Strategies For Improving Behavioral Early Detection Of Cervic Cancer İn Reliable Age Women İn Medan City

Abstract

The early detection program that has been carried out in Indonesia in anticipating cervical cancer by using the IVA test method is one of the programs that is integrated with activities at the puskesmas that are carried out on women of childbearing age (WUS), but the number of women who do early detection of cervical cancer is still low. . The most dominant obstacle is the lack of knowledge and low attitude. The Cervical Cancer Free Group (GBKS) application is an educational method using a Smartphone that can be installed on the Playstore Application.
The purpose of this study was to compare the Strategy to Improve Behavioral Early Detection of Cervical Cancer in Women of Childbearing Age in Medan City.
Research Methods Research design This research was conducted with a quantitative approach, namely Quasi Experiment with a Pre post Design approach with Control Group. The group was divided into 3 groups, namely the Control Group (without treatment), the Conventional Method group (Leafleat) and the GBKS Application Group on the Play store. This study involved 150 women of childbearing age with non-probability sampling by purposive sampling (50 for the control group, 50 for the conventional group and 50 for the GBKS application group). Data were collected through questionnaires and observations, then analyzed using pre-test and post-test methods. Knowledge test and attitudes using Mc Nemar analysis.
The results of the analysis of the differences between the pretest and posttest on the control, conventional, and GBKS application showed that there were differences in knowledge based on the results of the pretest and posttest in the three groups with p-values of 0.05 each. based on the results of the pretest and posttest in the control, conventional, and GBKS application groups all also showed differences in the results of the pretest and posttest with p-values of 0.012, 0.023 and 0.0001, respectively. However, the comparison of behavior based on the results of the pretest and posttest in the control group, conventional, and GBKS application, in the control and conventional groups did not show any difference in behavior in conducting early detection of the IVA test on the pretest and posttest with p values of 0.063 and 0.070, respectively (p is greater than 0.05). Only the GBKS Application strategy showed differences in behavior based on the results of the pretest and posttest with a p value of 0.0001.
Discussion: The results showed that the GBKS method was the most effective strategy used to improve the behavior of women of childbearing age to increase early detection of cervical cancer.
Conclusions and Research Suggestions: Mobile application-based health intervention is an effective strategy to improve health promotion behavior. This study shows that the use of mobile applications can improve health with early detection measures, thereby reducing cervical cancer morbidity and mortality. Future research should discuss the feasibility and effectiveness of using mobile applications for health promotion in developing countries. Researchers suggest recommending the use of the GBKS Application in WUS to improve behavior for early detection of cervical cancer.