The Empowerment of Women of Childbearing Age through Participatory Action Research in Preventing Cervical Cancer

Elisabeth Surbakti; Susy Adrianelly Simaremare; Rina Doriana Pasaribu

doi:10.3889/oamjms.2022.8426

Authors

Elisabeth Surbakti Department of Midwifery, Poltekkes Kemenkes Medan, Sumatera Utara, Indonesia
Susy Adrianelly Simaremare Department of Dental Nursing, Poltekkes Kemenkes Medan, Sumatera Utara, Indonesia
Rina Doriana Pasaribu Department of Nutrition, Poltekkes Kemenkes Medan, Sumatera Utara, Indonesia https://orcid.org/0000-0002-3859-8111

DOI:

https://doi.org/10.3889/oamjms.2022.8426

Keywords:

Preventing, Cervical cancer, Empowerment, Participatory action research

Abstract

AIM: This study aims to explore and analyze the effect of empowering women of childbearing age through the participatory action research method on cervical cancer prevention.

SETTINGS AND DESIGN: This was qualitative and quantitative approaches.

METHODS: A participatory action research approach to empower women of childbearing age and a quantitative pre-test and post-test without control approach was used to assess the changes that occur. Statistical analysis used: Paired t-test, to find out the mean difference before and after empowerment. Empowerment affects social changes in women of childbearing age in the prevention of cervical cancer. The Perwiritan and Moria groups not only carry out religious activities but also socialization and cervical cancer prevention campaigns.

RESULTS: The results showed that empowerment had an effect on increasing the average score of knowledge, attitudes, and actions of women of childbearing age in preventing cervical cancer (p < 0.05).

DISCUSSION: Empowerment of women of childbearing age is very effective in creating awareness, knowledge, attitudes, and actions in cervical cancer prevention. Empowerment can also be done for women in other communities.

CONCLUSION: There is an increase in understanding of women of childbearing age and the situation in which PAR is carried out because of the emergence of change agents among women of childbearing age who continue to have dialectics.

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References

Love Sex and Marriage Middle Age. Conor McCarthy-Google Buku. Available from: https://books.google.co.id/books?hl=id&lr=&id=cbLWAQAAQBAJ&oi=fnd&pg=PR3&dq=McCarthy,+Conor,+Love+Sex+%26+Marriage+in+the+Middle+Ages:+A+Sourcebook+(London:+Rout+-ledge,+2013&ots=MhUadM5fWv&sig=Qz0k9dXnFA4jcV-tAHWJ5oDp1ZU&redir_esc=y#v=onepage&q&f=false [Last accessed on 2020 Mar 23].

Available from: http://repository.ut.ac.id/4032/1/MKDK4002-M1. pdf [Last accessed on 2020 Mar 23].

Torre LA, Siegel RL, Ward EM, Jemal A. Global cancer incidence and mortality rates and trends-an update. Cancer Epidemiol Biomarkers Prev. 2016;25(1):16-27. https://doi.org/10.1158/1055-9965.EPI-15-0578 PMid:26667886 DOI: https://doi.org/10.1158/1055-9965.EPI-15-0578

Brixen LM, Bernstein IT, Bülow S, Ehrnrooth E. Survival of patients with S tage III colon cancer is improved in hereditary non‐polyposis colorectal cancer compared with sporadic cases. AD anish registry based study. Color Dis. 2013;15(7):816-23. https://doi.org/10.1111/codi.12150 PMid:23350633 DOI: https://doi.org/10.1111/codi.12150

Antoni S, Soerjomataram I, Møller B, Bray F, Ferlay J. An assessment of Globocan methods for deriving national estimates of cancer incidence. Bull World Health Organ. 2016;94(3):174. https://doi.org/10.2471/BLT.15.164384 PMid:26966328 DOI: https://doi.org/10.2471/BLT.15.164384

Pengaruh Media Sosial Terhadap Perilaku Remaja Putri Prosiding Penelitian dan Pengabdian kepada Masyarakat. Available from: http://jurnal.unpad.ac.id/prosiding/article/view/13625 [Last accessed on 2020 Mar 23].

Suryapratama SA, Pramono BA. Karakteristik Penderita Kanker Serviks di RSUP Dr. Kariadi Semarang Tahun 2010. Fakultas Kedokteran; 2012. https://doi.org/10.35790/ecl.3.1.2015.6519 DOI: https://doi.org/10.35790/ecl.3.1.2015.6519

Surbakti E, Ginting BK, Mangkuji B, Sitorus S. Influence of cancer fetalism and family support against delay cervical cancer sufferers seek treatment at the hospital center H, Adam Malik Medan Indones. Adam Malik Medan Indones. Asian Jr Microbiol Biotech Env Sci. 2017;19(2):247-55. https://doi.org/10.26911/theijmed.2017.02.02.03 DOI: https://doi.org/10.26911/theijmed.2017.02.02.03

Prandana DA. Pasien Kanker Serviks di Rsup H. Adam Malik Medan Tahun 2011. Mumbai: E-jurnal Fak, Kedokt, USU; 2013.

Sreedevi A, Javed R, Dinesh A. Epidemiology of cervical cancer with special focus on India. Int J Womens Health. 2015;7:405-14. https://doi.org/10.2147/IJWH.S50001 PMid:25931830 DOI: https://doi.org/10.2147/IJWH.S50001

Wantini NA, Indrayani N. Deteksi dini kanker serviks dengan inspeksi visual asam asetat (IVA). J Ners Midwifery. 2019;6(1):27-34. https://doi.org/10.26699/jnk.v6i1.art.p027-034 DOI: https://doi.org/10.26699/jnk.v6i1.ART.p027-034

Demarco M, Hyun N, Carter-Pokras O, Raine-Bennett TR, Cheung L, Chen X, et al. A study of type-specific HPV natural history and implications for contemporary cervical cancer screening programs. EClinicalMedicine. 2020;22:100293. https://doi.org/10.1016/j.eclinm.2020.100293 PMid:32510043 DOI: https://doi.org/10.1016/j.eclinm.2020.100293

Onyenwenyi AO, Mchunu GG. Primary health care workers’ understanding and skills related to cervical cancer prevention in Sango PHC centre in south-western Nigeria: A qualitative study. Prim Health Care Res Dev. 2019;20:e93. https://doi.org/10.1017/s1463423619000215 PMid:32799996 DOI: https://doi.org/10.1017/S1463423619000215

Barrow A. A survey on prevalence and knowledge of family planning among women of childbearing age in the provincial settings of the gambia: A descriptive cross-sectional study. Adv Prev Med. 2020;2020:8862290. https://doi.org/10.1155/2020/8862290 PMid:33204537 DOI: https://doi.org/10.1155/2020/8862290

Surbakti E, Sianturi E. Inspection Visual of Acetic Acid (IVA) Strategy for Early Detection of Cervical Cancer at the Community Health Centre Namorambe Deli Serdang District (IJSR); 2018.

Kessler TA. Cervical cancer: Prevention and early detection. Semin Oncol Nurs. 2017;33(2):172-83. https://doi.org/10.1016/j.soncn.2017.02.005 PMid:28343836 DOI: https://doi.org/10.1016/j.soncn.2017.02.005

Al-Darwish AA, Al-Naim AF, Al-Mulhim KS, Al-Otaibi NK, Morsi MS, Aleem AM. Knowledge about cervical cancer early warning signs and symptoms, risk factors and vaccination among students at a medical school in Al-Ahsa, Kingdom of Saudi Arabia. Asian Pacific J Cancer Prev. 2014;15(6):2529-32. https://doi.org/10.7314/apjcp.2014.15.6.2529 PMid:24761859 DOI: https://doi.org/10.7314/APJCP.2014.15.6.2529

Megersa BS, Bussmann H, Bärnighausen T, Muche AA, Alemu K, Deckert A. Community cervical cancer screening: Barriers to successful home-based HPV self-sampling in Dabat district, North Gondar, Ethiopia. A qualitative study. PLoS One. 2020;15(12):e0243036. https://doi.org/10.1371/journal.pone.0243036 PMid:33306681 DOI: https://doi.org/10.1371/journal.pone.0243036

Triyono A. Pemberdayaan Masyarakat Melalui Community Development Program Posdaya (Pos Pemberdayaan Keluarga) PT. Tbk Pabrik Cilacap: Holcim Indonesia; 2014. https://doi.org/10.23917/komuniti.v6i2.2949

Attum B, Waheed A, Shamoon Z. Cultural Competence in the Care of Muslim Patients and Their Families. Treasure Island: StatPearls Publishing; 2018.

Juwah B. Empowering Nigerian Immigrant Women through Reproductive Education: Impact on Socio-economic Development. Arizona: University of Phoenix; 2020.

Handayani SD, Setiyawati N, Arum DN. Behavior of visual inspection with acetate acid (VIA) test on women. J Kesehat Ibu Anak. 2018;12(1):29-39.

Miles MB, Huberman AM, Saldaña J. Qualitative Data Analysis: A Methods Sourcebook. Thousand Oaks: Sage Publications; 2018.

Nahon-Serfaty I, Eid M. Women, polarization, and communication for social change. In: Culture Migration Health Communication in a Global Context. 1st ed. Milton Park: Routledge; 2017. https://doi.org/10.4324/9781315401348-12 DOI: https://doi.org/10.4324/9781315401348-12

Chevalier JM, Buckles DJ. Participatory Action Research: Theory and Methods for Engaged Inquiry. Milton Park: Routledge; 2019. https://doi.org/10.4324/9781351033268 DOI: https://doi.org/10.4324/9781351033268

Abiodun OA, Olu-Abiodun OO, Sotunsa JO, Oluwole FA. Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria. BMC Public Health. 2014;14(1):814. https://doi.org/10.1186/1471-2458-14-814 PMid:25103189 DOI: https://doi.org/10.1186/1471-2458-14-814

Surepally S. Women empowerment through education a sociological perspective. Int J Multidiscip Educ Res. 2021;10(1-7):206-10.

Thippeveeranna C, Mohan SS, Singh LR, Singh NN. Knowledge, attitude and practice of the pap smear as a screening procedure among nurses in a tertiary hospital in north eastern India. Asian Pac J Cancer Prev. 2013;14(2):849-52. https://doi.org/10.7314/apjcp.2013.14.2.849 PMid:23621250 DOI: https://doi.org/10.7314/APJCP.2013.14.2.849

Haesebaert J, Lutringer-Magnin D, Kalecinski J, Barone G, Jacquard AC, Régnier V, et al. French women’s knowledge of and attitudes towards cervical cancer prevention and the acceptability of HPV vaccination among those with 14-18 year old daughters: A quantitative-qualitative study. BMC Public Health. 2012;12(1):1034. https://doi.org/10.1186/1471-2458-12-1034 PMid:23186288 DOI: https://doi.org/10.1186/1471-2458-12-1034

Monica LP, Ulfa M. The correlation of the perception of early detection cervical cancer with attitude to do visual inspection with acetic acid. J Ners Kebidanan. 2020;7(1):44-9. https://doi.org/10.26699/jnk.v7i1.art.p044-049 DOI: https://doi.org/10.26699/jnk.v7i1.ART.p044-049

Giddens A, Turner J. Social Theory Today: Panduan Sistematis Tradisi Dan Tren Terdepan Teori Sosial Terj. Indonesia: Yudi Santoso, Yogyakarta Pustaka Pelajar; 2015.