Jurnal Layanan Masyarakat (Journal of Public Service), vol 7 no 1 Tahun 2023, halaman 100-113 ISSN 2580-8680, e-ISSN 2722-239X Received 24 December 2022; Received in revised form 8 March 2023; Accepted 9 March 2023; Available online 10 March 2023. 10.20473/jlm.v7i1.2023.100-113 Open acces under CC BY-SA license Creative CommonsAttribution-ShareAlike 4.0 International License 100 EARLY DETECTION OF CERVICAL CANCER AND PAP SMEAR ADEQUACY AT PUSKESMAS PILANGKENCEN, MADIUN DISTRICT DETEKSI DINI KANKER SERVIKS DAN ADEKUASI SEDIAAN PAP SMEAR DI PUSKESMAS PILANGKENCENG KABUPATEN MADIUN Anny Setijo Rahaju*, Alphania Rahniayu, Nila Kurniasari, Dyah Fauziah, Etty Hary Kusumastuti, Gondo Mastutik, Dewi Sartika AW, Fira Soraya, Khafidhotul Ilmiah Department of Patological Anatomic, Faculty of Medicine, Universitas Airlangga, Surabaya Dr Soetomo General Academic Hospital, Surabaya, Indonesia Universitas Airlangga Hospital, Surabaya, Indonesia *e-mail: anny_sr@fk.unair.ac.id Abstract This study aims to increase understanding about early detection of cervical cancer and pap smear evaluation among residents, as well as to increase the pap smear sampling skills by health workers in Pilangkenceng District, Madiun Regency. This study was a descriptive observational study using a cross-sectional approach which was conducted on 100 women, from the Pilangkenceng Primary Health Center in Madiun Regency, aged 20 to 70 years. Pre- test and post-test assessments were carried out before and after the education of cervical cancer. Specimen adequacy assessment was carried out on 100 Pap smear samples taken by the health workers based on the Papaniculaou classification and the Bethesda system. Pap smear results were also compared with the results of the visual inspection of acetic acid (IVA) which was done before. Education of cervical cancer to the community can increase people's understanding of cervical cancer by 8.05% to 82.26%, while training for health workers on the technique of pap smear sampling shows an increase in knowledge of 51.62% to 100%. Adequacy of pap smear samples by health workers in Pilangkenceng District, Madiun Regency showed that 99% were adequate and satisfactory. Ten percent of IVA examinations showed positive results and those cases showed signs of inflammation and infection on pap smear examination. Community service activities of early detection of cervical cancer through the pap smear method can increase the understanding of early detection of cervical cancer in the community and the knowledge and sampling skills of health workers, hence the health workers at the Pilangkenceng Primary Health Center are ready to provide pap smear services for the community. Keywords: adequacy, early detection, pap smear, IVA, cervical cancer. Abstrak Kegiatan ini bertujuan untuk mengetahui peningkatan pemahaman tentang deteksi dini kanker serviks dan serta evaluasi pap smear pada warga, serta peningkatan kemampuan dalam melakukan pap smear oleh tenaga kesehatan di Kecamatan Pilangkenceng Kabupaten Madiun. Penelitian observasional deskriptif dilakukan dengan metode pendekatan cross