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All Journal International Journal of Public Health Science (IJPHS) Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Jurnal Kesehatan Islam : Islamic Health Journal Medical and Health Science Journal ARTERI : Jurnal Ilmu Kesehatan Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan Jurnal Pengabdian Masyarakat Bidang Sains dan Teknologi CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal PROMOTIF: Jurnal Pengabdian Kepada Masyarakat Media Penelitian dan Pengembangan Kesehatan JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Doktin Medika
Anung Putri Illahika
Universitas Muhammadiyah Malang
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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.
Co-Authors &#039;Iffah Najati Ummi&#039; Afro 'Iffah Najati Ummi' Afro Aida Musyarrofah Ajeng Salsabilla Pawestri Alifia Firliani Amatullah Rusydah Aqiilah Amatullah Rusydah Aqiilah Anita Fitri Puspasari Annisa Hanifwati Annisa Hanifwati Annisa Hanifwati Arif Kusuma Firdaus Danurwendra, Syahdan Millenia Delly Safira Hedaputri Deny Dwi Julianti Dian Yuliartha Lestari Dian Yuliartha Lestari Dinda Alifia Darmajik Dinda Amalia Eka Putri Drestania, Zhenna Vinenzha Linda Dwi Nurwulan Pravitasari Fathiyah Safithri Febriana Nur Layli Feny Tunjungsari Feny Tunjungsari Gita Sekar Prihanti Hadiningtyas, Kartika Lintang Hanna Cakrawati Hanna Cakrawati Hanna Cakrawati Hanum, Aisyah Rizki Nirmala Hasna, Alifah Hean Safira Jeremi Setiawan Lestari, Karunia Mahardika Muh. Rizal Hidayat Muh. Rizal Hidayat Muhammad Furkan Natiq, Ikmalun Nerdenaesti, Aliyyudestrina Windya Nielanawalul Putri Rosyanti Nimim Putri Zahara Pamela Andria Putri Kusuma Sumarauw Patmawati Prita Muliarini Probo Yudha Pratama Putra Puspasari, Anita Fitri Putra, Probo Yudha Pratama Risma Karlina Prabawati Rizky Noni Amalia Rosyanti, Nielanawalul Putri Rubayat Indradi S.Khansa Zatalini Santoso, Aktaruddin Arief Siska Fitriana Suharyanti Sulistyo Mulyo Agustini Viskasari P. Kalanjati Wicaksono, Trio Rizal Yohanes Eddy Prasetyo