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The Effectiveness of Health Promotion Media on Increasing Knowledge and Participation of Women of Reproductive Age in VIA Screening: A Systematic Literature Review Nur Hanifah, Astin; Nana Usnawati; Nuryani Nuryani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8991

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.
Differences in Labor Pain in the First Stage of the Active Phase Before and After Being Given Rebozo Shake The Apple Tree at TPMB Afah Fahmi, Surabaya City Area Evi Agustina; Titi Maharrani; Nana Usnawati; Kharisma Kusumaningtyas
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 1 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i1.3295

Abstract

Childbirth pain is a physical stimulus due to uterine contractions, dilatation and effacement of the cervix, as well as the descent of the fetus into the birth canal. The aim of the research was to determine the difference in labor pain during the first active phase before and after being given Rebozo shake the apple tree. Pre-experimental research design with a one group pretest posttest research design. A sample 35 women giving birth during the first active phase at TPMB Afah Fahmi using purposive sampling. The independent variable is rebozo shake the apple tree treatment. The dependent variable is pain during the first active phase. Using the Wong-Baker pain scale instrument. Wilcoxon signed rank test data analysis. The research results have a p-value of 0.000. So, there is a difference in labor pain during the first active phase before and after intervention is given. The rebozo shake the apple tree method can reduce labor pain during the first active phase. In conclusion, Rebozo shake the apple tree can reduce labor pain during the first active phase. It is recommended that this method be applied to reduce labor pain. However, further research needs to optimize pain assessment using other measuring scales.
PENGARUH INSTAGRAM SEBAGAI MEDIA EDUKASI TERHADAP PENGETAHUAN DAN SIKAP TENTANG ANEMIA PADA REMAJA PUTRI Imelda Cahya Aprilia; Nana Usnawati; Dwi Purwanti; Siti Alfiah
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 2 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i2.3336

Abstract

Adolescence is an important period for growth and development related to the start of puberty. This research was a quantitative type with a Quasi Experimental design with Nonequivalent Control Group Design. Population 96 female students. Sample of 33 female students SMK Satya Widya Surabaya with Simple Random Sampling. The independent variable is the educational media Instagram, the dependent variable is teenagers' knowledge and attitudes about anemia in young women. The instrument is a questionnaire. Analysis of the influence of the Wilcoxon Signed Rank Test. The results of the research after being given the intervention were that almost all respondents had good knowledge (90.9%). After being given the intervention, all respondents were positive (100%). The results of the Wilcoxon Sign Rank Test showed an influence before and after the intervention using Instagram on the knowledge and attitudes of young women about anemia. Test results Man Whitney there are differences before and after the intervention using Instagram on the knowledge and attitudes of young women about anemia. Inconclusion, there is the influence of Instagram as an educational medium on the knowledge and attitudes of young women about anemia at SMK Satya Widya Surabaya.
The Effect of Positive Affirmation Using Flashcards on The Anxiety of Laboring Women in The First Phase of Active Labor Nayla Shaffira Aniq; Nana Usnawati; Dwi Purwanti; Kharisma Kusumaningtyas
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 2 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i2.3337

Abstract

Anxiety is a physical and psychological condition characterized by somatic, emotional, cognitive and behavioral components as a normal reaction resulting from stress. The purpose of this study is to find out the effect of providing positive confirmation using flashcards on the anxiety of active phase stage 1 delivery mothers.The research method uses Pre Experiment Design with research design One Group Pretest Postest. The sample was taken using a sample purposive technique of 35 active phase stage 1 mothers. The free variable of this study is positive affirmation using flashcards. The bound variable of this study is the anxiety of active phase stage 1 delivery mothers.Using the HARS instrument. With Wilcoxon test data analysis.Based on the research results, there was value p-value 0,000. From these results, there is an effect of providing positive confirmation using flashcards to active phase stage 1 delivery mothers. Giving positive affirmation use flashcard can reduce labor anxiety during the active phase of 1st stage. The research conclusion is that giving positive affirmations using flashcards can reduceanxiety during the first active phase. The mechanism of this method is able to influence the subconscious mind and can provide good suggestions for oneself.