scholarly journals DETERMINANT ANALYSIS OF PRODUCTIVE AGE WOMEN ON PARTICIPATION OF VISUAL INSPECTION WITH ACETIC ACID (VIA) EXAMINATION IN PALEMBANG

2019 ◽  
Vol 10 (1) ◽  
pp. 32-40
Author(s):  
Selvi Fitriah

Background:World Health Organization (WHO) showed two of 10.000 women in Indonesia suffer from cervical cancer and an estimated 26 women die each day because cervical cancer. The low early detection performed by productive women lead to cervical cancer incidence is increasing each years. One of prevention cervical cancer is early detection through examination of visual inspection with Acetic Acid (VIA). This study aimed to determinant analyze on productive women towards participation in the VIA in  Palembang. Methods: The research method used cross-sectional design, the sampling technique using proportional accidental sampling consisted of  165 respondents which on the inclusion and exclusion criteria . The data collection was done by using a questionnaire home visit CPC-28 Questionare. The data analysis using chi-square and multiple logistic regression. Results: Results showed the proportion of productive women who participated inspection IVA is only 7.9%. Based on the results obtained by multiple logistic regression analysis found significant relationship between education (p value = 0.037; OR = 0.27) and perceived barriers (p value = 0.015; OR = 13) against participation in the IVA examination in productive women in Palembang. Multivariate analysis showed that the perception of barriers is the dominant factor affecting participation in VIA examination in productive age women in Palembang. It is therefore necessary strategies to overcome perceived barriers by women as socialization. Conclusions: Multiple logistic regression analysis found a significant relationship between education and perceived barriers against participation in the IVA examination in productive age women in Palembang. Keywords: Health beliefs, Cervical cancer, VIA

2019 ◽  
Vol 7 (1) ◽  
pp. 41-49
Author(s):  
Cheryn Alfa ◽  
Esther N Tamunu ◽  
Moudy Lombogia

Background: Symptoms of cervical cancer are often not realized by women so that 70% of cases that occur are found in an advanced stage. This illustrates the still low active participation of women in screening or early detection of cervical cancer (Riksani, 2016). Aims: This study aims to determine the effect of health education on maternal knowledge about VIA examination (Visual Inspection of Acetic Acid) as early detection of cervical cancer in the working area of ​​Tuminting Health Center.  Methods: This research method uses a One-Group pre-post test Design to 36 respondents were included in the inclusion criteria by accidental sampling. The measuring instrument used was a questionnaire. Data analysis using the Wilcoxon Signed Rank Test with a significance level (α) 0.05. Result: The results of this study were obtained from a statistical test of p = 0,000, meaning that the p-value ≤0.05. Conclusion: It was concluded that Ha was accepted, meaning that there was an influence of health education on maternal knowledge about the importance of VIA examination (Visual Inspection of Acetic Acid) as an effort to detect early cervical cancer in the working area of ​​Tuminting Puskesmas. Suggestions for further researchers to conduct a similar study with different research methods such as quasi-experiments with group control.


2021 ◽  
Vol 5 (1) ◽  
pp. 29
Author(s):  
Eka Suci Wulandari ◽  
Ernawati Ernawati ◽  
Djohar Nuswantoro

 Abstract.Background : The maternal mortality rate in Indonesia is dominated by preeclampsia as the second highest cause after bleeding. Several predictors can be categorized as risk factors that can be used to increase alertness in the care of pregnant women with severe preeclampsia to avoid complications. The purpose of this study was to study the relationship between risk factors for severe preeclampsia and its complications. Methods: This study used an observational analytic method with a case control design. The sampling technique is simple random sampling. The number of samples in this study were 80 samples, with 40 samples in each group. The case group was severe preeclampsia with one complication and the control group was severe preeclampsia without complications. Statistical analysis used was chi square and multiple logistic regression analysis. Results: The results showed that there was a significant relationship between age variables (p value = 0.001 < 0.05; OR = 5.318; CI = 2.118 – 13,356), BMI (p value = 0.002 < 0.05; OR = 6.000; CI = 1.958 – 18.384 ) and gestational age (p value = 0.039 < 0.05; OR = 2.636; CI = 1.040 – 6.685). Multiple logistic regression analysis showed that BMI (p = 0.003), age (p = 0.001) and gestational age (p = 0.048) were variables included in the final modeling of the regression analysis with the incidence of severe preeclampsia complications. Conclusion: BMI is the variable that has the strongest relationship with the incidence of severe preeclampsia complications.  


2020 ◽  
Vol 7 (1) ◽  
pp. 044-049
Author(s):  
Laily Prima Monica ◽  
Maria Ulfa

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).


2019 ◽  
Vol 7 (2) ◽  
pp. 113
Author(s):  
Renaldi Kurniawan ◽  
Soenarnatalina Melaniani

Infant mortality is a major component in determining the health and well-being of a community in a country. Indonesia Health Demographic Survey in 2012 shows that infant mortality rate in Indonesia is 32 babies per 1000 live births. Infant mortality rate in eastern Java is 26 babies per 1000 live births. Infant mortality is caused by external factors and internal factors. Parity, gestational distance and birth attendant are the factors chosen to be analyzed. The objectives of the study were to analyze the relationship of parity, birth spacing and birth attendant to infant mortality rate in East Java. The type of research that is analytical research using non-reactive approach. The study took the data of the 2012 IDHS Female Woman Never married. Sampling followed the 2012 IDHS plus inclusion criteria from the researchers. The number of samples of the study was 591 mothers with a history of dead infants during the survey. The study took the data of the 2012 SDKI Female Woman Never married. Data analysis was done by multiple logistic regression. The results of the simple logistic regression analyzes have shown an association between parity> 2 children, birth attendants instead by a health professional, pregnancy spacing ≤ 4 years and spacing of pregnancy> 4 years. All independent variables entered as a candidate for the multiple logistic regression analysis of the results of the multiple logistic regression analysis was parity shows, their relationship with infant mortality with p value = 0.001, but at birth attendant with a p value of 0.66. Screening risks of pregnant mothers and handling of ill toddlers by midwives and IEC to mothers about nutrition, pregnancy care and infant care through counseling, leaflets and posters.


2020 ◽  
Vol 9 (2) ◽  
pp. 21
Author(s):  
Sitti Mukarramah ◽  
Subriah Subriah ◽  
Wirawati Amin ◽  
Humrah Humrah

Cervical cancer is the number one killer of women in the world caused by the Human Papilomma Virus. One of the early detection of cervical cancer by checking Visual Inspection with Acetic Acid (VIA) is a simple way to detect cervical abnormalities. Knowledge of cervical cancer is one of the factors influencing WCBA behavior in conducting VIA examinations. This study aims to determine the relationship between WUS knowledge on cervical cancer with early detection examination behavior using VIA in Maradekaya Village. The research sample was 59 respondents with random sampling technique and a cross-sectional research design. The results showed that the respondents' knowledge about cervical cancer was included in the "tofu" category as many as 55 respondents (93.2%) and "do not know" category were 4 respondents (6.8%), respondents who did VIA examination were 22 respondents (37.3%) and those who did not perform VIA examination were 37 respondents (62.7%). Chi-square test with 95% CI showed a p-value of 0.521 (P> 0.05). These results indicate that there is no relationship between WCBA knowledge about cervical cancer with early detection using VIA in Maradekaya Village. Additional conclusions that can influence behavior it is culture.Kanker serviks adalah pembunuh wanita nomor satu di dunia yang disebabkan oleh Human Papilomma Virus. Salah satu deteksi dini kanker serviks dengan pemeriksaan Visual Inspection with Acetic Acid (VIA) merupakan cara sederhana untuk mendeteksi kelainan serviks. Pengetahuan tentang kanker serviks merupakan salah satu faktor yang mempengaruhi perilaku WCBA dalam melakukan pemeriksaan VIA. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan WUS tentang kanker serviks dengan perilaku pemeriksaan deteksi dini menggunakan VIA di Desa Maradekaya. Sampel penelitian sebanyak 59 responden dengan teknik random sampling dan desain penelitian cross-sectional. Hasil penelitian menunjukkan bahwa pengetahuan responden tentang kanker serviks termasuk dalam kategori “tahu” sebanyak 55 responden (93,2%) dan kategori “tidak tahu” sebanyak 4 responden (6,8%), responden yang melakukan pemeriksaan VIA sebanyak 22 responden. responden (37,3%) dan yang tidak melakukan pemeriksaan VIA sebanyak 37 responden (62,7%). Uji Chi-square dengan 95% CI menunjukkan nilai p 0,521 (P> 0,05). Hasil ini menunjukkan bahwa tidak ada hubungan antara pengetahuan WCBA tentang kanker serviks dengan deteksi dini menggunakan VIA di Desa Maradekaya. Kesimpulan tambahan yang dapat mempengaruhi perilaku itu adalah budaya.


2020 ◽  
Vol 27 (5) ◽  
pp. 130-140
Author(s):  
Asraf Ahmad Qamruddin ◽  
Reza Qamruddin ◽  
Ayu Malik

Objectives: To determine the incidence rate of measles and the factors associated with confirmed measles cases in Larut, Matang and Selama districts. Methods: Cross-sectional analysis was carried out looking at all suspected and laboratoryconfirmed measles cases in Larut, Matang and Selama districts between 2015 and 2019. Multiple logistic regression analysis was used to determine the associated factors for laboratory-confirmed measles cases. Results: The incidence rate for suspected measles showed an increasing trend from 2015–2019. For laboratory-confirmed measles cases, the incidence rate showed more variation with an increase to 36.11 per million population in 2017 from 5.67 per million population in 2015. The incidence rate later decreased to 10.99 per million population in 2018 and increased again to 24.47 per million population in 2019. From multiple logistic regression analysis, cases that fulfilled the case definition of measles were more likely to be laboratory-confirmed measles. On the other hand, a prior history of measles immunisation was a protective factor. Conclusion: Measles incidence is increasing in trend. Any suspected measles cases that fulfilled the clinical case definitions need to be further investigated. Immunisation should be promoted as they are effective in preventing and eliminating measles.


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