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 ◽  
...  

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.

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.


Author(s):  
Dino Gagah Prihadianto ◽  
Ade Ricky Harahap

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


2020 ◽  
Vol 9 (2) ◽  
pp. 1481-1488
Author(s):  
Lilik Darwati ◽  
Khusnul Nikmah

From the results of the study, it is known that almost half of the respondents in the implementation of cervical caesarean education, including less, namely 13 0 respondents and most of the respondents carried out early detection of cervical caverns with Pap smear, as many as 272 respondents out of a total of 369 respondents. There is a relationship between educational factors and the behavior of early detection of cervical caesarean at WUS p value 0.000 <0.05. Education is necessary in order untu k make someone knows d an encouraging someone to carry out early detection of ca cervix. There is a relationship between educational factors on the behavior of early detection of cervical cancer in women of childbearing age because the realization of behavior requires a variety of factors as a predisposition for the realization of behavior


Author(s):  
Chidebe Christian Anikwe ◽  
Philip Chidubem Osuagwu ◽  
Cyril Chijioke Ikeoha ◽  
Okechukwu B Ikechukwu Dimejesi ◽  
Bartholomew Chukwunonye Okorochukwu

Background Cervical cancer is a preventable disease that contributes significantly to the death of women. This study is aimed at determining the level of knowledge and utilization of cervical cancer screening and its determinants among female undergraduates of Ebonyi State University. Methods A structured questionnaire was used for a cross-sectional survey of the study population between January 1 and March 3, 2018. The data were analyzed using IBM SPSS Statistics version 20. Data were represented with frequency table, simple percentage, mode, range, Chi square and pie chart. The level of significance is at P-value < 0.05. Results Majority (74.8%) of the respondents were aware of cervical cancer and it could be prevented (70.8%). More than three-fifths (68.30%) were informed via health workers, and 86.8% were aware that post-coital vaginal bleeding is a symptom. Less than half (49.8%) knew that HPV is the primary cause, and only 32.9% were aware of the HPV vaccine. One-quarter of the respondent were aware that early coitarche is a risk factor for cervical cancer. Only 41.8% of the women were aware of Pap smear, 9.2% had undergone screening, and 97.6% were willing to be screened. Marital status was the significant determinant of being screened while class level did not significantly influence uptake of cervical cancer screening. The most common reason (20.6%) for not being screened was lack of awareness of the test. Conclusion Our study population had a good knowledge of cervical cancer, but utilization of cervical cancer screening was poor. Awareness creation through the mass media and provision of affordable screening services can promote the use of cervical cancer screening in the study area.


Author(s):  
Anggrita Sari ◽  
Ika Mardiatul Ulfa ◽  
Dewi Pusparani Sinambela

Cervical cancer is a malignant tumor that grows in the cervix and often attack women. In Indonesia cervical cancer is the number one killer of all cancers. So early detection is very important. The incidence of cancer from year to year has been increasing significantly. On the contrary, the coverage of pap smear test has been decreasing. The aims are to determine the correlation of characteristics (age, education, and employment), knowledge and motivation and early detection of cervical cancer in couples of childbearing age in patients of Ulin General Hospital Banjarmasin. This type of research is analytic survey with cross sectional. The population is all couples of childbearing age who visit in obstetrics policlinic in Ulin General Hospital Banjarmasin. Sampling method was done by accidental sampling using a sample size of 30 people. Analysis using the spearman rank correlation test with 95% confidence value. Results find no correlation between age and early detection of cervical cancer (p=0,264>α=0,05), a correlation between education and early detection of cervical cancer (p=0,001<α=0,05), a correlation between employment with early detection of cervical cancer (p=0,003<α=0,05), no correlation between knowledge with the early detection of cervical cancer (p=0,425>α=0,05)), no correlation between motivation with the early detection of cervical cancer (p=0,264>α=0,05).


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.


2017 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Janu Purwono

The incidence of cancer increased from 12.7 million cases in 2008 to 14.1 million cases in 2012 or an increase of 12 percent. The number of cancer deaths worldwide in 2012 was found to be 8.2 million deaths. The prevalence of cancer in Indonesia is also quite high. The number of women of childbearing age who have not followed the early detection program of cervical cancer using IVA method. The purpose of this research is to know the effectiveness of health counseling to the knowledge of women of childbearing age about early detection of cervical cancer using Visual Acetic Acid Inspection method (IVA). The type of research is a comparative study conducted in Iringmulyo sub district. Metro Timur Kota Metro in October 2016. The population of this study is all mothers in awa mulyo village, amounting to 35 people. Analysis using paired sample t-test. Result of research got from 35 respondents show knowledge of respondent before giving counseling equal to 59,23 while knowledge after counseling is equal to 80,77 and result of t-test show show (p-value = 0,000 <0,05). Research indicates that counseling has proven to be effective in improving knowledge about early detection using IVA method.


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.


2018 ◽  
Vol 9 (2) ◽  
pp. 164-182
Author(s):  
Hairil Akbar

Family Planning Program is an effort to measure the number and distance of child that is desired. In order to achieve this program, several options are made to prevent or delay pregnancy through the implementation of quality family planning services. The purpose of this study was to determine the factors associated with the use of contraception in couples of childbearing age in Lohbener Village, Indramayu Regency. This study applied observational-analytic study, with a cross sectional study design. The population in the study were all women of childbearing age aged 15-49 years and married, while the sample in this study were parts of women of childbearing age aged 15-49 years and married in Lohbener village, Indramayu Regency. The sampling technique was conducted using simple random sampling and logistic regression test. Based on the results of logistic regression test, factors related to the use of contraception in of women of childbearing age in Lohbener Village, Indramayu Regency were husband's support (p value = 0.000; CI: 4.229-70.362), and knowledge (p value = 0.000; CI: 3.012-34.233 ), while unrelated factors were work status (p value = 0.577; CI: 0.214-15.902), parity (p value = 0.319; CI: 0.193-1.710), and access to family planning services (p value = 0.984; CI: 0.315-3.250) with the use of contraceptives in Lohbener Village, Indramayu Regency. Therefore it is advised that women of childbearing ages over ≥ 20 years to pay more concern to their health through good family planning such as regulating the number of births, sparing pregnancies, and more actively consulting to the health workers to conduct family planning programs.


2016 ◽  
Vol 11 (2) ◽  
pp. 84
Author(s):  
Siti Rochwati ◽  
Sutopo Patria Jati ◽  
Antono Suryoputro

ABSTRACTPeer Midwive Knowledge Influencing Practice in Counseling About Examination Visual Inspection Of Acetic Acid On Couple Women Of Childbearing Age; Cervical cancer is becoming a disease number two killer of women in Indonesia, after breast cancer, it is due to 95% of HPV virus (Human Papiloma Virus). HPV infection went unnoticed until the disease reaches an advanced stage. If cancer is found at an early stage can be cured completely with the method IVA (Visual Inspection Acetic Acid) easier, screening can be performed with a wider scope. Cervical cancer cases in the Kendal district was increased in 2009 (3,31%), in 2010 (3,77%), in 2011 (4,45%), while decreasing IVA inspection visit in 2010 (4,34%), 2011 (4,33%), 2012 (3,96%). Therefore midwife in addition to providing health services can also provide counseling realization of behavior IVA test inspection. The purpose of this research is to analyzed the relationship of knowledge midwives with practice in counseling about examination visual inspection of acetic acid on couple women of childbearing age. Methods and design research is quantitative descriptive explanatory with correlative and cross sectional approach, using sampling saturated with 60 respondents by midwife that have trained in the Kendal district. The results from 9 variables majority age ≥41 years =66,7%, educatin majority of DI and D III =78,3%, the majority of the working time ≥10 years = 95%, approximately 55% majority of the knowledge and counseling practice the majority 73,3%. Chi square test shows that the relationship between knowledge with practice in counseling about examination visual inspection of acetic acid on couple women of childbearing age p value 0,000. Midwives is expected to increase their knowledge, so that it can perform well counseled about IVA to couples of reproductive age want to do test IVA.Keywords: Midwives, Knowledge, Counseling Practice, IVA.


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