This study examines the effectiveness of hands-on activities in improving students’ sanitation knowledge, attitudes, behaviors, and learning experiences in a Philippine public high school. Sanitation—covering hygiene, waste management, and wastewater disposal—is a critical public health issue, particularly in school settings where poor practices contribute to preventable diseases and reduced educational outcomes. While sanitation education is commonly taught, evidence shows that knowledge alone does not consistently translate into proper hygiene behavior, highlighting the need for more engaging, experiential learning approaches.
Grounded in global (WHO, CDC, UNICEF) and national (DepEd WinS) frameworks, the study emphasizes that active, student-centered learning—such as handwashing demonstrations, waste segregation, and field sanitation inspections—can foster better retention, stronger attitudes, and sustainable hygiene habits. The literature review consistently shows that hands-on and participatory sanitation education is more effective than lecture-based instruction, especially when supported by adequate WASH facilities and repeated practice. Studies from the Philippines and other countries demonstrate that experiential learning leads to measurable improvements in sanitation practices, even when baseline knowledge is already high.
The research focuses on 20 senior high school students from the Pastorian Marshal Guild of Dr. Juan A. Pastor Integrated National High School during SY 2025–2026. Using a quantitative pre-test/post-test design, data were collected through Likert-scale questionnaires assessing sanitation awareness, attitudes, behaviors, and learning experiences before and after the intervention. The hands-on activities included proper handwashing, waste segregation and management, and field sanitation inspections.
Overall, the study aims to show that hands-on sanitation activities significantly enhance students’ understanding and application of hygiene practices, improve attitudes and behaviors, and provide more meaningful learning experiences. The findings are intended to inform students, teachers, school administrators, and policymakers, while also contributing to future research on effective, experiential sanitation education in schools.
Conclusion
From the findings of the study, the following conclusions are drawn:
1) The students\' level of awareness certainly aligned with the study\'s findings as these participants absorbed lessons in sanitation practices like hygiene, waste management, and disease prevention.
2) Students\' attitudes towards sanitation were positively shaped as the hands-on activities appreciated sanitation, understood the relevance of health, and took responsibility for sanitary activities and systems.
3) Students demonstrated improved sanitation behaviors by appropriately disposing of waste, washing hands more regularly, and responsibly using sanitation facilities, including at home.
4) Students were engaged and found the learning experience of the activities meaningful. They appreciated the hands-on activities for linking the lessons in sanitation to concrete situations, which enhanced their retention and practice of hygiene.
References
[1] About hand hygiene in schools and early care and education settings. (2024, October 25). Centers for Disease Control and Prevention. https://www.cdc.gov/clean-hands/prevention/about-hand-hygiene-in-schools-and-early-care-and-education-settings.html
[2] Bravo, V., et al. (2025). Personal hygiene practices and food sanitation awareness as correlates to students’ health. International Journal of Research and Innovation in Social Science, 9(3), 1571–1581. https://doi.org/10.47772/ijriss.2025.90300124
[3] Çelik, E. Y., & Yüce, Z. (2019). Investigation of the awareness and habits of secondary school students about cleanliness and hygiene from various variables. International Education Studies, 12(4), 173–183. https://doi.org/10.5539/ies.v12n4p173
[4] Duijster, D., Monse, B., Marquez, M., Pakes, U., Stauf, N., &Benzian, H. (2022). Improving toilet usability and cleanliness in public schools in the Philippines using a packaged operation and maintenance intervention. International Journal of Environmental Research and Public Health, 19(16), 10059. https://doi.org/10.3390/ijerph191610059
[5] Holstermann, N., Grube, D., &Bögeholz, S. (2010). Hands-on activities and their influence on students’ interest. Research in Science Education, 40, 743–757. https://doi.org/10.1007/s11165-009-9142-0
[6] Islam, M. S., Sadiq, M. S., & Rahman, M. M. (2024). Promoting healthy practices among schools and children in rural Bangladesh: A randomised controlled trial of skill-based health education. BMC Public Health, 24, Article 20787. https://doi.org/10.1186/s12889-024-20787-0
[7] Ismail, S. R., Radzi, R., Megat Kamaruddin, P. S. N., Lokman, E. F., Lim, H. Y., Abdul Rahim, N., Yow, H. Y., Arumugam, D., Ngu, A., Low, A. C. Y., Wong, E. H., Patil, S., Madhavan, P., Nordin, R. B., van der Werf, E., & Lai, N. M. (2024). The effects of school-based hygiene intervention programme: Systematic review and meta-analysis. PLOS ONE, 19(10), e0308390. https://doi.org/10.1371/journal.pone.0308390
[8] Jetha, Q., Bisserbe, C., McManus, J., Waldroop, D., Naliponguit, E. C., Villasenor, J. M., Maule, L., & Lehmann, L. (2020). Can social motivators improve handwashing behavior among children? Evidence from a cluster-randomized trial of a school hygiene intervention in the Philippines. The American Journal of Tropical Medicine and Hygiene, 104(2), 756–765. https://doi.org/10.4269/ajtmh.20-0174
[9] Mohammadi, M., Dalvandi, A., &Chakeri, A. (2020). A study of handwashing training effects on awareness, attitude, and handwashing skills of third grade elementary school students. Journal of Family Medicine and Primary Care, 9, 1149–1155. https://doi.org/10.4103/jfmpc.jfmpc_948_19
[10] Oura, A., Naito, Y., Yako-Suketomo, H., Nakata, K., Koyama, M., & Ohnishi, H. (2024). Science behind children’s handwashing: Action study of 9- to 10-year-old elementary school students in Japan. Frontiers in Public Health, 12, Article 1425646. https://doi.org/10.3389/fpubh.2024.1425646
[11] Pang, J. V., Chua, J., & Hsu, L. (2015). Current knowledge, attitude and behaviour of hand and food hygiene in a developed residential community of Singapore: A cross-sectional survey (Trauma care and orthopedic surgery). BMC Public Health, 15, Article 577. https://doi.org/10.1186/s12889-015-1910-3
[12] Sangalang, S. O., Prado, N. O., Lemence, A. L. G., Cayetano, M. G., Lu, J. L. D., Valencia, J. C., Kistemann, T., &Borgemeister, C. (2022). Diarrhoea, malnutrition, and dehydration associated with school water, sanitation, and hygiene in Metro Manila, Philippines: A cross-sectional study. Science of the Total Environment, 838(Pt 2), 155882. https://doi.org/10.1016/j.scitotenv.2022.155882
[13] Sangalangen, S. O., Lemence, A. L. G., Ottong, Z. J., Valencia, J. C., Olaguera, M., Canja, R. J. F., &Borgemeister, C. (2024). School water, sanitation, and hygiene (WaSH) intervention to improve malnutrition, dehydration, health literacy, and handwashing: A cluster-randomised controlled trial in Metro Manila, Philippines. BMC Public Health, 24(1), Article 984. https://doi.org/10.1186/s12889-023-17425-6
[14] Vally, H., McMichael, C., Doherty, C., Li, X., & Guevarra, G. (2019). The impact of a school-based water, sanitation and hygiene intervention on knowledge, practices, and diarrhoea rates in the Philippines. International Journal of Environmental Research and Public Health, 16(21), 4056. https://doi.org/10.3390/ijerph16214056
[15] World Health Organization. (2020). Water, sanitation, hygiene, and health: A primer for health professionals. World Health Organization. https://www.who.int/publications/i/item/9789240000413
[16] WASH intervention in Metro Manila. (n.d.). BMC Public Health. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-14398-w
[17] WASH intervention in Nigeria: Health education intervention. (n.d.). MDPI. https://www.mdpi.com/2073-4441/13/7/987