Clean and Healthy Living Behavior/Perilaku Hidup Bersih dan Sehat (PHBS) is a health behavior by individual, family, and community to help themselves improving health status. The aim of this study was to explain the factors that influence PHBS implementation at household level in Sungai Paring Village. This study was a quantitative by using cross-sectional approach. Population of this study were 2638 households. Technique sampling used purposive random sampling with sample of 91 households. The study was analyzed by chi-square test with CI 95% and significance level 0.05. The results showed that there were no relationship between knowledge (p-value = 0.103), attitude (p-value = 0.172), distance of health care facilities (p-value = 0.089) with the implementation of PHBS. Meanwhile, support from health workers (p-value = 0.001) and community leaders (p-value = 0.010) had relationship with the implementation of PHBS. Health workers, community and stakeholders should strengthen cooperation as an effort to improve the achievement of PHBS program implementation through routine monitoring and evaluation at household level. Keywords: Clean and Healthy Living Behavior, PHBS program, household level, health, behavior, Sungai Paring Village