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Ear, Nose, and Throat (ENT) health is an essential component of adolescents’ well-being and learning performance; however, health literacy related to ENT care among senior high school students remains limited. This community service activity aimed to improve students’ knowledge and basic ENT skills at SMA Negeri 9 Pekanbaru through skill lab–based learning as a school health promotion strategy. The program was conducted through theoretical education covering basic ENT anatomy and common ENT disorders among adolescents, followed by hands-on training in simple ENT examinations using demonstration and direct practice with learning aids. Evaluation was carried out using pre-test and post-test assessments to measure knowledge improvement, as well as direct observation to assess students’ practical skills. The results demonstrated a clear increase in students’ knowledge after the intervention, along with improved ability to perform basic ENT examinations under instructor guidance. Students also showed better understanding of early signs of ENT disorders and appropriate preventive behaviors. Participation and enthusiasm during the activities were high, and most students reported that the program was beneficial and relevant to their daily experiences. This activity also supported the School Health Unit (UKS) program and strengthened collaboration between the school and the university. In conclusion, skill lab–based basic ENT training is an effective promotive and preventive approach to enhancing ENT health literacy and basic clinical skills among senior high school students.

The health profile book for the province of East Kalimantan in 2016 Sickness Rate (Morbidity) describes the incidence of disease in a population over a certain period of time, which can be in the form of incidence rates or prevalence rates of a disease. The morbidity rate also plays a role in assessing the health status of the community. Data on population morbidity comes from the community (community based data) obtained through a morbidity study, and the results of data collection from the District/City Health Office, the health program manager at the provincial level. The morbidity rate in 2013 was 11.74 and decreased in 2014 to 9.18 and increased in 2016 to 11.90. (Dinkes: 2016) The implementation of PHBS is low, because there are still many students who eat snacks carelessly and there is still garbage scattered in the school yard. The UKS exists but the program does not run due to the lack of supporting facilities, and their lack of knowledge regarding how to wash hands properly and correctly. Aims to increase the knowledge of elementary school students in clean and healthy living behavior through the Socialization of Clean and Healthy Life Behavior (PHBS) with the Three Thumb system, Provide understanding and awareness to elementary school students about the importance of the school PHBS program Able to reduce morbidity due to lack personal hygiene in the school environment. The method used in this activity is the lecture method, demonstration method and practical method, data collection techniques, namely the initial test and the final test. The result is that there is an increase of 21% of students' knowledge of the importance of PHBS.