AbstrakKasus frambusia yang tercatat di Puskesmas Bondo Kodi Kabupaten Sumba Barat Daya, Nusa Tenggara Timur (NTT) terus meningkat dari 174 kasus tahun 2009 menjadi 327 kasus pada tahun 2010 dan 369 kasus pada tahun 2011. Pada tahun 2012, frambusia tertinggi terjadi di Desa Mali Iha di Kecamatan Bondo Kodi dengan 43 kasus. Penelitian ini bertujuan untuk mengetahui faktor-faktor lingkungan, perilaku, dan pengetahuan masyarakat yang berhubungan dengan kejadian penyakit frambusia pada anakanak. Penelitian observasional ini menggunakan rancangan studi kasuskontrol, dengan kondisi sarana air bersih (SAB), perilaku hidup bersih dan sehat (PHBS), dan pengetahuan masyarakat tentang frambusia sebagai variabel bebas. Sampel penelitian adalah 30 orang anak yang menderita frambusia (kasus) dan 30 orang anak sehat (kontrol) yang diambil dengan metode purposive sampling. Data dan informasi mengenai SAB, praktik PHBS, dan pengetahuan masyarakat tentang frambusia didapatkan dengan observasi dan wawancara, kemudian dianalisis dengan uji kai kuadrat. Ditemukan, secara statistik kejadian frambusia berhubungan bermakna dengan kondisi SAB (OR = 15,16 dan nilai p = 0,035) dan PHBS (OR = 7 dan nilai p = 0,048), tetapi tidak berhubungan dengan pengetahuan masyarakat tentang frambusia (nilai p = 0,283). Penelitian ini menyimpulkan bahwa kondisi SAB dan PHBS merupakan faktor risiko frambusia. giene and health behavior, and community knowledge about frambusia as independent variables. Samples were 30 children with frambusia (cases) and 30 healthy children (control) who were selected using purposive sampling. Data and information on environmental condition, behavioral practices, and community knowledge were collected by interview and direct observation and were analyzed using chi-square test. It was found that statistically the frambusia cases were associated significantly with the condition of clean water source (OR = 15.16, p value = 0.035) and personal hygiene and healthy behavior (OR = 7, p value = 0.048), but were not associated with community knowledge (p value = 0.283). It concludes that condition of clean water sources and personal hygiene and healthy behavior are risk factors of frambusia in children.Keywords: Frambusia, knowledge, personal hygiene and healthy behavior, clean water source PendahuluanFrambusia adalah penyakit menular menahun dan kambuh-kambuhan yang disebabkan oleh kuman Treponema pallidum subspesies pertenue. Frambusia umumnya menyerang anak berusia di bawah 15 tahun yang jika tidak diobati akan menyebabkan kecacatan. 1 Pengobatan penyakit frambusia sangat mudah, yaitu dengan obat Benzathine Penicilline sekali suntik yang dapat menyembuhkan luka-luka akibat penyakit ini. 2-4 Di beberapa daerah masih ada anggapan bahwa frambusia merupakan penyakit biasa karena sifatnya yang tidak menimbulkan rasa sakit pada penderita. 1,5 Menurut World Health Organization (WHO), fram-

Worm disease does not cause death but can affect digestion, absorption and metabolism of food. Helminthiasis figure in Kupang City in particular were not recorded properly, but when viewed from its risk factor then it was endemic because of sanitary conditions, personal hygiene, behavior, and the provision of clean water is still low. This study aim to identify the presence of worm’s eggs in the pupils nail and the correlation with clean and healthy living behavior of pupils. This analytic observational study used cross sectional design. The samples were primary school students as many as 50 people that were taken by random sampling. Data collection was through interviews and laboratory tests on stool samples and analyzed by using chi-square. Results found as many as 13 pupils (26%) were infested by worm eggsof Ascaris lumbricoides at their nail. There were no relation between the presence of worm eggs at pupils nail with gender (p=0.303), age (p=0.747), grade (p=0.643) and playing habits (p=1.000), but there is an association between the presence of worm eggs at elementary pupils nails with the latrine use (p=0.049) and personal hygiene (p=0.039). So that PHC expected to cooperate with the department of education improve the promotion and provision of facilities to support a clean and healthy behaviors for elementary school students.

Worm disease does not cause death but can affect digestion, absorption and metabolism of food. Helminthiasis figure in Kupang City in particular were not recorded properly, but when viewed from its risk factor then it was endemic because of sanitary conditions, personal hygiene, behavior, and the provision of clean water is still low. This study aim to identify the presence of worm’s eggs in the pupils nail and the correlation with clean and healthy living behavior of pupils. This analytic observational study used cross sectional design. The samples were primary school students as many as 50 people that were taken by random sampling. Data collection was through interviews and laboratory tests on stool samples and analyzed by using chi-square. Results found as many as 13 pupils (26%) were infested by worm eggsof <em>Ascaris lumbricoides</em> at their nail. There were no relation between the presence of worm eggs at pupils nail with gender (p=0.303), age (p=0.747), grade (p=0.643) and playing habits (p=1.000), but there is an association between the presence of worm eggs at elementary pupils nails with the latrine use (p=0.049) and personal hygiene (p=0.039). So that PHC expected to cooperate with the department of education improve the promotion and provision of facilities to support a clean and healthy behaviors for elementary school students.