Title

ZERO OPEN DEFECATION PROGRAM AWARENESS AND HEALTH SANITATION PRACTICES AMONG FAMILIES LIVING IN COASTAL AREAS

Author(s)

Tefannie B. Carreon

Flerica Bless G. Casile

Shanee S. Delosa

Kate S. Dumanjug

Blanche Orvinne P. Erquita

Affiliation

Misamis University

Degree Program

Bachelor of Science in Nursing

Contributor

Elmedulan, Arnielyn M.

Taghoy, Sammy B.

Santos, Susan N.

Lian, Charry Jo P.

Year

2025

Abstract

Access to proper sanitation remains a pressing public health concern, especially in coastal communities where open defecation contributes to waterborne diseases and environmental degradation. In response, the Department of Health (DOH) introduced the Zero Open Defecation (ZOD) Program to eliminate such practices and promote improved sanitation behaviors. This study aimed to assess the relationship between ZOD Program awareness and health sanitation practices among families in selected coastal barangays in Ozamiz City, using Nola Pender’s Health Promotion Model, which emphasizes the role of individual beliefs and motivations in promoting well-being and guiding health behaviors. Level of awareness on ZOD Program among families living in coastal areas was measured across healthcare support, health risks, and social norms, while health sanitation practices included food preparation, drinking water, toilet use, and septic waste drainage. A descriptive-correlational design was employed, involving 262 respondents selected through stratified random sampling and surveyed using a validated researcher-made questionnaire. Data were analyzed using mean, standard deviation, and Pearson’s r-correlation. Findings indicated a very high level of awareness of the ZOD Program and very good health sanitation practices. Significant positive relationships were observed between awareness and food preparation, drinking water, and toilet use. However, no significant correlation was found between awareness and septic waste
drainage under social norms. The study recommends that effective sanitation strategies incorporate education, infrastructure, and active community involvement. Further research is suggested to evaluate behavioral changes and address challenges in the ongoing implementation and sustainability of the ZOD Program.

Keywords

coastal communities, environmental hygiene, health sanitation practices, public health awareness, Zero Open Defecation (ZOD)