Website-based Application for Cervical Cancer Prevention Behavior in Semarang City

Abstract

Data from the World Cancer Research Fund (WCRF) 2022 showed that Indonesia ranked third globally in cervical cancer incidence, with 36.964 reported cases. World Health Organization (WHO) also estimated approximately 21.000 deaths annually. This study aimed to evaluate the effectiveness “Si VIVA” website-based application in improving knowledge, attitudes, and cervical cancer prevention behaviour among women of reproductive age. A quasi-experimental pretest–posttest design with a control group was employed involving 100 women of reproductive age, divided equally into intervention and control groups across five community health centers in Semarang City in 2025. The independent variable was the “Si VIVA” website-based application, while knowledge and attitudes served as mediating variables, then cervical cancer prevention behavior were considered the dependent variable. Data were analyzed using the Wilcoxon Signed-Rank Test and Effect Size Test analysis. The intervention group showed significant improvements in knowledge (p=0.000) and attitudes (p=0.006), but not in prevention behavior (p=0.317). In the control group, all variables improved significantly, including knowledge (p=0.000), attitudes (p=0.000), and prevention behavior (p=0.005). The “Si VIVA” application was effective in improving knowledge and attitudes; however, it was not yet effective in enhancing cervical cancer prevention behavior.