FAKTOR AKSESIBILITAS PELAYANAN KESEHATAN TERHADAP PEMERIKSAAN IVA DI PUSKESMAS BENCULUK KABUPATEN BANYUWANGI

2021 ◽  
Vol 3 (4) ◽  
pp. 305
Author(s):  
Arisca Arisca ◽  
Pudji Lestari ◽  
Nila Kurniasari

Abstrak Latar Belakang: Kanker serviks merupakan salah satu penyakit kanker yang menyerang wanita dan menduduki urutan kedua setelah kanker payudara di Indonesia. Salah satu pencegahan yang dapat dilakukan adalah dengan melakukan pemeriksaan deteksi dini kanker serviks metode IVA. Keinginan melakukan pemeriksaan IVA dipengaruhi beberapa faktor, diantaranya pengetahuan, kesadaran, keternagkauan jarak, keterjangkauan biaya, serta persepsi Ibu. Penelitian ini bertujuan untuk menganalisis faktor aksesibilitas pelayanan kesehatan dan persepsi ibu terhadap pemeriksan IVA di Puskesmas Benculuk Kabupaten Banyuwangi. Metode: Penelitian ini merupakan penelitian observasional deskriptif dengan desain cross sectional. Pengambilan sampel menggunakan teknik random sampling sejumlah 60 responden dengan instrument penelitian kuisioner. Variabel penelitian terdiri dari pengetahuan, kesadaran, keterjangkauan jarak, keterjangkauan biaya, dan persepsi Ibu. Hasil: Hasil penelitian didapatkan bahwa 93,3% belum pernah melakukan pemeriksaan IVA, 90% WUS memiliki pengetahuan baik, 70% memiliki keterjangkauan jarak yang jauh dengan tempat pelayanan kesehatan, 100% mampu dalam pembiayaan pemeriksaan IVA, sebagian besar WUS memiliki persepsi yang baik terkait kanker serviks dan pemeriksaan IVA. Kesimpulan: Faktor aksesibilitas pelayanan kesehatan dan persepsi Ibu terhadap pemeriksaan IVA termasuk dalam golongan baik, namun dari 60 responden hanya 4 responden yang sudah pernah melakukan pemeriksaan IVA. Beberapa alasan mengapa WUS belum melakukan pemeriksaan  diantaranya karena rasa malu dan takut kepada petugas kesehatan, rasa takut apabila terdeteksi adanya penyakit kanker serviks, serta merasa belum membutuhkan pemeriksaan IVA karena belum merasakan adanya gejala yang mengarah pada penyakit kanker serviks.Abstract Background: Cervical is a cancer that involves women. Cervical cancer rank’s is the second after breast cancer in Indonesia. Prevention that can be done is by conducting an examination of the early detection of cervical cancer VIA method. The desire to conduct VIA test is influenced by several factors, including knowledge, awareness, distance awareness, cost affordability, and mother's perception. This study aims to analyze the accessibility factors of health services and maternal perceptions of VIA test at the Puskesmas Benculuk Kabupaten Banyuwangi. Methods: This study was a descriptive observational study with a cross sectional design. Sampling used a random sampling technique of 60 respondents with questionnaire research instruments. The research variables consisted of knowledge, awareness, affordability, affordability, and women's perception. Results: The results showed that 93.3% had never done VIA examination, 90% of women of childbearing age had good knowledge, 70% had far-reaching affordability with health care facilities, 100% were able to finance IVA examinations, most women of childbearing age had a good perception of cancer cervix and VIA test. Conclusion: Accessibility factors for health services and maternal perceptions of IVA examination are included in the good category, but from 60 respondents only 4 respondents have already conducted IVA examinations. Some of the reasons why women of childbearing age has not conducted an examination include the feeling of shame and fear of health workers, fear of cervical cancer being detected, and feeling that they have not needed an IVA examination because they have not felt any symptoms that lead to cervical cancer.

2017 ◽  
Vol 1 (01) ◽  
pp. 61
Author(s):  
Hepi Diah Apika ◽  
Endo Dardjito ◽  
Dyah Umiyarni Purnamasari

Abstract The purpose of this study analyze the relationship between the iodine content of salt consumption and the level of consumption of iodine levels in women of childbearing age UIE. The study was observational with cross sectional design. The research location in the village of Kebumen, Baturraden subdistrict, Banyumas. Subjects were 38 selected by simple random sampling technique. The consumption level of iodine was measured by the method of Food Recall 2x24 hours. Salt iodine content was measured by iodometric titration method and UIE levels measured by acid digestion method in the laboratory BP2GAKI Magelang. Data analysis using spearman correlation. A total of 71.1% women of childbearing age using the iodine content of salt consumption of <30 ppm. The consumption level of iodine less subject category (86.8%). UIE levels by an average of 156.50 μg/L category of normal iodine intake. There was no relationship with the iodine content of salt UIE levels (p=0.671). No correlation with levels of iodine consumption levels UIE (p=0.586). Levels of UIE women of childbearing age are not affected by the iodine content of salt and iodine consumption levels.   Keywords: Iodized salt, consumption levels, UIE   Abstrak   Tujuan penelitian ini adalah menganalisis hubungan kadar yodium konsumsi garam dan tingkat konsumsi kadar yodium pada wanita usia subur UIE. Penelitian ini bersifat observasional dengan rancangan cross sectional. Lokasi penelitian di desa Kebumen, Kecamatan Baturraden, Banyumas. Subjek penelitian dipilih dengan teknik simple random sampling. Tingkat konsumsi yodium diukur dengan metode Food Recall 2x24 jam. Kandungan garam yodium diukur dengan metode titrasi iodometrik dan tingkat UIE yang diukur dengan metode pencernaan asam di laboratorium BP2GAKI Magelang. Analisis data menggunakan korelasi spearman. Sebanyak 71,1% wanita usia subur menggunakan kandungan yodium konsumsi garam <30 ppm. Tingkat konsumsi kategori subjek kurang yodium (86,8%). Tingkat UIE rata-rata 156,50 μg / L kategori asupan yodium normal. Tidak ada hubungan dengan kadar yodium kadar garam UIE (p = 0,671). Tidak ada korelasi dengan tingkat kadar konsumsi yodium UIE (p = 0,586). Tingkat wanita UIE pada usia subur tidak terpengaruh oleh kadar yodium tingkat konsumsi garam dan yodium.  Kata kunci: garam beryodium, tingkat konsumsi, UIE


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Mona Rahayu Putri ◽  
Lia Fitria ◽  
Indah Sri Wahyuni ◽  
Saraswati Haylian Chiani ◽  
Ernawati Ernawati

Cervical cancer is the second most common cancer in Asia and more than half of Asian women die of cervical cancer. The purpose of this research is to find out the relationship of knowledge, attitude and support of husband to IVA examination in Batu Aji health center in Batam. This research is analytical research with a cross sectional approach by using Cluster Sampling. The sample size is 100 Women of Childbearing Age. Data collection tools with questionnaires. The analytical technique used chi square test. From the results of the study Women of Childbearing Age had a low knowledge of IVA examination as many as 68 people (68%), had a negative attitude as many as 63 people (63%) and out of 100 respondents only 4 people (4 %) IVA checks. Based on chi square test with misunderstanding degree p< 0.05 it was found that there is a meaningful relationship between knowledge with IVA examination with p = 0.009 and OR 1,143, also obtained a meaningful between attitude with IVA examination with p = 1.01 and OR 1,121. To solve this problem it is expected to health workers to provide information or counseling about IVA examinations to women of childbearing age.


2019 ◽  
Vol 1 (2) ◽  
pp. 1-7
Author(s):  
Tiffani Tantina

Premenstrual syndrome is quite high, with almost (75%) of women of childbearing age around the world experiencing premenstrual syndrome. Country of Indonesia itself the number of events around (70-90%), which occurs in women of childbearing age and more often found in women aged 20-40 years. This figure indicates that Premenstrual Syndrome in Indonesia is quite a lot that needs to be done countermeasures to stay and overcome it. Low knowledge of the various forms of adolescents have risky behavior / action. The purpose of this study was to analyze the relationship between the variables studied and knowledge with Premenstrual Actions Syndrome. This research method uses pure quantitative in cross sectional approach. The research subjects were female teenagers residing in the new village of Pancur Batu sub-district, which faced 90 people who were 12-16 years old. Random sampling technique by simple random sampling. Data analysis was done by Chi-Square test with multiple Linear regression test. The result of the study was no correlation between end result of age, education, first menstruation with action of overcoming premenstrual syndrome , the most dominant and significant variable is age, and knowledge also has a significant relationship with the action of overcoming premenstrual syndrome.


2019 ◽  
Vol 1 (2) ◽  
pp. 1-7
Author(s):  
Tiffani Tantina

Premenstrual syndrome is quite high, with almost (75%) of women of childbearing age around the world experiencing premenstrual syndrome. Country of Indonesia itself the number of events around (70-90%), which occurs in women of childbearing age and more often found in women aged 20-40 years. This figure indicates that Premenstrual Syndrome in Indonesia is quite a lot that needs to be done countermeasures to stay and overcome it. Low knowledge of the various forms of adolescents have risky behavior / action. The purpose of this study was to analyze the relationship between the variables studied and knowledge with Premenstrual Actions Syndrome. This research method uses pure quantitative in cross sectional approach. The research subjects were female teenagers residing in the new village of Pancur Batu sub-district, which faced 90 people who were 12-16 years old. Random sampling technique by simple random sampling. Data analysis was done by Chi-Square test with multiple Linear regression test. The result of the study was no correlation between end result of age, education, first menstruation with action of overcoming premenstrual syndrome ,the most dominant and significant variable is age,and knowledge also has a significant relationship with the action of overcoming premenstrual syndrome.


2020 ◽  
Vol 4 (2) ◽  
pp. 171
Author(s):  
Rochana Tsaralatifah

Background: Stunting is a condition of a child’s growth disorder where the child's height does not match his age. Stunting is a problem caused by multifactorial. Children who grow stunting before the age of 6 months, will experience growth that is distrupted so that stunted more than severe by the age of two years. East Java province based on the result of Riskesdas in 2018 was recorded at 32,81% of toddelrs severe stunted and short. It is still a health problem because it still exceeds the standars set by WHO, where an area experiences acute nutritional problems if the prevalence of stunting babies is the same or more than 20%. While the percentage of  short babies in Indonesia is still more than 29% and is targeted to 19% in 2024. To reduce the number of stunting need to know what factors are associated with the incident. Such as the low frequency of maternal attendance at the neighborhood health services (Posyandu) which has an impact on the low level of maternal knowledge regarding child health. Objectives: To determine the relationship between family characteristics and the characteristics of respondents with the incidence of stunting in children under two years old in RW 06 Kelurahan Ampel Kota Surabaya.Methods: This research was conducted in RW 06 Ampel sub-district Semampir sub-district starting from December 2018-January 2019. This research was an observational analytic study with cross sectional study design and sampling using a simple random sampling technique. The population used in this study were all children under two years old living in RW 06, Ampel, Surabaya. Data collection methods were interview using structured questionnaire. Data was analyzed using the fisher exact test with a confidence level of 95% (α=0.05)Results: The results showed that the level of maternal knowledge (p=0.046) and the frequency of attendance at the neighborhood health services (Posyandu) (p=0.01) were factors related to stunting. While the variable family characteristics (number of family members, household income level, mother's education level) and respondent characteristics (gender, birth weight, birth length, birth history of exclusive breastfeeding) have no relationship with the incidence of stunting (p>0,05).Conclusions: Knowledge and frequency of attendance at the neighborhood health services (Posyandu) by Children Under Two Years Old mothers were related to stunting incidence. Therefore, health workers need to disseminate information to the public about the importance of PosyanduABSTRAKLatar Belakang: Stunting adalah kondisi pertumbuhan tinggi badan anak mengalami gangguan dimana tinggi badan tidak sesuai dengan usianya. Stunting merupakan permasalahan yang disebabkan karena multifaktor. Anak yang mengalami stunting sebelum usia 6 bulan, akan mengalami pertumbuhan yang terganggu sehingga terjadi kekerdilan lebih berat menjelang usia dua tahun. Data stunting di provinsi Jawa Timur berdasarkan hasil Riskesdas  tahun 2018 tercatat sebesar 32,81% balita dengan gizi sangat pendek dan pendek. Hal tersebut masih menjadi masalah kesehatan karena masih melebihi standar yang ditetapkan oleh WHO, dimana suatu wilayah dikatakan mengalami masalah gizi akut bila prevalensi bayi stunting sama atau lebih dari 20%. Sementara prosentase bayi pendek di Indonesia saat ini masih lebih dari 29% dan ditargetkan turun mencapai 19% pada tahun 2024. Untuk menurunkan angka stunting perlu diketahui faktor apa saja yang berhubungan dengan kejadian tersebut. Seperti rendahnya frekuensi kunjungan ibu ke posyandu yang berdampak pada rendahnya pengetahuan ibu terkait kesehatan anak.Tujuan: Mengetahui hubungan antara karakteristik keluarga dan karakteristik responden dengan kejadian stunting pada baduta di RW 06 kelurahan Ampel kota Surabaya.Metode: Penelitian ini dilakukan di RW 06 kelurahan Ampel kecamatan Semampir mulai dari bulan Desember 2019-Januari 2019. Penelitian ini menggunakan metode observasional analitik dengan desain studi cross sectional dan penarikan sampelnya menggunakan teknik simple random sampling. Populasi yang digunakan dalam penelitian ini adalah seluruh baduta yang bertempat tingggal di RW 06 kelurahan Ampel kota Surabaya. Metode pengumpulan data dengan melakukan pengukuran, wawancara dan analisis data menggunakan uji fisher exact dengan tingkat kepercayaan 95% (α=0,05)Hasil: Hasil penelitian menunjukkan bahwa tingkat pengetahuan ibu (p=0,046) dan frekuensi datang ke posyandu (p=0,01) merupakan faktor yang berhubungan dengan kejadian stunting. Sedangkan variabel karakteristik keluarga (jumlah anggota keluarga, tingkat pendapatan rumah tangga, tingkat pendidikan ibu) dan karakteristik responden(jenis kelamin, BB lahir, PB lahir, riwayat ASI eksklusif) tidak terdapat hubungan dengan kejadian stunting (p>0,05).Kesimpulan: : Hasil penelitian menunjukkan pengetahuan dan frekuensi kunjungan posyandu ibu baduta berhubungan dengan kejadian stunting sehingga petugas  kesehatan perlu melakukan sosialisasi kepada masyarakat tentang pentingnya kegiatan posyandu dengan adanya sosialisasi tersebut diharapkan dapat menambah pengetahuan ibu terkait kesehatan anak, sehingga dapat meningkatkan frekuensi kunjungan baduta keposyandu. 


2018 ◽  
Vol 1 (1) ◽  
pp. 36
Author(s):  
Dwi Aprilianti ◽  
Jonni Syah R. Purba

The importance of knowing the nutritional status of mothers before pregnancy can improve nutrition problems that will be sustainable in infants will be born. The risk of SEZ in women of childbearing age (WUS) has an impact on infants with LBW so that it will increase the number of malnutrition in Indonesia. This study aims to determine the relationship of knowledge, attitudes, energy and protein intake to the risk of chronic lack of energy (SEZ) in women of childbearing age (WUS) in Hibun Village, Sanggau District. This type of research is an observational study with a cross-sectional study design with a purposive sampling technique, the number of research samples is 70 respondents with criteria aged 18-35 years both those who have given birth and have not and are not pregnant. Data analysis included univariate and bivariate analysis using the chi-square test with a confidence level of 90% (α = 0.10). The results showed that there was a relationship between energy intake (p = 0.009) and SEZ risk in women of childbearing age and there was no relationship between knowledge (p = 0.196), attitudes (p = 0.226) and protein intake (p = 0.483) with SEZ risk in women of childbearing age in Hibun Village, Sanggau District. There is a relationship between energy intake and the risk of SEZ in women after fertility. There is no relationship between knowledge, attitudes and protein intake against the risk of SEZ in women after fertility. The need for counseling on SEZs for WUS to increase knowledge carried out at posyandu is carried out by health workers and cadres carried out periodically and continuously


2021 ◽  
Vol 4 (2) ◽  
pp. 160-168
Author(s):  
Lifiah Ninja Astuti ◽  
La Ode Ali Hanafi ◽  
Juslan

Data from the Jati Raya Health Center UPTD found that the number of women of childbearing age who did the IVA examination was still lacking. This study aimed to determine the factors related to the Acetic Acid Visual Inspection (IVA) as early detection of cervical cancer in women of childbearing age in the working area of Jati Raya Public Health Center in Kendari City. This study employed an observational analytic method with a Cross-Sectional Study approach. The population amounted to 488 people with a total sample of 83 people, using simple random sampling. The method of analysis used the Chi-Square test. The results of the study showed that knowledge with value X2count=13.414>X2table=4.605, attitude with value X2count=31.867>X2table=2.705, and health workers support with value X2count=0.163>X2table=2.705. In conlusion, there was a relationship between knowledge and attitude with IVA as early detection of cervical cancer in women of childbearing age and there was no relationship between the health workers support and IVA as early detection of cervical cancer in women of childbearing age. It is recommended to the Jati Raya Health Center to increase socialization and provide information about the implementation of the IVA program.


2019 ◽  
Vol 8 (1) ◽  
pp. 8
Author(s):  
Mardianti Mardianti

Indonesia is a country in ASEAN which is ranked top for total deaths of cervical cancer in women and coupled with the number of new cases of about 20 cases per day, West Java ranked 5th with the number of cervical cancer cases as many as 5,786 people or around 11.78% . This incidence increased compared to the previous year which was around 10.38%. Based on data from the Karawang district health office early detection of cervical cancer with IVA examination as much as 10.2% in 2012, 29.6% in 2013. Medical record data at Puskesmas Pedes early detection of cervical cancer by IVA examination as much as 17.8% in 2012, 19.7% of people in 2013. These data show that there has been an increase in Cervical Cancer Early Detection. But it still has not reached the target of an early cervical cancer detection program which is 80%. The purpose of this study is to know the factors related to the behavior of women of childbearing age in early detection of cervical cancer in the village in the early working area of Pedes Public Health Center, Karawang District in 2013. This study used analytical methods with Cross Sectional design. The sample of this study were married women of childbearing age. Sampling with multistage random sampling technique, on 130 respondents using the level of significance (p≤0.05). The results of the study found that as many as 32 respondents (24.6%) had done early detection of cervical cancer while 98 respondents (75.4%) did not do early detection of cervical cancer. Based on the results of statistical tests showed that the 6 variables studied obtained 4 variables meaningful and 2 meaningless variables. The meaningful variables are education variables p = 0.046 (p≤0.05), knowledge variables p = 0.008 (p≤0.05), socioeconomic variables p = 0.000 (p≤0.05) and family support p = 0.037 (p≤0.05) while the non-meaningful variables are age and distance to the place of health services. It is recommended that the puskesmas improve socialization regarding, risk factors and early detection of cervical cancer.


2021 ◽  
Vol 7 (3) ◽  
pp. 481-488
Author(s):  
Sri Juliani ◽  
Nurrahmaton Nurrahmaton ◽  
Sahyuni Sari Marbun

Background: Cervical cancer is cancer with the highest prevalence in women in Indonesia. VIA examination is done to check for early signs and symptoms of cervical cancer. In Sunggal Health centre, out of 10,616 women of childbearing age (WCA) who underwent 451 (4.25%) suspected VIA examinations. Objective: This study aimed to determine the factors that affect the availability of WCA to undergo VIA examinations at Sunggal Health centre in 2020.Method:  This study was an analytic survey with a cross-sectional approach. The populations were 47 women. The sample was 32 people by accidental sampling. Data were analyzed by performing Chi-square and binary logistic tests.Results: The results showed that it was found that a relationship between willingness of WCA to undergo VIA examination and; knowledge with a sig. value of .01; attitudes with a sig. value of .005. and the role of health workers with a sig. value of 0.000. Meanwhile, the job variable had no relationship with the willingness of WCA to undergo VIA examinations with a sig. value of .166. The most dominant variable in VIA examination is the role of health workers with the EXP (B) value of 19.257.Conclusion: The conclusion is a relationship between knowledge, attitudes and roles of health workers in VIA examinations at Sunggal Health centre in 2020 found. Suggestion that health workers be more active in providing counselling about VIA examinations in order to increase motivation to carry out examinations. Keywords: Knowledge, attitudes, health workers, occupation, VIA examination ABSTRAK Latar Belakang: Kanker serviks merupakan kanker yang tertinggi prevalensinya pada perempuan di Indonesia. Pemeriksaan IVA dilakukan untuk mendeteksi secara dini tanda dan gejala kanker serviks. Di Puskesmas Medan Sunggal dari 10.616 WUS yang melakukan pemeriksaan IVA berjumlah 451 (4,25%). Menunjukkan rendahnya cakupan pemeriksaan IVA di Puskesmas Sunggal.Tujuan: Penelitian ini untuk mengetahui determinan kesediaan WUS dalam pemeriksaan IVA untuk mendeteksi dini kanker leher rahim di Puskesmas Sunggal tahun 2020.Metode: Jenis penelitian adalah survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian adalah WUS yang berkunjung ke Puskesmas sebanyak 47 orang. Sampel dalam penelitian sebanyak 32 orang, tehnik pengambilan sampel dengan cara accidental sampling. Data dianalisis dengan melakukan uji analisis Chi-square dan binary logistik. Hasil: penelitian menunjukkan ada hubungan pengetahuan dengan kesediaan WUS dalam pemeriksaan IVA dengan nilai signifikan 0,01; ada hubungan sikap dengan kesediaan WUS dalam pemeriksaan IVA dengan nilai signifikan 0,005. Ada hubungan peran petugas kesehatan dengan kesediaan WUS dalam pemeriksaan IVA dengan nilai signifikan 0,000. Sedangkan variabel pekerjaan tidak ada hubungan dengan kesediaan WUS dalam pemeriksaan IVA dengan nilai signifikan 0,166. Variabel paling dominan dalam pemeriksaan IVA yaitu peran petugas kesehatan  yaitu dengan nilai EXP(B) sebesar 19. 257.Kesimpulan: ada hubungan pengetahuan, sikap dan peran petugas kesehatan dalam pemeriksaan IVA di Puskesmas Sunggal tahun 2020.Saran: Disarankan kepada petugas kesehatan lebih meningkakan promosi kesehatan dan menjadwalkan penyuluhan tentang pemeriksaan IVA dalam mendeteksi dini kanker leher rahim. Kata Kunci : Pengetahuan, sikap, peran petugas kesehatan, pekerjaan, Pemeriksaan IVA 


2021 ◽  
Vol 4 (2) ◽  
pp. 232-238
Author(s):  
Andi Nailah Amirullah ◽  
Yuliani ◽  
Nurhidayat

Health care facilities are expected to provide satisfactory services in hospitals. Have not being able to provide the maximum service expected by service users is the problem often faced by hospitals. Where the main assessment of the quality of health services is patient satisfaction. Based on a preliminary study at the RS Hikmah Makassar, it was found that more people were dissatisfied with health services. The purpose of this study was to find out the factors related to BPJS service satisfaction in BPJS Health participants at Hospital Hikmah of Makassar. The research design used Cross-Sectional. The population is 426 people. The sample in this study were some participants who used BPJS cards in Hospital Hikmah Of Makassar as many as 81 people, taking samples by purposive sampling technique. This research was conducted in May - June 2019. Data was collected with Questioner and analysed with the Chi-Square test. The results showed that there was a relationship between BPJS administration services, doctors and nurses services, supporting examination services and drug services with the satisfaction of BPJS services for BPJS Health participants in Hospital Hikmah of Makassar. The study suggested to health workers provide patients with a more friendly attitude and attention to patients recipients of health services.


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