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Djati Wulan Khusumo; Situmeang, Andre; Aprilia Suryan Dini; Eka Wulan Ndari; Lifriana Zahwa Nabila

Jurnal Riset Ilmu Farmasi dan Kesehatan 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

This community service activity aimed to improve students’ knowledge and awareness regarding the dangers of vaping, free sex, and drug abuse among adolescents. The activity was conducted at SMAN 3 Lamongan on April 13, 2026, involving 28 students. The implementation method consisted of health counseling through material presentation using presentation media, interactive discussions, and evaluation using pretest and posttest methods. The materials covered the dangers of vaping and smoking, risky sexual behavior, and drug abuse. The results showed an increase in students’ knowledge after the counseling session. The average pretest score was 84.24%, which increased to 98.57% in the posttest. The Wilcoxon test result showed a significance value of 0.000 (<0.05), indicating a significant difference between pretest and posttest scores. This demonstrates that health education was effective in improving students’ knowledge related to healthy lifestyles and prevention of risky behaviors. Therefore, this activity is expected to serve as a promotive and preventive effort in shaping a healthy young generation that is aware of the importance of maintaining personal health

Nurcahyani, Silvia Rizki; Lismayanti, Lilis

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Nurcahyani, Silvia Rizki; Lismayanti, Lilis

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Hypertension is a global health problem that requires ongoing management, one of which is through a low-salt diet. However, many people with hypertension do not adhere to this diet due to a lack of information and understanding of the disease's risks. The Health Belief Model (HBM) can be utilized as a health education method to encourage hypertension management behavior using leaflets. This study aims to analyze the application of the HBM theory in the use of leaflets to increase knowledge about a low-salt diet among hypertensive patients in the community. The method used in this study was a literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through the steps of identification, screening, eligibility assessment, and selection of articles until 16 articles were obtained that met the inclusion criteria. The results of this study indicate that leaflets are effective in increasing knowledge about a low-salt diet, adherence to health behaviors, and blood pressure control for people with hypertension. The components of the HBM, such as perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, play a role in shaping risk perceptions and encouraging changes in health behavior. Therefore, leaflets based on HBM are highly recommended as a form of promotional and preventive intervention in nursing practice in the community because they are easy to use, low cost, and support self-management of hypertension.

Arip Surpi Sitompul; Norton Situngkir; Korri Elvi Purba; Amos Derebi; Edwart Charles Browsoon Sihite

jurnal Riset Rumpun Agama dan Filsafat 2026 Pusat Riset dan Inovasi Nasional

Religious radicalism in the school environment has become an increasingly important issue due to its potential to influence students’ mindsets, attitudes, and behaviors. This study aims to examine anticipatory efforts to prevent the development of radical religious ideologies and behaviors within schools. The research employs a qualitative approach with a descriptive design, utilizing data collection techniques such as interviews, observations, and document analysis. The findings indicate that anticipatory efforts can be implemented through strengthening character education, integrating values of religious moderation into the curriculum, enhancing the role of teachers as agents of guidance, and fostering active involvement of parents and the community. Furthermore, creating an inclusive, tolerant, and dialogical school environment is a crucial factor in countering radicalism. In conclusion, preventing religious radicalism in schools requires a holistic approach involving all elements of education in a sustainable manner. This study is expected to serve as a reference for educational institutions in formulating effective preventive strategies against religious radicalism.

Ferry Rhendra Pananda Putra Sitorus; Irene Daniella Merahabia

Jurnal Inovasi Sosial dan Pengabdian 2026 Lembaga Pengembangan Kinerja Dosen

The increasing spread of HIV/AIDS in Jayapura City requires immediate and sustainable preventive efforts, particularly through reproductive health education for adolescents. This program aimed to improve adolescents’ understanding of reproductive health, puberty changes, and behaviors that may increase the risk of HIV/AIDS transmission. The activity was conducted for adolescents participating in Sunday School at GKKD Buper Waena, aged between 10 and 15 years. The program was carried out in April 2025 through counseling sessions, question-and-answer activities, and focus group discussions. These approaches were chosen to provide participants with an interactive learning experience while also creating opportunities for them to share their personal experiences and perspectives related to reproductive health. A total of fifty adolescents participated enthusiastically in the activity. During the sessions, participants asked various questions that were answered directly by the speakers to clarify their understanding of reproductive health and risky behaviors. In addition, six focus group discussions were conducted to discuss participants’ personal experiences regarding puberty, friendships, dating, and behaviors such as kissing. The results of the activity indicate that reproductive health education can improve adolescents’ knowledge, awareness, and skills in maintaining personal health and avoiding behaviors that may increase the risk of HIV/AIDS transmission.

Azkiya, Azza; Vadhilah, Mifta Ulva; Ardiyanti, Vivi

Jurnal Pengabdian dan Perubahan Sosial 2026 Lembaga Pengembangan Kinerja Dosen

Clean and healthy living habits are an essential foundation in shaping a generation that is mindful of personal and environmental health. These habits need to be instilled from an early age, both at school and at home, so that they can become a sustainable part of students' lifestyles. This community service activity aims to improve the knowledge and skills of students at SD Negeri 1 Mertoyudan in consistently applying Clean and Healthy Living Behaviors (PHBS) in their daily lives. The implementation methods comprised three main approaches: interactive discussion-based education, a demonstration of proper handwashing techniques in accordance with WHO standards, and hands-on practice in maintaining personal hygiene. These approaches were chosen to ensure that students not only understand the concept of PHBS theoretically but are also able to apply it independently in real-life situations. The results of the activity showed a significant improvement in students' understanding of the importance of washing hands with soap at critical moments as a form of personal hygiene responsibility. Through a demonstrative approach that involved active student participation, participants were able to practice proper personal hygiene steps accurately and confidently. This activity is hoped to have a long-term impact in shaping students who are disciplined, responsible, and attentive to both personal and environmental health, while also serving as an effective preventive measure in reducing the risk of infectious diseases among school-age children.

Salsabila, Muna Maimunah; Putri, Sely Aprianda Syah; Rahmah, Aulia Siti Nur

Jurnal Pengabdian kepada Masyarakat 2026 Lembaga Pengembangan Kinerja Dosen

The PPA Symphony recorded 7,842 cases of violence against children by mid-2024, indicating the need for preventive efforts through early sexual education. Sexual education for children aims to improve their understanding of body awareness, body privacy, and self-protection from inappropriate behaviors. This community service activity aimed to increase students’ understanding of sexual education through interactive PowerPoint media. The activity was conducted at SD Negeri Gebang Surakarta on April 25, 2025, involving 63 students from grades 3, 4, and 5. The method used was an interactive lecture supported by PowerPoint media, storytelling, and mini games. Evaluation was conducted using pre-test and post-test questionnaires to measure students’ knowledge. The results showed an increase in the average knowledge score from 9.827 in the pre-test to 10.210 in the post-test. These findings indicate that interactive PowerPoint media is effective in improving students’ understanding of basic sexual education, particularly regarding body parts, body privacy, safe and unsafe zones, and strategies for refusing uncomfortable behaviors. Therefore, interactive learning media can serve as an effective educational strategy to strengthen early sexual education among elementary school students.

Dyah Restuning Prihati; Maulidta Karunianingtyas Wirawati; Catur Asih Lestari; Edi Wibowo; Itsnaeni Khotimah +2 more

Kolaborasi : Jurnal Hasil Kegiatan Kolaborasi Pengabdian Masyarakat 2026 Asosiasi Riset Ilmu Matematika dan Sains Indonesia

Acute Respiratory Tract Infection (ARI) is a global health problem that significantly contributes to high morbidity and mortality rates. The goal of this activity is to educate residents about preventing ARI, so that they have a good understanding of the disease and are able to take preventive measures independently. The program included information on ARI, simple inhalation therapy, and proper waste disposal. Prior to the health promotion on ARI prevention, 70% of residents had poor knowledge about the disease. After the activity, there was a significant increase in knowledge, with 90% of residents demonstrating a good level of understanding. This improvement indicates a positive shift in public awareness regarding ARI prevention. The activity successfully emphasized the importance of prevention efforts for ARI, focusing on promoting Clean and Healthy Living Behaviors (PHBS). Educating the community about ARI prevention is crucial in reducing the incidence of the disease. Regular health promotion activities, particularly those targeting community participation and practical steps for prevention, are vital for enhancing public health and preventing ARI, which remains a major cause of illness and death worldwide. The results highlight the effectiveness of health education in raising awareness and improving knowledge on preventing ARI.

Ayla Azira; Amanda Amanda; Sri Mulyeni

Harmoni: Jurnal Ilmu Komunikasi dan Sosial 2026 International Forum of Researchers and Lecturers

This study was conducted to examine how social media influences Fear of Missing Out (FOMO) behavior among its users. The research employs a qualitative method with a literature review approach by analyzing and reviewing 20 previous research journals related to FOMO behavior in social media users. The reviewed journals were published. The findings indicate that FOMO behavior is driven by high-intensity social media use, in which increased frequency and duration of use are associated with higher levels of anxiety and fear of missing information and social experiences. Continuous exposure to content and activities shared by other users encourages social comparison, which contributes to increased anxiety, self-dissatisfaction, and difficulties in emotional regulation, particularly among individuals with low self-esteem. These conditions may lead to dependence on social validation and promote increasingly addictive patterns of social media use, which in the long term can reduce self-control and negatively affect psychological well-being. When self-esteem is low and psychological well-being is disrupted, individuals may experience heightened pessimism and an increased risk of engaging in self-harm behaviors. Overall, the findings suggest that self-regulation and self-determination serve as preventive factors against FOMO behavior and its psychological and mental health impacts; therefore, strengthening self-regulation and self-determination is essential to prevent FOMO.

Cindy Eka Lestari; Anita Soraya; Aiza Amelia Surya Ningrat; Kholivia Tri Yuniati; Nayla Ade Shahira +1 more

Jurnal Pengabdian Kepada Masyarakat 2026 Pusat Riset dan Inovasi Nasional

Hyperglycemia is a condition of elevated blood sugar levels that can potentially lead to various health complications if not controlled early. This condition is often influenced by unhealthy eating habits, lack of physical activity, and low awareness among adolescents regarding regular blood sugar checks. Adolescents are an age group that is vulnerable to lifestyle changes, putting them at risk of developing metabolic disorders later in life. This community service activity aims to increase adolescent knowledge and awareness regarding the dangers of hyperglycemia and the importance of preventive measures from school age. The activity was carried out at SMK Nurul Ulum Lebaksiu, involving 59 students as participants. The methods used included health education through audio-visual media, interactive lectures, discussions, and Random Blood Sugar (GDS) tests for early detection. The results of the activity showed an increase in student knowledge based on a comparison of pre-test and post-test scores, as well as the implementation of GDS tests on all participants. This activity is expected to foster healthy lifestyle behaviors and increase adolescent awareness of the prevention of non-communicable diseases.

Firda Zalianty; Dian Nurmansyah; Puspawati Puspawati; Lala Foresta Valentine Gunasari

Jurnal Kesehatan dan Kedokteran 2026 Lembaga Pengembangan Kinerja Dosen

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.

Intan Yulia Lestari; Muhammad Iklil Fauzan Kohongia; Sriwandi Junaidi; Fathia Nur Mawaddah Uno; Dewi Anggraini A. Latoko +2 more

ARDHI : Jurnal Pengabdian Dalam Negri 2026 Asosiasi Riset Pendidikan Agama dan Filsafat Indonesia

The "Desa Sehat Berdaya: Digital-Based Health and Local Economy Innovation" program was implemented in Bulawan 2 Village to address low awareness of preventive health, Clean and Healthy Living Behaviors (PHBS), and limited social education for children and adolescents on bullying, early marriage, and drug abuse (NAPZA). The goal was to improve public health through promotive-preventive interventions, enhance health cadre capacity for sustainable village programs, and increase understanding of healthy behaviors and social risks among youth. A participatory-collaborative approach was used, involving community organization, multi-party coordination, program presentation, intervention implementation, evaluation, and follow-up with health cadres, alongside simple digital media utilization. Results showed increased community participation in posyandu, healthy exercises, and free health checkups, as well as improved cadre capacity through MP-ASI training. For youth, PHBS socialization, anti-bullying, early marriage education, and NAPZA awareness enhanced understanding of healthy behaviors and social issues. Collaboration with Karang Taruna strengthened youth participation and social cohesion.

Dwi Setyorini; Laviana Nita Ludyanti

International Journal of Health and Social Behavior 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Adolescents require higher levels of nutrients for physical growth and development, but the current trend is for adolescents to prefer instant foods such as junk food, spicy foods and foods containing unhealthy additives. This has led to the emergence of various diseases, one of which is gastritis. This condition is even more risky for female students living in Islamic boarding schools with busy activities and irregular meal schedules, thus requiring efforts to prevent gastritis. This study aims to determine the gastritis prevention behaviour of female students at Ma'had Asy-Syakur MAN 2 Kediri. This study uses a descriptive design with one variable, namely gastritis prevention behaviour. The research population consisted of students living at Ma'had Asy-Syakur MAN 2 Kediri, with a total of 59 respondents. Data collection was conducted using a gastritis prevention behaviour questionnaire. The results showed that almost all respondents (81.36%) had gastritis prevention behaviours in the adequate category, with a small portion in the good category (18.64%). The female students' busy and well-scheduled activities, accompanied by the implementation of discipline, regular meal arrangements, and the provision of stomach-friendly menus, contributed to the formation of gastritis prevention behaviour. The most common preventive behaviour was avoiding spicy foods, due to habits, taste preferences, and socio-cultural factors that had been established. This study recommends the need for health education that not only focuses on increasing knowledge but also changing attitudes and habits so that gastritis prevention behaviour can be further optimised.

Nanda Latifa Ritonga; Mawar Sari; Nuriadani Harahap; Ilpa Khoiri; Darnia Darnia +4 more

Mutiara Pendidikan dan Olahraga 2026 Asosiasi Riset Ilmu Pendidikan Indonesia

Self-health education plays a crucial role in shaping the healthy habits, character, and behavior of elementary school students. This learning emphasizes not only physical hygiene but also the development of social and emotional skills that can prevent negative behaviors such as bullying. This study aims to examine teachers' strategies in implementing self-health education as an effort to prevent bullying behavior in elementary schools. The method used was a literature review by analyzing various relevant scientific sources from 2020–2025. The results of the study indicate that teachers' strategies in implementing self-health education include three main approaches: habituating clean and healthy living behaviors, integrating health values ​​into learning, and fostering social-emotional development through reflective activities in the classroom. These three strategies are effective in fostering students' awareness, discipline, responsibility, and empathy towards their peers. Self-health education also contributes to creating a safe, healthy, and respectful learning environment. Thus, self-health education can be used as a preventive strategy to prevent bullying in elementary schools. Teachers act as role models and facilitators who ensure the values ​​of health, empathy, and social responsibility are integrated into teaching and learning activities.

Abul A’la Al-Maududi; Annisa Zahria Putri H; Laisyah Shava Zein H; Naisya Audya Zahra; Lanina Syahdila +2 more

Jurnal Pengabdian dan Pembangunan Lokal 2026 Lembaga Pengembangan Kinerja Dosen

HIV and AIDS remain a public health challenge, particularly among adolescents who are vulnerable to risky behaviors. A lack of proper understanding of HIV and AIDS, along with persistent stigma against people living with HIV and AIDS (PLWHA), potentially increases the risk of transmission and hinders prevention efforts. This activity aimed to improve adolescents' knowledge and attitudes regarding HIV and AIDS prevention through health education. The activity was conducted at Al-Hasra High School in Bojongsari District, Depok City, involving 25 students as participants. The method used was interactive education accompanied by pre-test and post-test evaluation. The evaluation results showed an increase in participants' knowledge after the intervention, as reflected in both average scores and the proportion of students in the good knowledge category. These findings demonstrate the critical role of health education in improving adolescents' understanding of HIV and AIDS prevention. Therefore, similar education activities should be conducted continuously as promotive and preventive efforts to reduce the risk of HIV transmission from adolescence.

Syifa Aprilia Azzahra; Luqman Effendi

Jurnal ilmu Kesehatan Umum 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Premarital sexual behavior in adolescents is a public health issue influenced by various individual, social, and environmental factors. Changes in social norms, technological advancements, and limited reproductive health knowledge make adolescents a group vulnerable to risky sexual behavior. This study aims to examine the factors influencing premarital sexual behavior among adolescents based on the Health Belief Model (HBM) approach. The method used is a Systematic Literature Review (SLR), review national and international scientific articles published between 2013 and 2025. Data sources were abtained from Google Scholar and ScienceDirect, with inclusion criteria including articles in Indonesia and English, open access, full text, and relevant to HBM components. The study result indicate that factors such as perceived barriers, self-efficacy, and the quality of information play an important role in shaping adolescent sexual behavior. Low knowledge and limited perception oh the negative impacts of premarital sex increase the risk of engaging in risky sexual behavior. In addition, health promotion interventions based on the Health Belief Model (HBM) have been proven effective in improving knowledge, attitudes, and preventive behaviors regarding premarital sex among adolescents. Therefore, the HBM approach is recommended as a basis for developing comprehensive and sustainable adolescent reproductive health education and promotion programs.

Suryani Suryani; Memo Nababan; Aynal Paydah Harahap; Yolanda Sari; Erina Yolanda Br Hutabarat

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Tuberculosis (TB) remains a major global public health problem and is one of the leading causes of death after HIV/AIDS. This disease has a high transmission rate, especially among children. This study aims to identify and analyze the determinants contributing to the incidence of tuberculosis in children based on previous studies. The method used was a literature review, which analyzed scientific articles related to the determinants of TB in children. Articles were searched through databases such as Google Scholar, Crossref, and Sinta using related keywords. Of the five articles that met the inclusion criteria, it was found that a history of contact with an adult TB patient was the main factor in transmission in children. Children are highly susceptible to contracting TB germs transmitted through droplets from coughing or talking. In addition, BCG immunization can provide protection against TB infection in children by developing antibodies. A scoring system was used to examine the history of contact in children at risk. In conclusion, there is a significant relationship between history of contact and the incidence of TB in children. Therefore, it is important for adult TB sufferers who live with children to practice preventive behaviors, such as cough etiquette, wearing masks, and proper phlegm disposal.

I Putu Rama Putra Yasa; Luh Made Dwi Wedayanthi

Jurnal Pendidikan Anak Usia Dini dan Kewarganegaraan 2026 Asosiasi Riset Ilmu Pendidikan Indonesia

Bullying remains a critical issue in elementary school environments and significantly affects students’ social-emotional development. The lack of confidence among students to report negative experiences often results in bullying cases remaining undetected. This study aims to describe the implementation of Padlet as a reflective digital tool to encourage students’ self-expression and to analyze students’ reflections as indicators of a safe and supportive learning climate. This research employed a descriptive qualitative approach involving 14 sixth-grade students at SD Negeri 3 Demulih. Data were collected through reflective Padlet posts, activity documentation, and thematic deductive analysis based on the Aggression Continuum Theory. The findings reveal three categories of social interaction: (1) high-risk behaviors related to dominance and indicators of bullying, (2) medium-risk interactions involving verbal teasing normalization and ambiguous conflicts, and (3) low-risk interactions indicating positive peer relations and social needs. Padlet proved effective as a safe digital space for students to express emotional experiences anonymously and facilitated early identification of potential bullying. These results highlight the importance of utilizing reflective digital platforms to foster preventive, inclusive, and psychologically secure classroom environments.

Arnila Melina; Donny Haryxon Tobing; Hidayatul Fitria; Retno Putri

Jurnal Pengabdian Kepada Masyarakat 2026 Pusat Riset dan Inovasi Nasional

Ear, Nose, and Throat (ENT) health is an essential component of adolescents’ well-being and learning performance; however, health literacy related to ENT care among senior high school students remains limited. This community service activity aimed to improve students’ knowledge and basic ENT skills at SMA Negeri 9 Pekanbaru through skill lab–based learning as a school health promotion strategy. The program was conducted through theoretical education covering basic ENT anatomy and common ENT disorders among adolescents, followed by hands-on training in simple ENT examinations using demonstration and direct practice with learning aids. Evaluation was carried out using pre-test and post-test assessments to measure knowledge improvement, as well as direct observation to assess students’ practical skills. The results demonstrated a clear increase in students’ knowledge after the intervention, along with improved ability to perform basic ENT examinations under instructor guidance. Students also showed better understanding of early signs of ENT disorders and appropriate preventive behaviors. Participation and enthusiasm during the activities were high, and most students reported that the program was beneficial and relevant to their daily experiences. This activity also supported the School Health Unit (UKS) program and strengthened collaboration between the school and the university. In conclusion, skill lab–based basic ENT training is an effective promotive and preventive approach to enhancing ENT health literacy and basic clinical skills among senior high school students.

Meliance Bria; Novian A. Yudhaswara; Ni Made Susilawati

Jurnal Pengabdian Kepada Masyarakat 2026 Pusat Riset dan Inovasi Nasional

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