The results of this research indicated that the establishment of the background of this program was to answer the social problems which are still not optimal garbage management efforts and the lack of health service access for the poor. Discussion of the research results was conducted by reviewing the research results critically with relevant theory and accurate information obtained in the field. Interpretation of the data was done by using descriptive analysis. Collecting data is through observations, questionnaires, interviews, and literatures. The number of samples used a number of 53 respondents from 236 members of that Garbage Insurance. Taking sample uses purposive sampling method, the determination of the sample with certain considerations. The method used in this research is descriptive qualitative. The research was conducted to determine the background of the establishment of the Garbage Clinical Insurance program analyzing whether that program has contained implementation tabarru' and ta'awun in accordance with Islamic law analyzing the benefits gained by the members of Garbage Insurance, and analyzing the success of this program in improving environmental health. The Garbage Insurance Clinic is a health insurance program with waste or grabage premium as a financial source. Indonesian Medika by Garbage Clinical Insurance program tries to address both of these problems simultaneously. The problem, managing garbage or the difficult access of carying health for the poor, is a social problem that requires serious treatments. It is the duty of every man to always be grateful and keep the health and environmental sustainability. Health and natural resources are blessing given by God to mankind. Thus these findings are helpful for scientists and practitioners.

The results include maintaining personal and environmental health through taharah or cleanliness orders because cleanliness brings a person closer to health based on the pretext of the Koran and Hadith.

We choose the method of description in reporting the results of this study. We base our data on published journals from 2010 to 2020. Then we analyzed it with a coding system, in-depth interpretation, and evaluation of the data to quickly find valid findings. We got the literature by searching the Google scholar database application. For this reason, our study has examined dozens of literature related to maintaining the health of the people and the environment. Islam requires the ummah to understand the issue as part of the mandatory commandments in Islam. The issue of protecting human health and the environment is the responsibility of the state and the experts, but it is evident that this problem is part of the teaching in Islam.

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