International Journal of Health Science
Vol. 6 No. 1 (2026): March: International Journal of Health

Community Collective Engagement: Developing a Decision Model to Increase Intention in Early Detection of Cervical Cancer

Sodang Sidabutar (Universitas Efarina)
Tatin Wahyanto (Universitas Efarina)
Yunardi Yunardi (Universitas Efarina)
Peterson Yosua Silaen (Universitas Efarina)



Article Info

Publish Date
29 Jan 2026

Abstract

Early detection of cervical cancer is crucial in reducing mortality from this disease. Despite widespread health education, community participation in screening remains low, primarily due to stigma and social taboos. Aim: This study aims to develop a decision-making model based on women's collective involvement in Posyandu (Integrated Health Post) to increase their intention to undergo early cervical cancer screening. Methods: Using a mixed-methods approach, this study involved 200 respondents from various Posyandus within the Community Health Center coverage area. The model was developed through three stages: Formulation of a basic conceptual framework, Development of a measurement strategy, and Validation through surveys and in-depth interviews. Data analysis was conducted using Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM) with the assistance of AMOS software. Results: The results indicate that collective involvement has a significant influence on intention, and the developed model demonstrated good statistical fit. Conclusion: This study contributes to the development of engagement theory in a community context and provides strategic recommendations for improving community well-being through early cervical cancer detection.

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Journal Info

Abbrev

ijhs

Publisher

Subject

Health Professions Public Health Social Sciences

Description

International Journal of Health Science, This journal publishes articles on practice, theory, and research in all areas of health, including: Surgical Medical Practice, Pharmacy, Maternity, Child Health, Mental Health, Public Health, Dental, Medical Education, Midwifery, Medicine and Nursing, Health ...