Development of an Evidence-Based Practice-Based Participatory Education Model for the Implementation of Clean and Healthy Living Behavior in Islamic Boarding Schools / Pengembangan Model Edukasi Partisipatif Berbasis Evidence-Based Practice dalam Penerapan PHBS di Pondok Pesantren

Clean and Healthy Living Behavior (CHLB) is a crucial preventive measure to improve health status in Islamic boarding schools (pesantren). This study aimed to develop an evidence-based education model for CHLB in a pesantren in West Sumatra. The research applied a Research and Development (R&D) design through the stages of analysis, design, development, implementation, and evaluation. Data were collected through observation, in-depth interviews, and pre- and post-test questionnaires. The findings revealed that unhealthy behaviors among students remained high, with 93.47% not practicing handwashing with soap, 50% littering, 65.22% spitting in public areas, and 76.08% not engaging in mosquito larvae control. Interviews with caregivers and administrators indicated the absence of nutritionists in meal planning, lack of educational media, and limited health education, which was only provided once during the Covid-19 pandemic. The developed educational model proved effective, demonstrated by significant improvements in knowledge (increase of 43 points) and attitudes (increase of 25 points) after the intervention. Respondents considered the model practical, easy to understand, and culturally appropriate within the pesantren context. Therefore, the participatory, evidence-based education model is feasible to be implemented more widely to strengthen CHLB practices and prevent behavior-related diseases in Islamic boarding schools.

Perilaku Hidup Bersih dan Sehat (PHBS) merupakan salah satu upaya preventif penting dalam meningkatkan derajat kesehatan di lingkungan pesantren. Penelitian ini bertujuan mengembangkan model edukasi PHBS berbasis Evidence-Based Practice di salah satu pesantren di Sumatera Barat. Metode penelitian menggunakan pendekatan Research and Development melalui tahap analisis, desain, pengembangan, implementasi, dan evaluasi. Data diperoleh melalui observasi, wawancara mendalam, dan kuesioner pre-test serta post-test. Hasil penelitian menunjukkan bahwa perilaku tidak ber-PHBS santri masih tinggi, di antaranya 93,47% tidak melakukan cuci tangan pakai sabun, 50% membuang sampah sembarangan, 65,22% meludah sembarangan, dan 76,08% tidak melakukan pemberantasan jentik nyamuk. Wawancara dengan pengelola dan pengasuh mengungkapkan belum adanya keterlibatan tenaga ahli gizi, kurangnya media edukasi, serta terbatasnya edukasi PHBS yang hanya diberikan sekali pada masa pandemi Covid-19. Model edukasi yang dikembangkan terbukti efektif, ditunjukkan dengan peningkatan signifikan pengetahuan (43 poin) dan sikap (25 poin) setelah intervensi. Responden menilai model ini praktis, mudah dipahami, serta sesuai dengan budaya pesantren. Dengan demikian, model edukasi partisipatif berbasis Evidence-Based Practice layak diimplementasikan secara lebih luas untuk meningkatkan penerapan PHBS dan pencegahan penyakit berbasis perilaku di pesantren.