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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.    

The "Kader Cilik" program in Kelurahan Melebung is an initiative aimed at improving community-based health services. This program focuses on training children to become young health leaders with basic skills to promote health and engage in preventive and promotive efforts within their communities. The children are expected to become change agents who can educate their families, peers, and local communities on the importance of maintaining clean and healthy living behaviors. The success of the program will be measured by changes in community health behaviors, a reduction in preventable diseases, and an overall improvement in the quality of life. By involving children as "Kader Cilik," the program aims to create long-term change starting with the younger generation, building a more health-conscious community from an early age.

Abstract: This study aims to analyze the PAI integration learning model with identity elements (clean and healthy living) in group B students. The research used a qualitative approach with a case study research type. The research location was in ABA 7 Karangjati Kindergarten, Blora Regency, with 33 student informants and two teachers. Data collection techniques through observation, interviews, and documentation. The data validity test used a credibility test where this study used triangulation. Data analysis techniques used data condensation, data presentation, and drawing conclusions. The results of the study showed that the application of PAI integration learning with identity elements (clean and healthy living) increased students' awareness of environmental cleanliness, both at school and at home. In addition, changing 90% of student behavior in terms of cleanliness, students have thrown garbage in its place, picked up scattered garbage, rearranged what has been used when playing, studying, and so on. They have a sense of responsibility for themselves and the surrounding space. In this activity, 20% of teachers or parents continue to remind their children to maintain cleanliness in order to live a clean and healthy life.

Early childhood is experiencing a period of very rapid growth and development. Children's health and nutrition greatly affect the growth and development process. Therefore, health care and nutrition are very much needed to optimize children's development. In general, maintaining children's health which aims to prevent children from contracting a disease, which can interfere with children's learning and intelligence, can be done through: a) maintaining children's personal hygiene and their environment, b) timely immunization, c) maintaining the types of food consumed by children. Children's health care is also adjusted to the child's development. The intensity of health services provided to infants is certainly higher than that of children. This is because at the age of infants, they cannot be independent and still need full assistance from adults. While at the age of children, they must be accustomed and trained to be independent in maintaining personal health with light activities (with parental supervision). As educators, they are required to be able to provide behavioral stimuli and knowledge about how to maintain health in children. Efforts to maintain children's health begin with implementing clean and healthy living habits in everyday life

This study aims to examine the role of housewives in waste reduction through the implementation of 3R (Reduce, Reuse, Recycle) principles, serving as a means to influence waste management behaviors and foster the adoption of a community-driven circular economy. This approach is designed to involve the broader business environment and city government. The research employs a descriptive qualitative method, focusing on the collection of data and information without reliance on quantitative calculations.The findings highlight that the participation of housewives plays a significant role in engaging individuals and groups in waste management activities. The study underscores the importance of community involvement in providing suggestions, expressing opinions, and actively participating in waste management initiatives. The research emphasizes that housewives play a critical role in waste collection, aligning with the principles of 3R. This role contributes to fostering clean and healthy living behaviors within communities, reinforcing the essential contribution of housewives in achieving sustainable waste management practices.

Access to adequate sanitation services and safe drinking water is a fundamental need that influences public health and sustainable development. This study analyzes the percentage of households in Gorontalo Utara Regency with access to adequate sanitation and safe drinking water from 2021 to 2023, linking it to WHO health standards. The results show an increase in access to adequate sanitation from 79.03% in 2021 to 81.80% in 2022, although there was a slight decline to 81.37% in 2023. Meanwhile, access to safe drinking water showed a more positive trend, rising from 86.23% in 2021 to 90.14% in 2023. This improvement reflects the success of government programs in enhancing basic infrastructure and raising community awareness. However, challenges remain in reaching approximately 10% of households still lacking access, particularly in remote areas. According to WHO, access to adequate sanitation and safe drinking water significantly reduces the risk of waterborne diseases such as diarrhea, cholera, and typhoid. This study highlights the importance of sustainable approaches to improving service coverage, such as developing inclusive infrastructure, educating communities on the importance of clean and healthy living behaviors, and strengthening the role of local institutions. In conclusion, although Gorontalo Utara has made significant progress, sustained efforts are needed to achieve universal access to sanitation and safe drinking water, as mandated by the SDGs.