Suharyanti
Universitas Bakrie

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A Brief and Focused Training Model: Improving Health Volunteers’ Capacity to Promote Cervical Cancer Screening Alifia Firliani; Suharyanti; Prita Muliarini; Anung Putri Illahika; Dian Yuliartha Lestari
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

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Abstract

Background: Community health volunteers (CHVs)- a subset of the broader community health workers, has led various health promotion initiatives of cervical cancer screening in Indonesia and across many LMICs. Capacity-building strengthens the roles of health volunteers, but little is documented about effective training designs considering resource-constraints and multiple roles of volunteers. Intensive, brief-duration training has emerged as an effective strategy for addressing such challenges. Objective: The effectiveness of a brief and focused training on CHVs' cervical cancer screening promotion knowledge, beliefs, and self-efficacy was assessed in this study. Methods: A six-hour training intervention was implemented using quasi-experimental, pre–post design with 103 health volunteers in Malang, Indonesia. Pre-test and post-test surveys were used to evaluate changes in knowledge, belief systems, and self-efficacy. Statistical analysis was performed using SPSS, and data visualizations were performed using R Studio. Results: The Wilcoxon Signed-Rank test showed significant improvement in knowledge (Z = −3.947, p < 0.001), beliefs (Z = −2.787, p = 0.005), and self-efficacy (Z = −6.917, p < 0.001). The greatest improvements were observed in self-efficacy (r = 0.68), as participants showed a two-point median increase following training. Subgroup analysis showed the greatest gains in those with lower baseline scores (p < 0.001). Conclusion: Targeted, brief-duration training is effective in developing volunteers' skills to promote cervical cancer screening and is a promising strategy in resource-scarce settings.  Overall, this finding reinforces community-based strategies for cervical cancer prevention by strengthening the role of CHVs as community change agents in health promotion efforts, thereby supporting national goals of improving cervical cancer control in Indonesia and other LMICs.