PERCEPTION OF FERTILE AGE WOMEN (WUS) ON
EARLY DETECTION OF CERVICAL CANCER WITH IVA
TEST IN THE BASIC ESSENTIAL NEONATAL OBSTETRICS
SERVICES CIPEUNDEUY COMMUNITY HEALTH CENTER
SUBANG REGENCY
IN 2020
Institute of Health Sciences, Poltekkes Kemenkes Tasikmalaya
Introduction
Cervical cancer is the most common cancer in
women with an estimated 570,000 new cases in 2018
and represents 6.6% of all cancers in women (WHO,
2018). The behavior of WUS in preventing cervical
cancer with early detection is still low. Nationally, it
is still less than 5%, while the target to be achieved in
2019 is 50% (Kemenkes RI, 2015). The estimated
number of cervical cancer cases in West Java
Province ranks third, namely as many as 15,635 cases
(Anggraeni,2016).
The government has attempted cervical cancer
screening through the 2015 National Program for the
Prevention and Detection of Cervical Cancer and
Breast Cancer. That women must be well aware of
the importance of cervical cancer prevention.
Prevention itself can be done either primary or
secondary. Primary prevention of cervical cancer is
by HPV vaccination and secondary prevention is the
IVA test and Pap Smear (Kemenkes RI, 2015b).
The behavior of WUS in preventing cervical
cancer with early detection is still low. This behavior
is influenced by the perception and belief factors of
women with low cervical cancer (Oktaviana, 2015).
In Subang Regency in 2019, of the target of
7500, only 20 people (0.27%) did IVA tests (Dinkes
Kabupaten Subang, 2019). This study aims to
determine the perception of fertile age women (WUS)
on early detection of cervical cancer with IVA test in
the Basic Essential Neonatal Obstetrics Services
Cipeundeuy Community Health Center, Subang
Regency In 2020?
Method
This research is qualitative with a case study
approach, the research subjects are 5 women of
reproductive age. Measurement and observation of
these variables using in-depth interviews. Data
analysis through transcription, reduction,
categorization, presentation of data in narrative form.
Results
The behavior of WUS in preventing cervical cancer
with early detection is based on the perception of
vulnerability of WUS to feel vulnerable to cervical
cancer, because WUS is already active in sexual
intercourse, based on the perception of severity/
seriousness. WUS considers cervical cancer a serious
disease, based on the perceived advantage that this
examination is to determine the health condition of
the presence of signs and symptoms, based on the
perception of obstacles due to shame, fear, lack of
knowledge and costs.
Conclusion
WUS perception of cervical cancer early detection
includes perception of vulnerability, perception of
severity/ seriousness, perception of benefits and
perception of barriers.
Thanks to
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Bibliography
1. Anggraeni, PD (2016). Description of
Knowledge of Fertile Age Women About
Visual Inspection of Acetic Acid (Iva) in the
Context of Early Detection of Cervical Cancer
in the Work Area of the Siliwangi Public
Health Center, Garut Regency.
2. Christianity, N. (2018). The Relationship
between Perceptions of Women in Fertile Age
Couples about Visual Inspection of Acetic
Acid and the motivation for IVA examination.
3. Creswell. (2016). Research Design
Approaches to Qualitative, Quantitative, and
 Mixed. Student Libraries.
4. Subang District Health Office. (2018). Profile
of the Subang District Health Office in 2018.
Subang District Health Office.
5. Subang District Health Office. (2019). Profile
of the Subang District Health Office in 2019.
Subang District Health Office.
6. Jannah, M., & Astuti, M. destri praised.
(2017). Behavior of WUS in conducting IVA
tests at UPTD Puskesmas Pondok Gede,
Bekasi City in 2017. Journal of Health
Sciences, 11 (9), 1689–1699.
7. RI Ministry of Health. (2015a). Cancer
Bulletin Data and Information Center Jakarta:
Ministry of Health RI. Ministry of Health of
the Republic of Indonesia.
8. RI Ministry of Health. (2015b). Permenkes RI
Number 34 Handling Breast and Cervical
Cancer.
9. RI Ministry of Health. (2019). Basic Health
Research 2019. Kemenkes RI.
10. Lubis, YF (2013). The Influence of
Perception and Motivation of Fertile Age
Women on Cervical Cancer Screening
Participation in Visual Inspection Method
with Acetic Acid (Iva) in the Work Area of
Sidangkal Public Health Center,
Padangsidimpuan Selatan District, 2013.
University of North Sumatra.
11. Manuntung, A. (2018). Cognitive Behavior
Therapy in Hypertensive Patients. Wineka
Media.
12. Malehere, J. (2019). Analysis of Cervical
Cancer Prevention Behavior in Women in
Fertile Age Couples based on Health
Promotion Theory. In Universitas Airlangga
Library.
13. Nor Saudah, Enny Virda Yuniarti, WW
(2019). Relationship between Family Social
Support and Perceptions of Fertile Age
Women in Iva Examination (Visual
Inspection of Acetic Acid) and Cervical
Cancer Incidence. Journal of Chemical
Information and Modeling.
14. Oktaviana, MN (2015). Relationship Between
Perceptions of Individual Vulnerability,
Severity of Disease, Benefits and Barriers
with Use of Visual Inspection Screening for
Acetic Acid in Women of Fertile Age.
Sebelas Maret University.
15. Pratiwi, KN (2018). Determinants of Fertile
Age Women's Participation in Visual
Inspection of Acetic Acid (IVA) for Early
Detection of Cervical Cancer Using the
Health Belief Model (HBM) (Study in the
Work Area of Kertosari Health Center).
University of Jember.
16. Purwati, H., & Janes, C. (2017). The
Perception Of Fertile Age Women, On Early
Detection Of Ca. Cervical With Visual
Inspection With Acetic Acid Method At Bpm
Hj. Dyah Indrawati, Sst, Tanjangrono Village,
District Ngoro, Mojokerto.
17. Saefullah, Grace. (2020). Subang Enter the
Covid-19 Low Risk Zone: Economic News
Portal.https://www.wartaekonomi.co.id
Accessed 27 September 2020
18. Sahr, LA, & Kusumaningrum, TAI (2018).
Perception and Behavior of Fertile Age
Women in Conducting a Visual Inspection
Test for Acetic Acid. 13 (2), 114–128.
19. Wigati, PW (2016). Pathway Analysis with
the Health Belief Model on the Use of Acetic
Acid Visual Inspection Screening for Early
Detection of Cervical Cancer in Women of
Fertile Age in Kota Kediri (Vol. 19, Issue 8).