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ABSTRAK

Skrining kanker servik dengan metode inspeksi visual asam asetat (IVA) merupakan cara yang efektif mencegah kanker servik karena membutuhkan biaya murah dan mudah dilakukan. Namun tidak semua wanita mau melakukan tindakan pencegahan ini terutama di Puskesmas Wilayah Kecamatan Jati Sampurna dimana tercatat dalam tahun 2017 dan 2018 rata-rata pemeriksaan IVA baru sebesar 0,16% wanita usia 30-50 tahun yang skrining IVA. Penelitian ini bertujuan  mengetahui determinan perilaku skrining IVA  pada wanita usia 30-50 tahun yang berada di puskesmas wilayah Kecamatan Jati Sampurna, penelitian ini dilakukan dengan metode kuantitatif. Sebanyak 422 responden berpartisipasi dalam penelitian ini dengan mengisi kuesioner yang dibagikan langsung pada responden. Hasil penelitian menunjukkan bahwa 84,6% responden tidak melakukan skrining IVA. Hasil analisis statistik menunjukkan bahwa pendidikan, pengetahuan, dukungan suami, dan keterpaparan informasi merupakan determinan dari perilaku skrining IVA pada wanita usia 30-50 tahun di puskesmas wilayah Kecamatan Jati Sampurna. Upaya peningkatan pengetahuan dengan memaksimalkan komunikasi, informasi dan edukasi kepada masyarakat merupakan salah satu langkah dalam meningkatkan pengetahuan dan kesadaran masyarakat untuk periksa IVA. Disamping itu perlu adanya pengembangan media informasi yang memanfaatkan kemajuan teknologi dalam penyampaian informasi. Perhatian khusus juga diperlukan kepada keterlibatan semua pihak dalam memberikan informasi dan ajakan kepada wanita untuk periksa karena keinginan wanita untuk periksa IVA bisa muncul buka karena adanya pengetahuan dan informasi saja tapi dukungan suami dan keyakinan akan kerentanan dirinya terhadap penyakit kanker servik.

 

Kata Kunci : Kanker servik, skrining IVA, wanita usia 30-50 tahun

 

 

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ABSTRACT

Cervical cancer screening with a visual inspection method of acetic acid (IVA) is an effective way to prevent cervical cancer because it requires cheap and easy to do. However, not all women want to take precautionary measures, especially in  the health centers Jati Sampurna Subdistrict where it is recorded that in 2017 and 2018 the new IVA examination is 0.16% of women aged 30-50 years who are IVA screening. This study aims to determine the determinants of IVA screening behavior in women aged 30-50 years who are in a health center in the Jati Sampurna Subdistrict area, this study was conducted with quantitative methods. A total of 422 respondents participated in this study by filling out questionnaires distributed directly to respondents. The results showed that 84.6% of respondents did not do IVA screening. The results of the statistical analysis show that education, knowledge, husband`s support, and exposure to information are determinants of IVA screening behavior in women aged 30-50 years in the Puskesmas sub-district of Jati Sampurna. Efforts to increase knowledge by maximizing communication, information and education to the community are one step in increasing public knowledge and awareness to check IVA. Besides that, it is necessary to develop information media that utilizes technological advances in information delivery. Special attention is also needed to the involvement of all parties in providing information and solicitation for women to check because the desire of women to check IVA can appear open because of the knowledge and information only, but the husband`s support and belief in his vulnerability to cervical cancer.

 

 

Keywords: Cervical cancer, IVA screening, women aged 30-50 years

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"Berangkat dari asumsi bahwa minimnya informasi visual sangat berpengaruh terhadap tingginya resiko terjadinya kecelakaan, maka penelitian ini dilakukan dengan tujuan untuk memperaleh gambaran mengenai perilaku pengendara ketika berkendaraan di jalan dalam kandisi berbeda. Secara khusus peneiitian dilakukan dalam kondisi pada saat kendaraan memasuki persimpangan. Sejumlah subjek diminta untuk mengemudikan sebuah kendaraan studi sepanjang jalan yang ditentukan dengan menggunakan alat perekam gerakan mata (Eye Mark Recorder) yang dipasangkan di kepala. Alat yang digunakan adalah Eye Mark Recorder NHC V yang dapat mencatat secara terpisah gerakan masing-masing bola mata dan menerjemahkannya kedalam notasi berbeda untuk mata kiri dan mata kanan. Data yang diperoleh selanjutnya dianalisa untuk gerakan mata tiap mili second berdasarkan variasi objek yang di Iihat, waktu tatap maupun frequensinya. Hasil analisa kemudian dihubungkan dengan aspek keselamatan dan resiko kecelakaan."

"The high accident number that prevail in most developing countries and big countries have always been an indication of lack of appropriate program on traffic safety, though this may not imply the absence of such. It has been commonly accepted that developing countries face a complicated problem when it comes to the handling of low quality of traffic safety. Such problems even escalate in big countries such as China, Indonesia and India. There are no fixed formula when it comes lo traffic safety as the case will be very local and typical in each country and productive set of measures in a country may not be applicable in other countries of similar size and problems. Out of the varying discrepancies, problematic countries do have some common needs in terms of improvement of conditions. Seven Asian countries with severe traffic safely conditions: Bhutan, The Philippines, China, Indonesia, India, Nepal, Mongolia are compared in this paper and problems are identified to lead to an appropriate possible measures which are expected to be representative. Underlying problems are identified, classified and analyzed. A proposed scheme of Traffic Safety Programme is then formulated, out of which a further development is made to form an action plan."

"A median is required for a two-way road to separate the opposite traffic and prevent head-on collisions. In road capacity calculation, the median factor contributes in terms of its existence regardless of the difference in median types. Road capacity is determined by a number of geometric factors such as road types, width of carriageway, shoulder/curb characteristics, and the presence/absence of medians, etc. The contributions of these factors are represented by the coefficients in the capacity calculations. Despite the different types of medians, the Indonesian Highway Capacity Manual (IHCM) does not adopt different coefficients to accommodate the effects in the capacity. The aim of this study is to obtain an adjustment factor for road capacity calculation based on median types. The method of this study adopts video recordings of real traffic moving along three different types of medians: raised medians, fenced medians, and line medians. As it is assumed that the effects of different median types are expressed in the vehicles’ safety distances from medians, the capacity of the road will also vary by types of medians. The adjustment coefficients for roads with raised medians, fenced medians, and line medians obtained are: 0.79, 0.78, and 0.81, respectively. The results of this study confirm that in addition to the presence of the medians, the types should essentially be considered in calculating the road capacity. The result of this study will contribute to the enrichment of the road capacity calculation in the IHCM."