Empowering Women of Reproductive Age (WUS) through Implementation of the 'AYU CARE' Model in Independent Early Breast Cancer Screening at Puskesmas Rambah

Vollständiger Abstract

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Breast health promotion in primary care requires cadres who are able to convey warning signs, support breast awareness, and connect women with health workers. This community service activity involved 23 female cadres in Rambah Tengah Utara, Rokan Hulu, in July 2026. The series of activities included participant registration, distribution of breast-health leaflets, interactive education, visual demonstration, guided breast self-examination (BSE) practice, use of supporting digital media, mentoring, discussion, and a final evaluation. Evaluation was carried out through questions and answers, facilitator observation of practice, and participant feedback. The activity report recorded improved understanding, self-efficacy, practical skills, and independence in performing breast self-examination, along with active cadre participation and strengthened coordination with primary-care workers. Outputs of the activity included reusable educational media, strengthened cadre roles, and a follow-up plan through periodic education, reminders, monitoring, and referral. The source document did not contain verifiable quantitative pre-post scores, so the results are presented descriptively.