PERIMENOPAUSE EDUCATION AND EARLY DETECTION OF CERVICAL CANCER VIA IVA SCREENING AMONG INFORMAL SECTOR WOMEN WORKERS AT BERINGHARJO MARKET

Abstract

Perimenopause and cervical cancer remain neglected reproductive health issues among informal women workers in Indonesia, including traders in traditional markets. This community service activity aims to increase women's awareness of perimenopause and early detection of cervical cancer through Visual Inspection with Acetic Acid (VIA/IVA) education at Pasar Beringharjo, Yogyakarta. The activity used a one-group pre-test post-test design involving women of perimenopausal age, women of childbearing age, and female traders as participants. Health education was delivered through lectures, leaflets, and interactive discussions, followed by a question-and-answer session. Knowledge was measured before and after the intervention using a structured questionnaire. Results showed the mean knowledge score increased from 68.5 (pre-test) to 89.2 (post-test), with a paired t-test result of t(29) = -10.524 and p < 0.05, indicating a statistically significant improvement. The activity successfully increased participants' understanding of perimenopausal changes, cervical cancer risk factors, and the importance of routine VIA examination. Sustainable collaboration among health institutions, market management, and the community is recommended to maintain awareness and encourage regular screening behavior.