Abstract
Community-Based Total Sanitation (CBTS) aims to reduce the prevalence of environmental illnesses by encouraging people to modify their sanitation habits. Bandar Lampung City has a reasonably high rate of access to better sanitation, but it is still difficult to meet the five pillars of CBTS and make behaviour change last. Using input, process, and output metrics, this research sought to assess the CBTS Program's efficacy at the Bandar Lampung City workplace of Way Halim II Primary Health Center. An evaluation strategy based on qualitative data was used. Using purposive sampling, fifteen informants were chosen: the health center director, environmental health officers, community health volunteers, village authorities, and community representatives. Miles and Huberman's interactive model was used to analyse data gathered via in-depth interviews, field observations, and document reading. Despite minimal dedicated CBTS financing, the results showed that the input component had sufficient human resources and significant program commitment. The process component revealed that there was constant engagement of community and local leaders in triggering, mentoring, health education, and monitoring activities; however, the intensity of the mentoring was not up to par. The output component showed improvements in sanitation behaviour, such as using soap to wash hands and ending open defecation; nonetheless, progress toward all five CBTS goals was unequal, notably in the areas of solid waste and wastewater management. In conclusion, there have been beneficial outcomes from implementing CBTS. However, to guarantee sustainability, there has to be more financing, mentorship, and cooperation across sectors.