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ASESMEN KOMPOSISI LEMAK TUBUH, TEKANAN DARAH DAN PROFIL METABOLISME GLUKOSA SEBAGAI UPAYA DETEKSI DINI PENYAKIT KARDIOVASKULER PADA PENDUDUK USIA PRODUKTIF DI WILAYAH KERJA PUSKESMAS SIMPANG SEI DUREN Rita Halim; Anggelia Puspasari; Nyimas Natasha Ayu Shafira; Susan Tarawifa; Rina Nofri Enis; Citra Maharani; Ahmad Syauqy
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 1 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/medicaldedication.v7i1.33930

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ABSTRACT Prevention of cardiovascular disease can be performed with early detection and management of underlying risk factors as announced by the Ministry of Health in GERMAS since 2016. Obesity, hypertension, type II diabetes mellitus are conditions which have a high probability for progressing to cardiovascular disease if not detected early and treated properly. Examination of body fat composition, blood pressure and fasting-glucose tests are relatively affordable tests to do which performed as prevention management to prevent those condition mention before. Early detection is related to early management and promise better prognosis, especially in the productive age population. Puskesmas simpang sungai duren have competence medical team who work in primary health services. Equipped with laboratory facilities, but the laboratory has not been able to facilitate the examination of venous blood glucose metabolites with the COD-PAP method. Body fat composition assessment has also only been done with simple anthropometric measurements that have not been done with BIA because tools are not available. Related to this, the service proposal team proposed organizing this service activity by carrying out body fat assessment with BIA, blood pressure screening and glucose metabolism profile with standardized methods. The results of the screening will then be used as the basis for personal consultation and data submission to partner health care facilities for follow-up. Screening of cardiovascular disease risk factors in service participants found a total of 25 people suffering from hypertension, 5 people suffering from fasting hyperglycemia and 50 people suffering from obesity. Body fat composition screening found that 57 people had low fat mass, 64 people were classified as over fat and 30 people had high visceral fat mass. Keywords: Screening; hypertension; obesity; blood glucose   ABSTRAK Salah satu upaya yang dapat dilakukan untuk mencegah penyakit kardiovaskuler adalah deteksi dini dan tatalaksana faktor risiko yang mendasari sebagaimana dicanangkan oleh kementrian kesehatan dalam GERMAS sejak tahun 2016. Beberapa kondisi memiliki probabilitas besar untuk berlanjut menjadi penyakit kardiovaskuler adalah obesitas, hipertensi, diabetes melitus (DM) tipe II apabila tidak dideteksi dini dan ditangani dengan baik. Upaya kesehatan preventif untuk mencegah ketiganya dengan deteksi dini berupa pemeriksaan komposisi lemak tubuh untuk mendeteksi obesitas sentral, pemeriksaan tekanan darah dan glukosa prandial merupakan pemeriksaan yang relatif terjangkau untuk dilakukan. Deteksi dini kondisi ketiganya terkait dengan tatalaksana dini dan pencegahan keberlanjutan kondisi menjadi lebih buruk terutama pada penduduk usia produktif. Puskesmas simpang sungai duren memiliki tenaga medis handal yang relevan terhadap layanan kesehatan primer. Dilengkapi dengan fasilitas laboratorium, akan tetapi laboratorium tersebut belum dapat memfasilitasi pemeriksaan metabolite glukosa darah vena dengan metode COD-PAP. Asesment komposisi lemak tubuh juga baru dilakukan dengan pengukuran antropometri sederhana belum dilakukan dengan BIA karena alat yang tidak tersedia. Terkait dengan hal tersebut tim pengusul pengabdian mengusulkan menyelenggarakan kegiatan pengabdian ini dengan melaksanakan asesemen lemak tubuh dengan BIA, skrining tekanan darah dan profil metabolisme glukosa dengan metode terstandar. Hasil skrining tersebut kemudian akan dijadikan dasar konsultasi personal maupun penyampaian data ke fasilitas layanan kesehatan yang menjadi mitra untuk ditindak lanjuti. Skrining faktor risiko penyakit kardiovaskuler pada peserta pengabdian didapatkan sejumlah 25 orang menderita hipertensi, 5 orang menderita hiperglikemia puasa dan 50 orang menderita obesitas. Skrining komposisi lemak tubuh didapatkan sejumlah 57 orang memiliki massa lemak yang rendah, 64 orang tergolong over fat dan 30 orang memiliki massa lemak viseral yang tinggi. Kata kunci: Skrining; hipertensi; obesitas; glukosa darah
Looking at the Effectiveness of Various Learning Media in Anatomy Education: The Case of a Medical Program in a Public University Tarawifa, Susan; Enis, Rina Nofri; Shafira, Nyimas Natasha Ayu; Oktari, Intan
Indonesian Research Journal in Education |IRJE| Vol. 7 No. 2 (2023): IRJE |Indonesian Research Journal in Education
Publisher : Universitas Jambi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/irje.v7i2.21506

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Anatomy education has historically been facilitated by cadavers; therefore, students always need a mentor at all times of study. Along with the dense curriculum, students are required to be able to study independently so various media are needed that can facilitate the student learning process.  This study aimed to determine the differences in the level of student knowledge of the anatomical learning materials provided through anatomy atlas, learning videos, and augmented reality (AR) in first-year medical students. This study was quasi-experimental. A total of 100 students became participants in this study that were then divided into 3 groups. Data were collected by giving pre-test and post-test to the student directly. The results of this study showed that the anatomy atlas and augmented reality significantly enhanced students’ knowledge in anatomy learning (p=0,004, p=0,000) but there was no significant difference between the three media towards the increasing student scores(p=0,14).
Angiotensin-Converting Enzyme Genetic Polymorphism rs4343 as Risk of Diabetic Nephropathy in Jambi-Malay Population Elfiani, Elfiani; Puspasari, Anggelia; Arif, Cut Wulan; Maharani, Citra; Ali, Zulkhair; Suhaimi, Novadian; Effendi, Ian; Suprapti, Suprapti; Shafira, Nyimas Natasha Ayu
Molecular and Cellular Biomedical Sciences Vol 8, No 1 (2024)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v8i1.410

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Background: Diabetic nephropathy (DN) is one of the frequent complications of type II diabetes mellitus (T2DM) in Jambi province. Controlling blood glucose and blood pressure does not guarantee DN prevention, since genetic factors may also contribute to this disease. Multi-ethnic studies showed that one of the strongest genetic factors associated with DN was single nucleotide polymorphism rs4343 of angiotensin-converting enzyme (ACE) gene. Study regarding phenotype-genotype association of ACE rs4343 and DN has not yet been performed in Jambi Province, which is dominated by Malay ethnicity. This study was conducted to reveal the association between ACE rs4343 and the risk of DN in the Jambi-Malay population.Materials and methods: This was a cross-sectional study involving 75 subjects (44 with DN and 31 without DN) who suffered from T2DM and hypertension. DN was defined as albumin to creatinine ratio (ACR) ≥30 mg/g. Genotyping was performed with one-step tetra amplification refractory mutation system-polymerase chain reaction (PCR) using specific primer for ACE rs4343. Bivariate and multivariate analyses were performed to analyze the genetic risk for DN.Results: The bivariate analysis showed the proportion of DN subjects was higher than non-DN within the AG genotype (11:1) than within the AA (33:30) genotype. This difference was statistically significant (p=0.012; OR (95% CI): 10.00 (1.22-82.15)). Multivariate analysis showed that AG genotype (p=0.047; OR (95% CI): 10.04 (1.03-97.31)) and uncontrolled blood pressure (p=0.001; OR (95% CI): 6.72 (2.08-21.71)) were the risk factors of DN in the Jambi-Malay population.Conclusion: Polymorphism of ACE rs4343 is a risk factor of DN in the Jambi-Malay Population.Keywords: rs4343, angiotensin-converting enzyme gene, diabetic nephropathy, Malay, Jambi
The Efficacy Of Anatomical Skeletal System Guidebook For Medical Students At Universitas Jambi Rina Nofri Enis; Susan Tarawifa; Nyimas Natasha Ayu Shafira; Tia Wida Ekaputri Hz; Citra Maharani; Ratu Bulqis
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 2 (2023): Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan Special Issues: Jambi M
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v11i2.25020

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ABSTRACT Background: Medical students need to have good anatomy knowledge. FKIK UNJA changed the learning system to hybrid in response to the COVID-19 pandemic. An update on the skeletal system anatomy practicum guidebook is needed to improve student’s understanding. Objective: This study aims to determine the effect of using the skeletal system anatomy practicum guidebook on the anatomy grade of first-semester students Faculty of Medicine and Health Science Jambi University. Methods: This study applied a quasi-experimental method with a pretest-posttest control group design. The samples were 120 first-semester Jambi University medical students year 2022/2023 who participated in the axial skeleton anatomy practicum. Results: Students with the practicum guidebook pre-test mean grades were (40,58±11,36) and post-test mean grades were (75,74±7,26). Students without practicum guidebook pre-test mean grades were (27,49±13,89) and post-test mean grades were (72,92±5,13). There was a significant difference between the students with and without the practicum guidebook (p-Grades 0,030). Conclusion: The use of the skeletal system anatomy practicum guidebook significantly improves first-semester medical students’ anatomy grades. Keywords: Anatomy Grades, Complete Anatomy, Hybrid, Practicum Guidebook, Skeletal System
EDUKASI KESEHATAN MATA DAN DETEKSI DINI PENURUNAN TAJAM PENGLIHATAN SEBAGAI UPAYA PENCEGAHAN KELAINAN REFRAKSI PADA ANAK USIA SEKOLAH DI MADRASAH TARBIYATUSSHOLATIYAH JAMBI Tarawifa, susan; Rina Nofri Enis; Nyimas Natasha Ayu Shafira; Anggelia Puspasari; Citra Maharani
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRACTEye health is a vital aspect in supporting the physical and cognitive development of children, especially at school age. Disruptions in eye health, or even blindness, can have negative impacts on their lives. This community service project aims to provide eye health education and vision examinations for children enrolled in the Al-Qur'an memorization program at Madrasah Tarbiyatussholatiyah Jambi, as an effort to maintain their visual health. The activity involved 40 tahfidz children, and data was collected regarding their vision conditions and reading habits. The examination results indicated that 62.5% of the children had normal vision (6/6), while 35% experienced significant vision impairment of varying degrees, and 2.5% were blind. The education provided included proper reading techniques and the importance of adequate lighting to raise awareness among both children and parents. This community service activity emphasizes the necessity of integrating eye health programs in tahfidz educational institutions, particularly at Madrasah Tarbiyatussholatiyah, to detect and prevent vision disorders early on, as well as to effectively support the learning and memorization of the Al-Qur'an.Keyword: Eye health, Visual impairment, Reading habits. ABSTRAKKesehatan mata merupakan aspek vital dalam mendukung perkembangan fisik dan kognitif anak, terutama pada usia sekolah. Pada saat terjadi gangguan pada kesehatan mata atau bahkan kebutaan akan berdampak negatif pada kehidupan. Pengabdian kepada masyrakat ini bertujuan untuk memberikan edukasi kesehatan mata dan pemeriksaan visus pada anak-anak tahfidz Al-Qur'an di Madrasah Tarbiyatussholatiyah Jambi sebagai Upaya untuk menjaga kesehatan penglihatan mereka. Kegiatan ini melibatkan 40 anak tahfidz, data dikumpulkan mengenai kondisi visus dan kebiasaan membaca. Hasil pemeriksaan menunjukkan bahwa62,5% anak memiliki visus normal (6/6), sementara 35% lainnya mengalami penurunan tajam penglihatan, dengan berbagai derajat dan 2,5% mengalami kebutaan. Edukasi yang diberikan terkait teknik membaca yang benar dan pentingnya pencahayaan yang dibutuhkan untuk meningkatkan kesadaran anak dan orang tua. Kegiatan peengabdian ini menekankan perlunya integrasi program kesehatan mata di lembaga pendidikan tahfidz khususnya di Madrasah Tarbiyatussholatiyah untuk mendeteksi dan mencegah gangguan penglihatan sejak dini, serta mendukung proses belajar dan menghafal Al-Qur'an secara efektif.Kata Kunci: Kesehatan mata, Gangguan Penglihatan, Kebiasaan membaca
Gambaran Karakteristik Gagal Ginjal Kronik Obstruktif dan Non-obstruktif pada Pasien Dewasa-Lansia di RSUD Raden Mattaher Tahun 2017-2020 Amalya Salsabila; Hendra Herman; Nyimas Natasha Ayu Shafira; Randy Fauzan; Putri Sari Wulandari
Journal of Medical Studies Vol. 3 No. 2 (2023): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v3i2.27367

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ABSTRACT Background: Chronic kidney failure is a clinical condition in which the estimated or measured Glomerular Filtration Rate (GFR) is <60 mL/min/1.73 m2. This study aims to describe the characteristics of patients with chronic obstructive and non-obstructive kidney failure in the adults-elderly at Raden Mattaher Hospital in 2017-2020. Methods: This research is a quantitative descriptive type with a cross-sectional study design with a retrospective approach through the medical records of chronic kidney failure patients in 2017-2020 at Raden Mattaher Hospital with a total of 90 samples. Results: Based on ages, early adulthood (10%), late adults (25.6%), early elderly ( 21.1%), and the elderly (43.3%). Based on gender, male patients (62.9%) and female patients (31.1%). Patients with chronic kidney failure with non-obstructive trigger disease, namely hypertension (7.8%). Most chronic kidney failure patients with obstructive trigger disease were kidney stones (38.9%). Conclusion: Most patients with chronic kidney failure at Raden Mattaher Hospital in 2017-2020 were in the age range of 56-65 years (late elderly) and were male. The most common non-obstructive chronic kidney failure trigger disease is hypertension. The most common cause of obstructive chronic kidney failure is kidney stones. Keywords: Chronic kidney failure, Obstructive kidney failure, Non-obstructive kidney failure ABSTRAK Latar Belakang: Gagal ginjal kronik merupakan keadaan klinis dimana Laju Filtrasi Glomerulus yang diperkirakan adalah <60 mL/min/1,73 m2. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik pasien gagal ginjal kronik obstruktif dan non-obstruktif pada dewasa-lansia di RSUD Raden Mattaher tahun 2017-2020. Metode: Penelitian ini penelitian deskriptif kuantitatif dengan desain penelitian cross sectional pendekatan retrospective melalui rekam medis pasien gagal ginjal kronik tahun 2017-2020 di RSUD Raden Mattaher sebanyak 90 sampel. Hasil: Berdasarkan usia, dewasa awal (10%), dewasa akhir (25,6%), lansia awal (21,1%), dan lansia akhir (43,3%). Berdasarkan jenis kelamin, laki-laki (62,9%) dan perempuan (31,1%). Pasien gagal ginjal kronik dengan penyakit pemicu bersifat non-obstruktif yaitu hipertensi (7,8%), dan yang bersifat obstruktif paling banyak yaitu batu ginjal (38,9%). Kesimpulan: Sebagian besar pasien gagal ginjal kronik di RSUD Raden Mattaher tahun 2017-2020 dalam rentang usia 56-65 tahun (lansia akhir), berjenis kelamin laki-laki. Penyakit pemicu gagal ginjal kronik non-obstruktif paling banyak yaitu hipertensi, sedangkan penyakit pemicu gagal ginjal kronik obstruktif paling banyak yaitu batu ginjal. Kata Kunci: Gagal ginjal kronik, Gagal ginjal obstruktif, Gagal ginjal non-obstruktif
Effectiveness Of Using The Skeletal System Pocketbook on The Grade of Anatomy Practicum For Medical Students at Universitas Jambi Enis, Rina Nofri; Hz, Tia Wida Ekaputri; Tarawifa, Susan; Aurora, Wahyu Indah Dewi; Shafira, Nyimas Natasha Ayu; Puspasari, Anggelia; Maharani, Citra; Halim, Rita; Virginsia, Sonya; Vivekanantharasa, Raveenthiran
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 12 No. 2 (2024): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v12i2.37311

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ABSTRACT Background: Bone markings must be studied and mastered in learning skeletal system anatomy. The short and interesting material in the pocketbook helps students identify preparations during the practicum, increasing their understanding and gaining practical grades. Objective: This research aims to determine the effectiveness of using the Skeletal System pocketbook on grades practical anatomy block of the Integumentary System and Locomotion for medical students in the first semester of the Universitas Jambi in 2023. Method: This research used a quasi-experimental method with a pre-test and post-test control group. The 106 sample students were from the Medical Study Program at Universitas Jambi class of 2023. Result: The mean pre-test and post-test grades for students with pocketbooks were 61.86 and 78.04, while those without pocketbooks were 63.74 and 71.35. In the mean pre-test grade, there was no significant difference between the experimental and control groups' mean grades (p-value = 0.488). Meanwhile, in the mean post-test grades, there was a significant difference between the two groups (p-Value = 0.005), where the experimental group had a higher mean grade. Conclusion: There is a significant difference in using the skeletal system anatomy pocketbook on the grade of anatomy practicum for medical students at Universitas Jambi. Keywords: Anatomy, Practicum, Skeletal System, Pocket Book.
Interprofessional Learning Development In Indonesia Health Study Program Quzwain, Fairuz; Shafira, Nyimas Natasha Ayu; Aryanty, Nindya; Raudhoh, Siti; De Jonge, Laury P.J.W.M.
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 12 No. 2 (2024): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v12i2.37316

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Background: Interprofessional education (IPE) is a joint learning process between two or more students from the health profession to develop collaboration skills and improve the quality of health services. With  IPE, students develop a deeper understanding of various health professions' roles and responsibilities, enhancing their ability to communicate and collaborate effectively. This study aims to develop IPE learning involving five health professions at the Faculty of Medicine and Health Sciences Universitas Jambi. Methods: This study uses a research and development design. This study utilized a qualitative approach, specifically through Focus Group Discussions (FGDs) at the research and information gathering (define) stage. A total of ten lecturers and five heads of study programs from medical, nursing, pharmacies, psychology, and public health programs were involved in this study. Results: Three themes were derived from the results: Curriculum, Faculty Development, and Institutional Support. Community-based IPE allows students from various health study programs at FKIK UNJA to be involved in these activities. To ensure effective implementation of IPE learning,  it is crucial to conduct training for faculty facilitators and field instructors related to IPE learning and to form a team responsible for developing, delivering, and managing the IPE program. Institutional support for interprofessional education (IPE), namely facilities, infrastructure, and a partnership with primary health centers, is critical for implementing and sustaining community-based IPE. Conclusion: The IPE learning that will be implemented at FKIK UNJA is community-based IPE. Three crucial elements must be prepared to implement IPE: curriculum, faculty development, and institutional support. Keywords: Interprofessional Education; Community-Based Setting
Overview of Learning Motivation and Learning Strategies of Students In The Medical Study Program Sholahuddin Tumanggor; Hasna Dewi; Patrick William Gading; Rina Nofri Enis; Nyimas Natasha Ayu Shafira
Journal of Medical Studies Vol. 4 No. 3 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i3.38958

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ABSTRACT Background: Medical education is not easy and requires concentration and a strong will to be able to complete all stages of education. Students must have strong motivation and learning strategies that are considered to have contributed to the success of the learning process because of a lack of motivation and strategy in learning. With that, motivation and learning strategies influence a person's activities to achieve the results he wants. Method: This research is included in the category of associative research using a quantitative approach. The sample is 285 undergraduate students of the Medical Education Study Program at the Faculty of Medicine and Health Sciences active in the odd semester of the 2022/2023 academic year. The data analysis technique used is univariate analysis. Results: The results show that 75.5% of students from the class of 2020 have moderate learning motivation, 86.6% of students from the class of 2021 have moderate learning motivation, 72.8% of the class of 2020 students have moderate learning strategies, and 90.3% of the class of 2021 students have moderate learning strategies. Conclusion: Most of the 2020 and 2021 active Medical Education Study Program undergraduate students at the Faculty of Medicine and Health Sciences in the odd semester of the 2022/2023 academic year have moderate motivation and learning strategies. Keywords: learning motivation; learning strategy; medical student
Cervical Cancer Knowledge, Attitudes, and VIA Willingness among Married Women Shabrina Nadilah Zahra; Erny Kusdiyah; Hanina; Wahyu Indah Dewi Aurora; Nyimas Natasha Ayu Shafira
Journal of Medical Studies Vol. 4 No. 3 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i3.38964

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ABSTRACT Background: Indonesia has the highest rate of cervical cancer in Southeast Asia. However, early detection through Visual Inspection of Acetate Acid (VIA) among Women of Childbearing Age (WCA) in Indonesia, including Jambi City, remains low. This research aims to determine knowledge and attitudes toward cervical cancer prevention, and the willingness undergo VIA examination among married WCA at the Kenali Besar Public Health Center in Jambi City. Methods: An observational-analytical study with a cross-sectional design was conducted using questionnaires. 110 samples were chosen by accidental sampling technique and analyzed using descriptive statistics. Results: Most participants were in early adulthood (52.7%), had secondary education (50.9%), were unemployed (59.1%), had sufficient knowledge (40%) and attitudes (51.8%), but low willingness for VIA (47.3%). The main reason for not undergoing VIA was the absence of symptoms (22.7%). Most who had VIA had only been tested once (70%), with all results negative (100%). Conclusion: The willingness to undergo VIA screening is still low. Increasing the VIA screening coverage requires the improvement of knowledge about cervical cancer and attitudes toward cervical cancer prevention through effective health promotion. Keywords: cervical cancer; women of childbearing age; VIA test; knowledge; attitudes; willingness; behavior