A Systematic Review of Intervention on Improving Cervical Cancer Screening Rates

Ida Maryati,Raden Roro Widiastuti,Nur Rifa Fatmia,Lia Yulianti Yulianti,Reni Rohaniah,Okta Sri Rahmayani,Riana Hendra,Rery Yuliani Pratiwi

doi:10.35654/ijnhs.v3i4.340

Abstract

Cervical cancer is a disease that can be prevented through early detection. However, cervical cancer is the fourth leading cause of death for women globally due to the low coverage of cervical cancer screening. An intervention is needed to increase the coverage of cervical cancer screening. This study aimed to provide current evidence of effective interventions to improve cervical cancer screening coverage, especially with low socio-economic conditions. This study uses a systematic design review to review the literature that has been evaluated in a structured, classified, and categorized based on evidence-based previously. The study's inclusion characteristics are as follows: all article searches are limited to those in English or Indonesian only, and scan bibliography to identify relevant articles, method design is RCT studies, or quasi-experiments. The study results found the characteristics of the article as follows: the majority of studies were conducted in the Americas, two studies in Asia, and one in Europe. The respondents' age varied from> 18 years to 75 years; the number of samples ranged from 102 to 12,061 respondents. Interventions were grouped into three types, namely: health education, self-testing, and reminders of the screening schedule. Among the three types of interventions most recommended is counseling with video media, because providing information with exciting media will increase knowledge which will increase women's interest in screening. Independent screening interventions can also increase the coverage of cervical cancer screening in women with low socio-economic conditions because this method allows more savings in funding

Highlights

Cervical cancer is the fourth leading cause of death in women globally; as many as 528,000 cases were diagnosed in 2012
The characteristics of the 14 articles reviewed are as follows: 11 studies were conducted in the American continent, two studies were carried out in the Asian continent, and 1 in the European continent, no research was conducted in Indonesia
A study in France on 18,730 women who had never been screened as an intervention group while the control group received an invitation to screen for cervical cancer, the results of the analysis showed that more intervention groups participated in cervical cancer screening (18.3%) than in the control group (2%) [3]

Summary

Introduction

Cervical cancer is the fourth leading cause of death in women globally; as many as 528,000 cases were diagnosed in 2012. About 87% of all cases and 90% of all deaths from cervical cancer occur in developing countries [1]. Cervical cancer is a disease that can be prevented by early detection with a Pap smear. Detection using a Pap smear has been used worldwide to detect and treat dysplasia before it develops into cancer [2]. Detection has been recognized to reduce cervical cancer rates in developed countries with high incomes, especially states that have implemented early detection programs nationally [3]. It has been accepted that cervical cancer screening as a public health intervention to reduce the incidence and death from this disease [4]

Methods

Results

Conclusion