Evaluasi Pelaksanaan Program Deteksi Dini Kanker Serviks dengan Metode Inspeksi Visual Asam Asetat (IVA) dan Deteksi Dini Kanker Payudara dengan Metode Clinical Breast Examination (CBE)

Abstract

Cancer is the number two cause of death in the world. 10 types of cancer in Indonesia, breast cancer ranks first (21.69%) followed by cervical cancer (17%). To prevent the disease, The Government launched an early detection program of cervical cancer with Visual Acetic Acid Inspection Method and early detection of breast cancer by Clinical Breast Examination. The region of Central Java especially Semarang Regency from 159.621 women of childbearing age only 771 (0.44%) examined. Therefore need to be evaluated as measured on the basis of indicators of inputs, process, outputs.The researche aims to evaluated the implementation of early detection program of cervical cancer with Visual Acetic Acid Inspection Method and early detection of breast cancer with Clinical Breast Examination Method at Public Health Centreworking areas of Semarang Regency. This research was evaluated of the program, namely the formative evaluation. The research design used descriptive analytics using Mixed Method Sequential Explanatory which there Sequential Mixed Method. The results of this research showed that from the input components, that was 100% of Health Centreworking areas of Semarang Regency has excellent value. On the process components rated 88.5% very good, 11.5% good. On the component Output there were 15.4% Public Health Centre very good, 7.7% good, 26.9% enough, 46.2% less, and 3.8% very less.The research concluded was that inputs of the programs that rated very good not necessarily produce outputs very good as well, it was influenced by the rated of process. Therefore, suggestions for the implementation of the program in order to further improve the socialization and advocated, the implementation was done more regularly so that the motivation of the people will be increase, and than conducting periodic monitoring.

Early Detection Program for Breast and Cervical Cancer in Indonesia: How is Implementation?

“…Furthermore, the use of technology-based information systems, particularly in the health sector, can generate accurate, timely, and precise information (Zeadally & Bello, 2021). The findings of this study are consistent with the findings of Amelia et al (2019), who discovered that the reporting system used by a program implementing officers in Semarang Regency takes two forms: offline and online. Offline reports are sent to the head of the Puskesmas, while online reports are sent to the Semarang District Health Office via e-mail.…”

“…Human resources for health, also known as health workers, are individuals who devote themselves to the health sector and have acquired knowledge and skills through education in the health sector (Huremović, (2019). SA-DANIS and IVA examinations are performed by trained midwives, general practitioners, and obstetrics and gynecology specialists (Amelia et al, 2019). Implementing the cancer early detection program may be hampered by a shortage of human resources, specifically trained general practitioners (Bateman et al, 2019).…”

“…Meanwhile, infrastructure is a location or room where these activities can occur. The availability of facilities and infrastructure is a critical factor in program implementation (Amelia et al, 2019). A secure examination location is vital and must be considered by Primary Public Health Care (Puskesmas).…”

Strategi dan Aspek Bauran Pemasaran untuk Meningkatkan Cakupan Pelayanan Inspeksi Visual Asam Asetat (Studi Kasus di Puskesmas Kedungmundu Kota Semarang)

“…Penelitian Ulva (2019) bahwa upaya sosialisasi harus dilakukan secara terjadwal. 16 Terkait dengan media sosialisasi dan kegiatan promotif lainnya dari hasil penelitian menunjukkan bahwa sosialisasi lebih sering informasi lisan, sementara media leaflet, pemasangan banner tentang IVA di Puskesmas belum berkelanjutan. Sementara penggunaan media online, cetak maupun elektronik untuk informasi IVA belum optimal.…”

Gambaran Hasil HPV Test dengan PAP Test pada Pasien dengan Lesi Prakanker Serviks di RSUP Dr M Djamil Padang

“…One new case is found every minute, and every two minutes, one death occurs. 1 The increase in the incidence of cancer is estimated at 1% per year. 2 Human Papilloma Virus (HPV) is a causative agent for cervical cancer.…”