The Effectiveness of Health Promotion Media on Increasing Knowledge and Participation of Women of Reproductive Age in VIA Screening: A Systematic Literature Review

  • Astin Nur Hanifah Department of Midwifery, Poltekkes Kemenkes Surabaya, East Java, Indonesia
  • Nana Usnawati Department of Midwifery, Poltekkes Kemenkes Surabaya, East Java, Indonesia
  • Nuryani Nuryani Department of Midwifery, Poltekkes Kemenkes Surabaya, East Java, Indonesia
DOI: https://doi.org/10.56338/mppki.v9i2.8991
Keywords: VIA, Health Promotion, Promotional Media, Women of Reproductive Age

Abstract

Introduction: Cervical cancer remains a major cause of morbidity and mortality among women in Indonesia, largely due to low awareness and limited participation in Visual Inspection with Acetic Acid (VIA) screening. Health promotion media are essential to improving knowledge, shaping positive attitudes, and increasing willingness to participate in early detection efforts. This systematic literature review evaluates the effectiveness of various health promotion media in increasing knowledge and VIA screening participation among women of reproductive age (WRA).

Methods: This review followed the PRISMA 2020 protocol. Literature searches were conducted exclusively through Google Scholar for studies published between 2021 and 2025. Thirteen eligible studies were analyzed using the PICO framework, focusing on population characteristics, intervention types, comparison strategies, and measured outcomes. Most studies used quasi-experimental pre-post designs. This review has limitations, including reliance on a single database, restriction to Indonesian studies, and predominance of quasi-experimental designs without control groups. These limitations may introduce selection bias and reduce generalizability.

Results: Overall findings show significant improvements (p<0.05) in knowledge, attitudes, and VIA participation following health promotion interventions. Audiovisual media, mobile-based applications and live demonstrations produced the strongest effects by enhancing multisensory learning and reducing psychological barriers such as fear or embarrassment. Printed media, including booklets, modules and leaflets remained effective as complementary tools, especially in areas with limited digital access. Intervention success was also supported by family involvement, cultural appropriateness, and active engagement of health workers.

Conclusion: In conclusion, multimodal and community-centered health promotion strategies are effective in increasing WRA knowledge and participation in VIA screening. Future research should employ stronger methodological design, expand database coverage, and incorporate cross-national comparisons to enhance the evidence base for cervical cancer screening programs.

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References

  1. Martel C De, Georges D, Bray F, Ferlay J, Clifford GM. Global Burden of Cancer Attributable to Infections in 2018 : A Worldwide Incidence Analysis. Lancet Glob Heal [Internet]. 2020;8(2):e180-90. Available from: http://dx.doi.org/10.1016/S2214-109X(19)30488-7
  2. WHO. International Agency for Research on Cancer. 2023. Global Cancer Statistics. Available from: https://gco.iarc.fr/today/home
  3. Kemenkes RI. Kemenkes RI. 2023. Profil Kesehatan Indonesia Tahun 2023. Available from: https://www.kemkes.go.id
  4. Nurkhasanah RA, Retnaningsih R, Keswara NW, Alim Z. Pengaruh Media Audiovisual terhadap Minat Ibu Usia Reproduktif Dalam Pemeriksaan Inspeksi Visual Asam Asetat (IVA). J Issues Midwifery [Internet]. 2024;8(1):1–10. Available from: https://doi.org/10.21776/ub.JOIM.2024.008.01.1
  5. Nurbaiti M, Agustina N. Pendidikan Kesehatan Deteksi Dini Kanker Servik dengan Metode IVA Pada Wanita Usia Subur dan Resiko. J Pengabdi Masy Bangsa [Internet]. 2023;1(10):2516–21. Available from: https://doi.org/10.59837/jpmba.v1i10.558
  6. Haryono NE, Siregar WW, Octavariny R, Aula K. Meningkatkan Kesadaran Pasangan Usia Subur terhadap Kanker Serviks : Strategi Edukasi Pemeriksaan IVA ( Inspeksi Visual Asam Asetat ) untuk Deteksi Dini Improving Cervical Cancer Awareness Among Reproductive-Age Couples : An Educational Approach Using Vis. J Pengmas Kestra [Internet]. 2025;5(1):105–11. Available from: https://doi.org/10.35451/jevx5211
  7. Saripah S, Putri R, Lisca SM. Efektivitas Penyuluhan Kesehatan dengan Media PowerPoint dan Audiovisual terhadap Peningkatan Pengetahuan Wanita Usia Subur Tentang Kanker Serviks. SENTRI J Ris Ilm. 2023;2(10):4387–400.
  8. Oktaviani NKD, Purnami LA, Lutfiana I. Efektivitas Buku Saku Bergambar Berbasis Elektronik terhadap Peningkatan Minat WUS Melakukan IVA Test di Puskesmas Kubutambahan I. Pros Simp Kesehat Nas [Internet]. 2024;3(1):42–51. Available from: https://doi.org/10.52073/simkesnas.v3i1.149
  9. Fajrin DH, Siti U, Sari C, Utami S. Pengaruh Media Booklet dan Ceramah Terhadap Pengetahuan WUS tentang Kanker Serviks dan Pemeriksaan IVA. J Medicare [Internet]. 2025;4(3):247–53. Available from: https://doi.org/10.62354/jurnalmedicare.v4i3.189
  10. Ningsih MP, Rizki H, Handini S, Wulandari F. Perbedaan Efektivitas Promosi Kesehatan Menggunakan Media Film dengan Demonstrasi terhadap Pengetahuan dan Sikap Ibu tentang Pemeriksaan IVA. J Sehat Mandiri [Internet]. 2021;16(1):44–57. Available from: https://doi.org/10.33761/jsm.v16i1.313
  11. Anggraini N, Rokayah K. Pengaruh Peran Media Promosi Kesehatan, Dukungan Suami, dan Self Awareness Terhadap Minat Wanita Usia Subur Dalam Melakukan IVA Test. J Ilm Keperawatan [Internet]. 2023;9(2):257–69. Available from: https://doi.org/10.33023/jikep.v9i4.1644
  12. Page MJ, Mckenzie JE, Bossuyt PM, Boutron I, Hoffmann C, Mulrow CD, et al. The PRISMA 2020 Statement : An Updated Guideline for Reporting Systematic Reviews Systematic Reviews and Meta-Analyses. Res Methods Report [Internet]. 2021;1:1–9. Available from: http://dx.doi.org/10.1136/bmj.n71
  13. Sugiarto DW, Violita F. How Does Media Literacy Affect Smoking and Vaping Behaviors among Adolescents ? A Systematic Literature Review. Media Publ Promosi Kesehat Indones [Internet]. 2025;8(10):1204–16. Available from: https://doi.org/10.56338/mppki.v8i10.8113
  14. Almufaridin AS, Susanti E, Yasera RU, Susanti R. Penyuluhan IVA pada Pasangan Usia Subur di Wilayah Kerja Puskesmas Kemiling Bandar Lampung. J Pengabdi Kpd Masy Ungu [Internet]. 2024;6(1):1–6. Available from: https://doi.org/10.30604/abdi.v6i1.1544
  15. Erawati NLPS, Ariyani NW, Surati IGA. Peningkatan Pengetahuan dan Partisipasi Wanita Usia Subur dalam Deteksi Dini Kanker Serviks dengan Metode Inspeksi Visual Asam Asetat. J Pengabmas Masy Sehat [Internet]. 2024;6(2):8–17. Available from: https://doi.org/10.33992/jpms.v6i2.2551
  16. Jasmawati, Raihanah S, Wati R. Penerapan Aplikasi E-DUVA Untuk Deteksi Dini Kanker Serviks Pada Wanita Usia Subur. J Kreat Pengabdi Kpd Masy [Internet]. 2025;8(3):1587–602. Available from: https://doi.org/10.52073/simkesnas.v3i1.149
  17. Marlindawati, Corniawati I, Sinaga EG. Pengaruh Modul Kesehatan Reproduksi Terhadap Pengetahuan PUS dan Kunjungan IVA Test. Aspiration Heal J [Internet]. 2023;1(3):543–53. Available from: https://doi.org/10.55681/aohj.v1i3.199
  18. Suryaningsih Y, Respati A, Ayu N. Peningkatan Kesadaran dan Pengetahuan Kesehatan Reproduksi melalui Sosialisasi Pemeriksaan IVA. Papanda J Community Serv [Internet]. 2024;3(2):51–7. Available from: https://doi.org/10.56916/pjcs.v3i2.2504
  19. Lohiya A, Daniel RA, Kumar D, Varghese C, Rath RS, Abdulkader RS, et al. Effectiveness of Visual Inspection with Acetic Acid ( VIA ) Screening on Cervical Cancer Mortality and Incidence - A Systematic Review and Meta-Analysis. Vis Insp with Acetic Acid Screen Cerv Cancer Mortal Incid [Internet]. 2022;23(3):399–407. Available from: https://doi.org/10.31557/apjcp.2022.23.2.399
  20. Seyrafi N, Homayuni A, Hosseini Z, Aghamolaei T, Ghanbarnejad A. Effectiveness of Educational Intervention On Women’s Participation to Cervical Cancer Screening :A Quasi ? Experimental Study Based on PEN?3 Model. BMC Cancer [Internet]. 2022;22:1–11. Available from: https://doi.org/10.1186/s12885-022-10331-x
  21. Yanuarini TA, Mulyani S, Widyaningsih V. Interventions to Improve the Uptake of Cervical Cancer Screening with Visual Inspection with Acetic Acid : A Scoping Review. Interv to Improv Uptake Cerv Cancer Screen [Internet]. 2025;26(8):2755–62. Available from: https://doi.org/10.31557/apjcp.2025.26.8.2755
  22. Mishra E, Chaudhary E, Mishra S, Rawat V, Tripathi S, Rathoria R. Cervical Cancer Screening Using Papanicolaou Smear and Visual Inspection With Acetic Acid and Their Correlation With Colposcopy. Cureus Part Springer Nat [Internet]. 2025;17(7):1–13. Available from: https://doi.org/10.7759/cureus.88679
  23. Rosenstock I. The Health Belief Model and Preventive Health Behavior. Heal Educ Monogr [Internet]. 1974;2(4):354–86. Available from: https://doi.org/10.1177/109019817400200405
  24. Fernandes S, Mashharawi N, Bhutta AE, Varghese RM. Comparison of Self-Collected Versus Clinician- Collected Human Papillomavirus ( HPV ) Sampling for Cervical Cancer Screening : A Pilot Study in the United Arab Emirates. Cureus Part Springer Nat [Internet]. 2025;17(8):1–12. Available from: https://doi.org/10.7759/cureus.89250
  25. Khaled M, Hamid I, Hasneen S, Lima AK. Cervical cancer trends , HPV vaccine utilization , and screening in low- and lower-middle- income countries : an updated review. Ther Adv vaccines Immunother Rev [Internet]. 2025; Available from: https://doi.org/10.1177/25151355251356646?urlappend=%3Futm_source%3Dresearchgate.net%26utm_medium%3Darticle
  26. Mutua MM, Wambua J, Chege P. Community-based Dialogue Approach Improves Uptake of Cervical Cancer Screening in Kenya. BMC Public Health [Internet]. 2024;24(1):812. Available from: https://doi.org/10.1186/s12889-024-16822-8
  27. Arrossi S, Straw C, Antelo VS, Paolino M, Baena A, Forestier M. Implementation of WHO guidelines for cervical cancer screening , diagnosis and treatment : knowledge and perceptions of health providers from Argentina. BMC Cancer [Internet]. 2024;(24):1–12. Available from: https://doi.org/10.1186/s12885-024-12650-7
Published
2026-02-02
How to Cite
Nur Hanifah, A., Nana Usnawati, & Nuryani Nuryani. (2026). The Effectiveness of Health Promotion Media on Increasing Knowledge and Participation of Women of Reproductive Age in VIA Screening: A Systematic Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 9(2), 420-433. https://doi.org/10.56338/mppki.v9i2.8991
Issue
Vol. 9 No. 2 (2026)
Section
Article

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