Abstract

Maternal and child health is one of the key indicators of national development, as it determines the quality of future generations. Maternal and infant mortality rates remain a challenge in Indonesia, particularly in island regions with limited access to healthcare services, such as Otemer Village, Wermaktian District, Tanimbar Islands Regency. This community service activity aimed to improve the health status of mothers and women of reproductive age through pregnancy examinations and Visual Inspection with Acetic Acid (IVA) tests as efforts for early detection of pregnancy risks and prevention of cervical cancer. The method used was a community-based direct service approach with educational and preventive strategies. The activity was conducted for one day at Otemer Village Hall, involving a team of community service members, the village midwife, and health cadres. The stages of activity included preparation, implementation, and evaluation. The results showed that among eight pregnant women examined, two were identified as high-risk pregnancies—one due to being under twenty years old and the other due to a short interpregnancy interval of less than two years. Additionally, among seventeen reproductive-age women who underwent the IVA test, three showed positive results indicating a risk of cervical cancer. The analysis revealed that low community awareness of reproductive health examinations was the main cause of delayed risk detection. Through this program, participants’ knowledge increased regarding the importance of regular pregnancy check-ups and IVA tests. This community service concluded that community-based midwifery services are effective in improving maternal and child health in island regions.