Predictive Index of The Success of The Elementary School Clean and Healthy Living Behavior (PHBS) Program In The Working Area of the Sikumana Health Center, Kupang City

Authors

  • Denilay Richardo Rambing Universidade National Timor Lorosa'e
  • Livia Ekayanni Sukamdi Universidade National Timor Lorosa'e

DOI:

https://doi.org/10.59141/jiss.v6i4.1704

Keywords:

clean and healthy behavior, predictive index, school

Abstract

diseases, yet its success remains inconsistent, particularly in
resource-limited areas like Kupang City, East Nusa Tenggara.
This study aimed to compile a predictive index for PHBS success
by analyzing student, teacher, school, parental, and health center
factors. An observational analytic case-control design was
employed, involving 24 elementary schools (12 successful and 12
unsuccessful PHBS cases), with data collected via questionnaires
and observation sheets from 242 students, 24 teachers, and health
center staff. Logistic regression identified key predictors. Student
actions (p=0.014) were the strongest predictor, followed by
teacher actions (p=0.020) and school facilities (p=0.022), while
parental and health center support showed no significant impact.
The predictive index formula confirmed student actions as the
dominant factor (OR=19.362, 95% CI:1.093–343.068). The
findings underscore the need for targeted student-centered
interventions and improved school infrastructure. Future research
should validate the index in diverse settings and explore
technology-based monitoring tools to enhance PHBS
sustainability.

References

Abidah, Y., Nur, & Huda, A. (2018). Implementation of the Clean and Healthy Living Behavior

Program (PHBS) in Special Schools. Journal of Orthopedagogy, 4(2), 87–93.

Afnilda. (2010). Implementation of Clean and Healthy Living Behavior (PHBS) and Health

Business at State Elementary School 7 Talawi Hilir, Talawi District, Sawahlunto City [Thesis].

Padang State University.

elementary

Almisfalah, A. Q., & Yuliana, I. (2023). Animated video media on clean and healthy living behavior

in

school.

Jurnal

https://doi.org/10.23887/jpp.v56i2.64939

Pendidikan

Dan

Pengajaran,

(2).

Anisah, I. N. (2019). The relationship between the habit of snack children outside and the

occurrence in students of SD Negeri 3 Mudal Boyolali [Undergraduate thesis]. University of

Muhammadiyah Surakarta.

Cahyaningrum, R. (2016). Knowledge level of healthy clean living behavior (PHBS) on personal

hygiene of Grade IV and V students of SD Negeri Kraton Yogyakarta in 2015/2016. UNY

Student Journal.

Diana, M. F., Susanti, F., & Irfan, A. (2013). Implementation of Perilaku Hidup Bersih dan Sehat

(PHBS) program at SD Negeri 01 Tanjung Balai Karimun. Andalas Public Health Journal,

(1).

Hamiyah, N., & Jauhar, M. (2015). Introduction to education management in schools. Bandung:

Alphabet.

Herman. (2015, February 16). Teachers are expected to be role models for clean and healthy living

behavior. BeritaSatu. https://www.beritasatu.com/kesehatan/245683/guru-diharapkan-jadi

teladan-perilaku-hidup-bersih-dan-sehat

Ibrahim, I., Hasanah, N., Hasibuan, H. L. P., Lestari, A. A., Adina, N., Batubara, I. M., Siregar, P.

A., & Taufiq, A. (2023). Clean and healthy living behaviour in primary school. International

Archives of Medical Sciences and Public Health, 4(1).

Lestari, Y., Attamimi, H. R., & Setianigsih, F. (2023). Influence of health promotion of peer tutors

on clean and healthy living behavior in schools. Jurnal Penelitian Pendidikan IPA, 9(12).

https://doi.org/10.29303/jppipa.v9i12.4833

Lina, H. P. (2016). Clean and healthy living behavior (PHBS) of students of SDN 42 Korong

Gadang, Kuranji Padang District. Promkes Journal, 4(1).

Ministry of Health Directorate of Health Promotion and Community Empowerment. (2019). PHBS.

http://promkes.kemkes.go.id/phbs

Ministry of Health of the Republic of Indonesia. (2000). Guidelines for the implementation of dental

and oral health, Healthy Indonesia 2010. Jakarta.

Ministry of Health of the Republic of Indonesia. (2011). Guidelines for the development of clean

and healthy living behavior (PHBS) (Regulation No. 2269/MENKES/PER/XI/2011).

Mustar, Y. S., Susanto, I. H., & Bakti, A. P. (2018). Health education: Clean and healthy living

behavior (PHBS) in elementary schools. JISIP (Journal of Social Sciences and Education),

(2).

Nasiatin, T., Pertiwi, W. E., Setyowati, D. L., & Palutturi, S. (2021). The roles of health-promoting

media in the clean and healthy living behavior of elementary school students. Gaceta

Sanitaria, 35. https://doi.org/10.1016/j.gaceta.2020.12.015

Notoatmodjo, S. (2010). Health behavioral sciences. Jakarta: Rineka Cipta.

Oktiarina, V. (2023). Efforts to improve clean and healthy living behaviors in elementary school

level students through the essence of the small doctor program in the school environment.

Literasi (Jurnal Ilmu Pendidikan), 14(1). https://doi.org/10.21927/literasi.2023.14(1).1-8

Regulation of the Minister of Health of the Republic of Indonesia. (2011). Guidelines for the

development of clean and healthy living behaviors (No. 2269/MENKES/PER/XI/2011).

Regulation of the Minister of National Education of the Republic of Indonesia. (2007). Standards

of facilities and infrastructure for elementary schools/madrasah ibtidaiyah (SD/MI), junior

high school/madrasah tsanawiyah (SMP/MTs), and senior high school/madrasah aliyah

(SMA/MA) (No. 24 of 2007).

Saputro, W., Budiarto, B., Yulia, L., & Herawati. (2013). Clean and healthy living behavior (PHBS)

with the incidence of diarrhea in elementary school children. DK, 1(1).

Susanto, T., Sulistyorini, L., Wuryaningsih, E. W., & Bahtiar, S. (2016). School health promotion:

A cross-sectional study on Clean and Healthy Living Program Behavior (CHLB) among

Islamic boarding schools in Indonesia. International Journal of Nursing Sciences, 3(3).

https://doi.org/10.1016/j.ijnss.2016.08.007

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Published

2025-04-30

How to Cite

Rambing, D. R., & Sukamdi, L. E. . (2025). Predictive Index of The Success of The Elementary School Clean and Healthy Living Behavior (PHBS) Program In The Working Area of the Sikumana Health Center, Kupang City. Jurnal Indonesia Sosial Sains, 6(4), 1198–1215. https://doi.org/10.59141/jiss.v6i4.1704