GUIDANCE BOOK ON

VERIFICATION OF

COMMUNITY BASED

TOTAL SANITATION

Directorate of Environmental Health General Directorate of Diseases Control and Environmental Health

Ministry of Health, Republic of Indonesia2013

Series o

f Behavio

ral C

hange

Impro

vem

ent on The Q

uality o

f Envir

onment S

anita�on

• A triggering process exists• Commi�ee / Natural Leaders exist• Ac�on Plan from the Community exist• Ongoing monitoring• Supply are available

• The behavior of the community has changed 100% with ODF status (verified)• The existence of plan to change other hygienic behavioral • Availability of roles from the community to maintain the ODF status• Periodic monitor and verifica�on

• Efforts on developing the quality of sanita�on exist• A change on other hygienic behavioral in the community takes place (pillar 2-5)• Monitor and evalua�on exist

The community has applied all 5 pillars STBM permanently

Levels of Behavioral Change – STBM Vision

OD(open

defeca�on)

ODF (with improved sanita�on facili�es)

Other Hygienic Behavior

TOTAL SANITATION

i

This “Guidance Book on Verifica�on of Community-Based

Total Sanita�on (STBM)” is compiled by the Community-

Based Total Sanita�on Team of the Indonesian Health

Ministry that consists of related cross-programs along

with related stakeholders.

This guideline provides informa�on on steps in

performing Verifica�on of Community-Based Total

Sanita�on and becomes a source for healthy

environment officer in the district/city, sanitarians,

community leaders and various par�es in doing

Verifica�on of STBM in the community.

Jakarta, March 2013

PROLOGUE

ii

Level of Behavioral Change........................................................................

Prologue....................................................................................................

Table of Contents.......................................................................................

Verifica�on Note........................................................................................

STBM Declara�on......................................................................................

Membership of the Verifica�on Team.......................................................

How Verifica�on is Performed...................................................................

Mechanism of Revoking ODF/STBM Status..............................................

Criteria/Requirements or Minimum Standard in Verifica�on Form...........

Pillar 1 – Stop Open Defeca�on, in every houses......................................

Pillar 2 – Hand Washing With Soap............................................................

Pillar 3 – Household Drinking Water and Food

Management..............................................................................

Pillar 4 – Household Solid Waste Management.........................................

Pillar 5 – Household Liquid Waste Management.......................................

Epilogue.....................................................................................................

i

ii

iii

1

2

3

5

7

8

8

10

11

12

12

13

TABLE OF CONTENT

iii

Verifica�on Note:

- Improved Latrine according to MDGs including pour-

flush-latrine connected to the sewer, sep�c tank or

hole; ven�lated improved pit latrines; pit latrine with

slab or a board that covers the hole.

- Unimproved facili�es including public or shared

facili�es, pour-flush-latrine that is directly disposed

to open drainage (water body); pit latrine without

slab, bucket toilet, hanging toilet or toilet that is

directly disposed to water conduit, or open

defeca�on in open space, garden/forest or water

conduit

Why verifica�on is required?

Verifica�on is required to ensure there is a behavioral

change in the village community. This is performed

before declaring STBM village and/or ODF village.

What is verifica�on process?

Verifica�on is a series of assessment performed by a

verifica�on team to a statement of a behavioral change.

1

Defini�on Limita�on of STBM Declara�on Statement:

1. Behavioral change means as drawn in the diagram

(on page i)

2. STBM Declara�on is a declara�on of STBM 5 Pillars

Pillar 1 – Stop Open Defeca�on, in every houses

Pillar 2 – Hand Washing With Soap

Pillar 3 – Household Drinking Water and Food

Management

Pillar 4 – Household Solid Waste Management

Pillar 5 – Household Liquid Waste Management

3. ODF Declara�on is a declara�on pillar 1 of STBM

Who does the verifica�on?

The Verifica�on Team, whose members are 3-5 people or

more, as needed, performs the verifica�on process.

Village verifica�on teams are appointed and designated

by the Sub-district Government. Sub-district verifica�on

teams are appointed/designated by District/City

Government. Verifica�on Team may be assisted by

various par�es in performing their du�es, where full

responsibility is in the hands of the verifica�on team.

2

Core Membership of Verifica�on Team(by level)

Chairman:Environment Health Officer fromPuskesmas / Sub-district officer

Members:Village/Sub-district Health Officer / Suppor�ng team of PKK, and other communi�es from other villages.

Chairman:District/ City Environment Health Officer

Members:Health officer from Puskesmas, District Officer, Suppor�ng team of PKK, and other communi�es from other sub-districts.

Chairman:Province Environmental Health Officer

Members:Health Officers or Other District/City,Commi�ee of PKK from other District/City

Village Sub District District

Note:Membership of the Verifica�on Team is advised to consider the number of man and woman in the team to be equal.

3

When verifica�on is performed?

• When there is a village sta�ng that they have

reached a status as STBM village, or ODF village (for

example: by mail/oral/electronic form from the Head

of Village to District Government, copied to

Puskesmas or Local Health Authority)

• When there is periodic monitoring to ensure the

STBM Status, or ODF Village status (at least once in

two years).

Verifica�on Target Sampling

• Pillar 1 of Open Defeca�on Free Program has been

reached by 100% of total number of houses located

in that village (sampling must be conducted to 100%

of all houses)

• For STBM, pillar 2-5 has reached all houses

(sampling conducted to minimum 30% of all houses)

Note:1 (one) house could have more than 1 head of family.The requirement of ODF is that 100% community has access to and using the toilet (1 house at least 1 toilet).

4

How is the verifica�on performed?

Pillar 1 (ODF):

1. Consolida�ng the Verifica�on Team

(Preparing the evalua�on form, equalizing the percep�on

in evalua�on form and 100% of residents has accessed

toilet facili�es for pillar 1, dividing the region and

scheduling.)

2. Verifica�on Process

All members of verifica�on team visit the houses to

assess and interview.

3. Determining the Verifica�on Result

- Recapitulate the assessment result from all

verifica�on team members

- It is verified if all criteria are fulfilled (all answers

are YES)

- Make a verifica�on report signed by Verifica�on

Team Leader

4. Repor�ng to the community the following:

- The criteria of assessment

- The result achieved

- The next step (is it to postpone declara�on, to

con�nue declara�on, to maintain the ODF status, or to

revoke the ODF status)

5

If the ODF/STBM status will con�nue to declare, what

should be done?

1. Preparing the declara�on celebra�on together

2. Verifica�on Team or Pokja AMPL (drinking water and

sanita�on working group) or SKPD (government

working unit) of Health should provide a cer�ficate

of STBM or ODF Village. This cer�ficate should be

signed by the Mayor/Head of the district or Head of

District Health Department

3. Se�ng up a monitoring mechanism to maintain

ODF/STBM status

Note:ODF/STBM status will be revoked if during the periodic monitoring, the verifica�on team finds there are people who are s�ll doing open defeca�on.

6

Mechanism in Revoking ODF/STBM status is

performed as the following:

1. SKPD (government working unit) of Health sends a

le�er to the village chief regarding the ODF/ STBM

revoca�on status.

2. Then, SKPD (government working unit) of Health

and Pokja AMPL (drinking water and sanita�on working

group) give workshops and assistance to the village

which ODF/ STBM status has been revoked

 

7

Criteria / requirements or minimum standards in

the verifica�on form :

Pillar 1 – Open Defeca�on Free (ODF), in every

house. Sampling to 100% of all houses.

No

1

2

3

4

Criteria Answer Note

YES

YES

YES

YES

The toilet has a cover in order to prevent insects from touching the feces/ excrement

Distance of disposal pit into wells/shallow wells >10 m

Distance of disposal pit into wells/shallow wells >10 m

Feces from babies and elder people (if any) are disposed to the toilet

Clear. If it is goose neck then cover is no longer required

Clear. If it is <10 m, then storage stool must be waterproof. For example: concrete septic tank, biofil, etc.

Clear. If it is <10 m, then storage stool must be waterproof. For example: concrete septic tank, biofil, etc.

If there are pads/Pampers, it should be treated as a solid waste after the feces are disposed to the toilet.

5

6

7

YES

YES

YES

Everyone in the house use latrine

Access to anal cleansing is available

No feces seen in the houses, garden, river

Observe and see around

Depending on the habit of users, such as water and soap

Observe

8

Pillar 2-5:

1. Consolida�ng Verifica�on Team (Preparing the

evalua�on form, equalizing the percep�on in

evalua�on form, dividing the region and

scheduling, determining number of random

samples for pillar 2 to pillar 5). Minimum

sampling is 30% of total houses.

2. Verifica�on Process.

All members of verifica�on team visit houses to

assess and interview.

3. Determining the Verifica�on Result:

a. Recapitulate the assessment result from all

verifica�on team members

b. It is verified if all criteria are fulfilled (all

answers are YES)

c. Make a verifica�on report signed by Verifica�on

Team Leader

4. Repor�ng to the community the following:

a. The criteria of assessment

b. The result achieved

c. The next step (is it to postpone declara�on, to

con�nue declara�on, to maintain STBM status,

or to revoke the STBM status)

9

No

1

2

3

4

Criteria Answer Note

YES

YES

YES

YES

Flowing water is available to wash hands

Soap to wash hands is available

Handwashing With Soap equipments are available in the house

Observe

If no soaps available, an alternative to soaps is allowed

For example: water tap, bamboo container, jerycan, bailer, etc.

Pillar 2 – Hand Washing With Soap

All house members (including caregivers , father, children) knows important times when to wash hands with soap

Able to answer at least two of the following: 1. Before having meals2. After defecating 3. Before feeding babies/children4. After cleaning up feces of babies or children5. Before preparing meals

10

No Criteria Answer Note

Pillar 3 – Household Proper Drinking Water and Food Management

1 YESSafe and Clean water is properly treated before

The treatment can be one of the following1. Boiling water (1-3 minutes)2. Filtering water (ceramic filter, etc)3. SODIS (solar disinfection)4. Disinfection (using chlorine)

2 YESThe proper drinking water is put in a clean container

It is clearly seen. It must have a lid to prevent insects and dirt coming in

3 YESFood which is served must be covered

It is clearly seen. Food must be covered by hood of food to prevent insects and dirt coming in

4 YESThe container/ jar of water drinking is cleaned

Observation

11

No Criteria Answer Note

Pillar 4 – Household solid waste management

1 YESHousehold waste is not scattered inside or outside

It’s clearly seen. Observation

2 YESThere is a safe treatment of solid waste

The treatment can be one of the following :1. Piling up the waste in a hole in the ground2. Changing the waste into compost3. Reusing the waste if possible4. Other treatment

12

No Criteria Answer Note

Pillar 5 – Household liquid waste management

1 YESThere is no stagnant water ( liquid waste) around the house

Liquid waste is from bathroom, kitchen, washing activities including public taps and toilets

2 YESLiquid waste has been treated safely before being disposed

The treatment can be one of the following1. Making it flow into the soak away pit (covered by stone or filled with stones)2. Liquid waste can be used to water plants3. Making it flow into the ditch

NOTE :Public places, schools and livestock area is not included in the STBM verifica�on process, but the informa�on of behavioral change promo�on in public space and schools are in the STBM promo�on module.

This Guidance Book on Verifica�on of Community-Based

Total Sanita�on (STBM) explains a mechanism of

verifica�on and its criteria in conduc�ng verifica�on

process in villages of STBM and/or villages of open

defeca�on free (ODF).

Hopefully this book can be a good reference for planning

and implemen�ng STBM verifica�on and for post

declaring STBM monitoring as an effort to maintain

STBM and ODF condi�on con�nuously.

This guidance book can be used as the reference by

people/ staffs, who will perform a verifica�on of STBM

and ODF villages.

 

EPILOGUE

13

Na�onal STBM Secretariat Directorate of Environmental Health

General Directorate of Diseases Control and Environmental Health Kompleks Perkantoran Kementerian Kesehatan Building D, 1st Floor

Jl. Percetakan Negara no. 29, Jakarta - Indonesia Telp: (021) 424 7608 ext. 182

Fax: (021) 42886822 Website : www.stbm-indonesia.org

Email: sekretariat@stbm-indonesia.org