Evaluation of cervical cancer screening program implementation in Boyolali District in 2024

  • Amira Nada Fatikha Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Shinta Prawitasari Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Riris Andono Ahmad Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Teguh Tri Kuncoro Boyolali District Health Office, Boyolali, Central Java, Indonesia
Keywords: cervical cancer, screening, visual inspection of acetic acid (VIA)

Abstract

Purpose: The Boyolali district has never reached the cervical cancer screening coverage target for women of childbearing age, aged 30-50 years. In 2023, cervical cancer screening coverage reached 1.7% of the target of 63%. So this study aims to evaluate the implementation of the cervical cancer screening program in Boyolali District in 2024.

Methods: This study used a descriptive, observational, quantitative design, with analysis using a logic model that included the program implementation components of inputs, activities, and outputs. Sampling was purposive, with 28 respondents selected for their roles in the cervical cancer screening program. Primary data were collected using a questionnaire instrument. All data obtained were then processed and analyzed descriptively using Microsoft Excel.

Results: The evaluation of the cervical cancer screening program in Boyolali District shows that the input components, particularly regulations and human resources, remain inadequate. In terms of activities, passive and active services, socialization, advocacy, and monitoring and evaluation are still limited. As for cervical cancer screening in Boyolali District in 2024, coverage was only 2.44% of the target, with 6.53% of tests returning positive results.

Conclusion: The implementation of the cervical cancer screening program in Boyolali District in 2024 was not optimal. Improvement efforts are needed in regulations, resources, and the intensity of activities to increase screening coverage.

References

Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians. 2024;74(3):229–63.

International Agency for Research on Cancer. Global Cancer Observatory : Indonesia. Geneva: World Health Organization; 2022. Available from: [Website]

Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia tahun 2023. Jakarta: Kemen- terian Kesehatan RI; 2023. Available from: [Website]

Dinas Kesehatan Kabupaten Boyolali. Profil Kese- hatan Kabupaten Boyolali tahun 2023. Boyolali: Dinas Kesehatan Kabupaten Boyolali; 2024.Available from: [Website]

Agripa SM, Nainggolan AW, Purba EM. Evaluasi manajemen pelayanan test inspeksi visual asam asetat (IVA) di Puskesmas Pematang Kandis Kecamatan Bangko Kabupaten Merangin tahun 2023. Gudang Jurnal Ilmu Kesehatan. 2024;2(1):6– 11.

Rigby S, Greenley R, Uuskula A, Tisler A, Suurna M, Jesse M, et al. Expanding eligibility and improving quality of cervical cancer screening in Estonia: The 2021 reforms. Health Policy. 2024;144:105077.

Apriningrum N, Arya IFD, Susanto H. Evaluasi input pada program pencegahan kanker serviks dengan pemeriksaan IVA di Kabupaten Karawang. Jurnal Bidan. 2017;3(2):52–9.

Descamps P, Dixon S, Bosch Jose FX, Kyrgiou M, Monsonego J, Neisingh O, et al. Turning the tide—Recommendations to increase cervical cancer screening among women who are underscreened. International Journal of Gynecology and Obstetrics. 2024;166(Suppl 1):3–21.

Ssennyonjo A, Osoro O, Ssengooba F, Ekirapa- Kiracho E, Mayora C, Ssempala R, et al. The government budget: an overlooked vehicle for advancing strategic health purchasing. Health Systems & Reform. 2022;8(2):2082020.

Anggraini FD. Faktor yang mempengaruhi implementasi program deteksi dini kanker serviks melalui pemeriksaan IVA (inspeksi visual asam asetat) di Puskesmas Wilayah Kota Surabaya. Jurnal Ilmiah Kesehatan. 2015;8(1):29–40.

Lubis DR, Yuria M, Putri AD. Peran media promosi kesehatan terhadap minat wanita usia subur (WUS) dalam melakukan deteksi dini kanker serviks dengan metode IVA test. Seminar Nasional Syedza Saintika. 2021;1(1):568.

Sanatkanuly M, Baigabylov N. Intersectoral collaboration among NGOs addressing complex public health issues: a comprehensive study. Economic Annals-XXI. 2024;207 (1-2):59-70.

Mustika I, Tyastirin E, Hadi MI, Hidayati I. Community empowerment through the cervical and breast cancer early detection program with the formation of Srikandi cadres (early cancer awareness) in Kangean Islands, Sumenep Regency. Engagement: Jurnal Pengabdian Kepada Masya- rakat. 2019;3(2):127–42.

Aldámiz-Echevarria T, Fanciulli C, Lopez M, Perez L, Tejerina F, Sanchez D, et al. Direct collaboration between hospitals and NGOs, an essential tool to reinforce linkage to care in people living with HIV. Scientific Reports. 2025;15(1):3583.

Budiman B, Hidayat YM, Harsono AB. Evaluasi program deteksi dini kanker serviks dengan metode see and treat di Kabupaten Karawang. Indonesian Journal of Obstetrics & Gynecology Science. 2019;2 (1):72–80.

Jia X, Yan H, Shi Z, Gao C, Zhai J, Ding H, et al. Systematic training and technological empowerment: enhancing the quality of cervical and breast cancer screening in low-resource areas of China. Gynecology and Obstetrics Clinical Medicine. 2024; 4(4):e000107.

Amelia R, Fajriyah UN, Octaviani DA. Evaluasi pelaksanaan program deteksi dini kanker serviks dengan metode inspeksi visual asam asetat (IVA) dan deteksi dini kanker payudara dengan metode clinical breast examination (CBE).Jurnal Kebidanan. 2019;9(1):56–69.

Agide FD, Garmaroudi G, Sadeghi R, Shakibazadeh E, Yaseri M, Koricha ZB, et al. A systematic review of the effectiveness of health education interventions to increase cervical cancer screening uptake. European Journal of Public Health. 2018;28(6):1156– 62.

Kurniawati P, Setyowati, Rachmawati IN. Intervensi yang efektif dalam peningkatan skrining kanker serviks pada perempuan usia subur. Journal of Telenursing (JOTING). 2024;6(1).

Mariño JM, Nunes LMP, Ali YCMM, Tonhi LDC, Salvetti MDG. Educational interventions for cervical cancer prevention: a scoping review. Revista Brasileira de Enfermagem. 2023;76(5):e20230018.

Mitchell SM, Pedersen HN, Biryabarema C, Sekikubo M, Byamugisha JJK, Mwesigwa D, et al. Strategies for community education prior to clinical trial recruitment for a cervical cancer screening intervention in Uganda. Frontiers in Oncology.2016; 6:90.

Nurazizah A, Chotimah I, Pujiati S. Implementasi program deteksi dini kanker serviks melalui metode inspeksi visual asam asetat (IVA) di Puskesmas Bojongsari Kota Depok tahun 2018. Promotor. 2021; 4(2):73.

Madiuw D, Tahapary W, Rahmawati A, Imansari B, Nurhidayah I, Napisah P. Skrining kanker serviks. Pekalongan: Penerbit NEM; 2022.

Published
2025-12-31
How to Cite
Fatikha, A. N., Prawitasari, S., Ahmad, R. A., & Kuncoro, T. T. (2025). Evaluation of cervical cancer screening program implementation in Boyolali District in 2024. Berita Kedokteran Masyarakat, 41(12), e22721. https://doi.org/10.22146/bkm.v41i12.22721
Section
Articles