Indragiri Hilir Regency Specifically for Tembilahan Hulu Village, there are 3 Units of Amrool Truck, 3 Units of TPS and 314 Units of Garbage Cans. The daily accumulation of garbage is about 0.5 tons, not proportional to the number of existing garbage cans. Quantitative type of research with Cross Sectional design. The research was conducted in Tembilahan Village. The population is the head of the family and a sample of 100 people, sampling by purposive sampling. The measuring instrument used is a questionnaire. The chi square test results obtained there was a relationship between knowledge (p= 0.000 POR 5.235 CI =2.206-12.512), attitude (p= 0.000 POR 10.500 CI=3.987-27.650), availability of bins (p= 0.002 POR 4.295 CI=2.204-10.727), health workers (p= 0.001 POR 4.909 CI=2.022-11.918), and government policy (p= 0.009 POR 3,286 CI=1,410-7,657), against littering behavior. It is expected that officers will conduct counseling and health promotion through interesting media such as lectures, questions and answers, leaflets. Health promotion is carried out in a planned, directed, and sustainable manner to increase knowledge so that the community will be motivated to maintain environmental cleanliness and not to donate litter.
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