Hubungan Paritas dan Menikah Usia Dini dengan Hasil Pemeriksaan Inspeksi Visual Asam Asetat (IVA)

Cervical cancer is a neoplasm or malignancy in the cervix. The problem of cervical cancer in Indonesia is very distinctive, namely that many and more than 70% of cases are found at an advanced stage when they come to the hospital. One of the screening tools for cervical cancer is the IVA method. A positive IVA test is thought to be a precancerous lesion. IVA stands for Acetic Acid Visual Inspection. This method of examination is done by smearing the cervix or cervix with acetic acid. According to a preliminary study at Puskesmas Rubaru Kab. Sumenep found that from the results of the IVA examination, there were 10 women who tested positive for the IVA test (12%). The aim of this study was to analyze multiple children and sexual relations at a young age with the results of the IVA test. This research method is analytic with cross sectional approach. The total population is 72 people, the sample of this study is based on a sample size formula of 60 people who meet the inclusion criteria. The results showed that most of the age at first marriage were WUS ≤ 16 years, as many as 36 WUS (60%), almost half of WUS had children> 1 x, namely 18 WUS (30%), and a small proportion of WUS got positive results during the examination IVA tests were 10 WUS (16.7%). Based on the statistical test of each variable, it shows p value <α, so that H1 is rejected, meaning that there is a relationship between parity and early marriage with the results of the IVA test at the Rubaru Community Health Center, Rubaru District, Sumenep Regency.

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HUBUNGAN DUKUNGAN SUAMI DENGAN PARTISIPASI MENGIKUTI PEMERIKSAAN INSPEKSI VISUAL ASAM ASETAT (IVA) PADA WANITA USIA SUBUR DI RW 04 KELURAHAN TERBAN GONDOKUSUMAN YOGYAKARTA TAHUN 2018

Jurnal Kesehatan ◽

10.35913/jk.v6i2.123 ◽

2019 ◽

Vol 6 (2) ◽

pp. 129-141

Author(s):

Sri Wahyuni ◽

Ratna Puspita Adiyasa

Keyword(s):

Cervical Cancer ◽

Acetic Acid ◽

Visual Inspection ◽

Bivariate Analysis ◽

P Value ◽

Childbearing Age ◽

Chi Square ◽

Cross Sectional ◽

Improve Health Status ◽

The Government

Latar Belakang: Indonesia merupakan salah satu negara berkembang di Asia Tenggara yang menghadapi tantangan bahaya kejadian kanker serviks. kanker serviks memiliki prevalensi tertinggi, yaitu sebesar 0,8%. Salah satu cara deteksi dini kanker seviks adalah dengan pemeriksaan Visual Inspeksi Asam Asetat (VIA). Suami merupakan orang terdekat bagi seorang isteri. Dukungan suami memiliki pengaruh yang signifikan dalam pengambilan keputusan istri, terutama yang berkaitan dengan pencegahan penyakit maupun upaya peningkatan derajat kesehatan. Tujuan: Mengetahui hubungan dukungan suami dengan partisipasi mengikuti pemeriksaan VIA pada wanita usia subur di RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Metode: Desain penelitian menggunakan Analitik Deskriptif Correlation dengan pendekatan cross sectional dengan populasi semua wanita usia subur di RW 04 Kelurahan Terban Gondokusuman Yogyakarta berjumlah 72 orang. Teknik pengambilan sampel menggunakan terknik sampel proporsi sejumlah 61 orang. Pengumpulan data menggunakan kuesioner dan analisis hubungan dengan uji Chi Square dilanjutkan Coefisien Contigensi. Hasil: Analisa bivariate menunjukkan nilai p-value: 0,000 < α: 0,004, dengan keeratan 0,393 (rendah). Kesimpulan: Ada hubungan antara dukungan suami dengan partisipasi mengikuti pemeriksaan IVA di RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Saran: Diharapkan bagi pemerintah untuk melibatkan suami saat melakukan pendidikan kesehatan tentang pemeriksaan IVA. Kata Kunci: Dukungan suami – Pemeriksaan IVA – Kanker Seviks ABSTRACT Background: Indonesia is facing the challenges of the danger of cervical cancer. This disease has the highest prevalence which equals to 0,8%. Cervical cancer can be early detected by IVA test. Husband’s support has a significant influence in childbearing age woman’s decision, especially with regard to disease prevention and efforts to improve health status. Objective: To know the relationship between husband’s support with Visual Inspection with Acetic Acid (VIA) test participation of childbearing age woman in RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Method: The study design was Descriptive Correlation Analysis with cross sectional approach. The population was 72 people, and the sample was 61 respondents. Data collecting used questionnaires and Chi Square tes for analysis. Results: Bivariate analysis shows p-value: 0.000 <α: 0.004, with the closeness degree of 0,393 (low correlation). Conclusion: There is a relationship between husband’s support with Visual Inspection with Acetic Acid (VIA) test participation of childbearing age woman in RW 04 Kelurahan Terban Gondokusuman Yogyakarta. Suggestion: It is expected that the government will involve husbands when conducting health education regarding VIA test. Key words : husbands support – VIA test – cervical cancer

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Age at First Marriage and Fertility Decline in Dabat Health and Demographic Surveillance System Site, northwest Ethiopia: Decomposition analysis

10.21203/rs.3.rs-21347/v3 ◽

2021 ◽

Author(s):

Nega Mihret Alazbih ◽

Assefa Hailemariam Kaya ◽

Mezgebu Yitayal Mengistu ◽

Kassahun Alemu Gelaye

Keyword(s):

Fertility Decline ◽

Surveillance System ◽

Northwest Ethiopia ◽

Married Women ◽

Demographic Surveillance System ◽

Reproductive Age ◽

P Value ◽

Cross Sectional ◽

First Marriage ◽

Age At First Marriage

Abstract Background: Fertility declines in Ethiopia have been documented since 1990s. Amhara National Regional State has recorded the most noticeable fertility decline. However, specific factors that explain the incipient course of fertility decline in the study area and their relative contributions were not well investigated. Hence, the purpose of this study was to determine the factors that contributed for fertility decline, and to assess the variations in fertility that can be attributed to both changes in characteristics and reproductive behaviors of women aged 15–49 years between 2008 and 2014 in Dabat Demographic and Health Surveillance System Site, Northwest Ethiopia.Methods: Cross sectional censuses were carried out in Dabat Health and Demographic Surveillance System site in 2008 and 2014. Data for 4,775 and 10,807 women with reproductive age in 2008 and 2014 were used for the analysis. Poisson regression model was employed to assess the trends of determinants of fertility, and Multivariate Decomposition technique was applied to evaluate observed changes in fertility using data from two consecutive cross-sectional censuses of Dabat HDSS conducted in 2008 and 2014.Results: The findings indicated that there was a reduction of an average 640.69 births per 1,000 women of the reproductive age during the year 2014 compared to the year 2008 in the surveillance site (P-value <0.001; 95% CI: -669.5 to -582.4). This overall change in fertility during the study period was attributed to both changing characteristics of women (the distribution effect) (76%) (P-value < 0.001; 95%CI: -524.74, -453.13, and their reproductive behavior (the effect shown by regression coefficients of the variables on the outcome) (24%) (P-value <0.001; 95% CI: -224.36 to -79.14). The drivers of the recent fertility decline during the study period were the shift observed in the age at first marriage, the change in the proportion of currently married women, the shift in women’s birth to later age and the change in women's educational status.Conclusion: This study indicated that the overall reduction in fertility was attributed to both changing characteristics of women and their reproductive behavior. The major contributors to the changes in fertility were the postponing of women’s first marriage to later age and the change in the proportion of currently married women over the study period. Encouraging women to complete at least secondary education are important to increase the age at first marriage and birth which intern accelerate the current fertility transition.

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Faktor-Faktor yang Berhubungan dengan Pemeriksaan Inspeksi Visual Asam Asetat (IVA) di Puskesmas Cibinong Tahun 2019

Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan ◽

10.22435/jpppk.v3i2.2153 ◽

2019 ◽

pp. 106-113

Author(s):

Reffi Jordania Pebrina ◽

Margaretha Kusmiyanti ◽

Fulgensius Surianto

Keyword(s):

Cervical Cancer ◽

Acetic Acid ◽

Visual Inspection ◽

P Value ◽

Validity And Reliability ◽

Early Screening ◽

Chi Square ◽

Kendall’S Tau ◽

Cross Sectional ◽

Kendall's Tau

Abstrak Kanker serviks merupakan peringkat enam penyebab utama kematian wanita dan peringkat dua kematian pada wanita berusia 15-44 tahun. Di Asia deteksi dini penyakit kanker serviks dilakukan melalui pemeriksaan Inspeksi Visual Asam Asetat (IVA). Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan pemeriksaan inspeksi visual asam asetat (IVA) di Puskesmas Cibinong Tahun 2019. Rancangan penelitian menggunakan desain cross-sectional pada 44 responden pasien KIA di Puskesmas Cibinong. Pengumpulan data di lakukan pada bulan April 2019 dengan menggunakan kuesioner dengan variabel umur, pendidikan, pekerjaan, pengetahuan, dukungan keluarga dan dukungan petugas kesehatan yang telah di uji validitas dan reliabilitas. Analisis data menggunakan uji chi square dan kendall’s tau b. Hasil menunjukkan bahwa umur (p-value 0,008) dan dukungan petugas kesehatan (p-value 0,015) berhubungan bermakna dengan pemeriksaan IVA dan faktor yang tidak berhubungan dengan pemeriksaan IVA ialah pendidikan, pekerjaan, pengetahuan dan dukungan keluarga. Hal tersebut menunjukkan perlunya peningkatan program promosi kesehatan, sosialisasi dan konseling kepada para ibu yang berkunjung ke Puskesmas Cibinong. Kata kunci: wanita, kanker serviks, Inspeksi Visual Asam Asetat (IVA) Abstract Cases of cervical cancer, as ranked 6th leading cause of female death and rank 2nd death in women aged 15-44 years. In Asia cervical cancer early screening or detection programs is through Visual Inspection with Acetic Acid (VIA). The study aims to analyze factors related to the examination of Visual Inspection with Acetic Acid (VIA) in Cibinong Health Center’s in 2019. This is a cross-sectional study with a sample of 44 respondents patient KIA in Cibinong Health Center’s. Data collection was taken through filling a set of questionnaires in April 2019 which have been tested for validity and reliability. Analysis performed by chi-square and Kendall’s tau b. The analysis shows age (p-value 0,008) and health practitioner’s support (p-value 0,015) are significantly related to examination of VIA and factor is not related to examination of VIA is education, job, knowledge and family support. It evidence to improve health promotion programs socialization and counseling for mothers who visit the Cibinong Health Center. Keywords: women, cervical cancer, Visual Inspection Acetic Acid (VIA)

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Age at First Marriage and Fertility Decline in Dabat Health and Demographic Surveillance System Site, northwest Ethiopia: Decomposition analysis

10.21203/rs.3.rs-21347/v2 ◽

2020 ◽

Author(s):

Nega Mihret Alazbih ◽

Assefa Hailemariam Kaya ◽

Mezgebu Yitayal Mengistu ◽

Kassahun Alemu Gelaye

Keyword(s):

Fertility Decline ◽

Surveillance System ◽

Northwest Ethiopia ◽

Married Women ◽

Demographic Surveillance System ◽

Reproductive Age ◽

P Value ◽

Cross Sectional ◽

First Marriage ◽

Age At First Marriage

Abstract Background: Fertility declines in Ethiopia have been documented since 1990s. Amhara National Regional State has recorded the most noticeable fertility decline. However, specific factors that explain the incipient course of fertility decline in the study area and their relative contributions were not well investigated. Hence, the purpose of this study was to determine the factors that contributed for fertility decline, and to assess the variations in fertility that can be attributed to both changes in characteristics and reproductive behaviors of women aged 15–49 years between 2008 and 2014 in Dabat Demographic and Health Surveillance System Site, Northwest Ethiopia.Methods: Cross sectional censuses were carried out in Dabat Health and Demographic Surveillance System site in 2008 and 2014. Data for 4,775 and 10,807 women with reproductive age in 2008 and 2014 were used for the analysis. Poisson regression model was employed to assess the trends of determinants of fertility, and Multivariate Decomposition technique was applied to evaluate observed changes in fertility using data from two consecutive cross-sectional censuses of Dabat HDSS conducted in 2008 and 2014.Results: The findings indicated that there was a reduction of an average 641 births per 1,000 women of the reproductive age during the year 2014 compared to the year 2008 in the surveillance site (P-value <0.001; 95% CI: -669.5, -582.4). This overall change in fertility during the study period was attributed to both changing characteristics of women (the distribution effect) (78%) (P-value <0.001; 95%CI: -537.65, -462.32), and their reproductive behavior (the effect shown by regression coefficients of the variables on the outcome) (22%) (P-value <0.001; 95% CI: -214.56 to -67.368). The drivers of the recent fertility decline during the study period were the shift observed in the age at first marriage, the change in the proportion of currently married women, the shift in women’s birth to later age and the change in women's educational status.Conclusion: This study indicated that the overall reduction in fertility was attributed to both changing characteristics of women and their reproductive behavior. The major contributors to the changes in fertility were the postponing of women’s first marriage to later age and the change in the proportion of currently married women over the study period. Encouraging women to complete at least secondary education are important to increase the age at first marriage and birth which intern accelerate the current fertility transition.

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Suboptimal birth spacing practice and associated factors among women of reproductive age in West Badwacho district, Hadyia zone, South Ethiopia, 2020: Cross-sectional study design

10.21203/rs.3.rs-421636/v1 ◽

2021 ◽

Author(s):

Alemu Workineh Wassihun ◽

Yilkal Simachew Hunegnaw ◽

Teshome Abuka Abebo ◽

Alex Yeshaneh Bekele

Keyword(s):

Logistic Regression ◽

Birth Interval ◽

Associated Factors ◽

Birth Spacing ◽

Cross Sectional Study ◽

Reproductive Age ◽

P Value ◽

Cross Sectional ◽

First Marriage ◽

Age At First Marriage

Abstract Introduction: Birth spacing is the time gaps between two consecutive life births. One of the key strategies to reduce fertility and promote the health status of mothers and their children is optimal birth spacing. Recent evidences showed that the health of mothers and children with the birth interval of 3 to 5 years is safer than 2 years or less. However, women still have shorter birth intervals and studies addressing their associated factors were scarce. Objectives: To assess prevalence of suboptimal birth spacing practice and its associated factors among women of reproductive age in West Badwacho district, Hadyia Zone, South Ethiopia, 2020.Method and materials: Community based cross sectional study was conducted from February to March, 2020. Multi stage sampling technique was used to select samples of 626 women. Structured and pretested interview based questionnaire was used to collect the data. Data was checked for completeness and entered using EPI data version 3.1 and analyzed using SPSS version 25. Bivariable logistic regression was done and variables with a p-value of < 0.25 in bi-variable logistic regression were recruited as candidate variable for the final multivariable logistic regression model and P value less than 0.05 at 95 % confidence level was taken as statistically significant. Result: The prevalence of suboptimal birth interval in this study was 60.4 %. Independent predictors of suboptimal birth spacing were: age at first marriage less than 18 years (AOR: 2.18, 95% CI=1.34,3.53), HEWs education about birth sapcing (AOR: 1.89, 95% CI=1.02,3.48), non -formal maternal education (A0R: 2.25, 95%CI=1.31,3.87), non -formal husband education (AOR: 2.64, 95%CI=1.74,4.01), sex of index child being female (AOR:1.58, 95%CI=1.06, 2.38),, having poor knowledge on optimal birth interval (AOR: 2.96, 95%CI=1.64,5.37), duration of breast feeding for less than 24 months (AOR: 4.64, 95%CI=2.32,9.29), and modern contraceptive non users (AOR: 6.31, 95%CI=3.99,9.96),Conclusion and recommendation: More than half of the study respondents were practicing suboptimal birth interval. Educational status, age at first marriage, HEWs education about birth sapacing, short duration of breastfeeding was some of the factors associated with the outcome variable. Thus, to optimize birth spacing, strategies of providing information using HEWs, education and communication targeting associated variables should be improved.

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FACTORS AFFECTING THE VISUAL INSPECTION OF ACETIC ACID EXAMINATION (IVA) IN PADANG CITY 2019

Journal of Midwifery ◽

10.25077/jom.5.1.20-30.2020 ◽

2021 ◽

Vol 5 (1) ◽

pp. 20

Author(s):

Lusiana El Sinta B ◽

Laila Rahmi ◽

Uliy Iffah

Keyword(s):

Cervical Cancer ◽

Acetic Acid ◽

Health Center ◽

Visual Inspection ◽

Service Providers ◽

Sampling Technique ◽

P Value ◽

Childbearing Age ◽

Ministry Of Health ◽

Cross Sectional

Cervical cancer is the fourth most common cancer in women with a mortality rate of 6.8% (WHO, 2015; Globocan, 2012). The incidence of cervical cancer ranks second after breast cancer in Southeast Asia and Indonesia. Based on data from the Republic of Indonesia Ministry of Health 2015, cervical cancer is the cancer with the highest prevalence of 0.8 per 1000 population (Ministry of Health Republic of Indonesia, 2015). The high prevalence of cancer in Indonesia requires prevention and early detection by health service providers. The purpose of this study was to determine the factors that influence the inspection of Acetic Acid Visual Inspection (IVA) in Padang City.This type of research is quantitative with cross sectional design. The study was conducted at the Padang City Health Center in April-November 2019. The population was all women aged 30-50 years who were at the Padang City Health Center, amounting to 10,670 people, with a sample of 73 people taken by consecutive sampling technique. Data were collected by questionnaire and analyzed by univariate and bivariate analysis.More than half (64.4%) of women of childbearing age (WUS) have never had an IVA examination, more than half (58.9%) of women have a risk age, less than half (39.7%) women have low levels of education , more than half (60.3%) WUS with working status, there was no relationship between the age of WUS with IVA examination (p value = 0.182), there was a relationship between WUS education level and IVA examination (p value = 0.031), there was no relationship between the status of WUS work and IVA examination (p value = 0.404). It is expected that officials and leaders of puskesmas will develop more attractive ways to be able to convince and increase awareness and concern of the WUS themselves in conducting IVA examinations.

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RELATIONSHIP BETWEEN ATTITUDES OF WOMAN OF CHILDBEARING AGE AND EXAMINATION USING VISUAL INSPECTION WITH ACETIC ACID BEHAVIOR IN KEMIRI VILLAGE KEDIRI REGENCY

JURNAL KEBIDANAN KESTRA (JKK) ◽

10.35451/jkk.v2i1.263 ◽

2019 ◽

Vol 2 (1) ◽

pp. 80-86

Author(s):

Shinta Kristianti ◽

Ira Titisari ◽

Nurfiani

Keyword(s):

Cervical Cancer ◽

Acetic Acid ◽

Rank Correlation ◽

Sampling Technique ◽

Simple Random Sampling ◽

Rank Test ◽

P Value ◽

Childbearing Age ◽

Cross Sectional ◽

Spearman Rank

Attitude is a person's closed response to a particular stimulus or object, which has involved the factors of opinion and emotions. While behavior is an activity or activity carried out by humans that can be observed directly or indirectly. Inspection of visual with acetic acid (IVA) is an examination carried out by a doctor / midwife / paramedic by observing the cervix which has been given 3-5% acetic acid, and seen with the naked eye vision. Cervical cancer is an 8th contributor to mortality in developing countries, and IVA examination is a very effective early detection to prevent cervical cancer. This study was used an analytical survey with a cross sectional design. The data was analyzed by Spearman Rank test. The population in this study was all WUS in Kemiri Village totaling 296 respondents. The sampling technique used was simple random sampling. 60 respondents were taken who already fulfilled the inclusion and exclusion criteria. The results obtained from the spearman rank correlation test with a p value of 0.034 <0.05, a correlation coefficient of 0.275 and a positive correlation (+) direction. The conclusion of this study was that there was a significant relationship between attitudes of woman of childbearing age and the behavior of IVA examination in Kemiri Village, the closeness of the relationship between the two variables is weak, and the direction of the two positive variables.

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The Correlation of the Perception of Early Detection Cervical Cancer with Attitude to do Visual Inspection with Acetic Acid

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v7i1.art.p044-049 ◽

2020 ◽

Vol 7 (1) ◽

pp. 044-049

Author(s):

Laily Prima Monica ◽

Maria Ulfa

Keyword(s):

Cervical Cancer ◽

Acetic Acid ◽

Early Detection ◽

Visual Inspection ◽

Sampling Technique ◽

Test Method ◽

P Value ◽

Cross Sectional ◽

Correlational Design ◽

Lack Of Knowledge

Cervical cancer is a malignant tumor that grows in the uterus / cervix which is the lowest part of the uterine core and is attached to the top of the vagina. The high incidence of cervical cancer in Indonesia is due to a lack of knowledge and perception of women to prevent the development of cervical cancer. The incomprehensive information about IVA test exposure is as the cause of the women didn't want to do the test. Lack of knowledge about the process of IVA test, feel fear and shame including feeling against to religion principles as the inhibitor factors to do test. Method :The research design uses correlational design with a cross-sectional approach. The study population is 30 respondents and the sample consisted of 27 respondents using purposive sampling technique. Data were analyzed using Spearman rank. Results: The research data showed that there was a relationship between the level of perception of mothers about cervical cancer and the attitude of mothers to carry out the IVA test (Visual Inspection with Acetic Acid) p value = 0,000, so the p value = 0,000 <0.05 while r = 0.678. The relationship of perception with attitude shows that more than half of the respondents 66% have a positive perception in early detection of cervical cancer and they are positive about IVA (Visual Inspection with Acetic Acid).

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Age at First Marriage and Fertility Decline in Dabat Health and Demographic Surveillance System Site, northwest Ethiopia: Decomposition analysis

10.21203/rs.3.rs-21347/v1 ◽

2020 ◽

Author(s):

Nega Mihret Alazbih ◽

Assefa Hailemariam Kaya ◽

Mezgebu Yitayal Mengistu ◽

Kassahun Alemu Gelaye

Keyword(s):

Fertility Decline ◽

Surveillance System ◽

Decomposition Analysis ◽

Married Women ◽

Demographic Surveillance System ◽

Reproductive Age ◽

P Value ◽

Cross Sectional ◽

First Marriage ◽

Age At First Marriage

Abstract Background: Fertility declines in Ethiopia have been documented since 1990s. Amhara National Regional State has recorded the most noticeable fertility decline. However, specific factors that explain the incipient course of fertility decline area and their relative contributions were not well investigated.Hence, the purpose of this study was to determine the factors that contributed for fertility decline, and to assess the variations in fertility that can be attributed to both changes in characteristics and reproductive behaviors of women aged 15–49 years. Methods: Cross sectional censuses were carried out in Dabat Health and Demographic Surveillance System site in 2008 and 2014. Data for 4,775 and 10,807 women with reproductive age in 2008 and 2014 were used for the analysis. Poisson regression model was employed to assess the trends of determinants of fertility, and Multivariate Decomposition technique was applied to evaluate observed changes in fertility. Results: The findings indicated that there was a reduction of an average 641 births per 1,000 women of the reproductive age during the year 2014 compared to the year 2008 in the surveillance site(P-value <0.001; 95% CI: -669.5, -582.4). This overall change in fertility during the study period was attributed to changing characteristics of women (78%)(P-value <0.001; 95%CI: -537.65, -462.32), and their reproductive behavior (22%)(P-value <0.001; 95% CI: -214.56 to -67.368). The drivers of the recent fertility decline during the study period were the shift observed in the age at first marriage, the change in the proportion of currently married women, the shift in women’s birth to later age and the change in women's education. Conclusion: This study indicated that the overall reduction in fertility was attributed to both changing characteristics of women and their reproductive behavior.The major contributors to the changes in fertility were the postponing of women’s first marriage to later age and the change in the proportion of currently married women over the study period. Encouraging women to complete at least secondary education are important to increase the age at first marriage and birth which intern accelerate the current fertility transition.

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Factors Related To Examination of IVA In Reproductive Women

Journal of Research in Social Science And Humanities ◽

10.47679/jrssh.v1i1.9 ◽

2021 ◽

Vol 1 (1) ◽

pp. 27-36

Author(s):

Laila Fitri ◽

Hellen Febriyanti ◽

Riona Sanjaya

Keyword(s):

Cervical Cancer ◽

Community Health ◽

Health Center ◽

Quantitative Research ◽

Community Health Center ◽

Reproductive Age ◽

P Value ◽

Cervical Lesions ◽

Cross Sectional ◽

Work Area

Cervical cancer is a cancer that occurs in the cervix, which is the area of the female reproductive organ which is the entrance to the uterus, located between the uterus (uterus) and the female intercourse (vagina). The incidence of cervical cancer can be detected by the method of Visual Inspection of Acetic Acid (IVA), the IVA examination aims to find pre-cancerous cervical lesions before they become cancerous. The research objective is to know the factors associated with IVA examination in fertile-aged women couples in the work area of Karya Tani Labuhan Maringgai Health Center, East Lampung Regency in 2021.This type of quantitative research with cross sectional approach. The population of this study were all WUS III with a sample of 98 respondents. the object of this research is the IVA examination. The research was conducted in the work area of Karya Tani Labuhan Maringgai Community Health Center, East Lampung Regency in April 2021. Data collection used a questionnaire. Univariate and bivariate (chi square) data analysis. The results showed that there was a relationship between knowledge and IVA examination in the work area of the Karya Tani Labuhan Maringgai Community Health Center in East Lampung Regency in 2021 (p-value = 0.018, OR = 6,000). There is a socio-cultural relationship to IVA examination in the work area of Karya Tani Labuhan Maringgai Health Center, East Lampung Regency in 2021 (p-value = 0.002, OR = 7.333). There is a relationship between family / husband support for IVA examination in the work area of the Karya Tani Labuhan Maringgai Community Health Center, East Lampung Regency in 2021 (p-value 0.004, OR = 5.760). There is no relationship between health care workers' support for IVA examinations in the work area of Karya Tani Labuhan Maringgai Community Health Center, East Lampung Regency in 2021 (p-value = 0.383). Suggestions to IVA officers are expected to take a personal approach to women of reproductive age couples so that they want to do IVA examinations

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