PENINGKATAN AKSES KESEHATAN REPRODUKSI PEREMPUAN PRASEJAHTERA MELALUI KONTRASEPSI JANGKA PANJANG DAN DETEKSI DINI KANKER SERVIKS
Abstract
Abstrak: Perempuan prasejahtera masih menghadapi keterbatasan akses terhadap metode kontrasepsi jangka panjang (MKJP) dan deteksi dini kanker serviks. Kegiatan pengabdian ini bertujuan untuk memperluas akses layanan kesehatan reproduksi serta meningkatkan pemahaman peserta mengenai MKJP dan deteksi dini kanker serviks. Kegiatan dilaksanakan melalui penyuluhan, konseling individual, skrining kelayakan medis, pemasangan IUD atau implan, serta pemeriksaan Pap smear. Kegiatan melibatkan dua kelompok sasaran, yaitu 60 peserta edukasi MKJP dan 50 peserta edukasi deteksi dini kanker serviks. Evaluasi dilakukan melalui pre-test dan post-test lisan terstruktur yang masing-masing terdiri atas 7 pertanyaan sesuai indikator pemahaman pada setiap kelompok sasaran, serta pencatatan pemanfaatan layanan. Indikator keberhasilan kegiatan meliputi peningkatan proporsi peserta yang memahami materi setelah edukasi dan peningkatan akses pelayanan kesehatan reproduksi sesuai hasil skrining kelayakan medis. Pemahaman mengenai IUD dan implan meningkat dari 86,67% menjadi 96,67%, sedangkan pemahaman mengenai deteksi dini kanker serviks meningkat dari 24% menjadi 66%. Sebanyak 75% peserta kelompok MKJP memperoleh pelayanan IUD atau implan dan 78% peserta kelompok deteksi dini kanker serviks menjalani pemeriksaan Pap smear. Pelayanan kesehatan reproduksi terpadu melalui edukasi, konseling, skrining, dan pelayanan klinis mampu meningkatkan pemahaman serta memperluas akses layanan kesehatan reproduksi perempuan prasejahtera. Edukasi deteksi dini kanker serviks tetap perlu dilakukan secara berulang dan berkelanjutan untuk memperkuat kesadaran peserta.
Abstract: Women from low-income households continue to face limited access to long-acting reversible contraception (LARC) and early cervical cancer detection. This community service program aimed to expand reproductive health access and improve participants’ understanding of LARC and cervical cancer screening. The activities included health education, individual counseling, medical eligibility screening, IUD or implant insertion, and Pap smear examinations. The program involved two groups consisting of 60 participants receiving LARC education and 50 participants receiving cervical cancer early-detection education. Evaluation was conducted through structured oral pre-test and post-test consisting of 7 questions for each group based on the educational indicators, along with documentation of service utilization. The success indicators included increased participant understanding after education and improved access to reproductive health services based on medical eligibility screening. Understanding of IUD and implant methods increased from 86.67% to 96.67%, while understanding of early cervical cancer detection increased from 24% to 66%. A total of 75% of participants in the LARC group received IUD or implant services, and 78% of participants in the cervical cancer detection group underwent Pap smear examinations. Integrated reproductive health services combining education, counseling, screening, and clinical services improved understanding and access to reproductive health services among low-income women. Continuous education is needed to strengthen awareness of early cervical cancer detection.
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Alyensi, F., Hasan, Z., & Vitriani, O. (2018). Pengetahuan dan Paparan Informasi Berhubungan dengan Keikutsertaan Wanita Pasangan Usia Subur (PUS) dalam Skrining Inspeksi Visual Asam Asetat (IVA) di Puskesmas Harapan Raya Pekanbaru. Jurnal Forum Kesehatan : Media Publikasi Kesehatan Ilmiah, 8(2), 104–109. https://doi.org/10.52263/jfk.v8i2.54
Brahmana, I. B., & Makiyyah, N. (2025). Pengetahuan Tentang Pemeriksaan Pap Smear. JMM (Jurnal Masyarakat Mandiri), 9(4), 1–8. https://doi.org/doi.org/10.31764/jmm.v9i4.32666
Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., & Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74(3), 229–263. https://doi.org/10.3322/caac.21834
Emtell Iwarsson, K., Envall, N., Bizjak, I., Bring, J., Kopp Kallner, H., & Gemzell-Danielsson, K. (2021). Increasing uptake of long-acting reversible contraception with structured contraceptive counselling: cluster randomised controlled trial (the LOWE trial). BJOG: An International Journal of Obstetrics and Gynaecology, 128(9), 1546–1554. https://doi.org/10.1111/1471-0528.16754
Gayatri, M. (2020). The Utilization of Long-Acting Reversible Contraception and Associated Factors Among Women in Indonesia. Global Journal of Health Science, 12(3), 110. https://doi.org/10.5539/gjhs.v12n3p110
Hadi, F. S., Utami, S., & Lestari, W. (2022). Hubungan Persepsi Terhadap Perilaku Melakukan Pemeriksaan IVA Pada Wanita Usia Subur. JUKEJ : Jurnal Kesehatan Jompa, 1(2), 23–29. https://doi.org/10.57218/jkj.vol1.iss2.309
Herawati, D., Wilopo, S. A., & Hakimi, M. (2018). Pengaruh konseling keluarga berencana menggunakan alat bantu pengambilan keputusan pada ibu hamil terhadap penggunaan kontrasepsi pasca persalinan: Randomized controlled trials. Berita Kedokteran Masyarakat, 34(11), 411-415. https://doi.org/10.22146/bkm.8702
Idris, I. B., Syed Soffian, S. S., Baharom, M., Baharuddin, U. M., Hashim, S., & Nawi, A. M. (2022). Influence of sociocultural beliefs and practices on contraception: a systematic review. Women and Health, 62(8), 688–699. https://doi.org/10.1080/03630242.2022.2117764
Kusumaningrum, W., Damayanti, R., Storey, J. D., & Yelda, F. (2020). Improving a long-acting reversible contraception usage by understanding client perspectives. Medical Journal of Indonesia, 29(2), 204–212. https://doi.org/10.13181/mji.oa.203149
Lestari, R. P., Setiaji, B., Leonita, E., Nurlisis, N., & Yenti, J. S. (2022). The Influence ofthe NumberofChildren, Knowledge, andAttitudeontheChoiceofLongTerm ContraceptiveMethodsonKBAcceptorsin Pekanbaru City. Jurnal Kesehatan Komunitas, 8(1), 7–13. https://doi.org/10.25311/keskom.Vol8.Iss1.897
Mahony, H., Spinner, C., Vamos, C. A., & Daley, E. M. (2021). Social network influences on young women’s choice to use long-acting reversible contraception: A systematic review. Journal of Midwifery & Women’s Health, 66(6), 758–771. https://doi.org/10.1111/jmwh.13280
Makadzange, E. E., Peeters, A., Joore, M. A., & Kimman, M. L. (2022). The effectiveness of health education interventions on cervical cancer prevention in Africa: A systematic review. Preventive Medicine, 164(August), 107219. https://doi.org/10.1016/j.ypmed.2022.107219
Petersen, Z., Jaca, A., Ginindza, T. G., Maseko, G., Takatshana, S., Ndlovu, P., Zondi, N., Zungu, N., Varghese, C., Hunting, G., Parham, G., Simelela, P., & Moyo, S. (2022). Barriers to uptake of cervical cancer screening services in low-and-middle-income countries: a systematic review. BMC Women’s Health, 22(1), 486. https://doi.org/10.1186/s12905-022-02043-y
Pitriani, R. (2015). Hubungan Pendidikan, Pengetahuan dan Peran Tenaga Kesehatan dengan Penggunaan Kontrasepsi Intra Uterine Device (IUD) di Wilayah Kerja Puskesmas Rawat Inap Muara Fajar Pekanbaru. Jurnal Kesehatan Komunitas, 3(1), 25–28. https://doi.org/10.25311/jkk.vol3.iss1.97
Rahul Ganavadiya, C. S. B., , Suma S2 , Pallavi Singh3, R. G., & Poonam Tomar Rana, S. J. D. (2018). Effectiveness of two psychological intervention techniques Article for de‑addiction among patients with addiction to tobacco and alcohol – A double‑blind randomized control trial Rahul Ganavadiya, Chandra Shekar BR1 , Suma S2 , Pallavi Singh3 , Ruchika Gu. Indian Journal of Cancer, 55(1), 382–389. https://doi.org/10.4103/ijc.IJC
Robbers, G. M. L., Bennett, L. R., Spagnoletti, B. R. M., & Wilopo, S. A. (2021). Facilitators and barriers for the delivery and uptake of cervical cancer screening in Indonesia: a scoping review. Global Health Action, 14(1), 1979280. https://doi.org/10.1080/16549716.2021.1979280
Saragih, A. N. R., & Damayanti, R. (2025). Effectiveness of health literacy interventions on contraceptive use among women of reproductive age in rural and urban Indonesia: A systematic review. BKM Public Health and Community Medicine, 41(3), e18623. https://doi.org/10.22146/bkm.v41i03.18623
Sari, N. P., Ikhtiyaruddin, I., & Alamsyah, A. (2023). Determinants of The Use of Long-Trem Contraception Methods in Couples of Feet Age in The New Normal Time in Indragiri Hilir District. Jurnal Kesehatan Komunitas (Journal of Community Health), 9(3), 599–604. https://doi.org/10.25311/keskom.Vol9.Iss3.1377
Suciani, N. M. A., Rahyani, N. K. Y., Suindri, N. N., Erawati, N. L. P. S., & Ningtyas, L. A. W. (2024). Perbedaan skor pengetahuan dan sikap wanita usia subur (WUS) tentang deteksi dini kanker serviks antara pemanfaatan e-booklet dengan lembar balik. Jurnal Ners, 9(1), 738–748. https://doi.org/10.31004/jn.v9i1.29842
Stokholm Bækgaard, R., Gjærevold Damhaugh, E., Mrema, D., Rasch, V., Khan, K., & Linde, D. S. (2021). Training of healthcare providers and use of long-acting reversible contraception in low- and middle-income countries: A systematic review. Acta Obstetricia et Gynecologica Scandinavica, 100(4), 619–628. https://doi.org/10.1111/aogs.14127
Tin, K. N., Ngamjarus, C., Rattanakanokchai, S., Sothornwit, J., Aue-aungkul, A., Paing, A. K., Pattanittum, P., Jampathong, N., & Lumbiganon, P. (2023). Interventions to increase the uptake of cervical cancer screening in low- and middle-income countries: a systematic review and meta-analysis. BMC Women’s Health, 23(1), 1–19. https://doi.org/10.1186/s12905-023-02265-8
Washington, A., Smith, L., Anderson, G., Randall, J., Kayser, K., & LaJoie, S. (2024). A Systematic Review of the Effectiveness of Health Education Programs for Cervical Cancer Prevention in Rural Communities: Implications for Promoting Health Equity. Journal of Cancer Education, 39(2), 126–138. https://doi.org/10.1007/s13187-023-02385-7
Widya Juliarti, W., Triana, A., Megasari, K., & Maharani, C. (2025). Faktor rendahnya minat wanita usia subur melakukan IVA test di Puskesmas Harapan Raya. Maternity and Neonatal: Jurnal Kebidanan, 13(2A), 680–686. https://doi.org/10.30606/jmn.v13i2A.4185
World Health Organization. (2020). Global strategy to accelerate the elimination of cervical cancer as a public health problem. https://www.who.int/publications/i/item/9789240014107
DOI: https://doi.org/10.31764/jmm.v10i5.41857
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