Clean and Healthy Living Behavior (PHBS) represents awareness-based actions aimed at maintaining and improving public health. This study aimed to improve students’ knowledge, understanding, and awareness of personal and environmental hygiene at State Elementary School 23 Kendari through interactive health education. The intervention integrated lectures, the “Ranking 1” educational game, ice-breaking activities, and practical handwashing demonstrations. A quantitative approach was employed using a pre-experimental one-group pre-test–post-test design. The target population consisted of third-grade students, and 25 participants were selected through purposive sampling. Data were collected using questionnaires administered before and after the intervention. The findings showed a pre-test result of 70.2%, which increased to 89.6% in the post-test, indicating an improvement in students’ knowledge following the educational activities. The paired-samples t-test yielded a significance value of p < .001, demonstrating a statistically significant difference in average knowledge before and after the intervention at the 5% significance level. These findings suggest that combining interactive educational methods with direct practical activities can support students’ understanding of hygiene practices. This approach may serve as an early health promotion and disease prevention strategy in elementary schools to encourage healthier daily habits.
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