Evaluation of Health Promotion Programs for Changes in Clean and Healthy Living Behavior (PHBS)

  • Dewi Agustina S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Fadillahdwiputri S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Dhea Darsanti Eka Putri S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Ibnaty Salsabila Salsabila S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Sri Wahyuni Siregar S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Sastra Putri Wisati Gulo S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Tika Zahra Claudya S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Airin Raudhatul Jannah S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Nayla Azzahra S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Maysyarah Tanjung S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Sayla Ramadani S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Selviani S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
  • Anindya Sabrina S1 Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
Keywords: Program Evaluation, Clean And Healthy Living Behavior, Behavior Change, Health Promotion

Abstract

Introduction: Clean and Healthy Living Behavior (PHBS) is an important indicator in improving the degree of public health. However, the implementation of PHBS at the household and school levels still faces various obstacles, such as low knowledge and lack of public awareness. Health promotion programs are designed to encourage behavior change through education and empowerment. This study aims to evaluate the effectiveness of health promotion programs on changes in PHBS behavior in the community.

Methods: This study used a quantitative design with a quasi-experimental approach through a pretest-posttest without control group design. The research population is the community in the work area of the health center, with a sample of 60 respondents selected using the purposive sampling technique. The independent variable is the health promotion program, while the dependent variable is the change in PHBS behavior. Data were collected using structured questionnaires and observation sheets, then analyzed using a paired t-test with a significance level of 0.05.

Results: The results showed an increase in the average score of PHBS behavior after the health promotion intervention. Statistical analysis showed a significant difference between pretest and posttest scores (p < 0.05), which showed that health promotion programs had an effect on changes in respondents' behavior.

Conclusion: Health promotion programs have proven to be effective in improving clean and healthy living behaviors of the community. Continuous program implementation and periodic evaluation are needed to maintain and increase positive behavior changes.

References

Bowling, A. (2014). Research methods in health: Investigating health and health services (4th ed.). Open University Press.

Centers for Disease Control and Prevention. (1999). Framework for program evaluation in public health. U.S. Department of Health and Human Services.

Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). SAGE Publications.

Field, A. (2009). Discovering statistics using SPSS (3rd ed.). SAGE Publications.

Ministry of Health of the Republic of Indonesia. (2016). Guidelines for fostering clean and healthy living behaviors (PHBS). Ministry of Health of the Republic of Indonesia.

Ministry of Health of the Republic of Indonesia. (2019). Indonesia's health profile in 2019. Ministry of Health of the Republic of Indonesia.

Ministry of Health of the Republic of Indonesia. (2020). Health profile of Indonesia in 2020. Ministry of Health of the Republic of Indonesia.

Notoatmodjo, S. (2018). Health research methodology. Rineka Cipta.

World Health Organization. (1986). Ottawa charter for health promotion. WHO.

World Health Organization. (2017). Guidelines on sanitation and health. WHO.

World Health Organization. (2018). Health promotion and disease prevention through population-based interventions. WHO.

World Medical Association. (2013). Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053

Published
2026-06-30
How to Cite
Dewi Agustina, Fadillahdwiputri, Dhea Darsanti Eka Putri, Ibnaty Salsabila Salsabila, Sri Wahyuni Siregar, Sastra Putri Wisati Gulo, Tika Zahra Claudya, Airin Raudhatul Jannah, Nayla Azzahra, Maysyarah Tanjung, Sayla Ramadani, Selviani, & Anindya Sabrina. (2026). Evaluation of Health Promotion Programs for Changes in Clean and Healthy Living Behavior (PHBS). International Journal of Health, Economics, and Social Sciences (IJHESS), 8(3). https://doi.org/10.56338/ijhess.v8i3.9275
Section
Articles