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Refusal of Visual Inspection with Acetic Acid (VIA) examination remains a major challenge in cervical cancer early detection, particularly among women of reproductive age. This study aimed to analyze factors influencing refusal of VIA examination among women of reproductive age in Beringin Jaya Village, Oba Tengah District. A quantitative analytic study with a cross-sectional design was conducted involving 74 respondents. Data were collected using a structured questionnaire assessing educational level, knowledge, information, and the role of health workers. Data analysis included univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using ordinal logistic regression.The results showed that most respondents refused or hesitated to undergo VIA examination. Bivariate analysis demonstrated that educational level, information, and the role of health workers were associated with refusal of VIA examination, while knowledge level showed a tendency toward association. However, multivariate analysis revealed that only the role of health workers had a statistically significant effect on refusal of VIA examination. Educational level, knowledge, and information were not significant predictors after adjustment.These findings indicate that service-related factors, particularly the role of health workers, are more influential than individual factors in shaping decisions regarding VIA examination. Strengthening health workers’ roles through effective communication and interpersonal counseling is essential to improve VIA examination uptake.

Cervical cancer generally affects women aged between 15 and 49 years. Globally in 2020, there were 19.2 million new cancer cases which caused nearly 10 million deaths, according to data from WHO. The WHO cancer profile also recorded around 604,127 cases of cervical cancer worldwide, where this incidence was the second largest in Asia with a percentage of 58.2%, or around 351,720 individuals affected by the disease. In Indonesia, based on data from Global Burden Cancer (GLOBCAN) described in the Indonesia Cancer Care Community (ICCC) article, cervical cancer is in second place in terms of the highest number of sufferers after breast cancer in women, with around 32,469 cases (17.2%) and the death rate was around 18,279 people (8.8%). Objective. Knowing the Relationship between Cervical Cancer Knowledge and Early Detection of Visual Inspection of Acetic Acid (IVA) in Women of Childbearing Age in Tawaang Barat Subdistrict, Manado City in 2023 Research Method. This research uses quantitative research with analytical survey methods and a cross-sectional approach. The sample in this study was women of childbearing age aged 25-49 years. The sample was taken using Cluster random sampling, obtaining a sample of 135 respondents. Data analysis used Chi square. Results. For sufficient knowledge, 53 people (39.3%), 78 people (57.8%) did not carry out early detection. The results of Chi square analysis for the relationship between knowledge of cervical cancer and early detection of VIA examination are p value (0.000) ˂α (0.05).