Deteksi Dini Kanker Serviks dengan Inspeksi Visual Asam Asetat (IVA)

Abstract

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

Facilitators and barriers for the delivery and uptake of cervical cancer screening in Indonesia: a scoping review

“…While knowledge of CC is important, a positive attitude, motivation and perception of benefit of screening and seriousness of CC was another common demand-side facilitator, conversely lack of confidence in screening outcome or quality was a common demand-side barrier [ 22 , 23 , 31 , 33 , 34 , 36 , 40 , 48 , 51 , 55 , 57–59 , 62 ]. Lack of confidence can be a consequence of negative prior experiences of screening, unavailability of quality services and a lack of trust in HCPs [ 31 , 57 , 59 , 73 ].…”

“…Two included articles discussed supply-side facilitators [ 39 , 44 ], 19 articles discussed demand-side facilitators [ 34–36 , 43 , 45 , 46 , 48–50 , 52 , 54–58 , 60–63 ], and eleven discussed demand and supply-side facilitators [ 22 , 23 , 33 , 37 , 38 , 40–42 , 47 , 51 , 53 ]. Table 2 provides an overview of the identified themes within the included literature.…”

“…Fourteen studies set identified women’s lack of knowledge and awareness, and lack of confidence in screening as crucial barriers to their uptake [ 22 , 23 , 31 , 33 , 34 , 36 , 40 , 48 , 51 , 55 , 57–59 , 62 ]. Twelve out of 14 studies focused on women’s lack of understanding or awareness of either CC prevention and/or where CC screening is available [ 22 , 23 , 31 , 33 , 34 , 36 , 40 , 48 , 50 , 51 , 58 , 59 ]. Additionally, having a negative attitude towards screening with respect to outcome expectation, trust in services and perceived quality was identified as a barrier in three studies [ 31 , 57 , 59 ].…”

Factors that influence the participation among women in Inspection Visual Acetic acid (IVA) test

“…The coverage of IVA examinations in Indonesia in 2016 was 4.34% which is still far from the national target of 10% at the end of 2015 (Nonik Ayu Wartini, 2019).…”

Faktor Pemeriksaan Deteksi Dini Kanker Serviks Metode Inspeksi Visual Dengan Asam Asetat

“…Hal ini disebakan karena kurangnya pengetahuan tentang deteksi dini dan rendahnya kesadaran masyarakat tentang upaya pencegahan kanker serviks. Rasa takut terhadap kanker juga menyebabkan masyarakat enggan melakukan pemeriksaan (deteksi dini), menjauhkan diri dari informasi mengenai kanker, sehingga kanker terdiagnosis pada stadium lanjut (Watini & Indrayani, 2019).…”