Community BasedTotal Sanitation (Sanitasi Total Berbasis Masyarakat/STBM) is an approach to hygiene and sanitation behavior change through community empowerment with CLTS (Community Led Total Sanitation) method.
STBM outcome indicator is the decline in diarrhea and other environmental-based diseases related to sanitation and hygiene behavior. STBM output indicators are as follows:
a. Individuals and communities have access to basic sanitation facilities so as to develop a community that is free of open defecation (ODF/open defecation free).
b. Each household has implemented the safe drinking water management and safe food handling.
c. Every household and public service facilities in a community (such as schools, offices, restaurants, health centers, markets, terminals) has available hand washing facilities (water, soap, hand washing facilities), so that everyone wash their hands properly.
d. Each household manages its waste properly.
e. Each household manages its waste properly.
To achieve these outcomes, STBM have a national strategy since September 2008, confirmed through Ministry of Health's Decree No 852/Menkes/SK/IX/2008. Thus, the strategy becomes a reference for health workers and institutions for the preparation, planning, implementation, monitoring, and evaluation related to community based total sanitation program.
The Ministry of Health's Decree states that there are 6 strategies in Community Based Total Sanitation (STBM) program, namely:
1. Creation of a conducive environment (enabling environment);
2. Increasing demand (demand creation);
3. Increasing provision (supply improvement);
4. Knowledge management (knowledge management);
6. Monitoring and evaluation.
Of the 6 strategies, the first 3 are key strategies in implementing the STBM national program. These 3 strategies are called Total Sanitation Component.