Early Detection of Cervical Cancer with Visual Inspection using Acetic Acid (VIA)

Nonik Ayu Wantini, Novi Indrayani
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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

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DOI: 10.26699/jnk.v6i1.ART.p027-034


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Journal of Ners and Midwifery p-ISSN: 2355-052X. e-ISSN: 2548-3811 is published by STIKes Patria Husada Blitar.

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