scholarly journals Early Detection of Cervical Cancer with Visual Inspection using Acetic Acid (VIA)

2019 ◽  
Vol 6 (1) ◽  
pp. 027-034 ◽  
Author(s):  
Nonik Ayu Wantini ◽  
Novi Indrayani

Introduction: Cervical cancer is the fourth most frequent cancer in women with an estimated 570,000 new cases in 2018 representing 6.6% of all female cancers. Approximately 90% of deaths from cervical cancer occurred in low- and middle-income countries. The high mortality rate from cervical cancer globally could be reduced through a comprehensive approach that includes prevention, early diagnosis, effective screening and treatment programmes. Until 2016, the coverage of VIA in Indonesia was 4.34% which was still far from the national target of 10% at the end of 2015. Sleman Regency was the district with the lowest achievement compared to 4 other districts in DIY to achieve the target of early detection (0.01%).Method: Type of analytical survey research with cross sectional design. The study was conducted at the Kalasan Public Health Center, Sleman, DIY on March 19 to May 4 2018. The study sample was all women aged 19-49 years who visited the Kalasan Health Center, domiciled in Kalasan Subdistrict, fulfilling the inclusion and exclusion criteria. The number of samples was 350 people selected by consecutive sampling technique. Test the validity of the questionnaire with 2 experts. The instruments used were questionnaires and data collection techniques with interviews. Data analysis used chi square.Result: Knowledge of cervical cancer is mostly in the low category (97%). A positive attitude towards early detection of cervical cancer is 96%. 80% believe cervical cancer will heal if it is found early. As many as 92% did not do VIA test in the last 3 years. Factors related to early detection of cervical cancer are knowledge (fisher exact test results, p-value = 0.003). Discussion: There is no relationship between attitudes, beliefs with early detection of cervical cancer because there are other factors that are more influential. According to the results of the study, 68.9% did not do VIA because they did not know about VIA.Keyword : knowledge, attitude, trust, IVA, cervical cancer

2019 ◽  
Vol 12 (1) ◽  
pp. 20-27
Author(s):  
Fardila Elba ◽  
Imma Kristy Nathalia

The incidence of cervical cancer in Indonesia is quite high at 25.91%. Cervical cancer can be detected early with VIA test. VIA test is one of the first steps to detect abnormalities in the cervix. VIA test is an easy check, cheap, and can be done by the midwife. However, the coverage of VIA test in Indonesia is still low about 2.45% of the target coverage determined by the government that is 80%. The low coverage of VIA test screening in Indonesia is influenced by the low knowledge of women. Women's low knowledge will influence their participation in screening. This research uses cross-sectional method approach. The sample in this study is Women of Childbearing Age aged 15-49 years in the working area of Puskesmas Soreang. Sampling uses proportional stratified random sampling technique with a sample size of 76 respondents. Data analysis uses Fisher Exact Test. The results show that there is a significant relationship between knowledge and attitude of WUS with p value = 0.000 (p > 0.005). Based on the results of this study, it can be concluded that there is a relationship between knowledge and attitude of WUS on VIA test for early detection of cervical cancer.


2021 ◽  
Vol 9 (1) ◽  
pp. 98-102
Author(s):  
Putu Uci Paramudita ◽  
Ni Made Dwi Mahayati ◽  
Ni Ketut Somoyani

Monitoring the state of adolescent hemoglobin is one of a woman's preparations for pregnancy, it is expected to be able to suppress AKI as a result of bleeding in labor. In general, the purpose of this study was to determine the relationship between body mass index and anemia status in adolescent girls in PGRI Dawan Klungkung Tourism High School. This research is a correlational analytic study with cross sectional design. The sampling technique uses Proportional Random Sampling technique. The data collected is primary data (via Google form) and secondary data (puskesmas documentation data). Bivariate analysis with the Fisher Exact Test showed BMI was not related to anemia status with a p-value = 0.708 (p 0.05). The conclusion of this study there is no relationship between BMI and anemia status in young women in PGRI Dawan Klungkung Tourism High School. It is recommended for further researchers to develop research with different variables such as other factors that can affect anemia. 


2019 ◽  
Vol 11 (01) ◽  
pp. 96
Author(s):  
Triani Yuliastanti ◽  
Rismawati .

ABSTRAK                           Latar Belakang: Kanker serviks merupakan salah satu penyakit kanker yang paling banyak terjadi pada kaum wanita. Kanker serviks menduduki urutan tertinggi di negara berkembang dan urutan ke 10 di negara maju atau urutan ke 5 secara global Berdasar pada kebijakan pemerintah mengadakan program baru pencegahan Ca Serviks yang dilakukan melalui pemeriksaan Inspeksi Visual Asam Asetat (IVA). Tujuan : Mengetahui hubungan peran bidan dengan perilaku periksa Inspeksi Visual Asam Asetat (IVA). Metode: Desain penelitian menggunakan korelasional dengan pendekatan cross sectional. populasi penelitian semua WUS di Desa Karanggeneng Kecamatan Boyolali sebanyak  971 WUS. Berdasarkan rumus slovin didapatkan jumlah sempel yaitu 91 responden. Teknik sampling accidental sampling. Alat pengumpulan data berupa kuesioner. Analisa data menggunakan uji chi square. Hasil : Penelitian menunjukkan responden yang diberikan penyuluhan dan  melakukan pemeperiksaan  IVA  sebanyak  41,2%, responden yang pernah dilakukan penyuluhan namun tidak periksa IVA sebanyak 58,8%. Sedangkan 100% responden yang tidak mendapatkan penyuluhan tidak melakukan pemeriksaan IVA. Hasil uji fisher exact didapatkan nilai p 0,006  < =0,05 sehingga ada hubungan antara peran bidan dengan perilaku periksa IVA. Kesimpulan : Ada hubungan  antara  peran bidan dengan perilaku periksa IVA. Bidan diharapkan melakukan penyuluhan dan memotivasi ibu secara berulang-ulang tentang pemeriksaan IVA agar meningkatkan pengetahuan dan minat ibu melakukan pemeriksaan IVA sebagai deteksi dini kangker servikKata kunci:  Peran bidan, perilaku periksa IVABIDAN ROLE RELATIONSHIP ROLE OF MIDWIVES WITH CHECK BEHAVIOR OF VISUAL ACID ACID INSPECTION (IVA) ABSTRACTBackground: Cervical cancer is one of the most common cancers in women. Cervical cancer ranks highest in developing countries and ranks 10th in developed countries or 5th place globally. Based on government policy, the implementation of a new program to prevent Cervical Ca is done by examining Visual Acetate Acid inspection (IVA). Objective: To determine the relationship between the role of midwives and the behavior of check for Visual Acetate Acid inspection (IVA). Method: The study design used correlational with cross sectional approach. the research population of all WUS in Karanggeneng Village, Boyolali District was 971 WUS. Based on the Slovin formula, the number of respondents was 91 respondents. The sampling technique is accidental sampling. Data collection tool in the form of a questionnaire. Data analysis using chi square test. Results: The study showed that respondents who were given counseling and conducted IVA examinations were 41.2%, respondents who had been given counseling did not check IVA for 58.8%. While 100% of respondents who did not receive counseling did not carry out IVA examinations. Fisher exact test results obtained p value 0.006 <= 0.05 so that there was a relationship between the role of midwives and IVA check behavior. Conclusion: There is a relationship between the role of midwives and the behavior of check IVA. Midwives are expected to conduct counseling and motivate mothers repeatedly about IVA examination so as to increase knowledge and interest in mothers conducting IVA examination as early detection of cervical cancerKeywords: Role of midwives, IVA check behavior.


2021 ◽  
Vol 6 (2) ◽  
pp. 111
Author(s):  
Hepti Muliyati ◽  
Menis Mbali ◽  
Hadidja Bando ◽  
Riana Pangestu Utami ◽  
Opyn Mananta

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.


2020 ◽  
Vol 3 (1) ◽  
pp. 1-7
Author(s):  
Elia Ika Rahmawati ◽  
Dini Andriyani ◽  
Fathiyatur Rohmah

Cervical cancer is a malignant disease that remains a major cause of morbidity and mortality among women in the world. In Indonesia, only 5% of women of reproductive age screen for cervical cancer. 76.6% of cervical cancer patients are detected with the disease when they entered the advanced stage. Early detection of cervical cancer is the key intervention in the reduction of incidence and mortality of cervical cancer. Other studies reported that the awareness of women of reproductive age to do cervical cancer screening is still very low due to a lack of knowledge about cervical cancer. This study aimed to determine the correlation of knowledge and participation in early detection of cervical cancer in women in reproductive age. This study used an analytical survey with a cross-sectional approach. The sampling technique used incidental sampling with a total of 36 women in reproductive age. Data analysis used Chi-Square test. Statistical results showed that there was a significant correlation between knowledge of women in reproductive age about cervical cancer and participation in early detection of cervical cancer, which is p value = 0.020 ( 0.05) and coefficient of contingency (r) = 0.423. The level of closeness of the correlation is medium. Therefore, there is a need for tailored services that could improve knowledge of women in reproductive age about cervical cancer to improve participation with a view to preventing cervical cancer by early detection.


2021 ◽  
Vol 6 (1) ◽  
pp. 1-9
Author(s):  
Dian Maya Sari Siregar

ABSTRACT The spraying process is a condition where workers are very likely to be exposed to toxic chemicals contained in pesticides. Problems encountered in the field, workers do not spray with the correct method and do not use a complete PPE. The danger that can occur when spraying is a disturbance in the enzyme Cholinesterase (CHE) in the blood. CHE is an enzyme that is in the body's tissues has a role to keep nerve cells, muscles and glands working properly. The purpose of this study was to determine the factors related to CHE levels in spraying workers. The research design used analytical research with cross sectional approach. The population was 30 spraying workers. The sampling technique used a total population of 30 people. Data analysis used univariate and bivariate analysis tested by Fisher Exact Test statistical test. Data obtained by questionnaire and examination of CHE levels through blood samples. The results with bivariate analysis revealed p-value of each variable, namely age .143>.05, gender 1,000>.05, education level .374>.05, years of service .071>.05, duration of exposure .02<.05, spraying method 0,000<.05, the last spraying time was .210>.05 and PPE .001 <.05. The conclusion shows that there is a relationship between the length of exposure to pesticides, how to spray and PPE with CHE levels. Keywords: Related Factors, Cholinesterase Levels, Spraying Workers


2019 ◽  
Vol 8 (2) ◽  
pp. 183
Author(s):  
Renty Ahmalia ◽  
Rostri Zaelfi

Coverage of visits to mothers of children under five in Indonesia in 2016 reached 80.01%, whereas in 2017 coverage of visits of mothers of toddlers to Posyandu declined to 79.34%. Provinces that were still relatively low in achievement were Gorontalo (57.6%), North Kalimantan (58.6%), South Kalimantan (59.4%), Papua (64.8%) and West Sumatra (76.8%). This research is a quantitative study with a cross sectional design or approach. The purpose of the study was to find out the relationship between maternal motivation and the role of cadres with activeness in participating in the activities of Posyandu toddlers in the work area of the Six Lingkung Health Center in Padang Pariaman District which was carried out in July 2019 with a sample of 62 respondents, a total sampling technique. The statistical test used is chi-square. The results of this study have a relationship between maternal motivation and activeness in participating in the Posyandu for toddlers in the area of the Six Lingkung Health Center in Padang Pariaman District (p value = 0.044). (p value = 0.023). It is hoped that the Puskesmas will remind cadres to increase their role, especially in disseminating information to mothers. Cadres need to create social networks or communication networks that can facilitate the delivery of information to mothers such as creating a special whattsapp group of mothers who have toddlers, so that with this group, cadres can easily convey information to all mothers who live in the Posyandu working area


Author(s):  
Suratin Suratin ◽  
Susanti Susanti

One of the most possible ways of early detection for cervical cancer is through theVIA examination. This study aims to determine the correlation of knowledge levels and attitude of adult female on early detection for cervical cancer with VIAtest.This research is an analytical survey study with cross sectional approach. The population investigated isthe fertile age couples attended the Sekupang Health Centre dated from June to July 2017. Furtherfrom the population, 71 respondents were selected as the sample through accidental sampling technique. This research utilizes questionnaires to collect the data, then analyzed by chi square statistical test. The result presents that74.6% female adults have good knowledge level, 64.8% of them show negative attitude, and 64.8% women do not perform the VIA test.The correlation coefficients obtained for the knowledge is p = 0.000 and attitude is p = 0.010 (p<0.05). These findings verified that there is a significant correlation between knowledge levels and attitude of adult women on early detection of cervical cancer by performing the VIA test, particularly at Sekupang Public Health Center in 2017. Finally, it is suggested for health workersof Sekupang Health Center to develop a more intensive and innovative counseling program on the cervical cancer as well as on how to detect the early sign of the cancers in women for general


2020 ◽  
Vol 8 (2) ◽  
pp. 107-110
Author(s):  
Arnisam Arnisam ◽  
Nunung Sri Mulyani ◽  
Eva Fitriyaningsih ◽  
Desi Muntazirah

Background :Stunting is called a cross-generation nutritional problem caused by multifactors including genetic factors (maternal height). Another factor causing stunting is lack of nutrition. ASI fulfills all of the baby's nutritional needs, so breastfeeding status also affects the incidence of stunting.Objective : to determine the relationship of exclusive breastfeeding and maternal height with the incidence of stunting in children aged 6-36 months in the UPTD of the Ulee Kareng Health Center in Banda Aceh.Methods : This research is descriptive analytical research with cross sectional design with a quantitative approach. It was held on May-June 2019. The population of this study was all children aged 6-36 months in the UPTD of the Health Center Ulee Kareng Banda Aceh. The sample size was 81 children aged 6-36 months. The sampling technique in this study was accidental sampling. The instrument used was a questionnaire to determine toddler identity and the identity of the respondent. Measurement of height using microtoice, and body length was measured using an infrantometer Analysis of data using the chi square test with a 0.05 degree of confidence.Result : Based on the results of the study, children who received exclusive breastfeeding were 51.9%. Short mother 58%. Normal child 51.9%. There is a relationship between exclusive breastfeeding and maternal height with the incidence of stunting in children aged 6-36 months. With p-value 0.05. Namely exclusive breastfeeding with the incidence of stunting in children (p-value = 0.011). Maternal height with incidence of stunting in children (p-value = 0.028).Conclusion : Exclusive breastfeeding and maternal height have a relationship with the incidence of stunting in children aged 6-36 months in the UPTD of the Health Center Ulee Kareng Banda Aceh. So it is expected that mothers give exclusive breastfeeding for babies as an effort to prevent stunting.


e-GIGI ◽  
2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Avita Aulia ◽  
Paulina N. Gunawan ◽  
Shirley E. S. Kawengian

Abstract: Caries is the presence of a cavity on the tooth caused by the activity of microorganism on fermented carbohydrate. Nutritional status is resulting from food consumption, which is one of the factors that influence the occurence of dental caries. This study was aimed to obtain the relationship between nutritional status and caries in permanent lower first molar among students of SDN 36 (elementary school) Manado. This was an analytical study using a cross sectional design. There were 48 students at SDN 36 Manado aged 6-8 years in this study obtained by using total sampling technique. We used the nutritional status based on length-for-age and BMI-for-age using the z-scores WHO anthropometrical standards for children aged 5-18 years and examined the oral cavity whether there was caries in permanent lower first molars. The results showed that caries in permanent lower first molars was found in 77.1% of subjects. Nutritional status based on length-for-age showed normal category (83.3%) and short stature/stunted (16.7%). The nutritional status based on BMI-for-age showed obese category (22.9%), overweight (8.3%), normal (60.5%), wasted (8.3%), and severely wasted (0.0%). The Fisher’s Exact test and the Chi-Square test showed that the relationship between length-for-age and the occurence of caries had a p-value of 1,000 meanwhile the relationship between nutritional status based on BMI-for-age and the occurence of caries had a p-value of 0.024. Conclusion: There was a significant relationship between nutritional status based on BMI-for-age and caries in the permanent lower first molars in children aged 6-8 years at SDN 36 Manado.Keywords: dental caries, permanent lower first molar, nutritional status Abstrak: Karies adalah adanya rongga pada yang disebabkan oleh aktivitas jasad renik terhadap karbohidrat yang dapat diragikan. Status gizi merupakan keadaan tubuh sebagai akibat konsumsi makanan, yang menjadi salah satu faktor yang dapat memengaruhi proses terjadinya karies gigi. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi dengan karies gigi molar pertama bawah permanen pada anak usia 6-8 tahun di SDN 36 Manado. Jenis penelitian ialah analitik dengan desain potong lintang. Pengambilan sampel menggunakan teknik total sampling terhadap seluruh siswa di SDN 36 Manado berusia 6-8 tahun pada tahun 2019 yang berjumlah 48 orang. Pada penelitian ini dilakukan pengukuran status gizi TB/U dan IMT/U berdasarkan SD dengan standar baku antropometri WHO untuk anak usia 5-18 tahun serta pemeriksaan rongga mulut untuk melihat ada tidaknya karies pada gigi molar pertama bawah permanen. Hasil pemeriksaan menunjukkan terdapatnya karies pada gigi molar pertama bawah permanen sebesar 77,1% subyek. Status gizi berdasarkan TB/U didapatkan subyek kategori normal (83,3%) dan pendek/stunted (16,7%). Status gizi berdasarkan IMT/U didapatkan kategori obesitas (22,9%), gemuk (8,3%), normal (60,5%), kurus (8,3%), serta sangat kurus (0,0%). Hasil uji Fisher’s Exact dan uji Chi-Square menunjukkan untuk TB/U nilai p=1,000 sedangkan untuk IMT/U nilai p=0,024. Simpulan: Terdapat hubungan bermakna antara status gizi berdasarkan IMT/U dengan karies gigi molar pertama bawah permanen pada anak usia 6-8 tahun di SDN 36 Manado.Kata kunci: karies gigi, molar pertama bawah permanen, status gizi


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