Dayu Satria Wibawa
Universitas Nahdlatul Ulama Surabaya

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Health Education for Immigrants: Improving Awareness of Early Cancer Screening through a Participatory Approach Aditya Bhayusakti; Dayu Satria Wibawa; Dwimantoro Imam Prilistyo; Yuriske Agnovianto; Liana Faizah Aulia
Community Service Journal of Indonesia Vol. 8 No. 1 (2026): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v8i1.846

Abstract

Immigrants are a vulnerable population with substantial barriers to accessing health information and medical services, including early detection of chronic diseases such as cancer. Low health literacy among immigrants may be caused by linguistic and cultural differences, uncertain legal status, and financial limitations. These conditions lead to delayed diagnosis and increased risk of cancer-related complications. Early detection through screening has been proven effective in reducing cancer mortality. For instance, colorectal cancer screening may reduce mortality risk by 35%, while mammography can decrease breast cancer mortality by 41%. However, screening coverage among immigrant populations remains low. Studies suggest that sociocultural barriers, limited knowledge, and lack of physician recommendations contribute to poor participation in cancer screening programs. This community service activity aimed to increase immigrants' knowledge of early cancer screening and health education using an interactive and participatory community-based counseling approach. A pre-experimental one-group pre-test and post-test design was employed. The program involved 14 immigrants residing in temporary shelters under the coordination of the International Organization for Migration (IOM). Participants attended a counseling session accompanied by pre- and post-intervention knowledge assessments. Results showed a 37.3% improvement in mean knowledge scores, and the paired t-test produced p = 0.0000 (p < 0.05), indicating a statistically significant difference between pre-test and post-test scores. These findings demonstrate that the counseling intervention effectively improved participants’ understanding of cancer and the importance of early detection. The activity also highlights the importance of cross-sector collaboration, especially with IOM, in developing sustainable health promotion and disease prevention programs for immigrant communities.
Improving Immigrants’ Preparedness: Community-Based Injury Prevention and First Aid Education Dayu Satria Wibawa; Aditya Bhayusakti; Paul Agus Dwiyanu; Yuriske Agnovianto; Muhammad Aqil Siroj Jazuli
Community Service Journal of Indonesia Vol. 8 No. 1 (2026): Community Service Journal of Indonesia
Publisher : Institute for Research and Community Service, Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/csji.v8i1.847

Abstract

Migrants represent a highly vulnerable population due to their limited access to health information, healthcare services, and emergency response mechanisms. These vulnerabilities are exacerbated by language barriers, cultural differences, socioeconomic constraints, and the unpredictability of their living environments in host countries. The absence of knowledge and basic skills in handling injuries significantly increases their risk of complications, disability, and preventable mortality. This community-engagement program aimed to strengthen the emergency preparedness of migrants under the coordination of the International Organization for Migration (IOM) by providing culturally adapted education on injury prevention and first aid. A total of 20 migrants participated in an interactive session consisting of counseling, demonstrations, and hands-on skill practice. Knowledge acquisition was assessed using pre-test and post-test questionnaires containing ten multiple-choice items. The results revealed a 38.8% improvement in average knowledge scores (pre-test: 45.2; post-test: 74.0), with a paired t-test showing statistical significance (p = 0.0000, p < 0.05). Participants also demonstrated enthusiasm and high engagement during the practical sessions. These findings indicate that community-based, participatory education is effective for increasing first-aid competence among vulnerable migrant groups. This initiative can serve as a replicable model for migrant shelters and humanitarian organizations seeking to strengthen public health resilience.