Implementasi Penyuluhan Faktor Risiko dan Deteksi Dini Kanker Serviks Berbasis Cervicheck sebagai Upaya Peningkatan Kesadaran dan Cakupan Skrining Pada Wanita Usia Subur di Desa Slamet Kecamatan Tumpang

Sari

ABSTRAK

Kanker serviks masih menjadi penyebab utama kematian akibat kanker pada perempuan di Indonesia, dengan cakupan deteksi dini yang masih rendah, terutama di wilayah pedesaan seperti Desa Slamet, Kecamatan Tumpang, Kabupaten Malang. Meningkatkan kesadaran, pengetahuan, dan partisipasi wanita usia subur (WUS) dalam deteksi dini kanker serviks melalui penyuluhan faktor risiko dan pendampingan skrining mandiri berbasis aplikasi CerviCheck. Kegiatan dilaksanakan pada 55 WUS di Desa Slamet melalui penyuluhan interaktif, pendampingan pengisian skrining mandiri pada aplikasi CerviCheck (cervicheck.my.id), serta motivasi rujukan pemeriksaan IVA/Pap Smear, dengan evaluasi menggunakan kuesioner pre-test dan post-test. Partisipasi deteksi risiko mandiri melalui CerviCheck meningkat dari 40,0% menjadi 100,0%, dengan 30,9% peserta teridentifikasi berisiko sedang. Cakupan skrining IVA/Pap Smear meningkat dari 21,8% menjadi 49,1%, mengidentifikasi 14,5% kasus IVA radang dan 1,8% erosi serviks. Rata-rata skor pengetahuan meningkat signifikan dari 63,6% (pre-test) menjadi 95,5% (post-test), dengan 96,4% peserta mencapai target skor ≥80% pada post-test; peningkatan terbesar terjadi pada pemahaman risiko KB hormonal jangka panjang (+47,3 poin) dan keamanan takaran konsumsi herbal (+49,1 poin), sementara status imunisasi HPV tidak berubah (tetap 94,5% belum lengkap). Penyuluhan faktor risiko dan pendampingan CerviCheck efektif meningkatkan pengetahuan, kesadaran, dan cakupan skrining kanker serviks hingga melampaui target luaran, tetapi diperlukan penguatan berkelanjutan pada aspek aksesibilitas imunisasi HPV yang belum tersentuh oleh penyuluhan.

Kata Kunci: Kanker Serviks, Cervicheck, Deteksi Dini, Penyuluhan, Skrining IVA

ABSTRACT

Cervical cancer remains a leading cause of cancer death among women in Indonesia, with early detection coverage remaining low, particularly in rural areas such as Slamet Village, Tumpang, Malang Regency. To increase awareness, knowledge, and participation of women of reproductive age (WRA) in early detection of cervical cancer through risk-factor counselling and assisted self-screening using the CerviCheck application. The activity involved 55 WRA in Slamet Village through interactive counselling, assisted self-screening via the CerviCheck application (cervicheck.my.id), and referral motivation for IVA/Pap Smear examination, evaluated using pre-test and post-test questionnaires. Self-screening participation through CerviCheck increased from 40.0% to 100.0%, with 30.9% of participants identified as moderate risk. IVA/Pap Smear screening coverage increased from 21.8% to 49.1%, identifying 14.5% cervicitis and 1.8% cervical erosion. Mean knowledge scores rose markedly from 63.6% (pre-test) to 95.5% (post-test), with 96.4% of participants reaching the ≥80% target score post-test; the largest gains were in understanding long-term hormonal contraceptive risk (+47.3 points) and safe herbal dosing (+49.1 points), while HPV immunization status remained unchanged (94.5% still incomplete). Risk-factor counselling combined with CerviCheck-assisted screening effectively increased knowledge, awareness, and screening coverage for cervical cancer beyond the targeted outcome, although continued reinforcement is needed regarding HPV immunization accessibility, which counselling alone could not address.

Keywords: Cervical Cancer, Cervicheck, Early Detection, Counselling, IVA Screening