ArticlePublisher preview availableLiterature Review

Water pollution and sanitation in Indonesia: a review on water quality, health and environmental impacts, management, and future challenges

Authors:
  • National Research and Innovation Agency
To read the full-text of this research, you can request a copy directly from the authors.

Abstract and Figures

As an archipelagic tropical developing country, Indonesia is characterized by vast expanses of rural and isolated areas. This review aims to discuss water pollution and sanitation’s existing condition, health, and environmental impacts, alongside its management and challenges in Indonesia. The systematic review approach was utilized to ensure transparency and replicability, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. Many water sources in Indonesia are contaminated by various pollutants such as heavy metals, microplastics, pesticides, and endocrine-disrupting chemicals (EDCs). Moreover, the existing water and wastewater treatment plants cannot completely remove pollutants, including bacteria that cause waterborne diseases. The lack of proper sanitation facilities, including toilets and latrines, is not only reported in rural areas but also in peri-urban regions of Indonesia. This situation forces many to rely on unimproved water sources, such as river water, for their daily use and engage in open defecation, which may increase the risk of direct exposure to waterborne contaminants. Insufficient sanitation has been linked to significant public health issues in Indonesia, including maternal health complications, childhood stunting, and an increased incidence of waterborne diseases such as diarrhea. Based on the findings of this review, Indonesia still needs to improve its sanitation and water treatment facilities, as well as reduce pollution of the aquatic environment. This condition not only illustrates the condition of water and sanitation in Indonesia but can also be used as an illustration of how developing countries face various pollution and sanitation problems during the massive development and industry.
This content is subject to copyright. Terms and conditions apply.
Vol.:(0123456789)
Environmental Science and Pollution Research (2024) 31:65967–65992
https://doi.org/10.1007/s11356-024-35567-x
REVIEW ARTICLE
Water pollution andsanitation inIndonesia: areview onwater
quality, health andenvironmental impacts, management, andfuture
challenges
RetnoWulandari1· AdityaPranaIswara2 · MuammarQada3· WisnuPrayogo4· RatnaDwiPujiAstuti5·
RosetyatiRetnoUtami6· MerriJayanti3· DionAwfa7· I.WayanKokoSuryawan8· LailiFitria9· GerryAndhikaputra10
Received: 20 March 2024 / Accepted: 11 November 2024 / Published online: 3 December 2024
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024
Abstract
As an archipelagic tropical developing country, Indonesia is characterized by vast expanses of rural and isolated areas. This
review aims to discuss water pollution and sanitation’s existing condition, health, and environmental impacts, alongside its
management and challenges in Indonesia. The systematic review approach was utilized to ensure transparency and replica-
bility, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. Many water
sources in Indonesia are contaminated by various pollutants such as heavy metals, microplastics, pesticides, and endocrine-
disrupting chemicals (EDCs). Moreover, the existing water and wastewater treatment plants cannot completely remove
pollutants, including bacteria that cause waterborne diseases. The lack of proper sanitation facilities, including toilets and
latrines, is not only reported in rural areas but also in peri-urban regions of Indonesia. This situation forces many to rely on
unimproved water sources, such as river water, for their daily use and engage in open defecation, which may increase the risk
of direct exposure to waterborne contaminants. Insufficient sanitation has been linked to significant public health issues in
Indonesia, including maternal health complications, childhood stunting, and an increased incidence of waterborne diseases
such as diarrhea. Based on the findings of this review, Indonesia still needs to improve its sanitation and water treatment
facilities, as well as reduce pollution of the aquatic environment. This condition not only illustrates the condition of water
and sanitation in Indonesia but can also be used as an illustration of how developing countries face various pollution and
sanitation problems during the massive development and industry.
Keywords Water pollution· Sanitation· Health impact· Environmental health· Indonesia
Responsible Editor: Xianliang Yi
* Aditya Prana Iswara
aditya.prana@pasca.unair.ac.id
1 Department ofChemical Engineering, Faculty
ofEngineering, Universitas Bhayangkara Jakarta Raya, Jl.
Harsono RM No. 67, Jakarta, Indonesia
2 Department ofDisaster Management, Postgraduate School,
Universitas Airlangga, Surabaya60115, Indonesia
3 Research Center forEnvironmental andClean Technology,
National Research andInnovation Agency, Jalan
Sangkuriang, Bandung40135, Indonesia
4 Department ofBuilding Engineering Education, Universitas
Negeri Medan, Medan20221, Indonesia
5 Department ofEnvironmental Health, Faculty ofPublic
Health, Universitas Airlangga, Surabaya60115, Indonesia
6 Research Center forLimnology andWater Resources,
National Research andInnovation Agency, Jalan Raya
Jakarta-Bogor KM. 46, Cibinong, Bogor16911, Indonesia
7 Department ofEnvironmental Engineering, Institut
Teknologi Sumatera, SouthLampung35365, Indonesia
8 Department ofEnvironmental Engineering, Faculty
ofInfrastructure Planning, Universitas Pertamina,
Jakarta12220, Indonesia
9 Department ofEnvironmental Engineering, Faculty
ofEngineering, Universitas Tanjungpura, Pontianak78124,
Indonesia
10 Department ofEnvironmental Engineering, College
ofEngineering, Chung Yuan Christian University, 200
Chung-Pei Road, Zhongli320, Taiwan
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
... e impacts from poor sanitation, experiencing higher rates of malnutrition, stunting, and preventable illnesses. Research by Jaiswal (2016) and Augsburg and Rodríguez (2018) has delved into WASH challenges in slums, examining critical issues related to water, sanitation, and hygiene infrastructure and their impact on urban marginalized communities. Wulandari et. al. (2024) examines the current state of water pollution and sanitation in Indonesia, highlighting its health and environmental impacts. A systematic review methodology was employed to ensure rigor and transparency, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Their study concluded that in ...
Article
Full-text available
This study investigates the application of the blue economy approach in enhancing the potential of marine fisheries in the coastal areas of Jayapura City, Papua Province, Indonesia. Drawing upon the city’s abundant marine biodiversity and strategic geographical location, the research aims to examine the socio-economic dynamics of Indigenous coastal communities, evaluate the integration of blue economy principles, and propose strategic frameworks for sustainable fisheries management. Data were collected from 111 respondents across four key coastal regions in Jayapura using descriptive statistical methods, profitability analysis, and SWOT analysis. The findings reveal substantial untapped potential of marine fisheries hindered by challenges such as limited product diversification, inadequate market accessibility, and environmental constraints. The study emphasizes the critical need for comprehensive policy integration, community capacity-building, and ecological preservation to achieve sustainable development. This research contributes to local economic policy discourse and provides replicable insights for implementing blue economy initiatives in similar coastal contexts.
Conference Paper
Full-text available
The human exposure model (HEM) is an important tool to predict the amount of contaminants carried by water to the community. Proper input variables play a crucial role in running the HEM, which is often scarce, particularly in low-and middle-income countries like Indonesia. To overcome that problem, we conducted a water demand survey of 10 water-related activities in a peri-urban community of the Upper Citarum River Basin. The survey resulted in three main variables of the exposure model from those activities, i.e. frequency, volume, and duration. This study aims to analyze if the contaminant uptakes from the HEM output were significantly different between groups (i.e.: male and female groups, 18-65 y.o. and ≥ 65 y.o. groups) and which exposure routes and water-related activities contribute the most to the contaminant's total uptake by using statistical and proportional analysis. The output of carbofuran deterministic modelling showed the average total uptake was 1.06.E+00 ng/kg/day. The statistical analysis revealed a significant difference between oral and dermal uptake, but there was no significant difference in total uptake between gender and age groups. After conducting the proportional analysis, it was found that oral uptake contributed almost 99% to the total uptake of carbofuran. The analysis also showed that drinking and cooking were two activities contributing the most to the total uptake. This study's results are necessary for health risk assessment and HEM development, especially in the field of river basin management.
Article
Full-text available
Access to sanitation has become an important element for improving the health of populations in developing countries. In Burkina Faso, 12% of the population in rural areas has access to latrine and 65% practice open defecation (OD). In a bid to eliminate this unsanitary practice and enhance sanitation access in rural areas, the government embraced community-led total sanitation (CLTS) as a national strategy in 2014. However, more than 6 years later, a notable observation is the high abandonment rate, with only a small fraction of rural communities successfully eradicating OD. Out of the 8892 villages in the country, 3546 underwent a CLTS triggering from 2014 to 2020. Nevertheless, in 787 of these villages, the implementation of the CLTS approach was abandoned, indicating a substantial abandonment rate of 22.19%. Until now, most studies on CLTS have focused on the post-ODF phase, emphasizing the question of the sustainability of the results generated by the approach, as if the process from triggering to obtaining ODF certification was not subject to any problems. However, cases of abandonment of the CLTS process after triggering do exist, although poorly documented in the literature, and there are no studies that clearly assign responsibilities to the actors when CLTS implementation comes to be abandoned. This research aims to bridge these gaps by identifying the root causes of these abandonment cases while delineating the distinct responsibilities associated with these instances. To achieve this, the study was conducted in the Central-Western region of Burkina Faso, where all stakeholders involved in CLTS implementation, including target communities, were identified, their different roles in the process defined, and data collected through household surveys, interviews, and focus groups. The content analysis method was used to analyze the data. The research findings indicate that the abandonment of the CLTS implementation process is due to four categories of factors: sociocultural and economic aspects (39.78%), physical conditions (17.52%), governance aspects (26.28%), and the quality of approach implementation (16.42%). Moreover, these factors highlight a shared accountability for abandonment involving the government, implementing organizations, and target communities. These findings have significant implications for the future design of sanitation programs using the CLTS approach. To mitigate abandonment rates in the CLTS implementation process across rural communities, it is imperative for policymakers to attentively consider these factors and integrate the recommendations delineated in this study. Graphical Abstract
Article
Full-text available
This paper aims to provide a deeper understanding of the water-, sanitation-and hygiene (WASH)-related insecurities that people experiencing homelessness in urban areas of high-income countries (HIC) are facing, and how these insecurities are further complicated during extreme weather events. While limited recent research has looked into WASH among people experiencing homelessness in HICs, and while some work has considering the implications of climate change on WASH and health, the nexus of WASH, extreme weather events and homelessness in HICs have not been studied thus far. We conducted the first systematic scoping review of peer-reviewed literature on this nexus, which is understudied and marked by complexity, involving a range of systems and forms of impact. A total of 50 publications were included in our analysis. We found that public facilities like drinking water fountains, toilets, handwashing facilities, and showers are scarce, frequently unavailable, often pose safety and cleanliness issues, and access to non-public facilities may be cost-prohibitive for homeless populations. Consequently, people experiencing homelessness, including those sleeping rough, in encampments, or shelters, are often forced to limit drinking water consumption, forego healthy hygiene behaviours, and resort to open urination and defecation, all of which carry health risks. Extreme weather events, like heatwaves, extreme cold, heavy rain and flooding exacerbate challenges for people experiencing homelessness, further complicating their access to WASH, and reducing the ability of service providers to deliver extra relief, creating a dual WASH and health burden. Our review highlights that the Human Right to Water and Sanitation is not met for people experiencing homelessness in urban areas of high-income countries, with women emerging as one of the most vulnerable subgroups. It reveals that the impact of certain WASH issues (e.g. drinking water) on homeless populations are better understood than others (e.g. waste), and, similarly, the effects of certain extreme weather events (e.g. heatwaves) on the health and WASH conditions of people experiencing homelessness are better understood than others (e.g. flooding). Data gaps and the lack of information on limited WASH access and health circumstances of people experiencing homelessness, further minimize their representation and consequently impose obstacles to improve their situation. Based on our analysis, we established a framework which operationalizes the nexus of WASH, extreme weather events and homelessness. This framework improves our understanding of the underlying complexities at the intersection of these three issues and provides a foundation for enhanced preparedness and health-oriented planning.
Article
In recent years, the concern derived from the presence of emerging contaminants in the environment and the possible effects on the One Health trilogy has increased. This study determined the concentration of pharmaceutical contaminants of emerging concern and their relationship with the extracellular enzymatic activity of microbial communities from two rivers in western Cuba. Two sampling stations were analyzed; one in the Almendares River (urban) and the other in the San Juan River (rural), taking into account the pollution sources that arrive at these stations and previous physicochemical characterizations. Extracellular protease, acid phosphatase, alkaline phosphatase, lipase, and catalase activities in water and sediments were determined and correlated with contaminants of emerging concern determined by liquid chromatography with mass spectrometry. This study evidenced the presence of different pharmaceutical contaminants found in the categories of antihypertensives, stimulants, anti-inflammatories, and antibiotics in both rivers. Concentrations of contaminants of emerging concern were greater in the Almendares River compared to the San Juan River. In addition, through the canonical redundancy analysis, the influence of these contaminants on the extracellular enzymatic activities of microbial communities was documented, where in most cases they inhibit protease, phosphatase, and lipase activities and enhance catalase activity in response to oxidative stress. The present investigation constitutes the first report in Cuba of the presence of pharmaceutical contaminants of emerging concern and one of the few works that exist in the Latin American region.
Article
Water, sanitation, and hygiene (WASH) services play a crucial role in promoting public and environmental health as well as social and economic development. At the global level, particularly in the developing world, WASH issues continue to present significant challenges. These challenges have been further intensified by factors such as the COVID-19 pandemic, escalating conflicts, climate change, water scarcity, and rising inequality. The scientific community has actively engaged in constructive discussions on these issues, as evidenced by the notable research findings. Therefore, the aim of this study was to comprehensively examine and evaluate global knowledge on WASH. To search for relevant publications, the Scopus database was utilized using specific terms associated with WASH. VOSviewer 1.6.18 software was employed to generate network visualization maps, which assessed collaborative patterns and research trends in the field of WASH. The research output of countries was adjusted considering their gross domestic product (GDP) and population size. The total number of WASH-related publications, including all types of documents, was 1805. By narrowing the search to articles and reviews, the overall global productivity yielded 1589 documents: 1367 (86.0%) original articles and 222 (14.0%) review articles. The USA had the highest number of WASH publications (n = 668; 42.0%), followed by the UK (n = 396; 24.9%), Switzerland (n = 151; 9.5%), and Australia (n = 141; 8.9%). Ethiopia emerged as the leading country in terms of GDP per capita and the number of publications, followed by Uganda, Malawi, India, and Bangladesh. The USA, the UK, and Switzerland exhibited the most extensive collaboration among countries. The main research areas encompassed the role of WASH in sustainable development, the impacts of inadequate access to WASH services on gender equality, children, infants, and the outbreak of COVID-19 and other diseases, as well as the significance of hygiene practices and community and school-based WASH interventions in reducing infections. This study provides a novel analysis of global WASH-related research and highlights the distribution of outcomes across nations. Continued and increased collaboration between developed and developing nations will facilitate the sharing of responsibility for WASH research outcomes and the implementation of effective policies.
Article
Islands used to present environmental and social peculiarities because of their specific-related aspects, like boundedness, smallness, and isolation, that may shape spatial development patterns on island territories. Assessing inequalities in drinking water supply and sanitation is crucial to tracking progress toward universal and equitable access on islands. There are 1200 islands in the Brazilian Coastal Zone, where about 3.9 million inhabitants live. A geographic database was structured to quantify coverage and geographical inequalities in access to drinking water supply and sanitation among Brazilian maritime islands' inhabitants. Results demonstrated that Brazilian maritime island inhabitants still face severe challenges in accessing drinking water supply and sanitation. About 20% of the Brazilian maritime island inhabitants (over 730,000 people) need access to an improved drinking water supply. Another 60% (over 2,2 million) need access to improved sanitation. Inequalities within and between the Brazilian Federal States are substantial, both in urban and rural areas, mainly in the North and Northeast Brazilian regions. These results the need for greater attention on the Brazilian island territory and inhabitants' demands. These estimates can be used to guide decisions and track progress toward global and national commitments to promoting universal access to water and sanitation for all.