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In general, school students buy snacks in the school canteen or street vendors (PKL) around the school. 2 The types of food sold are varied, ranging from healthy snacks to unhealthy snacks so that they can attract students to consume school snacks. Healthy snacks are foods that have sufficient and balanced nutrition and do not contain (contaminated) elements that can harm or damage health. This community service activity aims to educate healthy eating patterns to prevent food and drinks containing microbial contamination at Mariana Catholic High School, Medan. The method used is an educational approach through health counseling, interactive discussions, and demonstrations of hygienic practices, especially correct handwashing techniques and the importance of maintaining personal hygiene and the school environment. This activity was attended by 40 students as participants. The evaluation of the activity focused on one main indicator, namely student participation in hygienic behavior practices as a form of direct application of the material that has been given. The results of the activity showed that all participants (100%) followed the demonstrated hygienic practices, which indicates a very high level of participation and enthusiasm. These findings indicate that educational methods accompanied by hands-on practice are effective in increasing understanding and encouraging the adoption of clean and healthy living behaviors. Community service activities at Mariana Catholic High School in Medan have been shown to increase students' knowledge about the dangers of microbial contamination and the development of hygienic behaviors in daily life. Structured and ongoing education is an effective preventive measure to create a healthy and clean school environment.

This community service activity aims to increase awareness and independence of elementary school students in maintaining hand hygiene through education on proper handwashing. The background to this activity stems from the low level of handwashing habits among school-age children, despite hand hygiene being a simple action that has a significant impact on preventing infectious diseases. Based on initial observations at Tamanbali 3 Public Elementary School, most students did not yet have the habit of washing their hands before eating or after playing, despite the availability of facilities. Therefore, a hand hygiene education program was implemented, designed to help students understand the importance of proper handwashing according to WHO guidelines. The activity methods included outreach through educational posters and videos, demonstrations of the seven steps of handwashing, mentoring in daily habits, and evaluation of behavioral changes. The results of the activity showed a significant improvement in students' hand hygiene behavior. Students began washing their hands independently before eating and after activities without being reminded by teachers. The school environment also became cleaner and healthier due to the growing awareness of personal hygiene among students. Teachers and the school are committed to continuing this habit as part of the daily classroom routine. This activity demonstrates that hand hygiene education delivered through interactive methods can shape character and hygiene habits from an early age.

This community service activity aims to increase awareness and independence of elementary school students in maintaining hand hygiene through education on proper handwashing. The background to this activity stems from the low level of handwashing habits among school-age children, despite hand hygiene being a simple action that has a significant impact on preventing infectious diseases. Based on initial observations at Tamanbali 3 Public Elementary School, most students did not yet have the habit of washing their hands before eating or after playing, despite the availability of facilities. Therefore, a hand hygiene education program was implemented, designed to help students understand the importance of proper handwashing according to WHO guidelines. The activity methods included outreach through educational posters and videos, demonstrations of the seven steps of handwashing, mentoring in daily habits, and evaluation of behavioral changes. The results of the activity showed a significant improvement in students' hand hygiene behavior. Students began washing their hands independently before eating and after activities without being reminded by teachers. The school environment also became cleaner and healthier due to the growing awareness of personal hygiene among students. Teachers and the school are committed to continuing this habit as part of the daily classroom routine. This activity demonstrates that hand hygiene education delivered through interactive methods can shape character and hygiene habits from an early age.

Schools serve as environments where children receive a formal education. In addition to serving as educational institutions, schools can also pose a risk for spreading diseases. Diarrhea accounts for up to 65% of deaths, while other illnesses contribute to 26%. Healthy and clean living practices involve initiatives to offer learning experiences or establish environments for individuals, families, groups, and communities by facilitating communication, sharing information, and arranging educational opportunities to enhance knowledge, attitudes, and actions. This community service seeks to impart knowledge and awareness of clean and healthy living habits to Sekolah Dsar children, enabling them to incorporate these practices into their everyday lives. This community service is conducted through counseling delivered via lectures, interactive discussions, and simulations utilizing LCD media and instructional materials. The event was successful, and everyone involved was excited about this service project.

 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.

Household waste management is a significant challenge in creating clean, healthy, and sustainable residential areas. Dependence on manual monitoring methods often leads to delays in waste collection, waste pile-ups, and operational inefficiencies. This community service program implements a Smart Trash Monitoring Sistem (STMS) based on the Internet of Things (IoT) in Graha Panyindangan Estate, Indramayu. The system utilizes ultrasonic sensors and ESP32 to detect waste levels and sends real-time data to a dashboard accessible by residents and cleaning staff. The results of implementing STMS show improved efficiency in waste management, with waste collection being carried out on time based on accurate, real-time data. This system also reduces the need for manual inspections and encourages responsible waste management behavior among residents. In addition to technical benefits, there have been social changes, such as increased environmental awareness and the formation of new social norms within the community. The involvement of local leaders in supporting the system’s sustainability further strengthens the implementation of the smart living concept, resulting in a cleaner, healthier, and more sustainable residential environment in the long term.

Household waste management is a significant challenge in creating clean, healthy, and sustainable residential areas. Dependence on manual monitoring methods often leads to delays in waste collection, waste pile-ups, and operational inefficiencies. This community service program implements a Smart Trash Monitoring Sistem (STMS) based on the Internet of Things (IoT) in Graha Panyindangan Estate, Indramayu. The system utilizes ultrasonic sensors and ESP32 to detect waste levels and sends real-time data to a dashboard accessible by residents and cleaning staff. The results of implementing STMS show improved efficiency in waste management, with waste collection being carried out on time based on accurate, real-time data. This system also reduces the need for manual inspections and encourages responsible waste management behavior among residents. In addition to technical benefits, there have been social changes, such as increased environmental awareness and the formation of new social norms within the community. The involvement of local leaders in supporting the system’s sustainability further strengthens the implementation of the smart living concept, resulting in a cleaner, healthier, and more sustainable residential environment in the long term.

The educational activity on the implementation of Clean and Healthy Living Behavior (PHBS) with a focus on the practice of washing hands and brushing teeth at SDN 07 Jati Mulya, Kerinci Kanan District, Siak Regency, aims to improve students' knowledge and skills in maintaining personal hygiene from an early age. This program was carried out for two days by applying educational, participatory, and demonstrative methods involving all students from grade I to grade VI. The learning media used is in the form of educational videos and the song "6 Steps to Wash Hands WHO 2024" to attract students' attention and facilitate the understanding of the material in a fun way. The results of the activity showed a significant improvement in students' understanding and skills related to the correct hand washing and brushing steps. In addition, students look more enthusiastic, actively ask questions, and begin to get used to doing cleaning practices independently in daily activities at school. The role of teachers as companions and support for school facilities, such as the availability of clean water and cleaning tools, has been proven to have a great influence on the success of activities. Therefore, integrated, planned, and sustainable PHBS education in the school environment is considered effective in forming healthy living behaviors and preventing diseases from elementary school age.

Clean and Healthy Living Behavior (PHBS) is a strategic effort to improve public health from an early age. Elementary schools are ideal environments to instill PHBS values because children are at a developmental stage where habits are easily shaped. However, observations show that many students still have poor hygiene habits, such as not washing hands properly, consuming unsafe snacks, and neglecting school cleanliness.This PHBS education activity through the School Health Program (UKS) aims to improve students’ knowledge, attitudes, and healthy living practices. The implementation methods include interactive health education, handwashing demonstrations, environmental cleanliness simulations, and classroom cleanliness competitions. The evaluation results show a significant increase in students’ PHBS knowledge from 56% to 92%, accompanied by positive behavioral changes such as regular handwashing and proper waste disposal. This program demonstrates that an educational approach through UKS is effective in fostering clean and healthy living habits among elementary school students. It is expected that similar programs will continue sustainably with the involvement of teachers, health workers, and parents to create a healthy and supportive school environment for children’s growth and development.

Diarrhea remains a significant public health problem in Indonesia. Data show a high prevalence among vulnerable groups, including adolescents who have busy daily activities, frequently consume food outside the home, and have low personal hygiene practices. This activity aimed to improve students’ knowledge of Clean and Healthy Living Behavior (PHBS) as an effective strategy for preventing diarrhea. The education was delivered through interactive lectures supported by leaflet media, and its effectiveness was measured using pre-test and post-test assessments. The health promotion titled “Clean and Healthy Living Behavior (PHBS) Among Adolescents: Simple Steps Against Diarrhea” at Subulussalam Integrated Islamic Junior High School showed an increase in participants’ knowledge from 79.6% to 88.2%.

Dermatophytosis is a superficial fungal infection of the skin, hair, and nails that is often found in tropical climates such as Indonesia, including Jambi City, which has high humidity and community habits that can support fungal growth. This study aims to describe the demographic characteristics of dermatophytosis patients who received treatment at a private dermatologist and venereologist in Jambi City throughout 2023. This study used a descriptive design using secondary data from patient medical records. A total of 399 patients who met the inclusion criteria were analyzed univariately and the results are presented in the form of a frequency distribution table. The results showed that tinea corporis was the most common type of dermatophytosis, followed by tinea cruris and tinea capitis. The majority of patients were male, aged 17–25 years, had a high school education, and worked as students. The most common locations of lesions were on the trunk and groin. These findings suggest that the productive age group is more susceptible to dermatophytosis, possibly related to high physical activity, excessive sweating, and suboptimal personal hygiene. This research is expected to be the basis for planning health education regarding the prevention of fungal infections and improving clean and healthy living behavior in the community.

Health communication and community empowerment are crucial for improving health outcomes at the primary health care level. As a primary health care facility, the Empat Ulu Community Health Center in Palembang plays a strategic role in disseminating health information, strengthening community capacity, and promoting healthy lifestyles through various educational activities. The Field Learning Practice (PBL) activity, conducted by students within the community health center's work area, aimed to strengthen the implementation of health communication, particularly in promoting Clean and Healthy Living Behavior (PHBS) in elementary schools. The methods used included field observation, discussions, face-to-face counseling, handwashing demonstrations, and the distribution of educational media. The results showed an increase in students' understanding of PHBS, demonstrated by their ability to answer questions, practice handwashing correctly, and their enthusiasm during interactive sessions. This activity not only strengthened students' knowledge but also demonstrated that a two-way communication approach and the use of simple visual media can enhance the effectiveness of health education. Overall, this PBL activity contributed to supporting the community health promotion program and strengthened the role of students in encouraging community self-reliance in maintaining health.

Youth empowerment is an effective strategy for improving the quality of community-based public health. As the nation's next generation, adolescents have great potential to become agents of change, including in the health sector. This study aims to develop a model for empowering adolescents as agents of public health leadership at the community level. The method used is a community-based participatory research approach involving adolescents, community leaders, and health workers. The results show that leadership training, health education, and social activities can increase the capacity of adolescents to lead and educate the community about clean and healthy living behaviors. The implementation of these activities also shows increased community participation and changes in health behaviors in the target environment. In conclusion, empowering adolescents as agents of community leadership can be a sustainable strategy for strengthening a public health system based on active participation.

Environmental health education plays a crucial role in increasing public awareness of the importance of clean and healthy living behaviors, especially in urban areas that are vulnerable to diseases caused by environmental pollution. This study aims to develop and implement an environmental health education program as a disease prevention effort in urban communities. The method used was a participatory approach through socialization, training, and evaluation involving community groups in urban areas. The program actively engaged participants in understanding environmental risk factors and adopting preventive actions such as waste management, sanitation improvement, and environmental cleanliness. The results showed a significant increase in participants’ knowledge and behavior regarding healthy living practices and better environmental management. In addition, community members became more concerned and involved in maintaining environmental hygiene as part of a community-based disease prevention effort. This program proved effective in fostering awareness and collective responsibility toward environmental health in urban areas, contributing to sustainable community health improvement and environmental protection.

Stunting isaa chronicanutritional problemathat remains a major publicahealth challengeain Indonesia, aincluding inaSeram Bagian Barat District. aOne ofathe risk factors for stuntingaamong children under five is thealow implementationaof Cleanaand HealthyaLiving Behaviora (PHBS) within families and communities. Therefore, this communityaservice programawas carriedaout withathe aimaof improving community knowledge, attitudes, and practices related to PHBS asaan effortato preventastunting inachildren underafive. The implementation methods included health education through interactive counseling, agroup discussions, aand demonstrationsaof PHBSapractices, particularly handwashingawith soap. The program was attended by 30 community menbers, most of whom were mothers with infants and young children. Coordination, collaboration, and theainvolvement ofaboth internalaand externalastakeholders, particularly the head of Waralohi Hamlet, playedaan importantarole in the success of this program. Evaluation results indicated anaincrease inaparticipants’ knowledge and understandingaof PHBS and its relevance to stunting prevention. In addition, the program was considered beneficial due to the appropriate selection of location, high participant enthusiasm, and a conducive implementation atmosphere. In conclusion, the PHBS strengthening program proved effective in raising community awareness to adopt healthy living behaviors that support effortsato preventastunting inachildren underafive.

Counseling on Clean and Healthy Living Behavior (PHBS) in schools is an important step in instilling the habit of maintaining personal hygiene from an early age. This Real Work Lecture program is carried out with the aim of increasing students' understanding and awareness of the importance of PHBS, especially through the habit of washing hands with soap and brushing their teeth in the right way. The activity took place at the Sait Buttu Saribu Village Development Private Junior High School, Pamatang Sidamanik District, Simalungun Regency, using counseling, demonstration, and direct practice methods. This program involved six students, two acted as presenters and four others as companions, as well as all grade IX students as participants. In addition to providing materials and practices, this activity also encourages active participation of students through question and answer sessions and discussions on the importance of maintaining personal health and the surrounding environment. With direct involvement, students not only understand theory, but are also able to apply clean and healthy behaviors in daily life. The results of the activity showed that students were able to re-practice the material given, including the stages of washing hands and brushing their teeth correctly. It is hoped that through this activity, students can implement PHBS in a sustainable manner at school and at home, as well as become an example in encouraging a healthy living culture in the surrounding environment. This program is also expected to make a positive contribution to improving the quality of public health in general through healthy living habits from school age.

Indonesia, as a tropical country, has a high potential for the spread of infectious diseases, including conjunctivitis, or inflammation of the eye membranes. Densely populated residential environments such as Islamic boarding schools and boarding schools are vulnerable to the transmission of this disease due to intense interaction and suboptimal hygiene. Based on various studies, the prevalence of conjunctivitis is quite high among adolescents, especially in boarding-based educational environments. This condition not only disrupts comfort but also impacts the learning and worship processes of students. As a form of promotive and preventive efforts, a health education program themed "Healthy Eyes, Enthusiastic Learning: Recognize and Treat Eye Pain" was conducted at SMK IT Subulussalam Samarinda. This activity aimed to increase students' knowledge about the causes, transmission, and prevention of conjunctivitis, with the hope of encouraging behavioral changes towards a clean and healthy lifestyle. The education was conducted through interactive lectures, discussions, and question-and-answer methods. The results of the activity showed an increase in students' understanding of the importance of maintaining eye and environmental health. It is hoped that this activity can be a real contribution to the pharmacist profession in supporting the creation of a healthy and productive learning environment among adolescents.

Clean and Healthy Living Behavior (CHLB) is an essential practice to improve students’ health knowledge, attitudes, and daily habits. This community service program (Kuliah Kerja Nyata/KKN) was carried out at Senior High School 8 Dumai with the aim of educating students on CHLB principles. The activity involved 47 students aged 15–17 years, using interactive methods such as presentations, educational media, discussions, and practical demonstrations. The results indicated a significant increase in students’ understanding of personal hygiene, proper handwashing with soap, maintaining a clean school environment, and adopting healthier lifestyle practices. Active participation during discussions and practice sessions showed strong engagement and relevance of CHLB education to students’ daily lives. This program demonstrated that CHLB education through KKN is effective in promoting awareness and instilling sustainable healthy behavior among high school students.

Extreme poverty remains a major challenge in rural areas of Indonesia, including Nagori Bandar Manik, Pamatang Sidamanik District, Simalungun Regency. The 2025 UINSU Community Service Program (KKN) was carried out to empower local communities through various activities covering economic, educational, religious, social-environmental, and health aspects. This program employed a qualitative approach by involving active community participation in needs assessment, socialization, training, and evaluation. In the economic aspect, workshops on dishwashing liquid and herbal pesticide production were implemented as alternative household businesses. The educational sector included religious moderation through a short movie screening Mabbere, anti-bullying campaigns, ecoprint totebag training, and teaching at kindergarten, elementary, and junior high school levels. In the religious field, activities included Qur’an learning after Maghrib with children and Yasin recitals for both men and women. The social-environmental aspect was realized through community clean-up, educational boards on waste decomposition, distribution of garbage bins, and environmental awareness campaigns. Meanwhile, the health aspect focused on education about clean and healthy living behaviors, stunting prevention campaigns, and community exercise. The findings revealed improvements in entrepreneurial skills, children’s literacy, spiritual values, environmental awareness, and healthy lifestyles. The implication highlights that multidimensional community empowerment can serve as an effective strategy to reduce extreme poverty and promote sustainable village development.  

Personal hygiene and nutritional balance are very important for everyone to know, including children during their most critical growth period, to know. This Community Service Lecture (KKN) activity aims to increase the knowledge and awareness of students at Public Elementary School 101848, Kuala Lau Bekeri Village, Kutalimbaru District, regarding the prevention of malnutrition and self hygiene through educational counseling. The method used was a descriptive method with a qualitative approach, implemented through interactive lectures, presentation media, and question and answer sessions. The number of participants were 90 students from grades I to VI. And with the teachers support in maintaining regularity and reinforcing the educational presentation about the counseling material included the definition of nutrition and malnutrition, signs, causes, healthy eating patterns, and clean and healthy living behaviors. The results of the activity showed high enthusiasm from the participants in participating in the counseling and their ability to name examples of healthy foods and the importance of a healthy lifestyle. This counseling successfully increased participants' understanding of the importance of balanced nutrition and healthy living behaviors that play a role in supporting the optimal growth and development of school-age children. The involvement of teachers and schools greatly supported the success of this activity. It is hoped that this counseling can form positive habits in maintaining students' nutrition and health in a sustainable manner.