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All Journal Public Health of Indonesia Citra Delima Scientific journal of Citra Internasional Institute Journal of Public Health and Pharmacy Ukhuwah : Jurnal Pengabdian Kepada Masyarakat International Journal of Health and Medicine Journal of Nursing Science Research Holistic Nursing PLUS
Tukimin bin Sansuwito
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Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Public Health of Indonesia

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A Systematic Literature Review: The Effect of Health Education Concepts of Cervical Cancer in Community Based Bando, Epina Felizita; Mohamed Saifulaman Mohamed Said; Tukimin bin Sansuwito; Jipri Suyanto
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.957

Abstract

Background: Cervical cancer remains a major global public health issue, particularly as a leading cause of mortality among women of reproductive age in low- and middle-income countries. The disease is predominantly associated with infection by the human papillomavirus (HPV). Despite its preventable nature, cervical cancer continues to pose a significant health burden due to limited access to screening and treatment services. Early detection through regular screening, such as Pap smears, and increased awareness of risk factors and early symptoms are critical in reducing morbidity and mortality. However, a key barrier to early detection and prevention is limited health literacy among women. Therefore, there is a pressing need for targeted health promotion and education interventions aimed at enhancing knowledge, awareness, and preventive practices related to cervical cancer. Objectives: This study aims to investigate the impact of health education interventions on the prevention of cervical cancer using a systematic literature review approach. Methods: A systematic search of peer-reviewed literature was conducted using indexed databases, including ScienceDirect, PubMed, and Google Scholar. Studies published between 2019 and 2024 were screened based on relevance to the topic, study design, type of intervention, and reported outcomes. Fourteen studies that met the inclusion criteria were selected for review. Data extraction focused on identifying key findings related to the effectiveness of health education, which were subsequently analyzed using a narrative synthesis approach. Results: Analysis of the included studies revealed that health education interventions have a significant positive impact on knowledge, attitudes, and behaviors related to cervical cancer prevention. Whether implemented through community-based programs, professional healthcare training, or digital platforms, these interventions consistently improved participants’ awareness and engagement in preventive practices. Notably, the integration of traditional educational strategies with innovative technologies, such as mobile health applications, demonstrated enhanced effectiveness in increasing health literacy and participation. Conclusion: Health education represents a fundamental strategy in global efforts to reduce the incidence and mortality of cervical cancer. However, the effectiveness of these interventions varies depending on the population, cultural context, and delivery method. Tailoring educational programs to local needs and incorporating technology may optimize their reach and impact. Keywords: health literacy; awareness; attitude; cervical cancer prevention; health education
Cultural Barrier and Cervical Cancer Stigma on Screening Program in Community: A Systematic Literature Review Epina Felizita Bando; Mohamed Saifulaman Mohamed Said; Tukimin bin Sansuwito; Jipri Suyanto
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.966

Abstract

Background: Cervical cancer remains a significant public health issue in low- and middle-income countries (LMICs), where screening coverage is low due to cultural barriers and stigma. In many communities, reproductive health is considered a taboo subject, limiting women's access to accurate information and preventive services. The stigma associated with human papillomavirus (HPV), the primary cause of cervical cancer, often stems from misconceptions linking the infection to promiscuity, which leads to fear of judgment and social exclusion. Objectives: This study aims to explore the influence of cultural barriers and stigma on cervical cancer screening practices in diverse populations, particularly in LMICs. Methods: A systematic literature review was conducted using three major databases: PubMed, ScienceDirect, and Google Scholar. Studies published between 2020 and 2024 were screened based on titles, methodologies, interventions, and outcomes. A total of 79 relevant articles were reviewed and synthesized using a narrative framework. Results: The analysis of nine key studies highlights that women in LMICs, including Zimbabwe, Ethiopia, and India, face stigma, misinformation, and limited access to healthcare, all of which hinder screening participation. Similar challenges are observed among migrant and Indigenous populations in high-income countries. HPV self-sampling has emerged as a culturally acceptable and accessible method that increases participation, particularly when supported by trained health workers. However, concerns about test reliability and discomfort remain. Conclusion: To improve cervical cancer screening outcomes, culturally responsive education, access to self-sampling, and community-based interventions are essential. Addressing social determinants of health and involving local health workers are key strategies to enhance participation and reduce cervical cancer burden globally. Keywords: cervical cancer screening; stigma; cultural barriers; HPV; health education; self-sampling; social determinants of health
Co-Authors Aris Citra Wisuda, Aris Citra Wisuda Bando, Epina Felizita Citra Suraya, Citra Suraya Dewi Marfuah Dian Emiliasari Epina Felizita Bando Helsy Desvitasari Jipri Suyanto Linda Suwarni Mohamed Saifulaman Mohamed Said Nida Amalia Nugroho, Purwo Setiyo Nurhafizah Nasution Rathimalar ayakannu Regidor III Dioso Regidor III Poblete Dioso Rusni Masnina Sri Sunarti Suraya, Citra Wisuda, Aris Citra