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Vol.:(0123456789)
Environmental Science and Pollution Research (2024) 31:65967–65992
https://doi.org/10.1007/s11356-024-35567-x
REVIEW ARTICLE
Water pollution andsanitation inIndonesia: areview onwater
quality, health andenvironmental impacts, management, andfuture
challenges
RetnoWulandari1· AdityaPranaIswara2 · MuammarQada3· WisnuPrayogo4· RatnaDwiPujiAstuti5·
RosetyatiRetnoUtami6· MerriJayanti3· DionAwfa7· I.WayanKokoSuryawan8· LailiFitria9· GerryAndhikaputra10
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 ofChemical Engineering, Faculty
ofEngineering, Universitas Bhayangkara Jakarta Raya, Jl.
Harsono RM No. 67, Jakarta, Indonesia
2 Department ofDisaster Management, Postgraduate School,
Universitas Airlangga, Surabaya60115, Indonesia
3 Research Center forEnvironmental andClean Technology,
National Research andInnovation Agency, Jalan
Sangkuriang, Bandung40135, Indonesia
4 Department ofBuilding Engineering Education, Universitas
Negeri Medan, Medan20221, Indonesia
5 Department ofEnvironmental Health, Faculty ofPublic
Health, Universitas Airlangga, Surabaya60115, Indonesia
6 Research Center forLimnology andWater Resources,
National Research andInnovation Agency, Jalan Raya
Jakarta-Bogor KM. 46, Cibinong, Bogor16911, Indonesia
7 Department ofEnvironmental Engineering, Institut
Teknologi Sumatera, SouthLampung35365, Indonesia
8 Department ofEnvironmental Engineering, Faculty
ofInfrastructure Planning, Universitas Pertamina,
Jakarta12220, Indonesia
9 Department ofEnvironmental Engineering, Faculty
ofEngineering, Universitas Tanjungpura, Pontianak78124,
Indonesia
10 Department ofEnvironmental Engineering, College
ofEngineering, Chung Yuan Christian University, 200
Chung-Pei Road, Zhongli320, Taiwan
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