Challenges of Universal Access: Health Promotion Strategy on Pillar of Open Defecation Free in Tirto Village, Pekalongan, Central Java, Indonesia Indriyani Yulis1, Yunanto Yogi2, Djohnson Henry2, Hargono Rachmat3 1Faculty of Public Health, Airlangga University, Surabaya, Indonesia 2Faculty of Economic and Business, Airlangga University, Surabaya, Indonesia 3Faculty of Public Health, Airlangga University, Surabaya, Indonesia Online published on 20 March, 2019. Abstract The monitoring data on Community-Based Total Sanitation (CBTS) Indonesia in 2017 shows that 14, 322, 858 heads of households are still doing the Open Defecation (OD) and in Tirto Village itself, it is registered that there are 49 heads of households who are still doing the Open Defecation. The research was conducted in the coastal areas, Tirto Village, Pekalongan, Central Java, Indonesia from January to March 2016. Qualitative research with case study design aims to explore how advocacy, environmental formation, community empowerment and partnership on pillar of Open Defecation Free (ODF). The study used in-depth interview techniques to the key informants consisting of a manager of public health agency, a staff of public welfare, a public figure, a member of community empowerment institution and a healthcare worker. Triangulation of resources were carried out to sanitation officer and residents. The results of the research are: there is no strict regulation from the village because the regulation is still limited to planning documents, there is already coordination with related sectors, but the scope is not yet broad enough, motivations have not succeeded in changing the behavior of the community and no specific finding about the partnership. Thus, a suitable strategy for achieving universal access is conducting a health promotion strategy reinforced by sustainable partnership and insightful innovation through strict regulation, expanding coordination with relevant sectors, raising public awareness through potentials, and strengthening partnership through network expansion to integration. Top Keywords Open Defecation, Health Promotion, Universal Access. Top |