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The application of proper cough etiquette is an essential part of Clean and Healthy Living Behavior (PHBS) and serves as a preventive measure in reducing the transmission of respiratory infectious diseases from an early age. Health education for young children is crucial, as this stage represents the formative period where foundational habits are developed, potentially influencing long-term individual and environmental health. This community service activity was conducted on May 9, 2025, at Stella Maris Kindergarten in Tangerang City, involving 29 Nursery group children. The main objective of the program was to enhance the knowledge and skills of early childhood students in practicing correct cough etiquette and to instill healthy behaviors that they can apply in their daily lives at home and school. The implementation of the activity followed the POAC approach (Planning, Organizing, Actuating, Controlling) in a structured manner. Activities included storytelling (using engaging illustrations), screening of age-appropriate educational videos, practical simulations of cough etiquette, and fun, interactive games. These methods were designed to encourage active participation and ensure that children could understand and retain the health messages through enjoyable learning experiences. The results showed a notable improvement in the children's understanding and active involvement in practicing healthy coughing techniques, such as covering their mouths with a tissue or the inside of their elbows when coughing. Visual education combined with hands-on practice proved to be highly effective in conveying health messages to young children. The teachers responded positively to the program, emphasizing that the approach used was appropriate and should be widely implemented in other early childhood education institutions. They recognized it as a valuable promotive effort and a long-term health investment for children, laying the groundwork for healthier habits and environments in the future.

Providing education on how to wash hands properly is an important effort to increase awareness of clean and healthy living, especially for young children. Children at this age are in a very rapid developmental stage, so the information and habits taught are more easily absorbed and formed into daily behavior. However, children's awareness and understanding of the importance of hygiene, especially handwashing, is still relatively low. Therefore, health education is essential to instill good habits from an early age. Washing hands with soap is one of the Clean and Healthy Lifestyle Behaviors (PHBS) that is effective in preventing the spread of various types of diseases, especially diseases transmitted through hands, such as diarrhea, ARI, and skin infections. PHBS about handwashing must be a habit applied in daily life, both in the family, school, and community environment. This educational activity was carried out at St. Francis Xaverius Pineleng Catholic Kindergarten with the aim of increasing knowledge and forming handwashing behavior according to the six recommended handwashing steps. The implementation method included providing educational materials, showing a video song that teaches the six steps of handwashing, demonstrations by the implementer, and direct practice by the children with movements and songs. The results of the activity showed an increase in children's knowledge and skills in washing their hands properly. The children demonstrated enthusiasm and active participation during the educational process. It is hoped that teachers and parents will continue to encourage children to practice hand hygiene to prevent illness and foster healthy lifestyles from an early age.

Food poisoning incidents often occur in children at school. Clean and healthy living behavior needs to be fostered from an early age to prevent infectious diseases, and also to improve learning effectiveness, increase productivity and create a complete and comfortable environment. This program aims to provide counseling on clean and healthy lifestyles through healthy snacks. The method used in Community Service (PkM) activities is through direct counseling activities. Participants in this activity consisted of 35 students of SDN Cipinang Besar Selatan 13. The results of this activity show the enthusiasm and enthusiasm of students when participating in activities with the theme of Clean and Healthy Lifestyle (PHBS) which is shown from the desire of students when trying to answer questions from the speaker. This activity is expected to provide benefits both for schools and for students involved in implementing a Clean and Healthy Lifestyle (PHBS).

This community service program aims to increase awareness and understanding of clean and healthy living behavior (CHLB) among village communities as an essential preventive effort against infectious diseases. The activity was carried out through educational sessions, counseling, and practical demonstrations involving local residents, community leaders, and health cadres. The methods used included a participatory approach, focus group discussions, interactive lectures, and direct practice on personal hygiene, proper handwashing techniques, household waste management, and environmental sanitation. The implementation of this program resulted in a significant improvement in participants’ knowledge, attitudes, and practices related to hygiene and disease prevention. The community became more active in maintaining cleanliness, reducing the risk of infectious diseases, and promoting a healthier environment. In addition, collaboration between the community, village officials, and local health institutions was strengthened, ensuring the sustainability of health promotion efforts. The implication of this activity emphasizes the importance of continuous education, behavioral reinforcement, and community empowerment as key strategies in building a resilient and health-conscious society, particularly in rural areas where access to health information and facilities is still limited.

Low awareness of students about PHBS allows for a lack of knowledge obtained by students due to the lack of information obtained. Therefore, health education is important to be encouraged. One strategy that can be used in providing health education to students is peer education. To determine and analyze the effect of peer education on the scope of Clean and Healthy Living Behavior in students. The type of research used in this study is quasi-experimental, with a pretest-posttest control group design. Data analysis using variate and bivariate tests. The subjects of this study were students of Class VII-A and Class VII-B of SMP Negeri 3 Kutacane in the 2024/2025 Academic Year. The research instrument used was a test sheet. The results of the Mann-Whitney test showed a significant increase in students' understanding of each indicator including PHBS, except for the indicator of not smoking, although there was an increase but it was not statistically significant. This can be seen based on the average value of the experimental class at the time of the posttest which was greater when compared to the pretest, with a value of p = <0.05, while for the non-smoking indicator the value of p => 0.05. These results indicate the influence of health education with the peer education method on the understanding of the scope of PHBS in experimental class students. Peer Education is able to improve students' understanding of the scope of PHBS better, compared to students who do not receive peer education intervention.

Household waste management is an important part of maintaining environmental quality. This article is a literature review that aims to identify and analyze the relationship between household waste management and its impact on environmental quality. The purpose of this study is to gain a better understanding of the extent to which household waste management behaviors and systems can affect environmental conditions and public health. The method used is a systematic literature review of various scientific journals, research reports, and policy documents published in the last ten years. Data sources were taken from academic databases such as Google Scholar, ScienceDirect, and PubMed, with a focus on studies discussing aspects of waste management, sanitation, and health impacts in residential environments. The results of the study show that poor urban waste management, such as littering and open burning, is associated with an increase in environmental diseases. Conversely, good management systems, such as regular sorting and transportation, have a positive impact on the cleanliness and health of the residential environment. Conclusion Good household waste management plays an important role in maintaining a healthy living environment. Organized and participatory practices can reduce the risk of disease and create a clean, healthy, and sustainable environment for communities. 

Often clean and healthy living behavior is considered trivial and rarely noticed will threaten health, especially at school age which is an age that is vulnerable to disease because of the behavior and habits they do in the environment, especially at school. The purpose of this community service is to increase awareness and stimulate school-age children to be able to instill PHBS, especially washing hands in six steps properly and correctly. The method used is providing education or counseling. The results of providing this education are that students are able to explain the definition, purpose, benefits, time, and practice the six-step hand washing method properly and correctly. From this community service activity, it can be concluded that the education and practice of hand washing that has been carried out has succeeded in helping school-age children understand one of the PHBS methods.

Digital transformation in health education opens up innovative opportunities to improve clean and healthy living behavior skills in the adolescent population. This study aims to analyze the effectiveness of education through digital media in improving clean and healthy living behavior skills in guidance studio students in Malaysia. The research method uses a mixed-method approach with a participatory action research design that integrates cooperative learning as the main strategy. The subjects of the study involved 32 students of Sanggar Bimbingan Kampung Pandan Malaysia consisting of 18 male students and 14 female students with an age range of 12-16 years. The intervention was carried out for 12 weeks using the "PHBS Digital Learning" application platform that integrates interactive multimedia features, quizzes, virtual simulations, and group discussion forums. Data collection was carried out through validated pre-test and post-test instruments with a Cronbach's Alpha reliability of 0.847. The results showed a significant increase in the composite knowledge score of 56.0% with a very large effect size (Cohen's d = 4.22), while practical skills increased by an average of 63.2% across all indicators. The digital platform facilitated 847 discussion posts with high engagement levels, reaching an average usage duration of 47.3 minutes per session. The transformation of student attitudes experienced a substantial increase from an average score of 2.3 to 4.2 on a scale of 1-5, with behavioral sustainability maintained by up to 78.1% of students in the follow-up evaluation. This study proves that digital media has high effectiveness in improving clean and healthy living behavior skills through the integration of cooperative learning and digital technology that creates a comprehensive and sustainable learning ecosystem.

This community service aims to increase public awareness and participation in maintaining environmental cleanliness through the routine Clean Saturday program in Tanjung Sari Village. This activity involves 6th semester students of the Christian Education Management Study Program of IAKN Tarutung who actively participate in cleaning the environment in various locations every week, as well as being involved in waste management at the New Normal Main Waste Bank. The methods used are direct participation and participatory observation, with a focus on cleanliness actions and community education. The results of the service show an increase in public awareness, the formation of environmental working groups, and changes in behavior that support the sustainability of the program. This service provides a real contribution to building a culture of clean and healthy living in the community and strengthening the role of students in community empowerment. Keywords: community service, Clean Saturday, community participation, waste bank, community empowerment.

This community service aims to increase public awareness and participation in maintaining environmental cleanliness through the routine Clean Saturday program in Tanjung Sari Village. This activity involves 6th semester students of the Christian Education Management Study Program of IAKN Tarutung who actively participate in cleaning the environment in various locations every week, as well as being involved in waste management at the New Normal Main Waste Bank. The methods used are direct participation and participatory observation, with a focus on cleanliness actions and community education. The results of the service show an increase in public awareness, the formation of environmental working groups, and changes in behavior that support the sustainability of the program. This service provides a real contribution to building a culture of clean and healthy living in the community and strengthening the role of students in community empowerment. Keywords: community service, Clean Saturday, community participation, waste bank, community empowerment.

Clean living behavior can be done by maintaining the sustainability of life can be done by reducing waste, saving energy, planting trees, and not littering. Waste sorting can be done by separating organic and inorganic waste into different trash bins. In addition, inorganic waste can also be separated again based on its type, such as plastic, paper, glass, and metal. Facilitates the process of collecting and processing waste for recycling. The Principles of Clean and Healthy Living Behavior (PHBS) recommend the use of waste sorting methods. The daily habits that we do to maintain personal and environmental cleanliness consist of this behavior. . Along with the emergence of various diseases that often attack children aged 6-12 years, PHBS in schools is a collection of behaviors carried out by students, teachers, and school residents based on learning so that they are able to independently prevent disease, improve their health. Implementation of better waste sorting practices can reduce the negative impact of waste on the environment, increase the efficiency of waste management, and provide long-term benefits for school residents. Schools are one of the places that have great potential to educate students about good waste management. SD Negeri 2 Kelusa has problems related to the lack of student knowledge about waste sorting and utilization, especially organic waste. Most students at SD Negeri 2 Kelusa still have limited understanding of the types of waste and how to process it. Most students do not realize and understand that organic waste can be reused, so they tend to throw it away with other waste.

Tuberculosis (TB) is currently a public health problem in the world, especially in Indonesia. Pulmonary TB is ranked 2nd as the main cause of death from infectious diseases after Human Immuno deficiency Virus (HIV). Pulmonary Tuberculosis is easily spread through the air when people who are sick with Pulmonary Tuberculosis release bacteria through the coughing mechanism. The spread of these bacteria is through sputum splashes or droplet nuclei released by TB sufferers through coughing, sneezing or talking face to face. The increase in TB cases is related to the degree of health in the community. The biggest factors that affect the degree of health are environmental factors and community behavior itself which can be detrimental to health. Risk factors for Tuberculosis transmission are environmental factors and behavioral factors, environmental factors include ventilation, housing density, temperature, lighting and humidity. While behavioral factors include smoking habits, spitting or throwing phlegm anywhere, coughing or sneezing without covering the mouth and the habit of not opening windows and not implementing clean and healthy living behavior (PHBS). This research method is a quantitative study with statistical tests with a cross-sectional design. This study was conducted at SMP 4 Ulee Rubek, North Aceh in November 2024. The research sample consisted of 15 children, Data collection techniques using questionnaires. Data analysis used descriptive statistical tests to test adolescents' knowledge about how to prevent TB. In addition to effective coughing, there are several ways to control pulmonary tuberculosis, namely by cultivating a clean and healthy life and cultivating ethical coughing behavior.

This study aims to evaluate the implementation of the Healthy School program at TK Negeri Pembina 2 Merangin based on school sanitation standards. The evaluation focused on three main aspects: the availability and quality of facilities, the habituation of clean and healthy living behavior (PHBS), and school sanitation management. This research used a qualitative descriptive method with a case study approach. Informants included school principals, teachers, UKS officers, the Education Office, the Health Office, and parents. Data collection techniques included in-depth interviews, observations, and documentation. The results showed that while most sanitation facilities were available, they did not fully meet the standards. PHBS habituation was initiated but not evenly distributed. Managerial support from the school, especially budget allocation for facility maintenance and health education, needs improvement. This evaluation provides valuable input for schools and local governments to improve school sanitation policies.

Clean and Healthy Living behavior in schools is a set of behaviors that are practiced in the school environment, so that it is independently able to prevent disease, improve health, and play an active role in creating a healthy environment . Health education is clean and healthy living behavior using audio-visual and demonstration methods. This study aims to determine the effect of health education using audio visual and demonstration methods on the skills of clean and healthy behavior in elementary school students 5 besuki. This research method uses quasi experimental approach with two-group pre test and post test design. The population of all students aged 6-12 SDN 5 besuki as many as 95 students SDN 5 besuki, sampling techniques used purposive sampling with a sample of 77 respondents. The instruments used are PHBS, SOP, and module videos. The Data obtained from the study were analyzed using the Wilcoxon Test and mann whitney Test. The results showed that the health education group using audio visual pre-test method amounted to 88.5 post-test 30.8 in the health education group using pre-test demonstration method amounted to 89.6 post-test 31.2. Wilcoxon test results in obtaining a p-value of 0.000 in the audio-visual and demonstration groups. Mann-whitneyy test results in getting the difference score from the difference between the two groups in getting the value of p-value 0.129 with an average value in the Audio-visual group of 35.42 and 42.49 demonstration group. It is expected that respondents who have not behaved in a clean and healthy life can apply health education using effective demonstration methods because the demonstration method is practiced directly by researchers and respondents so that it can be done independently.

Clean and Healthy Living Behavior (PHBS) is one of the preventive efforts in maintaining individual health, with washing hands with soap (CTPS) as one of its main aspects. Elementary school children are among the groups that are vulnerable to disease due to lack of awareness of cleanliness, so socialization is needed to increase their understanding of the importance of CTPS. This study aims to socialize PHBS and how to do CTPS to students of SD 7 Nisam, North Aceh, through interactive educational methods. The activities were carried out by presenting material using PowerPoint, interactive discussions, direct practice of the six steps of CTPS according to WHO standards, and evaluation through questionnaires before and after the activity. The results of the activity showed that the method applied succeeded in increasing students' understanding of the importance of washing hands with soap. Students were more enthusiastic in participating in activities when given an interesting approach that was appropriate for their age. In addition, the involvement of teachers and schools in providing supporting facilities contributed to the success of this program. With this socialization, it is hoped that students can apply the habit of washing their hands independently and consistently, both at school and at home, so that it can reduce the incidence of infectious diseases related to hand hygiene.

Clean and Healthy Living Behavior (PHBS) is one of the important pillars in efforts to prevent disease and improve public health. In the pesantren environment, especially among female santri, knowledge and application of PHBS are very crucial to prevent the onset of various diseases, both infectious and non-communicable. To increase public knowledge, health education is needed with the right media so that it is easily understood so that it affects changes in knowledge and attitudes.  The purpose of this community service activity is to increase santriwati's understanding of the importance of implementing PHBS in the surrounding environment. The service is carried out from preparation to evaluation. The methods used in the service are health education lecture methods, direct application in the field as well as brainstroming, and interactive question and answer. This service activity involved 80 female students at Ponpes Aisyah Sumbawa. PHBS counseling activities went smoothly, all students enthusiastically participated in this PKM activity. Based on the results of observations, this PKM activity was able to increase students' awareness and knowledge in order to practice Clean and Healthy Living behavior.

Islamic boarding schools are a place to gain knowledge, not only religious and formal knowledge but also the students are taught various things, one example is learning to be aware of maintaining cleanliness. The background to this research is the results of observations that show that the girls' dormitory environment is less clean, resulting in health problems such as skin diseases and poor personal hygiene among students. This research aims to examine the effectiveness of the behavioral operant conditioning approach in forming clean and healthy living behavior (PHBS) in students at the Nashrus Sunnah Islamic Boarding School in Banjarejo Village, Madiun City. This research uses a qualitative method with a naturalistic approach, involving observation, interviews and documentation as data collection techniques, and data analysis is carried out inductively with triangulation of data sources for validity. The research results show that through the operant conditioning approach implemented by the health task force and academics, students show an increase in clean and healthy living behavior. Habits such as throwing rubbish in its place, maintaining personal hygiene, and cleaning the dormitory environment have become new habits that are implemented in a disciplined manner. This approach is also followed by giving rewards and punishments as a form of reinforcement to maintain the consistency of the new habit. In conclusion, the behavioral operant conditioning approach is effective in increasing PHBS in Islamic boarding school environments, showing significant changes in the behavior and motivation of students in maintaining cleanliness and health.

Clean and healthy living behavior (PHBS) is a crucial strategy for enhancing health status, as many diseases can be prevented by adopting healthy lifestyle habits. School-aged children are particularly vulnerable to health issues because they spend a significant amount of time outside the home and away from parental supervision. This counseling activity on clean and healthy living behaviors aimed to educate children at Wadi Fatimah Kindergarten, helping them to practice daily habits such as maintaining personal hygiene (including proper bathing techniques). The activity utilized a counseling method, supported by tools such as laptops, projectors, door prizes, PowerPoint presentations, and bathing props. A total of 76 children, aged 5-6 years, participated in the program. The counseling session was successful, with the children showing great enthusiasm while watching educational videos on bathing and actively engaging in discussions. They demonstrated an understanding of the PHBS concept and knew how to apply it in their daily lives. The discussion results revealed that 80% of the children were capable of bathing themselves, while 20% were still assisted by their parents

Tuberculosis (TB) is one of the ten diseases that most frequently causes death worldwide. This disease is caused by Mycobacterium tuberculosis and lasts a long time. Indonesia ranks third in the world in terms of the number of people suffering from tuberculosis, behind India, China and India. In East Nusa Tenggara, the most cases of tuberculosis are found in Kupang City, and Oesapa Village is one of the places where cases are still quite high. With so many TB cases still occurring, public knowledge about the symptoms, transmission and treatment of the disease is still lacking. It is hoped that empowering teenagers as health drivers will increase public awareness, especially teenagers, about prevention, symptom monitoring, and discovery and treatment of tuberculosis. Tuberculosis education can help teenagers understand the importance of maintaining a clean and healthy lifestyle to reduce TB transmission (1). This community service activity aims to increase youth knowledge and attitudes about pulmonary TB through comprehensive counseling, structured information, and youth empowerment. They also monitor communities for TB symptoms, especially children(2) The results of the activity show that the level of understanding among teenagers about TB disease has increased from 35 percent to 85 percent. There were no TB symptoms at the monitoring stage in the community, especially teenagers, and everyone was in good health. It is hoped that peer cadres (adolescents) can adopt a clean and healthy lifestyle and become pioneers in monitoring the symptoms of tuberculosis in the community to make it easier to find, handle and treat. Peer cadres can transfer information about pulmonary TB to the community, especially teenagers, by implementing Clean and Healthy Living Behavior

This research examines the role of Wahdatul Ulum in promoting healthy lifestyles in the Muslim community, with a case study in Tuntungan II Village, Pancur Batu District, Deli Serdang Regency. Wahdatul Ulum, the concept of integrating religion and science, provides a holistic approach that connects physical, mental and spiritual health. Qualitative research methods were used with in-depth interviews with 15 village residents. The results show that religious teachings have a significant role in shaping healthy living behavior through diet, cleanliness and self-control. Religious traditions, such as fasting and religious lectures, are effective in increasing public health awareness. Religious leaders and faith-based communities play an important role in supporting health programs, while religious education among youth increases understanding and implementation of healthy lifestyles. The conclusion emphasizes that Wahdatul Ulum's approach not only strengthens faith, but also supports the physical and mental well-being of the Muslim community.