Latar Belakang: Kanker serviks merupakan kanker terbanyak kedua yang menyerang wanita di Indonesia setelah kanker payudara. Persentase deteksi dini kanker serviks di Provinsi Bali pada perempuan usia 30-50 tahun masih rendah, dengan Kabupaten Badung hanya mencapai 13,1%. Salah satu metode deteksi dini adalah Inspeksi Visual Asam Asetat (IVA). Media audio-visual dapat menjadi sarana edukasi yang menarik untuk meningkatkan motivasi deteksi dini. Penelitian ini bertujuan untuk mengetahui efektivitas media audio visual dalam meningkatkan motivasi deteksi dini kanker serviks dengan metode IVA pada pre menopause. Metode: Penelitian ini menggunakan desain pre-experimental dengan pendekatan one group pretest-posttest design. Sampel sebanyak 92 wanita premenopause di Desa Pecatu yang dipilih melalui kriteria inklusi. Data dikumpulkan melalui kuesioner pretest dan posttest setelah intervensi menggunakan media audio-visual, lalu dianalisis dengan uji paired sample t-test. Hasil: Sebelum intervensi, mayoritas responden memiliki motivasi sedang (70,7%). Setelah diberikan edukasi menggunakan media audio-visual, terjadi peningkatan signifikan dengan 89,1% responden memiliki motivasi tinggi. Hasil uji paired sample t-test menunjukkan p=0,000 < 0,05 yang berarti terdapat perbedaan signifikan sebelum dan sesudah intervensi. Kesimpulan: Media audio-visual efektif meningkatkan motivasi deteksi dini kanker serviks dengan metode IVA pada wanita premenopause di wilayah kerja Puskesmas Kuta Selatan. Kata Kunci: Media audio-visual, motivasi, deteksi dini, kanker serviks, IVA, premenopause

Background: Cervical cancer is the second most common cancer affecting women in Indonesia after breast cancer. The percentage of early detection of cervical cancer in Bali on women aged 30-50 years old is still low, in Badung Regency was only 13.1%. One of the early detection methods is the Acetic Acid Visual Inspection (IVA) method. Audio-visual media can be a means of education to increase motivation for early detection. This study aims to determine the effectiveness of audio-visual media in improving motivation for early detection of cervical cancer by using the IVA method in pre-menopausal women Method: This research employed pre-experimental design with one group pretest-posttest design. There were 92 pre menopause women in Pecatu Village recruited as the samples which were chosen by using inclusive criteria. The data were collected by using pre-test and post-test after being given audio visual method. The data were analyzed by using paired sample t-test. Findings: Before the intervention, the majority of the respondents had moderate motivation. After being given education by using audio-visual media, 89.1% respondents had high motivation. The result of paired sample t-test showed there was significant differences between before and after being given the intervention. Conclusion: Audio-visual is effective to improve the motivation early detection of cervical cancer by using IVA method on pre-menopausal women in the working area of Public Health Center South Kuta. Keywords: Audio-Visual Media, Motivation, Early Detection, Cervical Cancer, IVA, Pre-menopause