Determinant of Environmental Disease in Health Promotion of Community Lead Total Sanitation (CLTS) on Elementary Students as Primary Prevention in Isolated District, Indonesia

West Kalimantan was called “a thousand rivers, that many place in isolated area. Discoveries that emerging and re-emerging pathogens have their origin in environmental change has created an urgent need to understand how these environmental changes impact disease burden. Prevalence of environmental based disease is high enough in this area. The aimed of this research was to identify determinants factors of environmental disease in isolated area of West Kalimantan in Health promotion effort of Community Lead Total Sanitation (CLTS) as primary prevention at elementary school students in 2015. The method used quantitative research with cross sectional approach and total sampling at elementary students (80 students at third, fourth, and fifth grades in Isolated District). The results showed that the significant determinant of environmental disease are: knowledge (p value = 0.000), attitude (p value = 0.000), the practice of Clean and Healthy Behavior (p value = 0.005), and latrine ownership (p value = 0.000). Knowledge, attitudes, and practices of PHBS are protective factors that can prevent environmentally based disease incidence (OR <1). Based on the results of this study, media favored by elementary students are comic, and short movie. School children are the future generation and potentially trigger to apply Community Lead Total Sanitation (CLTS). They are also as agents of change in a family environment, so as to stimulate the family to apply CLTS in particularly, and society in generally. Therefore, health promotion CLTS required for elementary students as agents of change so as to reduce the incidence of environmental disease through the comic and the movie according to the needs. In addition, the need for cooperation with local governments in the provision of public facilities and infrastructure in communities in isolated district.