The Effect of Cervical Cancer Education Through Audiovisual Materials and Flyers on the Intention to Undergo Iva Screening Among Women of Reproductive Age in the Makasar Health Center Area, East Jakarta

Authors

  • Sapitri Pandini Universitas Respati Indonesia
  • Laila Ulfa Universitas Respati Indonesia
  • Yuna Trisuci Aprilia Universitas Respati Indonesia

DOI:

https://doi.org/10.46799/jhs.v7i8.2865

Keywords:

Audiovisual, Flyers, IVA Screening Intentions, Women of Childbearing Age, Cervical Cancer

Abstract

Cervical cancer remains a major cause of mortality among women, while participation in Visual Inspection with Acetic Acid (IVA) screening in Indonesia remains suboptimal. This study aimed to compare the effects of cervical cancer education delivered through audiovisual materials and flyers on the intention of women of reproductive age to undergo IVA screening in the Makasar Community Health Center area, East Jakarta. A quantitative quasi-experimental design with a two-group pretest–posttest approach was employed. Using purposive sampling, 102 participants were equally allocated to the audiovisual and flyer groups. Intention was measured using a validated and reliable Likert-scale questionnaire. Because the data were not normally distributed, within-group changes were analyzed using the Wilcoxon signed-rank test, while differences between groups were examined using the Mann–Whitney U test. Most respondents (84.3%) had never undergone IVA screening. The mean intention score increased by 9.49 points in the flyer group, from 26.92 to 36.41, and by 16.76 points in the audiovisual group, from 26.57 to 43.33. Both interventions significantly increased screening intention (p < 0.001). However, the audiovisual group achieved a significantly higher mean rank than the flyer group (75.48 versus 27.52; p < 0.001). Therefore, audiovisual education was more effective and should be prioritized, with flyers serving as complementary educational materials.

References

Abdullah, V.I., Egam, A. and Choiriyah, S. (2023). Pengaruh Edukasi Menggunakan Audiovisual Terhadap Minat Wanita Usia Subur Dalam Melakukan Pemeriksaan Inspeksi Visual Asam Asetat: The Effect Of Using Audiovisual Education On The Interest Of Women Of Reproductive Age In Conducting Visual Inspection Of Acetic Acid. Journal of Midwifery Science and Women’s Health, 3(2), pp.93–98.

Agustino, R.D. (2024). WHO, UNFPA commend Indonesia’s efforts to eliminate cervical cancer, urge streamlined vaccine strategy and enhanced screening. UNFPA Indonesia.

Anshari, Z. (2026). Understanding Women’s Participation in Visual Inspection with Acetic Acid Screening: The Role of Characteristics, Behavior, and Psychological Factors Among Women of Reproductive Age. Journal of Public Health Sciences, 5(02), 583–603.

Bruni, L., Serrano, B., Roura, E., Alemany, L., Cowan, M., Herrero, R., Poljak, M., Murillo, R., Broutet, N., & Riley, L. M. (2022). Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis. The Lancet Global Health, 10(8), e1115–e1127.

Dewi, G. and Syafputri, T.M. (2023). Perbandingan Pengaruh Promosi Kesehatan Dengan Media Film Dan Leaflet Terhadap Pengetahuan Ibu tentang IVA Test. Jurnal Medisains Kesehatan, 4(1), pp.28–37.

Djalil, N. H., & Safitri, R. (2025). Factors Influencing the Interest of Women of Childbearing Age in Undergoing Early Detection of Cervical Cancer in the Working Area of the Ome Tidore Inpatient Health Center UPT. NAJ Nursing Applied Journal, 3(1), 195–208.

Fajrin, D.H., Sari, U.S.C. and Utami, S. (2025). Pengaruh Media Booklet dan Ceramah Terhadap Pengetahuan WUS Tentang Kanker Serviks dan Pemeriksaan IVA. Jurnal Medicare, 4(3), pp.247–253.

Heltiani, R., & Purwati, A. (2025). Factors Influencing Low Interest of Fertile Women in Undergoing IVA Tests at Butong Community Health Center. VitaMedica: Jurnal Rumpun Kesehatan Umum, 3(4), 151–164.

Huang, J., Deng, Y., Boakye, D., Tin, M. S., Lok, V., Zhang, L., Lucero-Prisno III, D. E., Xu, W., Zheng, Z.-J., & Elcarte, E. (2022). Global distribution, risk factors, and recent trends for cervical cancer: A worldwide country-level analysis. Gynecologic Oncology, 164(1), 85–92.

Kim, J. E., Kim, J., Choi, N., Lee, S. K., Oh, H. S., & Roh, S. (2025). Comparative effectiveness of digital versus face-to-face cognitive behavioral therapy for alcohol use disorder: a systematic review and meta-analysis. Psychological Medicine, 55, e315.

Li, S., Li, Y., Xu, C., Tao, S., Sun, H., Yang, J., Wang, Y., Li, S., & Ma, X. (2025). Efficacy of digital interventions for smoking cessation by type and method: a systematic review and network meta-analysis. Nature Human Behaviour, 9(10), 2054–2065.

Li, Z., Liu, P., Yin, A., Zhang, B., Xu, J., Chen, Z., Zhang, Z., Zhang, Y., Wang, S., & Tang, L. (2025). Global landscape of cervical cancer incidence and mortality in 2022 and predictions to 2030: The urgent need to address inequalities in cervical cancer. International Journal of Cancer, 157(2), 288–297.

Manyanga, C. C. (2022). Health Facility Readiness and Individual Associated Factors on Uptake of Cervical Cancer Screening Services Among Women of Reproductive Age in Mwanza Region: A Cross-Sectional Study. University of Dodoma (Tanzania).

Masitah, S., & Purwanti, A. S. (2026). The Relationship Between Knowledge and Attitudes of Women of Childbearing Age Towards The Interest in Conducting IVA Tests in The Work Area of The Paminggir Community Health Center UPT. Jurnal Farmasi Pelamonia, 6(1), 1–9.

Pauley, D., Cuijpers, P., Papola, D., Miguel, C., & Karyotaki, E. (2023). Two decades of digital interventions for anxiety disorders: a systematic review and meta-analysis of treatment effectiveness. Psychological Medicine, 53(2), 567–579.

Pérez-Wiesner, M., Bühler, K.-M., López-Moreno, J. A., & López-Salmerón, M. D. (2025). Effectiveness of psychological treatments for problematic use of internet, video games, social media and instant messaging: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 22(10), 1598.

Romy, R. W., & Nan, X. (2025). Effects of COVID-19 e-mental health interventions: A systematic review of systematic reviews and meta-analyses. Internet Interventions, 39, 100802.

Singh, D., Vignat, J., Lorenzoni, V., Eslahi, M., Ginsburg, O., Lauby-Secretan, B., Arbyn, M., Basu, P., Bray, F., & Vaccarella, S. (2023). Global estimates of incidence and mortality of cervical cancer in 2020: a baseline analysis of the WHO Global Cervical Cancer Elimination Initiative. The Lancet Global Health, 11(2), e197–e206.

Singh, M., Jha, R. P., Shri, N., Bhattacharyya, K., Patel, P., & Dhamnetiya, D. (2022). Secular trends in incidence and mortality of cervical cancer in India and its states, 1990-2019: data from the Global Burden of Disease 2019 Study. BMC Cancer, 22(1), 149.

Turkson-Fiawoo, S. (2025). Utilization of Breast and Cervical Cancer Screening Services: Understanding Factors Influencing Aging Ghanaian and Nigerian Immigrant Women’s Decision to Seek Preventive Health Services. University of California, Los Angeles.

Yang, M., Du, J., Lu, H., Xiang, F., Mei, H., & Xiao, H. (2022). Global trends and age-specific incidence and mortality of cervical cancer from 1990 to 2019: an international comparative study based on the Global Burden of Disease. BMJ Open, 12(7), e055470.

Zhang, M., Chen, J., Cui, M., Jia, J., Zhao, M., Zhou, D., Zhu, L., & Luo, L. (2024). Analysis of the global burden of cervical cancer in young women aged 15–44 years old. European Journal of Public Health, 34(4), 839–846.

Downloads

Published

2026-08-28