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Malise Elvina Benita Christianti, Malise Elvina Benita Christianti; Fitro Nur Hakim, Fitro Nur Hakim; Haryo Kusumo, Haryo Kusumo

JURNAL ILMIAH KOMPUTER GRAFIS 2026 UNIVERSITAS STEKOM

This study addressed the lack of visual communication media within PT Mensa BinaSukses, which resulted in a lack of togetherness. The visual media at the previous event failed to effectively convey the main message to the employees. To solve this problem, the researchers redesigned the visual communication tools, specifically banners and digital posters, using a User-Centered Design approach. The redesign process applied visual communication principles, focusing on color psychology, typography, and structured layouts to enhance message readability. The evaluation revealed a significant increase in the level of employee attendance. The survey results indicated that the redesigned visual media successfully captured employee attention, clarified event information, and fostered a strong sense of togetherness and collaboration with the company.

Dea Ayu Vidina; Ibnu Nugroho Saputra; Dimas Adam Asrori; Sikni Retno Karminingtyas

Jurnal Pengabdian Masyarakat Nian Tana 2026 Fakultas Ekonomi & Bisnis, Universitas Nusa Nipa

Irrational drug use remains a common health problem in the community, including the use of medications without following dosage instructions, discontinuation of treatment before completion, the use of antibiotics without prescriptions, and improper drug storage. These problems were also identified among residents of Candirejo Village, West Ungaran District, who still have limited knowledge regarding the safe use of daily medications. This community service activity aimed to improve public knowledge and awareness regarding rational and safe medication use. The implementation methods included program socialization, health education sessions, distribution of educational media in the form of leaflets and posters, and evaluation through question-and-answer sessions and simple quizzes. Educational materials covered how to read medication labels, proper dosage and duration of use, differences between over-the-counter drugs and prescription drugs, risks of antibiotic misuse, and proper medication storage methods. The results of the activity showed an increase in community understanding regarding medication use instructions, the importance of reading labels, the dangers of using antibiotics without prescriptions, and correct drug storage practices. Participants also demonstrated high enthusiasm and active participation during the activities. This program is expected to improve community health literacy and encourage more appropriate, safe, and responsible medication use behavior in daily life.

Stefany, Fadean; Ghazali, Imam; Hanina Trisnanda, Salma; Maulidia, Putri

Komunitas: Hasil Kegiatan Pengabdian Masyarakat Indonesia 2026 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Anemia masih menjadi problematika gizi utama pada remaja putri di Indonesia yang berdampak buruk terhadap performa akademik serta kesehatan reproduksi jangka panjang. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran gizi terkait pencegahan anemia melalui intervensi edukasi sadar gizi di SMAN 1 Sampang. Metode yang diterapkan berbasis pendekatan partisipatif interaktif, meliputi ceramah, pemanfaatan media visual (leaflet dan poster), simulasi penyusunan menu sehat kaya zat besi, serta kuis edukatif. Evaluasi program diukur secara kuantitatif melalui instrumen pre-test dan post-test, serta secara kualitatif melalui observasi keaktifan peserta. Hasil pelaksanaan menunjukkan adanya peningkatan pemahaman yang signifikan mengenai definisi, dampak, dan pencegahan anemia, serta perubahan sikap positif terhadap pola konsumsi seimbang dan kepatuhan sarapan. Kesimpulannya, edukasi gizi yang terstruktur dan interaktif terbukti efektif dalam membangun kesadaran kesehatan remaja, sehingga dapat dijadikan strategi preventif yang berkelanjutan di lingkungan sekolah.

Agnes Ariyanti Normasari; Atika, Hani

This study aims to analyze the representation of healthy lifestyle ideology in government digital campaigns through the Instagram content of the Ministry of Youth and Sports of the Republic of Indonesia (@kemenpora). The rapid development of social media as a medium for public communication has encouraged government institutions to utilize digital platforms to deliver policy messages in a more persuasive, visual, and interactive manner. In this context, social media content functions not only as a source of information, but also as a space  for the production of meaning and ideology that shapes public understanding of health and lifestyle. This research employs a qualitative approach using Kress and van Leeuwen’s multimodal semiotic analysis, which includes three metafunctions of meaning: representational, interactive, and compositional. The analysis is further enriched by Roland Barthes’ semiotic framework at the levels of denotation, connotation, and myth to uncover the deeper ideological meanings embedded within the campaign visuals. The findings reveal that @kemenpora’s visual content constructs a dichotomy between unhealthy food consumption and physical activity as opposing lifestyle choices. At the mythological level, the campaign reproduces the ideology of healthism, which positions health as solely an individual responsibility while obscuring the social and structural dimensions influencing public health conditions. This study concludes that government digital campaigns function not only as instruments of public education, but also as strategic communication tools that construct healthy lifestyle ideology within the digital sphere.

Ramadhani, Mutiara; Zahra, Syahmah Zaidatuz; Sa’idah, Masyita A’liyatus; Haq, Nifa’il Nasrul; Kusumo, Djati Wulan

Karya Nyata : Jurnal Pengabdian kepada Masyarakat 2026 Lembaga Pengembangan Kinerja Dosen

Penggunaan obat yang kurang tepat selama ibadah puasa masih menjadi permasalahan di masyarakat akibat keterbatasan pemahaman mengenai penyesuaian jadwal minum obat. Desa Banjarwati yang terletak di Kecamatan Paciran merupakan wilayah yang masih memerlukan peningkatan edukasi kesehatan, khususnya terkait penggunaan obat saat berpuasa. Kegiatan dilaksanakan pada tanggal 30 Januari 2026 di Apotek Tiara Farma, Desa Banjarwati, Kecamatan Paciran, Kabupaten Lamongan. Metode yang digunakan berupa penyuluhan secara langsung melalui presentasi interaktif, diskusi, serta penggunaan media edukasi berupa leaflet dan poster. Evaluasi dilakukan menggunakan pretest dan posttest untuk mengukur peningkatan pengetahuan peserta. Hasil menunjukkan peningkatan rata-rata nilai pengetahuan dari 72,94 sebelum penyuluhan menjadi 92,94 setelah penyuluhan, dan analisis statistik menunjukkan nilai signifikansi p < 0,001 yang menandakan adanya perbedaan bermakna.

Febriyanti Khoiriyah; Elsa Mahfudhotul Aini; Afitly Dhiha Al-Barri; Djati Wulan Kusumo

Karya Nyata : Jurnal Pengabdian kepada Masyarakat 2026 Lembaga Pengembangan Kinerja Dosen

Hypertension is a condition where blood pressure increases above normal limits as indicated by systolic and diastolic values ​​during examination. In Karanglangit Village, the community's low level of knowledge regarding risk factors, prevention and treatment of hypertension is an obstacle in controlling this disease. This service activity aims to increase public understanding so that they are able to implement efforts to prevent and manage hypertension independently. The method used is direct counseling with the help of presentation media and educational posters. The activity stages include completing a pre-test, providing material about hypertension, an interactive discussion session, and a post-test. The activity was carried out in January 2026 at the Karanglangit Village Hall, Lamongan District, with 26 PKK women participating. The results show an increase in participants' knowledge, marked by an increase in the average score from 76.92% in the pre-test to 100% in the post-test. The paired t-test showed a significant difference before and after the counseling (p<0.001), so that the activity was considered effective in increasing community knowledge. Apart from that, participants also better understand the importance of a healthy lifestyle, regular check-ups, and compliance in maintaining stable blood pressure.

Tara Yurian Nadhifa; Retno Sari

Jurnal Ilmu Kesehatan 2026 Lembaga Pengembangan Kinerja Dosen

Background: Nallaswamy Class III alveolar ridge refers to an edentulous alveolar bone that has undergone resorption, resulting in a moderate ridge height with a knife-edge ridge form. This condition is relatively common and has been reported to reach a prevalence of approximately 89% in edentulous mandibles. Objective: To describe the prosthodontic treatment implications in patients with Nallaswamy Class III alveolar ridge using an acrylic resin removable partial denture (RPD). Case Report: A 22-year-old female patient presented to RSGM Soelastri with complaints of discomfort while chewing due to the loss of several posterior teeth in the mandible. The teeth had been extracted three years earlier due to caries and retained roots. Intraoral examination revealed healthy dentition in the maxillary arch and edentulous areas at teeth 35, 36, 45, and 46 in the mandibular arch. The alveolar ridge in the edentulous area showed a knife-edge form with moderate height, consistent with Nallaswamy Class III. Discussion: The condition was classified as Applegate-Kennedy Class III modification 1P with bilateral bounded saddle areas, which may affect mastication, aesthetics, and speech. Conclusion: Partial edentulism with a knife-edge alveolar ridge can be effectively managed using an acrylic resin removable partial denture.

Klaudius Jevanda BS; Latius Hermawan; Wawan Nurmansyah; Hendrik Fery Herdiatmoko; Fransiska Ninda Permata Nugraha

Jurnal Pengabdian Masyarakat Terapan 2026 Lembaga Pengembangan Kinerja Dosen

In today’s world, social media has become an everyday necessity for interacting and socializing with others, but it has both positive and negative effects, particularly on the younger generation. The roles of parents and educators are crucial in building the digital resilience of the younger generation. The solution is to provide early education to the younger generation, particularly new students for the 2025/2026 school year, during the School Orientation Program conducted by the UKMC Community Service Team. The purpose of this activity is to educate new students at SMK Xaverius Palembang to improve their understanding of digital literacy and online etiquette and to use social media more responsibly. The PkM Team served as guest speakers, presenting material on digital literacy and social media ethics, as well as real-life case studies, on Thursday, July 17, 2025, in the auditorium of SMK Xaverius Palembang. This activity is a community service initiative that uses interactive educational methods, in which the team presents five questions related to online gambling, fake news, cyberbullying, explicit content, and ending human trafficking in the form of digital posters, and the students explain them. The team also provided real-life examples and explained their causes and effects. Based on the results of the program, students demonstrated increased awareness of the risks associated with online gambling, fake news, cyberbullying, and explicit content, as well as the importance of combating human trafficking, and were more likely to adopt positive social media etiquette.

Rafly Maulana Yahya

An International Journal Tourism and Community Review 2026 Akademi Kesejahteraan Sosial Ibu Kartini Semarang

Public facility cleanliness is a reflection of cultural values and collective social responsibility. Bus stops, as daily transit points for thousands of commuters, often face declining cleanliness due to limited user participation and management. This community service program was conducted on April 22, 2026, at RSAL Bus Stop, Surabaya, Indonesia, with one researcher as the sole implementer. The objectives were to improve physical cleanliness, provide environmental education, and enhance aesthetics through greening. The method consisted of three activities: installing cleanliness reminder posters, cleaning the bus stop area, and adding ornamental plants in flower pots. Evaluation employed qualitative descriptive techniques, including observation, photographic documentation, and informal interviews. Findings revealed that the bus stop floor, initially littered with plastic waste, cigarette butts, and dry leaves, became clean after sweeping. Posters were successfully placed in visible positions, and three flower pots containing Sansevieria trifasciata and Epipremnum aureum created a fresher atmosphere. Users responded positively, noting improved comfort and cleanliness. The synthesis indicates that simple interventions by a single individual can generate meaningful improvements when combining physical cleaning, visual education, and greening. This initiative demonstrates that small-scale university-led social responsibility programs can serve as replicable models for sustainable public facility management.

Fikri Nabila; Juwita Raditya Ningsih

Jurnal ilmu Kesehatan Umum 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Background: Class II restoration according to the classification of Greene Vardiman Black is one of the procedures in dental conservation that often presents a challenge for operators or dentists during treatment. Class II restorations have their own level of difficulty, particularly during the placement of restorative materials into the cavity. One of the possible failures in Class II restorative treatment is marginal leakage, which can lead to microleakage at the restoration margins. Purpose: To report the success of class II restoration with composite resin using tofflmire matrix. Case report: A 23-year-old female patient came with a complaint of cavities, the complaint was felt since 1 year ago in the lower left back tooth, there was no pain and had never been treated. In the case, preparation and restoration were carried out using composite resin with isolation using tofflmire matrix, applied using an Incremental technique. Discussion: Class II posterior tooth restorations have challenges such as leakage due to the techniques and materials used. Composite resin is chosen because of its good adaptation, esthetics, and wear resistance. Incremental techniques are preferred because they reduce polymerization stress and provide optimal curing results. Tofflemire matrix is ​​used for stability and soft tissue protection.Conclusion: The selection of composite resin with an Incremental technique and the use of a Tofflemire matrix provides more optimal, aesthetic, and minimal risk of failure results for class II posterior tooth restorations.

Supriadi Supriadi; Nur Asiyah; Indri Maydani; Sukmawati Sukmawati; Ulfadira Ulfadira

Jurnal Nusantara Berbakti 2026 Universitas Kristen Indonesia Toraja

Stunting is a public health problem characterized by impaired growth and development of children due to chronic malnutrition, recurrent infections, and suboptimal parenting. The problem of stunting is still a concern in various regions, including Darma Village, Polewali District, Polewali Mandar Regency which requires family-based interventions through promotive and preventive approaches. Lack of family health literacy, suboptimal use of digital information, and low monitoring of children's growth and development are factors that can affect stunting prevention efforts. This community service activity aims to increase digital health literacy and family promotive-preventive behavior in stunting prevention through the Keluarga Darma CERDAS program. The method of implementing activities uses a participatory health promotion approach through family education, discussions, demonstrations of healthy menus based on local food, delivery of ABCDE messages to prevent stunting, the use of simple digital media such as WhatsApp and digital posters, and family assistance. The target of the activity was 20 families at risk of stunting in Darma Village, Polewali District, Polewali Mandar Regency. This activity is expected to increase family knowledge about stunting prevention, improve the family's ability to access correct health information, strengthen the role of the family in monitoring child growth and development, and form a family digital education group as a medium for continuous mentoring. The output of activities is in the form of increasing family health literacy, Darma Cerdas Sehat education modules, digital health promotion media, and family empowerment models in an effort to accelerate community-based stunting prevention.

Edward Johannes Tumanggor; Angel May Donna Br Sembiring; Zahwa Nabila Andriza Nst; Anggraini Thesisia Saragih; Khairul Azmi Siagian

Publikasi Para ahli Bahasa dan Sastra Inggris 2026 Asosiasi Periset Bahasa Sastra Indonesia

Many senior high school students face significant difficulties in generating ideas, organizing thoughts, and selecting appropriate vocabulary when writing descriptive texts. Traditional teaching methods often limit creativity, making the integration of visual media crucial. Therefore, this study aims to develop creative poster-based learning module for teaching descriptive writing. A Research and Development (R&D) design was employed, adapting the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model. However, due to time constraints, this research is strictly limited to the Analysis (Needs Analysis) and the initial Development (Prototype Development) stages. The participants for the needs analysis consisted of 22 senior high school students in Indonesia, selected through purposive sampling. Data were collected using an online needs analysis questionnaire. The findings indicate a strong student preference for visual support, which informed the design and creation of a poster-based learning module prototype intended to help students visualize concepts. The implications suggest that while the prototype aligns with student needs, further research is required to validate and test the product.

Daniel M Simbolon; Bambang Tri Wardoyo; Meily Cristina; Ekananda Haryadi; Menul Teguh Riyanti +5 more

Jurnal Riset Rumpun Seni, Desain dan Media 2026 Pusat Riset dan Inovasi Nasional

Occupational Health and Safety (OHS) is a crucial aspect in manufacturing industries due to the high risk of workplace accidents caused by heavy machinery, chemical substances, and intensive production activities. Companies usually provide Standard Operating Procedures (SOP) as safety guidelines; however, SOPs are often delivered in long textual formats that are less engaging, making workers reluctant to read or difficult to understand quickly. This study aims to design an infographic-based SOP media as an effective visual communication tool to improve workers’ understanding of safety procedures. The research applies a qualitative method with a design approach through workplace observation, interviews with HSE personnel, literature review, and design validation using questionnaires. The results produce infographic media in the form of posters and signage presenting PPE usage procedures, hazard warnings, and evacuation steps using safety color codes, icons, and readable typography. The conclusion indicates that infographic SOP media is more effective than text-based SOP because it improves readability, comprehension, and workers’ memory of safety procedures.

Rani Novriza Putri; Agusminarti Agusminarti; Hadi Purwanto

Konstanta : Jurnal Matematika dan Ilmu Pengetahuan Alam 2026 International Forum of Researchers and Lecturers

Learning media is a tool that can be used to help students learn better and more efficiently. The media used in SMP Negeri 23 Pekanbaru is a teacher-centered picture/poster media so that students quickly get bored, and because of the limited media from the school. Most students prefer learning that involves them directly such as the element of games. The learning models used are discovery, PBL, and lecture models, and student learning activities are still lacking or less active in science learning. The purpose of this study is to develop learning media in the form of a cooperative-based snakes and ladders game with the Teams Games Tournament (TGT) type which aims to train student learning activities. The research method used is Research and Development (R&D) by implementing the ADDIE model which consists of five stages, namely Analyze, Design, Development, Implement, and Evaluation. Based on the validation results obtained, media experts were 94% with very feasible criteria, material experts were 92% with very feasible criteria, teachers gave a practicality assessment of 95% with very practical criteria, and students' responses were 85% with very interested criteria. This shows that the snakes and ladders media based on Teams Games Tournament (TGT) is very reasonable, very practical to use, and very interesting for students during the learning process. The results of observations on all student learning activities showed that 79% got a good interpretation.

Endang Silaningsih; Siti Aidini Khoerunnisa

Nusantara: Jurnal Pengabdian kepada Masyarakat 2026 Pusat Riset dan Inovasi Nasional

Employee work discipline is one of the important aspects of human resource management, especially in service companies that heavily rely on their employees' performance. PT CAI, as an event organizer company, still faces issues related to employee work discipline, such as tardiness, absenteeism without notice, and low consistency in completing work responsibilities. This activity is a form of Community Service by students aimed at increasing employees' understanding and awareness of the importance of work discipline through educational and practical approaches. The implementation methods of the activity include observation, interviews, discussions, documentation, and the implementation of an educational program in the form of work discipline posters as well as providing recommendations for a simple reward and punishment system. The results of the activity show that internal educational media serve as an effective visual reminder in increasing employee awareness of punctuality and work responsibility. This community service activity is expected to support the improvement of employee performance, service quality, and the operational sustainability of PT CAI.

Andi Zulitsnayarti Mardhani Syam; Thamrin Tahir; Alfiana Damasinta; Muhammad Ilyas Thamrin Tahir; Nurwahida Nurwahida

JTI : Jurnal Teknologi dan Informatika 2026 STMIK Pesat Nabire

Waste management problems in schools remain a significant challenge that requires educational and participatory approaches. Students’ low awareness of 3R-based waste management (Reduce, Reuse, Recycle) can negatively affect the cleanliness and environmental quality of the school environment. This community service program aimed to improve students’ environmental awareness through the implementation of a 3R-based waste management program integrated with digital education at SMP Integral Luqman Al-Hakim. The implementation method employed educational and participatory approaches through several stages, including preliminary observation, development of digital educational media, material presentation, practical activities on 3R-based waste management, and program evaluation. The digital media utilized included interactive presentations, educational videos, and digital posters to enhance students’ interest and participation. The results showed an improvement in students’ understanding and environmental awareness, as reflected in their habits of disposing of waste properly, sorting organic and inorganic waste, and actively participating in simple recycling activities. Furthermore, the implementation of the 3R-based waste management program through digital education successfully fostered a culture of environmental awareness within the school and dormitory environment. Therefore, this program can serve as an educational effort to sustainably enhance students’ environmental awareness.

Febi Magfirah; Aisyah AR; Siti Alfah; Aminah Mawahda; Indrayeni Olivia Putri Nur

FUNDAMENTUM : Jurnal Pengabdian Multidisiplin 2026 Asosiasi Peneliti Dan Pengajar Ilmu Sosial Indonesia

Introduction:. Dental caries is one of the most common oral health problems experienced by school-age children. A high prevalence of caries can affect growth and development, nutritional intake, and academic performance. One effective measure to prevent caries is the application of fissure sealants on posterior teeth.Objective:To implement fissure sealants for the prevention of dental caries and to improve students’ knowledge about oral health.Methods:The activities included initial dental examination, oral health education, application of fissure sealants, and evaluation of knowledge through pre-test and post-test among 35 fifth-grade students at UPT SPF SD Negeri Pampang II.Results:The findings showed that 30 students (85.7%) had deep pits and fissures, while 5 students (14.3%) had early caries. After the education session, students with good knowledge increased from 8 students (22.9%) to 27 students (77.1%). All students who met the indications successfully received fissure sealant treatment without complications.Conclusion: The implementation of fissure sealants is effective as a simple preventive measure in preventing dental caries among school-age children and enhances students’ awareness and knowledge of oral health. This program is recommended to be conducted regularly to reduce the risk of caries

Nur Laily; Aliefia Meutia Luna; Fitriyani Fitriyani; Noor Hana Maulida; Nur Aisya Dinda Ayutami

Jurnal Ilmu Kesehatan 2026 Lembaga Pengembangan Kinerja Dosen

Hypertension is a non-communicable disease with a high prevalence and is a major risk factor for serious complications such as stroke and heart disease. Low public awareness and limited capacity of health workers to provide education and early detection pose challenges in hypertension prevention efforts at the community level. The program “Capacity Building for Health Workers as an Effort to Prevent and Control Hypertension in Mandiangin Timur Village” was implemented by Field Learning Experience (PBL) Group 20 students in August 2025 in Mandiangin Timur Village, Karang Intan District, Banjar Regency. The intervention was carried out through interactive lectures, discussions, and the use of educational media in the form of posters, leaflets, and videos. The targets of the activity consisted of 17 cadres and 30 villagers. Knowledge evaluation using pre-tests and post-tests showed an increase in the average score of cadres from 95.28 to 96.46, while the community increased from 76 to 92.33. Blood pressure checks also showed that most participants were in stage 1–2 hypertension, emphasizing the need for ongoing education. This program proved effective in increasing the capacity of cadres and community knowledge about risk factors, prevention, and management of hypertension. In addition, this activity strengthened the role of cadres as agents of change in ongoing efforts to control hypertension at the village level.

Muhammad Reza Maulana; Zainal Abidin; Mazwar Mazwar

IJLS (International Journal of Law and Society) 2026 Asosiasi Penelitian dan Pengajar Ilmu Hukum Indonesia

Law Number 11 of 2006 on the Governance of Aceh embodies the principle of lex specialis due to its territorial scope, while Law Number 4 of 2009 on Mineral and Coal Mining also contains a lex specialis character as it specifically regulates the mining sector. This situation raises a legal question regarding how the principles of lex specialis derogat legi generali, lex superior derogat legi inferiori, and lex posterior derogat legi priori should be interpreted and applied by the Government within the framework of Aceh as a Special Autonomous Region. This study aims to conduct an in-depth legal analysis using a progressive law approach to examine whether the principles of lex posterior or lex superior may override the principle of lex specialis as applied in Aceh’s special autonomy regime. The research employs normative legal methods with qualitative analysis. The findings indicate that the principle of lex specialis derogat legi generali as stipulated in the Law on the Governance of Aceh must take precedence due to its specific territorial applicability and special autonomous status. In resolving such normative conflicts, a clear legal framework is required, accompanied by the renewal of legal theories and principles to ensure legal certainty, prevent regulatory overlap, and promote harmony among statutory regulations.

Husna, Firda Asma'ul; Mutria Maharani; Miftahul Fauzan; Khaerunissa All Husna; Alika Nadina Nurazizah +15 more

Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Hand washing is a major pillar in clean and healthy living behaviors (PHBS). However, there are still children who do not understand the correct handwashing technique so that germ cleaning is not optimal. This community service activity aims to improve students' knowledge and motor skills in practicing the six steps of hand washing according to World Health Organization (WHO) standards. The method used in this activity is interactive counseling combined with live demonstrations. The stages of the activity include providing material through audiovisual media (video/poster), direct demonstrations by instructors, and independent practice by all participants. In addition, a question and answer session was held to ensure student understanding and corrective feedback on inappropriate movements. Evaluation instruments in the form of observation sheets were used to assess the accuracy of the sequence, duration, and coverage of the hand area when washing. The result of this activity was the success of all participants in practicing the six-step sequence of handwashing correctly independently. The involvement of teachers and school health workers also strengthens the sustainability of this practice through regular monitoring. Through this education, it is hoped that early awareness will arise which has become a routine habit to reduce the risk of disease transmission in the school and home environment and support the creation of a culture of clean living from an early age.