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Environmental-based diseases remain a major public health issue associated with unsafe drinking water, inadequate sanitation, poor hygiene behavior, improper household waste management, and unsafe domestic wastewater disposal. Community-Based Total Sanitation, known in Indonesia as Sanitasi Total Berbasis Masyarakat or STBM, is a community empowerment approach designed to change hygiene and sanitation behavior through five pillars. This article aims to develop an STBM program planning design and an impact evaluation model for reducing environmental-based diseases, particularly diarrhoeal disease. This study used a narrative review method by analyzing national regulations, official guidelines, global WASH reports, and recent scientific literature. The proposed program design includes situation analysis, multisectoral advocacy, community triggering, household mentoring, strengthening sanitation facilities, monitoring, verification, and impact evaluation. The evaluation model uses process, output, outcome, and impact indicators, with diarrhoea incidence as the main measurable health indicator. The findings indicate that an integrated STBM program supported by community participation, valid baseline data, and periodic evaluation can strengthen the prevention of environmental-based diseases. This article recommends implementing STBM as a sustainable community-based public health intervention rather than a short-term sanitation activity. 

School-age children are vulnerable to environmental-based diseases due to suboptimal hygiene practices and inadequate school sanitation. Lack of handwashing habits, maintaining personal hygiene, and choosing safe foods can increase the risk of diarrhea, respiratory infections, worms, and skin diseases. This community service activity aims to increase students' knowledge and awareness regarding clean and healthy living behaviors, personal hygiene, and food hygiene and sanitation. The method used was a one-day counseling through interactive lectures, discussions, educational video screenings, and demonstrations of proper handwashing and tooth-brushing practices. The results of the activity showed an increase in student participation and understanding of the importance of maintaining personal hygiene and the school environment. It was concluded that the counseling was effective in increasing students' knowledge and awareness, so ongoing support is needed so that clean and healthy living behaviors can be implemented consistently at school and at home.

Family health is a fundamental component of public health development, as the family represents the smallest social unit shaping individual health behaviors. This study aimed to analyze the family health conditions of the community in Pulau Jambu Village, Kampar District, based on demographic, behavioral, socioeconomic, and environmental factors. A descriptive quantitative approach was employed with a total sample of 153 respondents selected using random sampling, ensuring equal probability for each population member to be included.The results indicated that most respondents were in the productive age group of 19–60 years (68.8%), with farming as the dominant occupation (47.1%). The majority relied on borehole wells as their water source (61.4%); however, 47.1% had septic tank distances ≤10 meters, posing potential risks of water contamination. Regular physical activity was reported by 60.8% of respondents, yet the prevalence of smoking was very high (78.4%). Most respondents had a junior high school education (45.1%), influencing health literacy levels, although 58.2% demonstrated good knowledge of clean and healthy living behavior (PHBS). Health service utilization was relatively high (86.3%), though some residents still practiced traditional treatment.In conclusion, family health conditions are influenced by a combination of behavioral, environmental sanitation, and socioeconomic factors. Strengthening family-based health interventions through PHBS education, smoking control, and environmental sanitation improvement is essential to enhance sustainable community health status.

Helminth infections caused by Soil Transmitted Helminths (STH) and Taenia sp. remain a major public health concern in tropical regions, including Indonesia, particularly among elementary school children. This study aimed to identify the presence of eggs and larvae of intestinal nematodes and cestodes in fecal samples collected from elementary school children in Bekoso Village, East Kalimantan. The research employed a descriptive survey method with a cross-sectional approach, and laboratory examinations were conducted using the Kato-Katz technique. A total of 16 fecal samples were examined to detect Ascaris lumbricoides, hookworm, and Taenia sp. eggs. The results showed that 12.5% of samples were positive for hookworm eggs, 12.5% for Taenia sp. eggs, and 6.25% for Ascaris lumbricoides eggs. These findings indicate that poor personal hygiene and inadequate environmental sanitation contribute to an increased risk of intestinal helminth transmission. The study highlights the importance of preventive efforts through the promotion of clean and healthy living behaviors, consistent use of footwear, handwashing with soap, and community participation in mass deworming programs to reduce the prevalence of intestinal helminth infections among elementary school children.

Clean and Healthy Living Behavior (PHBS) is a promotive and preventive effort aimed at improving the level of public health. The Baduy indigenous community in Leuwi Damar, Kanekes Village, Lebak Regency, Banten Province has local wisdom and traditional lifestyles that influence daily health practices. However, limited access to information and health services is a challenge in implementing PHBS optimally. This article aims to describe the implementation of PHBS education in the Baduy Leuwi Damar community and its impact on community knowledge and attitudes. The method used is a descriptive approach with educational activities through counseling, discussion and simple demonstrations adapted to local culture. Educational material includes personal hygiene, clean water management, environmental sanitation, and healthy living behavior in daily life. The results of the activity showed an increase in public understanding regarding the importance of personal and environmental hygiene, as well as the emergence of a positive attitude towards implementing PHBS without eliminating the traditional values adhered to. PHBS education carried out using a simple cultural and communication approach is considered effective in increasing the health awareness of the Baduy community. Therefore, health education programs based on local wisdom need to continue to be developed as a strategy to improve the health of indigenous communities. .(Riset Kesehatan Dasar,2019).

This study aims to describe the condition of clean water access and its impact on public health in Swadaya Village. The research employed a qualitative approach through in-depth interviews with household heads, community leaders, health workers, and local water managers. The findings reveal that access to clean water in Swadaya Village remains very limited. Most residents rely on dug wells and river water for daily needs, while only a small portion use water from the local water utility (PDAM) due to high installation costs and limited pipeline coverage. The water quality often decreases during the dry season, becoming cloudy, odorous, and causing skin irritation. These conditions contribute to the increasing incidence of waterborne diseases such as skin infections, diarrhea, and typhoid fever. Besides infrastructure limitations, the lack of community awareness regarding hygiene and sanitation practices worsens the situation. Although the village government has proposed clean water development programs, their implementation has been hampered by budget constraints. The study concludes that clean water problems in Swadaya Village are not only related to resource availability but also to environmental management and community behavior. Therefore, improving water infrastructure must be accompanied by community education to promote a healthy, safe, and sustainable living environment.

Stunting remains one of the major chronic nutritional problems in Indonesia, including in Oesapa Village, Kelapa Lima District, Kupang City, East Nusa Tenggara Province. This condition is not only caused by inadequate nutritional intake but is also closely related to chronic infections resulting from poor hygiene and sanitation, particularly intestinal parasitic diseases. To reduce the risk of parasitic infections and improve children’s nutritional status, preventive efforts through education and health promotion are essential.This community service activity aimed to increase public awareness and knowledge, especially among parents and caregivers of stunted children, regarding the importance of maintaining hygiene and sanitation to prevent intestinal parasitic diseases. The methods used included participatory approaches such as interactive lectures, group discussions, and practical demonstrations of clean and healthy living behavior (PHBS), food hygiene, clean water management, and household waste disposal. Evaluation was conducted using pre-test and post-test instruments to measure changes in participants’ knowledge.The activities, carried out from May to September 2025 in Oesapa Village, showed a significant improvement in community understanding of hygiene and sanitation practices. Participants demonstrated greater commitment to maintaining environmental cleanliness and adopting healthier daily behaviors. Continuous educational efforts and multisectoral support are needed to help reduce the prevalence of stunting in the region

 Communicable diseases remain one of the leading public health burdens in Indonesia, particularly in densely populated residential areas and communities with inadequate sanitation. Poor housing conditions including insufficient ventilation, overcrowding, excessive humidity, inadequate lighting, and improper waste and wastewater management have been shown to increase the risk of respiratory infections, diarrhea, and other environment-related diseases. This literature review aims to identify effective environmental health strategies for preventing communicable diseases by synthesizing findings from 11 scientific articles published between 2014 and 2025. The review shows that basic sanitation, indoor air quality, waste management, and the implementation of the Community-Based Total Sanitation (STBM) program are key determinants in reducing disease incidence. Additionally, successful interventions depend heavily on clean and healthy living behaviors (PHBS) and active community participation. These findings highlight the importance of a comprehensive approach that integrates physical environmental improvements, health education, and community empowerment to create healthy settlements and sustainably reduce the risk of communicable diseases.

Hand hygiene is an essential step in preventing the transmission of infectious diseases, making the availability of safe and environmentally friendly hand soap an important necessity in daily sanitation practices. This community service activity aims to enhance students’ environmental literacy, technical skills, and ecological awareness through training on producing natural hand soap based on butterfly pea flower (Clitoria ternatea) extract, with the final product named Clitoria Nature. The program was implemented using the Participatory Action Research (PAR) method, which consists of four stages planning, action, observation, and reflection—through strategies including socialization, demonstration, and hands-on practice. The subjects of this activity were 32 students of Grade VIII Room 1 at MTsN 1 Palangka Raya City. The results showed an increase in students’ understanding of the benefits of natural ingredients, their ability to formulate liquid soap, and the development of behavior that favors the use of natural hygiene products. Theoretically, the anthocyanin and flavonoid content of butterfly pea flowers supports the antibacterial potential of the formulated soap. This program not only produced an environmentally friendly hand soap but also contributed to the formation of healthier and more sustainable sanitation behaviors.

Assessment and evaluation of sanitation programs that directly involve community participation are crucial for program sustainability. The Community-Based Total Sanitation (STBM) program in Indonesia aims to foster independent hygienic behavior. Participatory approaches such as PHAST (WHO, 1998) emphasize continuous community-led monitoring and self-evaluation as a feedback mechanism. Literature studies show that empowering citizens to evaluate healthy sanitation programs enhances both knowledge and program ownership. For instance, community engagement at SD Kalidadap (Yogyakarta) reported increased participation in waste management and sanitation facility development, as well as improved sanitation awareness and behavior after outreach activities. However, challenges such as limited funding and health resources often hinder optimal participation. This article discusses a participatory evaluation framework and community strengthening strategies, including the establishment of local indicators and the role of facilitators, to support self-assessment in sanitation initiatives. Recommendations include community training, provision of simple evaluation tools, and cross-sector collaboration to improve accountability and sustainability of sanitation programs at the community level.

Background: Stunting remains a serious public health issue in Indonesia, particularly in rural areas such as Ambasea Village, Laeya Sub-district, South Konawe Regency. Stunting, or chronic growth failure in children due to prolonged malnutrition, generally occurs during the first 1,000 days of life. In Ambasea Village, this problem is exacerbated by irregular eating patterns among toddlers, consumption of low-nutrient foods, and poor hygiene behaviors. Toddlers frequently consume unhealthy snacks, reject main meals such as rice and side dishes, and rarely wash their hands with soap before eating or after using the toilet. Furthermore, limited access to basic sanitation—such as the lack of proper latrines and adequate wastewater disposal systems (SPAL)—also contributes to the high risk of infections that disrupt nutrient absorption, increasing the likelihood of stunting in children. Objective: This study aims to describe the environmental health conditions contributing to the incidence of stunting among children aged 0–2 years in Ambasea Village. Methods: The research used an observational analytic method with a quantitative cross-sectional design. The study involved 54 toddlers identified as stunted. Data were collected through structured interviews with parents or caregivers and direct observation of the household and surrounding environmental conditions. Results: The results showed that 66.5% of households did not have access to proper latrines, and 70% lacked adequate wastewater disposal systems. However, 87% had access to clean water, and 85% of respondents demonstrated good handwashing behavior. Conclusion: The environmental health conditions in Ambasea Village reveal ongoing challenges related to latrine ownership and wastewater management. Although clean water access is relatively good and hygiene practices among residents are fairly positive, improving sanitation infrastructure remains crucial. Enhancing these conditions is expected to significantly reduce the risk of stunting among toddlers in the area. Collaborative efforts involving local government, health workers, and the community are essential to create a healthier environment for early childhood development.

Enterobius vermicularis, or pinworm, continues to be a public health concern, particularly among children in coastal and densely populated areas. Though it is classified as a non-Soil Transmitted Helminth (non-STH), its fecal-oral transmission route allows rapid spread, especially where hygiene practices are inconsistent. In Indonesian coastal communities such as Lasiana, Kupang, limited studies have focused on the intersection between environmental factors, personal hygiene, and parental knowledge in relation to enterobiasis. This study aimed to determine the prevalence and morphological characteristics of Enterobius vermicularis in children aged 3–9 years living in the coastal area of Lasiana Beach, Kupang. A descriptive observational study was conducted involving 81 heads of households and 24 children as research participants. Data were collected through questionnaires distributed to parents to assess sanitation conditions, hygiene practices, and knowledge levels. Perianal samples were obtained from the children using the clear tape (scotch tape) method and examined microscopically to identify E. vermicularis eggs. Findings revealed that 21% of the children tested positive for E. vermicularis. The eggs displayed typical morphological features—oval shape with one flattened side and a transparent double-layered shell. Despite most respondents reporting good hygiene behavior and environmental sanitation, cases of infection persisted. Limited access to handwashing facilities and dense housing conditions were identified as contributing risk factors. The presence of Enterobius vermicularis infections despite adequate sanitation and knowledge highlights a gap between awareness and effective daily practices. These findings underscore the need for strengthened community-based health education and consistent monitoring in high-risk coastal areas to prevent enterobiasis among children.

A healthy latrine is one of the essential sanitation facilities aimed at maintaining environmental health and improving public health in general. This research was conducted because the use of healthy latrines in Webetun Village remains low, where defecating in the forest has become a common practice among the community. This habit triggers the emergence of diseases such as diarrhea, malnutrition, undernutrition, dengue fever, and respiratory infections. This study aims to examine the behavior of latrine use in households in Webetun Village, Rinhat Subdistrict, Malaka Regency. This research uses a quantitative approach with a cross-sectional design. The study involved 66 housewives who owned healthy latrines, selected through simple random sampling. Data analysis was conducted using the chi-square test. The results showed that variables such as latrine ownership (p=0.000) and water availability (p=0.000) were significantly associated with latrine use, while knowledge (p=0.681), attitude (p=0.588), actions (p=0.007), community leader support (p=0.081), and health worker support (p=0.069) were not significantly associated with latrine use. The findings revealed that water availability significantly influences latrine use. The availability of water facilitates family members in utilizing latrine facilities for activities such as flushing and maintaining cleanliness. Water availability also contributes to user comfort in maintaining latrine hygiene. Conversely, water scarcity hinders optimal latrine use by family members, potentially reducing utilization levels. The study findings also identified a correlation between latrine ownership and its use. Families are considered critical factors in shaping individual health behavior. The relationship between proper latrine ownership and usage behavior can be seen through the role of education in increasing awareness levels for adopting a healthy and clean lifestyle. 

One of the tropical infectious diseases in developing countries is typhoid fever. Typhoid fever is often found in people's lives, both in urban and rural areas. This disease is very closely related toclean and healthy living behavior(PHBS) such as poor environmental sanitation, personal hygiene and daily community behavior. Purpose To find outThe Relationship between Mother's Knowledge and Clean and Healthy Living Behavior towards Typhoid Fever in Toddlers in the Children's Ward of Dr. H. Yulidin Away Tapaktuan Regional Hospital. This research method is descriptive correlation with Cross Sectional approach with a sample size of 52 parents with typhoid fever cases. The results of this study obtained p-value results = 0.000 <0.05 so that there is a relationship between the two variables. Conclusion There is a significant relationship between the level of knowledge with clean and healthy living behavior (PHBS) on typhoid fever in toddlers in the children's room of Dr. H Yulidin Away Tapaktuan Hospital. Suggestions from the results of this study provide input to service institutions and become guidelines for maximizing the implementation of clean and healthy living behavior (PHBS) in parents whose children are being treated with typhoid fever cases.

Dengue Hemorrhagic Fever (DHF) is a contagious disease caused by the Aedes aegypti mosquito, commonly found in Indonesia, particularly in areas with poor environmental sanitation. The implementation of Clean and Healthy Living Behavior (PHBS) is one of the effective strategies for controlling mosquito vectors and preventing DHF. This community service activity aims to improve public understanding and participation in the application of PHBS in Sungai Pangeran Village, Palembang, through counseling, training of Larvae Monitoring Officers (Jumantik), and community clean-up activities with the 3M Plus Movement (Draining, Closing, Burying, and additional measures). The results showed a significant increase in public knowledge about PHBS and active participation in mosquito larvae monitoring. The training of Jumantik created cadres capable of performing independent monitoring, and the community clean-up activities reduced potential mosquito breeding sites by 60%. Monitoring also showed a 35% decrease in DHF cases after the program. This activity has proven effective in raising public awareness and reducing vector-borne disease risks in the local environment. However, continued monitoring and support from local governments are needed to sustain the program.

Community-Based Total Sanitation (STBM) is a strategy to sanitation development that was established in response to the high prevalence of diarrhea caused by poor sanitation in Morokrembangan Village, which resulted from the community's behavior of defecating anywhere. This approach facilitates the community empowerment process to analyze the situation and risks of environmental pollution caused by open defecation. This research aims to determine the effect of the first pillar of the Community Based Total Sanitation (STBM) program, namely Stop Open Defecation (STOPS) in Morokrembangan Village. Using the method proposed by finsterbusch and motz, namely the Single Program Before-After assessment/evaluation.  The existence of the STBM program has had a positive influence on society. The positive influence here can be seen from various aspects, such as positive influence in the form of changes in the environment, health, socio-culture, physical condition of latrines.