GEMA Lingkungan Kesehatan VOL 18 NO 2 JULI 2020 69 EVALUASI PELAKSANAAN PROGRAM OPEN DEFECATION FREE (ODF) DI WILAYAH KOTA SURABAYA Intan Putri Rachmawati, Khambali, Hadi Suryono Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Surabaya Email : iputrira@gmail.com ABSTRACT The city of Surabaya has 60 villages that have been verified as Open Defecation Free (ODF) from 154 villages with 867,009 households, and there are 94 villages that are still defecated around 14,900 households. In the implementation of the ODF program there are several problems so that indicators of the success of the ODF program are not achieved. The purpose of this study is to evaluate the implementation of the ODF program in the Surabaya City Region. This type of research is a survey using an explanatory squared mixed metods design. The research sample was 65 people, namely health workers, community leaders and the community. The variables in this study are the causal factors and the implementation of the ODF program. Data collection is done by questionnaires and interviews. Data analysis used inferential statistical analysis with Spearman rank correlation test. The results of the study indicate that the implementation of the ODF program is not in accordance with the plan and lacks supervision of the target. Based on hypothesis testing using the Spearman rank test, that all independent variables are significantly associated with the implementation of ODF programs. The dominant factor in implementing the ODF program is education because the correlation value is 0.769 with a strong level of relationship. The implementation of the ODF program is in the less category so that it is necessary to periodically monitor targets and technical guidance activities related to the implementation of the ODF program to increase knowledge, the role of health workers and the role of community leaders, as well as further research with representative samples. Keywords: Implementation, Open Defecation Free (ODF) PENDAHULUAN Negara Indonesia memiliki masalah utama dibidang sanitasi yaitu perilaku masyarakat yang masih buang air besar sembarangan (BABS) (Yulianto Rhahmadi, 2011). Pemerintah berupaya meningkatkan sanitasi melalui kebijakan berupa Peraturan Menteri Kesehatan RI Nomor 3 tahun 2014 mengenai Sanitasi Total Berbasis Masyarakat, meliputi 5 Pilar yaitu Stop Buang Air Besar Sembarangan, cuci tangan pakai sabun, pengelolaan air minum rumah tangga dan makanan sehat, pengelolaan sampah rumah tangga, pengelolaan air limbah rumah tangga. Namun, difokuskan pada pilar pertama yaitu Stop Buang Air Besar Sembarangan karena pilar tersebut dapat memutuskan mata rantai kontaminasi tinja manusia pada lingkungan, tanah, air dan udara sehingga dapat mencegah penularan penyakit (Sugiarti, 2013) Program STBM harus dikelola dengan baik agar tujuan yang telah ditetapkan dapat tercapai secara efektif dan efisien. Pelaksanaan program ODF yang dilakukan secara terintegrasi mulai dari perencanaan sampai pengawasan. Indikator dari