Latar Belakang: Puskesmas Pekik Nyaring merupakan salah satu puskesmas sasaran Proyek Kesehatan Keluarga dan Gizi (KKG), dan juga sebagai pilot project dari 10 puskesmas sasaran proyek di Kabupaten Bengkulu Utara. Intervensi proyek dalam bidang penyehatan lingkungan sanitasi adalah dengan pemberian paket stimulan sanitasi dan promosi kesehatan lingkungan pada keluarga sasaran proyek. Hasil Monitoring Evaluasi dan Manfaat (MEM) putaran kedua tahun 2003 pada 5 desa sasaran proyek di Puskesmas Pekik Nyaring, menunjukkan angka cakupan sanitasi yang tertinggi dibandingkan dengan 9 puskesmas sasaran proyek lainnya. Namun data sepuluh penyakit terbanyak masih didominasi oleh penyakit berbasis lingkungan sanitasi. Tujuan Penelitian: Untuk mengetahui efektivitas penerapan paket stimulan sanitasi oleh keluarga sasaran proyek KKG di Puskesmas Pekik Nyaring Kabupaten Bengkulu Utara. Metode: Jenis penelitian ini adalah Pre experimental, dengan rancangan static group comparison designs, with the posttest only control group. Populasi adalah kepala keluarga sasaran proyek KKG pada 5 desa di Puskesmas Pekik Nyaring. Subjek penelitian berjumlah 90 orang, terbagi atas kelompok paket lengkap 30 responden, kelompok paket tidak lengkap 30 responden, dan kontrol 30 responden. Pengumpulan data menggunakan kuesioner dan Chek list. Analisis data secara deskriptif dan analitik, dan analisa stastistik dengan uji beda mean (Anava) dengan taraf kepercayaan 95%. Hasil: Karakteristik responden penelitian cukup homogen, hanya untuk pendidikan dan jumlah penghasilan menunjukkan perbedaan yang bermakna (p> 0,05). Perilaku sanitair untuk ketiga kelompok sebagian besar memiliki kategori rangking baik. Efektivitas pemanfaatan sarana pada kelompok yang mendapat paket lengkap dan kontrol sebagian besar memiliki kategori baik, kelompok paket tidak lengkap sebagian besar memiliki kategori sedang. Analisis statistik uji beda mean perilaku sanitair dan pemanfaatan sarana pada ketiga kelompok didapatkan perbedaan yang bermakna (p < 0,05). Kesimpulan: Paket stimulan sanitasi efektif dalam meningkatkan perilaku sanitair dan pemanfaatan sarana sanitasi oleh keluarga sasaran Proyek KKG di Puskesmas Pekik Nyaring.

Background: Pekik Nyaring Primary Health Care is one of the Primary Health Care that becomes the target of Family Health and Nutrition project (KKG) and considered as pilot project from the 10 Primary Health Cares of project target in the district of North Bengkulu. Project intervention in the sanitation environmental field is by giving package of sanitation stimulant and environmental health promotion in the family of project target. The result of the second round Monitoring Evaluation and Benefit (MEM) in the year of 2003 in 5 projects target villages in Pekik Nyaring Primary Health Care showed that the sanitation coverage rate is the highest compared to other 9 primary health cares However, data of ten diseases that mostly suffered by community is still dominated by environmental based disease. Objective: This research was aimed to find out the effectiveness of sanitation stimulant package application by KKG project target family in the area of Primary Health Care of Pekik Nyaring, district of North Bengkulu. Method: This was a pre-experimental research that used static group comparison designs with posttest only control group. The research population was all KKG project target family who lived in 5 target villages in Pekik Nyaring Primary Health Care. The subjects consist of 90 respondents that were divided into group who obtained complete package with 30 respondents, group who obtained incomplete package with 30 respondents and control group with 30 respondents. Data was collected by using questionnaires and checklist. Data was analyzed with descriptive and analytic method, and statistic analysis used mean difference test (Anava) with degree of confidence of 95%. Result: The characteristic of respondent was quite similar, and only education and income that showed a significant difference (p>0,05). Sanitary behavior in most of the three groups had good rank category. The effectiveness of facility utilization in the group who obtained complete package and control had good category while the group who obtained incomplete package had medium category. Statistic analysis of mean differences test of sanitary behavior and facility utilization in the three groups showed a significant difference (p<0,05). Conclusion: The package of sanitation stimulant was effective in improving the sanitary behavior and sanitation facility utilization by family of KKG project target villages in Pekik Nyaring Primary Health Care

Kata Kunci : Perilaku Sehat,Sanitair,Pemanfaatan Sarana