Background: Cervical cancer is a major probÂlem in women's. Cervical cancer can be prevented by early examinations i.e. visual inspection acetic acid (VIA). This study aimed to analyze the contexÂtual effect of community health center on VIA upÂtake in Magelang, Central Java.Subjects and Method: This was analytic obserÂÂÂÂvational study with cross-sectional design. The stuÂdy was conducted at 25 community health cenÂÂÂÂÂters in Magelang, Central Java, from SepÂtemÂber to October 2019. A toÂtal sample of 200 women aged 30 to 50 years was selected ranÂdomly. The dependent variable was VIA uptake. The independent variables were knowledge, obÂserÂÂÂvational learÂning, behavioral reinforcement, cues for action, access to information, family supÂport, attitude, self-efficacy, outcome expecÂtation, and contextual factor of community health cenÂter. The data were collected by quesÂtionÂnaire and analyzed by a multilevel multiple logistic regÂresÂsion run on Stata 13.Results: VIA uptake increased with good knowÂledge (b= 4.02; 95% CI= 0.61 to 7.42; p= 0.021), obserÂÂvational learning (b= 2.28; 95% CI= -0.35 to 4.93; p= 0.090), strong behavioral reinÂforceÂment (b= 4.11; 95% CI= 0.82 to 7.40; p= 0.014), strong cues to action (b= 5.36; 95% CI= 0.65 to 10.07; p= 0.026), good access to information (b= 3.71; 95% CI= 0.42 to 7.01; p= 0.027), strong family support (b= 4.23; 95% CI= 0.21 to 8.25; p= 0.039), positive attitude (b= 3.29; 95% CI= -0.23 to 6.81; p= 0.067), strong self-efficacy (b= 2.94; 95% CI= 0.10 to 5.78; p= 0.042), and strong outcome expectation (b= 3.39; 95% CI= 0.35 to 6.44; p= 0.029). Community health cenÂter had strong contextual effect on VIA uptake with intra-class correlation (ICC)= 23%.Conclusion: VIA uptake increases with good knowÂledge, observational learning, strong behaÂviÂoÂral reinÂforcement, strong cues to action, good access to information, strong family support, posiÂtive attitude, strong self-efficacy, and strong outÂcome expectation. The community health center has a strong contextual effect on VIA uptake.Keywords: visual inspection acetic acid, social cognitive theory, multilevel analysisCorrespondence:Â Herlina Ika Martaningrum, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. SuÂtami 36A, Surakarta 57126, Central Java, IndoÂnesia. Email: herlinaika21@gmail.com. Mobile: 085643528156Journal of Maternal and Child Health (2020), 5(2): 129-140https://doi.org/10.26911/thejmch.2020.05.02.02Â Â