EFFECTIVENESS OF THE MODULE ON KNOWLEDGE AND MOTIVATION REGARDING PAP SMEAR EXAMINATION AMONG WOMEN OF REPRODUCTIVE AGE

Umi Sukowati; Ulfia Fitriani Nafista; Lailil Fatkuriyah; Ainul Hidayati

doi:10.34035/jk.v17i1.1741

Authors

Umi Sukowati Nursing Profession Study Programme, Faculty of Health Sciences, Universitas Dr. Soebandi, Jember, Indonesia
Ulfia Fitriani Nafista Nursing Profession Study Programme, Faculty of Health Sciences, Universitas Dr. Soebandi, Jember, Indonesia
Lailil Fatkuriyah Nursing Science Study Programme, Faculty of Health Sciences, Universitas Dr. Soebandi, Jember, Indonesia
Ainul Hidayati Nursing Science Study Programme, Faculty of Health Sciences, Universitas Dr. Soebandi, Jember, Indonesia

DOI:

https://doi.org/10.34035/jk.v17i1.1741

Keywords:

woman, knowledge, module, motivation, pap smear

Abstract

Background: Screening is central to global cervical cancer control; however, no district/city in East Java has yet reached the screening target. Participation in Pap smear screening is influenced by multiple determinants, particularly behavioral factors linked to women’s knowledge and motivation; therefore, health education is expected to promote positive behavior change.
Methods: This study used a quasi-experimental, one-group pretest–posttest design in Lumajang Regency, East Java, Indonesia, conducted from August 2024 to January 2025. Purposive sampling recruited 63 women from a local community group. The intervention consisted of a structured educational module provided to all respondents. Knowledge and motivation were measured before and after the module using validated questionnaires.
Results: The statistical analysis applied to this research was the Wilcoxon signed-rank test for non-normally distributed variables, with α = 0.05. Mean knowledge increased from 8.60 (min 5; max 10) at pretest to 9.57 (min 9; max 10) at posttest. Motivation to undergo Pap smear screening also improved, with mean scores increasing from 23.15 at pretest to 43.95 after the intervention. Shapiro–Wilk tests indicated non-normality for both knowledge and motivation (p < 0.05); thus, Wilcoxon tests were used. Significant differences were observed for knowledge (p < 0.001) and motivation (p < 0.001).
Conclusion: These findings suggest that module-based health education effectively strengthens women’s knowledge and motivation to participate in Pap smear screening in settings where overall screening coverage remains below the target.

References

Agustiansyah, P., Rizal Sanif, Siti Nurmaini, Irfannuddin, & Legiran. (2021). Epidemiology And Risk Factors For Cervical Cancer. Bioscientia Medicina : Journal Of Biomedicine And Translational Research, 5(7), 624–631. https://doi.org/10.32539/Bsm.V5i7.326

Anggraini, N. (2019). Health Education Pemeriksaan Pap Smear. Jurnal Kesehatan Dan Pembangunan, 9(17), 61–67. https://doi.org/10.52047/Jkp.V9i17.30

Anita, Z., & Ismarwati, I. (2018). Gambaran Pengetahuan Ibu Usia 21 - 60 Tahun Terhadap Upaya Deteksi Dini Kanker Serviks Dengan Metode Pap Smear Di Dusun Karang Tengah Imogiri Bantul Yogyakarta. Repositori Unisa Digital.

Artini, N. M., Made, N., Sumawati, R., Agung, G., Karuniadi, M., Purnamayanthi, I., Studi, P., Kebidanan, S., Bina, S., & Bali, U. (2024). Pengaruh Penyuluhan Melalui Media Video Terhadap Pengetahuan Wanita Usia Subur Tentang Pemeriksaan Pap Smear Di Banjar Kayutulang Desa Canggu. Jurnal Maternitas Kebidanan, 9(1), 1–10.

Baharum, N. N., Ariffin, F., Isa, M. R., & Tin, S. T. (2020). Health Literacy, Knowledge On Cervical Cancer And Pap Smear, And Its Influence On Pre-Marital Malay Muslim Women's Attitude Towards Pap Smear. Asian Pacific Journal Of Cancer Prevention, 21(7), 2021–2028. https://doi.org/10.31557/Apjcp.2020.21.7.2021

Bengtsson, E., & Malm, P. (2014). Screening For Cervical Cancer Using Automated Analysis Of Pap-Smears. Computational And Mathematical Methods In Medicine, 2014, 1–12. https://doi.org/10.1155/2014/842037

Bhatla, N., Aoki, D., Sharma, D. N., & Sankaranarayanan, R. (2021). Cancer Of The Cervix Uteri: 2021 Update. International Journal Of Gynecology And Obstetrics, 155(S1), 28–44. https://doi.org/10.1002/Ijgo.13865

Fauziyah, D. (2021). Analisis Faktor Yang Mempengaruhi Minat Pap Smear Pada Wanita Anggota Gabungan Organisasi Wanita (Gow) Kabupaten Tegal. Ojs.Stikesbhamadaslawi.Ac.Id, 1(1), 1–6.

Fowler, J., Maani, E., & Dunton, C.J., Et Al. (2023). Cervical Cancer. Statpearls Publishing. Https://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk431093/

Govardhan, T., Sirajunnisa Begum, C. R., Brahmaiah, J., Amulya, T., & Rentala, S. (2024). Awareness Of Cervical Cancer Screening Test (Pap Smear) Among Women Attending Maternal And Gynecology Health Services And Women Employees Of A Tertiary Care Centre. Onkologia I Radioterapia, 18(3), 1–6.

Handayani, F. (2016). Hubungan Tingkat Pengetahuan Ibu Tentang Kanker Leher Rahim Dengan Sikap Ibu Terhadap Pemeriksaan Papmsear Di Puskesmas Belawan Kecamatan Medan Belawan Tahun 2008. Jurnal Ilmiah Keperawatan Imelda, 2(2), 151–155.

Herniyati, S., Harahap, N., & Bangaran, A. (2023). Hubungan Motivasi Dan Sikap Dengan Deteksi Dini Kanker Serviks Menggunakan Iva Test Pada Wanita Usia Subur Di Tpmb Bidan Herni Pamulang Tangerang Selatan. Indonesian Journal Of Midwifery Science, 2(1), 28–33.

Jumaida, J., Sunarsih, S., Rosmiyati, R., & Hermawan, D. (2020). Penyuluhan Tentang Kanker Servik Mempengaruhi Pengetahuan Dan Motivasi Pemeriksaan Iva Pada Wanita Usia Subur (Woman Of Childbearsing Age). Jurnal Kebidanan Malahayati, 6(1), 104–113. https://doi.org/10.33024/Jkm.V6i1.1804

Kashyap, N., Krishnan, N., Kaur, S., & Ghai, S. (2019). Risk Factors Of Cervical Cancer: A Case-Control Study. Asia-Pacific Journal Of Oncology Nursing, 6(3), 308–314. https://doi.org/10.4103/Apjon.Apjon_73_18

Kustirah, I., & Melina, F. (2020). Pengaruh Pendidikan Kesehatan Tentang Kanker Serviks Terhadap Motivasi Ibu Mengikuti Pap Smear. Jurnal Kesehatan Samodra Ilmu, 11(1), 8–18. https://doi.org/10.55426/Jksi.V11i1.10

Latifah, L., Nurachmah, E., & Hiryadi, H. (2020). Faktor Yang Berkontribusi Terhadap Motivasi Menjalani Pemeriksaan Pap Smear Pasien Kanker Serviks Di Poli Kandungan. Jurnal Keperawatan Suaka Insan (Jksi), 5(1), 90–99. https://doi.org/10.51143/Jksi.V5i1.192

Mauludiyah, I., Andarini, S., Holipah, Muflikhah, L., & Zuhriyah, L. (2025). Cervical Cancer Awareness And Screening In Malang City, Indonesia: Sociodemographic Determinants. Journal Of Medicinal And Pharmaceutical Chemistry Research, 7(4), 714–724. https://doi.org/10.48309/Jmpcr.2025.466820.1323

Nwabichie Chinemerem Cecilia, Rosliza A.M, S. I. (2017). Global Burden Of Cervical Cancer: A Literature Review. International Journal Of Public Health And Clinical Sciences, 4(2), 10–18.

Periselo, H., Sari, R., Naim, A., & Sari, C. N. (2023). Faktor Yang Mempengaruhi Pemeriksaan Pap Smear; Pendekatan Observasional. Voice Of Midwifery, 13(2), 118–129. https://doi.org/10.35906/Vom.V13i2.232

Pratiwi, M., & Omega Dr, T. (2024). Efektivitas Penyuluhan Terhadap Pengetahuan, Sikap Dan Keputusan Melakukan Deteksi Dini Kanker Serviks Dengan Pap Smear Test Di Wilayah Kerja Puskesmas Rangkasbitung. Jurnal Ners, 8(7), 366–370.

Putri, A. R., Khaerunnisa, S., & Yuliati, I. (2019). Cervical Cancer Risk Factors Association In Patients At The Gynecologic-Oncology Clinic Of Dr. Soetomo Hospital, Surabaya. Indonesian Journal Of Cancer, 13(4), 104. https://doi.org/10.33371/Ijoc.V13i4.610

Raidanti, D., & Rina, W. (2022). Efektivitas Penyuluhan Dengan Media Promosi Leaflet Dalam Pencegahan Kanker Serviks. In Angewandte Chemie International Edition, 6(11), 951–952. (Issue Mi).

Sachan, P. L., Singh, M., Patel, M. L., & Sachan, R. (2018). A Study On Cervical Cancer Screening Using Pap Smear Test And Clinical Correlation. Asia-Pacific Journal Of Oncology Nursing, 5(3), 337–341. https://doi.org/10.4103/Apjon.Apjon_15_18

Satyarsa, A. B. S., Wirahartato, L. H., Virayanti, L. P. D., Kenwa, K. W. M., Adiputra, P. A. T., & Budiana, I. N. G. (2019). Tingkat Pengetahuan Dan Sikap Ibu Tentang Pap Smear Sebagai Upaya Deteksi Dini Kanker Serviks Di Desa Tihingan. Buletin Udayana Mengabdi, 18(3). https://doi.org/10.24843/Bum.2019.V18.I03.P29

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: Globocan Estimates Of Incidence And Mortality Worldwide For 36 Cancers In 185 Countries. Ca: A Cancer Journal For Clinicians, 71(3), 209–249. https://doi.org/10.3322/Caac.21660

Tetelepta, D. P., Malawat, R., & Timisela, J. (2021). Efektifitas Modul Dan Audio Visual Terhadap Pengetahuan Tentang Deteksi Kanker Serviks Melalui Metode Iva Pada Woman Of Childbearsing Age Suku Terasing Di Wilayah Kerja Puskesmas Tamilouw Kabupaten Maluku Tengah. Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal), 1(2), 53–65. https://doi.org/10.32695/Jkit.V1i2.214

Titanicova, S., Gumiarti, & Hidayati, A. (2025). Relationship Between Family Support And IVA Test Examination On Women Of Childbearing Age In Klayu Village, In Tegalwaru Area, Jember. Journal Of Nursing Periodic, 32(2), 10000.

Udayani, N. P. M. Y. (2019). The Pengaruh Pendidikan Kesehatan Tentang Pap Smear Terhadap Peningkatan Pengetahuan Pada Ibu. Journal Center Of Research Publication In Midwifery And Nursing, 3(2), 51–55. https://doi.org/10.36474/Caring.V3i2.137

Vivi Oktari, V. O. (2019). Hubungan Antara Usia, Paritas Dan Pendidikan Ibu Tentang Pemeriksaan Pap Smear Di Yayasan Kanker Indonesia Tahun 2017. Jurnal Kebidanan : Jurnal Medical Science Ilmu Kesehatan Akademi Kebidanan Budi Mulia Palembang, 8(2). https://doi.org/10.35325/Kebidanan.V8i2.129

Winarna, N. B. A., Suratini, S., & Rosida, L. (2022). Correlation Between Knowledge Level And Mother’s Motivation To Do Pap Smear Screening. International Journal Of Health Science And Technology, 3(3). https://doi.org/10.31101/Ijhst.V3i3.1988

Yanti, D. R., Nur Hamim, & Iis Hanifah. (2024). Pengaruh Penyuluhan Pap Smear Tentang Kanker Serviks Terhadap Sikap Ibu Pasangan Usia Subur (Pus) Di Posyandu Jambu 25 Kecamatan Ajung Kabupaten Jember. Jurnal Ilmu Kebidanan Dan Kesehatan (Journal of Midwifery Science and Health), 15(1), 1–8. https://doi.org/10.52299/jks.v15i1.173