Improving Knowledge, Interest, and Behavior Toward IVA Screening Through Audio-Visual Education Among Reproductive-Age Women in Ciamis
DOI:
https://doi.org/10.37160/mijournal.v22i3.877Keywords:
Improving Knowledge, Behavior Toward, Audio-Visual EducationAbstract
Background: Cervical cancer remains one of the leading causes of death among women worldwide, despite being largely preventable through early detection methods such as Visual Inspection with Acetic Acid (IVA). However, the participation rate of women of childbearing age in IVA screening remains low, particularly in rural areas. Health education using audio-visual media has the potential to enhance knowledge, stimulate interest, and promote preventive health behaviors. This study aimed to evaluate the effectiveness of audio-visual-based education on IVA screening in improving knowledge, interest, and behavior among women of childbearing age in Gereba Village, Cipaku District, Ciamis Regency. Methods: This quasi-experimental study employed a one-group pretest-posttest design. A purposive sampling technique was used to recruit 81 women of childbearing age. Data were collected through structured questionnaires measuring knowledge, interest, and behavior related to IVA screening before and after the educational intervention. Statistical analysis was conducted using univariate and bivariate non-parametric tests, specifically the Wilcoxon Signed Rank Test. Results: The majority of participants were aged 15–44 years (88.9%), had a low level of education (60.5% did not complete high school), and were predominantly housewives (97.5%). The Wilcoxon Signed Rank Test indicated a statistically significant increase in knowledge (p = 0.000), interest (p = 0.000), and behavior (p = 0.034) following the audio-visual educational intervention. Conclusion: The study demonstrates that audio-visual education significantly improves knowledge, interest, and preventive behavior regarding IVA screening among women of childbearing age. These findings support the integration of innovative media-based education in public health strategies to enhance cervical cancer prevention efforts in rural communities
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References
Bulahari S, Korah H, Lontaan A. Factors Influencing Adolescents' Knowledge of Reproductive Health. J Ilm Midwife. 2015;3(2):91412.
Organization WH. Cervical cancer. Geneva: WHO. 2023.
Institute NC. Cervical cancer treatment (PDQ®)–Patient version. Times New Rome. 2023;
Organization WH. No Title. Cervical cancer screening methods. 2023. p. Available from: https://www.who.int/health-topics/.
American Cancer Society. Signs and symptoms of endometrial cancer. Am Cancer Soc. 2023;
Mayo Clinic. Uterine cancer - Symptoms and causes. Rochester Mayo Clinic. 2024;
Ministry of Health of the Republic of Indonesia. Technical Guidelines for Controlling Breast Cancer and Cervical Cancer. Igarss. 2016;(1):1–5.
Soekidjo Notoatmodjo. Health promotion and behavioral science. Jakarta: Reka Cipta; 2014.
Greenhow, C., Graham, C.R., & Koehler MJ. Foundations of online learning: Challenges and opportunities. Educ Psychol. 2022;57(2):131–147.
Cheng Y, Cai Y, Chen H, Cai Z, Wu G, Huang J. A Cognitive Level Evaluation Method Based on a Deep Neural Network for Online Learning: From a Bloom's Taxonomy of Cognition Objectives Perspective. Front Psychol. 2021;12(October):1–15.
Suharsimi Arikunto. Research procedures: a practical approach. Revised ed. Jakarta: Rineka Cipta; 2014. 312–323 p.
Sahid Raharjo. SPSS Analysis Test. 2016.
Wahyuni D, Kusumawati A NE. The Relationship between Knowledge of Women of Childbearing Age and IVA Examination Behavior. J Public Health. 2020;8:221.
Sari AP. Relationship between Characteristics of Women of Childbearing Age and Cervical Cancer Prevention Behavior. J Midwifery, Muhammadiyah University of Surabaya. 2021;
BKKBN. Study of Characteristics of Women of Childbearing Age in West Java. 2020;
Akinsola H, Olasanmi O, Ogunwale M et al. The impact of education on health behavior and cervical cancer screening participation. A Rev J Cancer Educ. 2021;
Nicolaou C, Matsiola M KG. Technology-enhanced learning and teaching methodologies throughaudiovisual media. Educ Sci. 2019;9:196.
Sari, AR, Sari, DM, & Sari SM. The Effect of Audiovisual Education on Increasing Public Knowledge and Attitudes about Cervical Cancer in X District. J Kesehat Masy. 2019;9(2):100–7.
Riana, NM, & Fitriani N. Effectiveness of Using Audiovisual Media in Increasing Interest in Health Check-ups in Women of Childbearing Age. J Ilmu Kesehat Masy. 2020;12(3):125–34.
Hastuti, T., Hidayat, R., & Anwar A. The Influence of Audiovisual Media on IVA Examination Behavior in Women of Childbearing Age. J Health Educator. 2021;10(1):45–52.
Kartika Sari R, Sutiadiningsih A, Zaini H, Meisarah F, Hubur A. Factors Affecting Cognitive Intelligence Theory. J Crit Rev. 2020;7(17):2020.
Sharma S, Kumar P, Rani R et al. The impact of health knowledge on interest in reproductive health education among young adults in India. J Heal Educ Res. 2020;34(4):350–9.
Ahmad, N., Noor, A., & Farhan H. The role of audiovisual media in improving knowledge and behavior regarding cervical cancer screening among young women. J Heal Educ Res. 2018;34(3):201–8.
Dini Fitri Damayanti, Dianna, Anggraini Mutia. Cervical Cancer Animation Education Increases Interest of Women of Childbearing Age in IVA Examination. WOMB Midwifery Journal (WOMB Mid.J) Vol. 2, No. 1, June 2023, pp. 6-10
Dwinita Febryani, Enna Rosalina S, Wilhelmus Hary Susilo. The Relationship Between Knowledge, Age, Education Level and Income of Head of Family with Clean and Healthy Living Behavior in Households in Kalideres District, West Jakarta. Carolus Journal of Nursing, Vol 3 No 2, 2021
Finaninda, Yuyun Tafwidhah, Desy Wulandari.The Influence of Health Education About Cervical Cancer on Participation in IVA (Visual Inspection of Acetic Acid) Examination in Wus (Women of Childbearing Age) at Karya Mulia Health Center, Pontianak City. Untan Proners Journal Vol 3, No 1 (2015)
Vera Iriani Abdullah, Adriana Egam, Siti Choiriyah. The effect of education using audio visuals on the interest of women of childbearing age in conducting visual inspection with acetic acid. JMSWH Journal of Midwifery Science and Women's Health Volume 3, Number 2 Year 2023 ISSN (online): 2747-0970 DOI: 10.36082/jmswh.v3i2.1086
Marianne Asri Pratiwi. Effective Methods to Influence Mothers' Interests in Conducting IVA Based on Literature Review. Publication Manuscript. digilib.unisayogya. 2020
Masruroh, Cahyaningrum. Relationship of Work with Wus Knowledge About Early Detection of Cervical Cancer Through Iva in Bergas Health Center Area. Widya Husada National Seminar 1 “Strategy and Role of Health Human Resources in Improving Health Degree in the Era of Industrial Revolution 4.0”. ISBN 978-602-60315-8-7. 2019.
Anes Patria Kumala, Nui Pawestri, Mera Marhamah. The Effect of Providing Educational Videos on Early Detection of Cervical Cancer on the Motivation of Women of Reproductive Age to Undergo IVA Examination. Jurnal Ilmiah Obsgin- Vol.15 No.3. 2023.
Warman Alamsyah, Defriman Djafri, Khairul Andri. The Influence of Audio Visual Health Education Methods on Visual Inspection of Acid (IVA) Examination Behavior in Women of Childbearing Age in the Bengkulu Tengah Health Center Area in 2020. Scientific Journal of Batanghari Jambi University, 20(3), October 2020, 937-941.
Ni Putu Iasminiantari, AAA Yuliati Darmini, Idah Ayu Wulandari. The Influence of Health Education on Early Detection of Cervical Cancer with Audiovisual on Motivation for IVA Examination. https://ejournal.itekes-bali.ac.id/jrkn/article/download/118/59/433. 2018.
Prof. Dr. Soekidjo Notoatmodjo SKM. MC. Health Research Methodology. Third edition. Jakarta: PT. Rineka Cipta; 2018. xix–243.
Prof. Dr. Sugiyono. Qualitative Quantitative Research Methods and R&D. 3rd Edition. Bandung: Alfabeta; 2021. xix–444.
Sab'ngatun. Danik Riawati. The Relationship Between Age and Early Detection of Cervical Cancer Using the IVA Method. Avicenna Journal of Health Research. Vol 2 No 2. October 2019 (104 – 110)
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