Behavioral Determinants of IVA Inspection in Women of Childbearing Age

2021 ◽  
Vol 4 (2) ◽  
pp. 160-168
Author(s):  
Lifiah Ninja Astuti ◽  
La Ode Ali Hanafi ◽  
Juslan
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Health Center ◽  
Health Workers ◽  
Simple Random Sampling ◽  
Total Sample ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Behavioral Determinants

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.

KNOWLEDGE OF FEMALE ABOUT CERVICAL CANCER AND IVA TEST AT PUSKESMAS TIBAN BARU

2021 ◽  
Vol 11 (2) ◽  
pp. 1
Author(s):  
Dino Gagah Prihadianto ◽  
Ade Ricky Harahap
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Total Sample ◽  
Test Method ◽  
Bivariate Analysis ◽  
P Value ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Cancer Early Detection

Background : According to WHO, cervical cancer is the second cancer after breast cancer which causes the death of women in the world. In Indonesia, more than 26 women die every day, because within three years about 42,000 died. For every screening out of 1,000 people, there is 1 woman who develops cervical cancer. Early detection coverage in Indonesia is less than five percent. This study aims to determine the knowledge of women of childbearing age and IVA Test. Method : The design in this study was cross sectional, namely to determine the relationship between the knowledge of women of childbearing age about cervical cancer with IVA test. The location of this research was at the puskesmas Tiban Baru and was carried out for 6 months. The population in this study were fertile aged women in the working area of Puskesmas Tiban Baru. The sample of this study used purposive sampling with a total sample of 61 respondents. This study uses bivariate data analysis with Chi Square statistical test. Result :The results of the study were obtained from 61 respondents, the majority of which had sufficient knowledge as many as 43 people (71%). And most of them performed IVA test as many as 45 people (74%), from the bivariate analysis obtained a p-value of 5 0.005, conclusion : there is a significant relationship between the knowledge of women of childbearing age about cervical cancer to the IVA examination. Suggestions to respondents are expected to be able to increase knowledge about cervical cancer and routinely carry out cervical cancer early detection checks by means of IVA examinations at health centers or health facilities that provide IVA Test

scholarly journals HUBUNGAN PENGETAHUAN DAN SIKAP WANITA USIA SUBUR DALAM MELAKUKAN DETEKSI DINI KANKER SERVIK

2020 ◽  
Vol 3 (2) ◽  
pp. 381-386
Author(s):  
Ryta Marbun ◽  
Yovieta Yovieta ◽  
Oktavia Oktavia ◽  
Nurul Aswar Fadilla Daulay ◽  
Tuti Handayani Lubis ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Incidence Rate ◽  
Pap Smear ◽  
Health Workers ◽  
Reproductive Age ◽  
P Value ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional

Cancer is the second leading cause of death globally and 70% of cancers occur in low- and middle-income countries. incidence rate of 17 per 100,000 women, new cases found 13.0% with a death rate of 10.3% per year of all cancer cases in women in the world. Cervical cancer is caused by Human Papillomavirus (HPV) infection. HPV is a viral infection that attacks the reproductive tract. It takes 15 to 20 years for cervical cancer to develop in women with normal immune systems. IVA is an alternative screening examination to the pap smear because it is cheap, practical, very easy to do and simple equipment and can be done by health workers other than gynecologists. The IVA test was carried out by preparing 5% acetic acid and made on a cotton swap then a cotton swap was applied to the cervix and interpreted after 1 minute under bright light. The test is said to be positive if a white area is visible on the cervix. confusion about the importance of examinations, fear of the reality of the results faced, fear of feeling sick at the examination that will be faced, feeling reluctant to be examined by a male doctor or midwife and lack of family support, especially husbands. This research was conducted with a descriptive analytic research type with a cross sectional approach. The sample in this study were women of childbearing age aged 20-65 years. = 0.032 where p value> 0.05. with good knowledge of WUS, the desire to do early detection is also there as well as the attitude, if the attitude of WUS is positive, then do an IVA test. Therefore, knowledge and positive attitudes are very important for women women so that it will increase awareness and interest in women in early detection of cervical cancer. Women of reproductive age should get a lot of information about early detection and the role of health workers and their families is very important to be able to provide information and support for women of childbearing age to carry out early detection of cervical cancer.   Abstrak Kanker merupakan penyebab kematian tertinggi kedua secara global dan 70% kanker terjadi di negara-negara yang memiliki penghasilan rendah dan menegah. incidence rate 17 per 100.000 perempuan, kasus baru yang ditemukan 13,0% dengan jumlah kematian 10,3% per tahun dari seluruh kasus kanker pada perempuan di dunia. kanker serviks disebabkan oleh infeksi Human Papilomavirus (HPV). HPV merupakan infeksi virus yang menyerang saluran reproduksi. Dibutuhkan 15 hingga 20 tahun untuk kanker serviks untuk berkembang pada wanita dengan sistem kekebalan normal.  IVA merupakan pemeriksaan skrining alternatif dari pap smear karena murah, praktis, sangat mudah untuk dilakukan dan peralatan sederhana serta dapat dilakukan oleh tenaga kesehatan selain dokter ginekologi. Pemeriksaan IVA tes dilakukan dengan menyiapkan Asam asetat 5% dan dibuat pada cotton swap kemudian cotton swap dioleskan pada serviks dan diinterpretasikan setelah 1 menit di bawah cahaya terang. Tes dikatakan positif jika area putih terlihat pada serviks. keraguang akan pentingnya pemeriksaan, takut terhadap kenyataan akan hasil yang dihadapi, ketakukatan merasa sakit pada pemeriksaan yang akan dihadapi, rasa segan diperiksa dokter pria atau pun bidan dan kurangnya dukungan keluarga terutama suami. Penelitian ini dilakukan dengan Jenis penelitian deskriptif analitik dengan pendekatan cross sectional. Sampel dalam penelitian adalah wanita usia subur yang berusia 20-65 tahun Pengetahuan wanita usia subur ada hubungan dalam melakukan deteksi dini kanker serviks dengan IVA Tes dengan nilai p = 0.000 dimana nilai p > 0.05 dan adanya hubungan Sikap dengan deteksi dini kanker serviks dengan nilai p=0.032 dimana nilai p>0.05. dengan baikya pengetahuan  WUS maka keinginan untuk melakukan deteksi dini juga ada begitu juga dengan sikap, jika sikap WUS positif maka melakukan pemeriksaan IVA tes.  Oleh sebab itu pengetahuan dan sikap positif sangat penting dimiliki oleh WUS sehingga akan meningkatkan kesadaran dan  minat wus dalam  melakukan deteksi dini kanker serviks. Wanita Usia Subur harus mendapatkan banyak informasi tentang dekteksi dini dan peran petugas kesehatan dan juga keluarga sangat penting untuk dapat memberikan informasi dan dukungan bagi wanita usia subur untuk melakukan pemeriksaan deteksi dini kanker servik.

scholarly journals Faktor yang Berhubungan dengan Deteksi Dini Kanker Serviks Metode IVA di Puskesmas Kota Padang

2018 ◽  
Vol 14 (1) ◽  
pp. 68 ◽  
Author(s):  
Aprianti Aprianti ◽  
Miftahil Fauza ◽  
Azrimaidalisa Azrimaidalisa
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Health Center ◽  
Sampling Method ◽  
Total Sample ◽  
Statistical Test ◽  
Childbearing Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Participation Of Women

Background: In 2013 the prevalence of cervical cancer in West Sumatra was 0.9 per 1000 population. This data exceeds the Indonesian prevalence of 0.8 per 1000 population.  Lack of public knowledge regarding early detection of cervical cancer is the cause of the high prevalence of cervical cancer. This study aims to determine the factors associated with the participation of women of childbearing age in the early detection of VIA method cervical cancer in Padang City Health Center in 2018.Method: This study was a cross sectional design, conducted from February to October 2018. The population was women who visited the Alai Health Center and Pegambiran Health Center with a total sample were 110 respondents. The sampling method uses consecutive sampling method. Data collection by interview using a questionnaire. Data were analyzed by Chi-square statistical test and logistic regression with 95% confidence degree.Result: The results showed that 60% of respondents had never done the early detection of VIA cervical cancer method. Statistical test results show there was a significant relationship between the level of knowledge (p = 0,000), attitude (p = 0,041), access to information (p = 0,000) and husband's support (p = 0,000) with the early detection of VIA cervical cancer method. The results of multivariate analysis showed that the most dominant variables affected the participation of women in early detection of cervical cancer, namely husband's support (p = 0,000) and POR = 46,693.

scholarly journals Hubungan Tingkat Pengetahuan Akseptor Keluarga Berencana dan Peran Tenaga Kesehatan dengan Minat Penggunaan Kontrasepsi Jangka Panjang (MKJP)

2019 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
Maria T. E. Koba ◽  
Frans G. Mado ◽  
Yoseph Kenjam
Keyword(s):  
Family Planning ◽  
Health Center ◽  
Health Workers ◽  
Simple Random Sampling ◽  
Bivariate Analysis ◽  
P Value ◽  
Childbearing Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Husband Support

Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.

scholarly journals Relationship of knowledge and attitude to visual inspection of acetic acid (IVA) by women of childbearing age

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Mona Rahayu Putri ◽  
Lia Fitria ◽  
Indah Sri Wahyuni ◽  
Saraswati Haylian Chiani ◽  
Ernawati Ernawati
Keyword(s):  
Cervical Cancer ◽  
Health Workers ◽  
Cluster Sampling ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Analytical Technique ◽  
Chi Square Test ◽  
Relationship Of

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.

scholarly journals Risk Factors Associated with Early Detection of Cervical Cancer by the IVA Method in Women of Childbearing Age In the City of Ternate

2021 ◽  
Vol 2 (4) ◽  
pp. 1305-1320
Author(s):  
Hairudin La Patilaiya ◽  
Nursia Aja ◽  
Taufik Yunus
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Early Detection ◽  
Health Center ◽  
World Health ◽  
Access To Information ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Factors Associated ◽  
The World

Background : Cervical cancer is one of the main problems in women's health in the world, including Indonesia. According to the 2018 Global Cancer Observatory from the World Health Organization (WHO), the most common cancer cases in Indonesia are breast cancer, which is 58,256 cases or 16.7% of the total 348,809 cancer cases. Cervical cancer (neck of the womb) is the second most common type of cancer in Indonesia, with 32,469 cases or 9.3% of the total cases. Objective: To determine the risk factors associated with early detection of cervical cancer using Visual Inspection with Acetic Acid (IVA) ) in women of childbearing age in the Work Area of the Ternate City Health Center for Siko Treatment. Methods: This research is a quantitative analytic study with a cross sectional design. Data collection was carried out from December 2020 to January 2021. The population was all patients who underwent examinations at the Maternal and Child Health Polyclinic (KIA) at the Siko Care Health Center in Ternate City as many as 227 patients and a sample of 145 female patients of childbearing age from January to September 2020. Techniques sampling is simple random sampling. Data analysis used univariate and bivariate with chi-square test. The research variable consists of the dependent variable, namely early detection of cervical cancer, while the independent variables are knowledge, husband's support, access to information and culture. Results: Shows that age (46.9%), knowledge of VIA (50.3%), attitude (55.2%), husband's support (52.4%), access to information (62.1%), culture (51.7%), Support Officer (48.3%), early detection of cervical cancer IVA method (55.2%), while the bivariate results include: Age (0.000, OR=19,011; CI=8.095-44,647), knowledge (0.001; OR=2.86; CI=1.563-18.367), attitude (0.000; OR=215.524 CI=53,456-868.955), husband's support (0.002; OR=1.448 CI=1.688-11.933), access to information (0.000; OR=2,294; CI=1,574-15,976), culture (0,003; OR=2,202 CI=1,648-10,717), health worker support (0,000; OR=27,111 CI;11,023-66,680). Conclusion: There is a relationship between knowledge, husband's support, access to information and culture with early detection of cervical cancer against the IVA method. Based on the results of the study, it is recommended that the relevant agencies, namely the Siko Health Center, always improve health education to the community, especially mothers and husbands regarding early detection of cervical cancer through various media tools including leaflets, posters, flipcharts and other media. Through this counseling, it is hoped that the community will be more interested and understand the material presented more quickly

scholarly journals PERCEPTION OF WOMEN OF CHILDBEARING AGE ON EARLY DETECTION OF CERVICAL CANCER WITH IVA TEST IN THE BASIC ESSENTIAL NEONATAL OBSTETRICS SERVICES CIPEUNDEUY COMMUNITY HEALTH CENTER SUBANG REGENCY

2021 ◽  
Vol 1 (1) ◽  
pp. 1-11
Author(s):  
Wiwin Elis Sumarni ◽  
Lia Nurcahyani
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Reproductive Age ◽  
Women Of Childbearing Age ◽  
Research Subjects ◽  
Childbearing Age ◽  
District Health

Cervical cancer is the most common cancer in women with an estimated 570,000 new cases in 2018 and represents 6.6% of all cancers in women. The behavior of women of childbearing age in preventing cervical cancer with early detection is still low. Nationally, it is still less than 5%, while the target to be achieved in 2019 is 50%. In Subang Regency in 2019, of the target of 7500, only 20 people (0.27%) did IVA tests (Subang District Health Office, 2019). This study aims to determine the perception of women of childbearing age on early detection of cervical cancer with IVA test in the Basic Essential Neonatal Obstetrics Services Cipeundeuy Community Health Center, Subang Regency In 2020. This research is qualitative with a case study approach, the research subjects are 5 women of reproductive age. Measurement and observation of these variables using in-depth interviews. Data analysis through transcription, reduction, categorization, presentation of data in narrative form. The behavior of women of childbearing age in preventing cervical cancer with early detection is based on the perception of vulnerability of women of childbearing age to feel vulnerable to cervical cancer, because women of childbearing age is already active in sexual intercourse, based on the perception of severity seriousness. Women of childbearing age considers cervical cancer a serious disease, based on the perceived advantage that this examination is to determine the health condition of the presence of signs and symptoms, based on the perception of obstacles due to shame, fear, lack of knowledge and costs. Women of childbearing age perception of cervical cancer early detection includes perception of vulnerability, perception of severity/ seriousness, perception of benefits and perception of barriers.

scholarly journals Gambaran Tingkat Pengetahuan Wanita Usia Subur Tentang HIV/AIDS di Wilayah Kerja Puskesmas Gurah Kabupaten Kediri

2021 ◽  
Vol 1 (1) ◽  
pp. 12-27
Author(s):  
Ratna Frenty Nurkhalim
Keyword(s):  
Human Immunodeficiency Virus ◽  
Health Workers ◽  
Signs And Symptoms ◽  
Total Sample ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Immunodeficiency Virus ◽  
Level Of Knowledge ◽  
Hiv Aids

HIV / AIDS is an infectious disease caused by infection with the Human Immunodeficiency Virus (HIV) which attacks the immune system. (RI Ministry of Health, 2017). The high case of HIV / AIDS in women is feared to have an impact on the increase in cases of HIV / AIDS in children who get from perinatal transmission or transmission of infections that occur during pregnancy or childbirth. Another contributing factor is the lack of knowledge and awareness about HIV / AIDS that has threatened ordinary people including women of childbearing age. This study aims to determine the level of knowledge of women of childbearing age about HIV / AIDS in the Gurah Health Center area of ​​Kediri Regency. The method used was cross-sectional by distributing questionnaires to a group of women of childbearing age with a total sample of 98 respondents. With variables including the characteristics of respondents and knowledge of HIV / AIDS. Based on the research results obtained for the most age at the end of adulthood (35.7%), the most education was high school / vocational school (62.2%), IRT work (65.3%), electronic media information sources (41.8%). While knowledge of HIV / AIDS was sufficient as much as 43.9%, knowledge about transmission is low (49.9%), knowledge of prevention about limiting sexual relations (70.4%), condom use (55.1%), knowledge of signs and symptoms of people appear healthy (73.5%) , knowledge of characteristics affected by HIV / AIDS (59.2%), knowledge of prevention of HIV / AIDS testing (54.1%), and place of testing services (53.1%). The conclusion that can be taken was the level of knowledge of women of childbearing age about HIV / AIDS was in the sufficient category and was expected to be further improved so that it becomes a high level by conducting counseling by health workers in the Puskesmas and other agencies.   HIV/AIDS merupakan penyakit menular yang disebabkan oleh infeksi Human Immunodeficiency Virus (HIV) yang menyerang sistem kekebalan tubuh. (Kemenkes RI, 2017). Tingginya kasus HIV/AIDS pada perempuan dikhawatirkan akan ikut berdampak pada peningkatan kasus HIV/AIDS pada anak-anak yang didapat dari penularan melalui perinatal atau penularan infeksi yang terjadi pada saat kehamilan atau persalinan. Faktor penyebab lainnya adalah kurangnya pengetahuan dan kesadaran tentang HIV/AIDS yang telah mengancam kalangan orang biasa termasuk wanita usia subur. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan wanita usia subur tentang HIV/AIDS di wilayah Puskesmas Gurah Kabupaten Kediri. Metode yang digunakan adalah cross-sectional dengan menyebarkan kuesioner ke kelompok wanita usia subur dengan jumlah sampel sebanyak 98 responden. Dengan variabel meliputi karakteristik responden dan pengetahuan HIV/AIDS. Berdasarkan penelitian diperoleh hasil untuk usia terbanyak pada dewasa akhir (35.7%), pendidikan terbanyak yaitu SMA/SMK (62.2%), pekerjaan IRT (65.3%), sumber informasi media elektronik ( 41.8%). Sedangkan pengetahuan HIV/AIDS yaitu cukup sebanyak 43.9%, pengetahuan mengenai penularan yaitu rendah (49.9%), pengetahuan pencegahan tentang membatasi hubungan seksual (70.4%), pemakaian kondom (55.1%), pengetahuan tanda dan gejala orang tampak sehat (73.5%), pengetahuan ciri terkena HIV/AIDS (59.2%), pengetahuan penanggulangan adanya tes HIV/AIDS (54.1%), dan tempat pelayanan tes (53.1%). Simpulan yang dapat diambil adalah tingkat pengetahuan wanita usia subur tentang HIV/AIDS berada pada kategori cukup dan diharapkan dapat lebih ditingkatkan sehingga menjadi tingkatan yang tinggi dengan dilakukan penyuluhan oleh tenaga kesehatan yang ada di Puskesmas maupun instansi lainnya.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU WANITA USIA DALAM MELAKUKAN DETEKSI DINI KANKER SERVIKS DI DESA JATIMULYA WILAYAH KERJA PUSKESMAS PEDES KABUPATEN KARAWANG

2019 ◽  
Vol 8 (1) ◽  
pp. 8
Author(s):  
Mardianti Mardianti
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Statistical Tests ◽  
Sampling Technique ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
District Health ◽  
Cross Sectional ◽  
Cancer Early Detection ◽  
Early Cervical Cancer

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.

scholarly journals KESEDIAAN IBU DALAM PEMERIKSAAN INSPEKSI VISUAL ASAM ASETAT (IVA)

2021 ◽  
Vol 7 (3) ◽  
pp. 481-488
Author(s):  
Sri Juliani ◽  
Nurrahmaton Nurrahmaton ◽  
Sahyuni Sari Marbun
Keyword(s):  
Cervical Cancer ◽  
Health Workers ◽  
Health Centre ◽  
Signs And Symptoms ◽  
B Value ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Chi Square ◽  
Cross Sectional

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 

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