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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Berita Kedokteran Masyarakat
Ramania, Ardhina
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Health Professions Nursing Public Health

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Scoping review of interventions to increase VIA test uptake in Indonesia Ramania, Ardhina; Pramudita, Bianda Dwida
BKM Public Health and Community Medicine Vol 41 No 07 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i07.22593

Abstract

Purpose: Cervical cancer remains a major public health concern in Indonesia. Although the VIA (Visual Inspection with Acetic Acid) screening program has been introduced, the national target of 75% coverage has not yet been achieved. Enhancing public participation requires more effective health promotion strategies. This study reviews public health intervention studies conducted in Indonesia aimed at increasing VIA screening uptake. Methods: Literature published between 2015 and 2025 in English and Indonesian was searched using PubMed and Google Scholar. Inclusion criteria focused on peer-reviewed intervention studies with transparent methodologies and outcome assessments related to VIA uptake. Qualitative studies and other types of studies not published in peer-reviewed journals were excluded from the analysis. Data were extracted and synthesized narratively based on the target intervention and outcomes. Results: From the 114 retrieved articles, 22 studies met the inclusion criteria. All were cross-sectional studies conducted across 12 Indonesian provinces, primarily in Java and Sumatra. Sample sizes ranged from 12 to 121 participants, totaling 1,278 individuals. Most studies targeted women (n = 19), while a few involved local women cadres (n = 2) or both (n = 1). Knowledge (n = 14) and attitude (n = 11) were the most frequently measured outcomes. All interventions (n = 22) reported positive results. Conclusion: These findings highlight a critical gap in health intervention strategies targeting women’s social support, especially husbands. Further research should design intervention research focusing on male partners and employ longitudinal designs to assess the long-term impact of these strategies on VIA test uptake.
Health Information Access for Deaf Yogyakarta Communities Through A Salutogenic Perspective Ramania, Ardhina; Ristiyanti, Sinta; Muqarohmah, Nia Lestari
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.8-16

Abstract

Background: Access to health information remains a major challenge for the Deaf community in Indonesia due to the limited availability of inclusive and accessible media. Existing health information materials rarely use sign language and often rely on written or spoken formats that many Deaf individuals find difficult to fully understand. As a result, the Deaf community faces greater vulnerability to chronic diseases and mental health problems. This study aimed to contribute to the development of inclusive health information for the Deaf community in Yogyakarta by examining their lived experiences and identifying their needs and preferences in accessing health information through a salutogenic lens. Methods: A qualitative design was employed, involving in-depth interviews with four Deaf participants who were actively engaged in local Deaf communities. The interviews were conducted with the assistance of a sign language interpreter and were thematically analyzed using the salutogenic model. Member checking and peer debriefing were applied to enhance data validity. Results: The study identified substantial barriers to accessing health information, such as limited use of sign language, advanced or technical language in media, and the lack of subtitles or interpreters in videos. Social media emerged as the primary channel for accessing health information, with participants strongly preferring visual formats that combined sign language interpreters, subtitles, and engaging visuals. Reproductive health and mental health were identified as the most needed and relevant topics for the Deaf community. Conclusion: The findings highlight the urgent need to develop inclusive health information media that are tailored to the communication needs of Deaf individuals. Actively involving the Deaf community in the design and dissemination of health information helps create an enabling and inclusive environment that supports a salutogenic approach. Such efforts can reduce information inequities, improve health literacy, and ensure that health promotion strategies are accessible, relevant, and meaningful for Deaf communities.
Co-Authors Bianda Dwida Pramudita Muqarohmah, Nia Lestari Ristiyanti, Sinta