“…Various factors contributed to such practice including lack of knowledge of its impact to health and limited financial capacity to build their own toilets (Gargita, Miswan, & Rosnawati, 2020;Junias, Mukono, & Purnomo, 2016;Putra & Selviana, 2017;Yulyani, Dina Dwi, & Kurnia, 2019). In addition, respondents found availability and proximity of river streams, bushes nearby their houses as 'enabling' factor for them to continue practicing OD behavior (O'Connell, 2014;Zahtamal, Chandra, Restila, & Restuastuti, 2020). Other study revealed traditional beliefs and norms such as sharing toilet with others may invite evil spirit, children's feces are not harmful, or accumulating feces into one spot create bad luck have significant and direct influence to school children defecating in the open (Adjibolosoo, Adongo, Tawiah-Yirenya, Ofori, & Afranie, 2017).…”