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Hand Washing with Soap (CTPS) is a hygienic behavior that plays an important role in preventing the spread of infectious diseases, especially in children. However, in reality, this behavior is still not optimally implemented by elementary school students. One approach that can be used to increase awareness and hygienic behavior is through health promotion media that is interesting and appropriate for the child's age, such as comic media. This study aims to determine the influence of comics as a health promotion medium on improving knowledge, attitudes, and actions of CTPS in students at SD Negeri 149 Palembang. This study applied a pre-experimental design with a one group pretest-posttest design approach involving 90 students of class V. Data were collected through questionnaires to measure knowledge and attitudes and observation sheets to assess actions. Data analysis was carried out using the Paired Sample T-Test to determine the differences before and after the intervention. The results showed a significant increase in the three variables, namely the average knowledge score increased from 3.38 to 5.34, attitude from 20.37 to 30.80, and action from 37.22 to 67.21 after being given comic media. Statistical tests showed a p-value of < 0.001 on all variables, which means there was a significant effect after the intervention. Based on these results, it can be concluded that the use of comic media as a health promotion tool has proven to be effective in increasing knowledge, forming positive attitudes, and encouraging better CTPS actions in elementary school students. This study recommends the use of educational and fun visual media as part of health promotion strategies in the school environment.

Comics is one of the learning media that has many advantages, and close indentik with children. Comics also has the potential to be a health promotion media because the comics are assessed to increase the knowledge of readers. Many researchers have built and comic effectiveness as a health promotion promotion. This article was prepared using literature study. The purpose of writing this article is to summarize the findings and evidence that have been produced by researchers who have conducted research on the influence of comics on improving the health knowledge of elementary school students. Electronic databases are used as the main source of searches with the keywords "comics", "health promotion media", "counseling", "knowledge enhancement" and "primary school". With inclusion criteria that have been established to select research articles. Obtained 41 articles in the first stage of article selection, then obtained 14 articles in the second stage, and 10 articles on hold the third, then the 10 articles will be written the results and conclusions.