, Pan H, Lin Y-C. The Relationship between Scabies and Stroke: A Population-Based Nationwide Study. Int J Environ Res Public Health. 2019;16(18). doi: 10.3390/ijerph16183491. Available from: https://www.mdpi.com/1660-4601/16/18/3491
- Roswendi SA, Zakiyah Y. Relationship Between Environmental Sanitation and the Incidence of Scabies: A Literature Review. In: KnE Medicine. Knowledge E DMCC; 2022. p. 207–15. doi: 10.18502/kme.v2i2.11083. Available from: https://kneopen.com/kne-medicine/article/view/11083/
- Sunderkötter C, Wohlrab J, Hamm H. Epidemiologie, Diagnostik und Therapie der Skabies. Dtsch Arztebl Int. 2021;118(41):695–704. doi: 10.3238/arztebl.m2021.0296. Available from: https://di.aerzteblatt.de/int/archive/article/221506
- Jetly KJJK, Ibrahim FE, Karim IKA, Jeevanathan C, Mokti K, Omar A, et al. Risk factors for scabies in school children: a systematic review. Voprosy Prakticheskoi Pediatrii. 2022;17(2):117–25. doi: 10.20953/1817-7646-2022-2-117-125. Available from: https://www.phdynasty.ru/en/catalog/magazines/clinical-practice-in-pediatrics/2022/volume-17-issue-2/44245
- Rahman MdS, Hasan ABMN, Jahan I, Sharif A Bin. Prevalence of scabies and its associated environmental risk factors among the Forcibly Displaced Myanmar Nationals living in the Cox’s Bazar district of Bangladesh. J Migr Health. 2024;9:100220. doi: 10.1016/j.jmh.2024.100220. Available from: https://www.sciencedirect.com/science/article/pii/S2666623524000102?via%3Dihub
- Silva N, Alencar CH, Heukelbach J. Environmental and Social Factors Associated with the Occurrence of Severe Tungiasis and Scabies in the State of Ceará, Brazil: An Ecological Study. Trop Med Infect Dis. 2025;10(5):135. doi: 10.3390/tropicalmed10050135. Available from: https://www.mdpi.com/2414-6366/10/5/135
- Setiajaya A, Siti Zulaicha A, Septa Ardiani N, Prasetio B. Association Between Personal Hygiene, Clean and Healthy Living Behavior (PHBS), and Scabies Incidence Among Students of Pondok Pesantren Darussalamah. Jurnal Hurriah: Jurnal Evaluasi Pendidikan dan Penelitian Hurriah Journal: of Educational Evaluation and Research. 2025;6(2):956–64. doi: 10.56806/jh.v6i2.268. Available from: https://academicareview.com/index.php/jh/article/view/268
- Gustina M, Yorita E. Analysis of Environmental Sanitation Risk Factors Scabies in Adolescents. Contagion: Scientific Periodical of Public Health and Coastal Health. 2023;5(2):664–72. doi: 10.30829/contagion.v5i215515. Available from: http://jurnal.uinsu.ac.id/index.php/contagion/article/view/15515
- Melese F, Malede A, Sisay T, Geremew A, Gebrehiwot M, Woretaw L, et al. Cloth sharing with a scabies case considerably explains human scabies among children in a low socioeconomic rural community of Ethiopia. Trop Med Health. 2023;51(1):52. doi: 10.1186/s41182-023-00544-6. Available from: https://tropmedhealth.biomedcentral.com/articles/10.1186/s41182-023-00544-6
- Aini, Halid M, Susilo BBB. Prevalence of Scabies and Its Associated Risk Factors Among Cat Owners in West Nusa Tenggara, Indonesia: A Cross-Sectional Study. Public Health of Indonesia. 2025 Apr 1;11(2):1–11. doi:10.36685/phi.v11i2.867. Available from: https://stikbar.org/ycabpublisher/index.php/PHI/article/view/867
- Wulandari C, Santoso I, Erminawati E. Hygiene Practices and Scabies Prevalence in a Semi-Urban Indonesian Community A Case-Control Study Exploring Behavioral and Environmental Determinants in. Global Health and Environmental Perspectives. 2025;2(1):232–45. doi: 10.61848/ghep.v2i1.134. Available from: https://riverstudies.id/index.php/ghep/article/view/134
- Ejigu K, Haji Y, Toma A, Tadesse BT. Factors associated with scabies outbreaks in primary schools in Ethiopia: a case–control study. Res Rep Trop Med. 2019;Volume 10:119–27. doi: 10.2147/rrtm.s214724. Available from: https://www.dovepress.com/factors-associated-with-scabies-outbreaks-in-primary-schools-in-ethiop-peer-reviewed-fulltext-article-RRTM
- Halid I, Halid M, Binarto B, Susilo B. Prevalence and Determinant Analysis of Scabies Incidence in Rumak Village. Journal of Health Science. 2024;17(03):308–17. doi: 10.33086/jhs.v17.i03.5644. Available from: https://journal2.unusa.ac.id/index.php/JHS/article/download/5644/2600
- Jira SC, Matlhaba KL, Mphuthi DD. Evaluating the current management approach of scabies at selected primary health care in the Deder district, Ethiopia. Heliyon. 2023;9(1):e12970. doi: 10.1016/j.heliyon.2023.e12970. Available from: https://www.cell.com/heliyon/fulltext/S2405-8440(23)00177-9
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