Analysis of Early Detection Program of Cervical Cancer Implementation with Visual Inspection Acetic Acid (VIA) at Health Centers in Tasikmalaya City of Year 2019

Abstract

Early detection of cervical cancer using Acetic Acid Visual Inspection has been done at all main health centers in Indonesian since 2010. The target is 10% of women of childbearing age each year. The City of Tasikmalaya has a coverage of 6.41% in year 2018. The research’s aim is to analyze the implementation of Acetic Acid Visual Inspection program at health centers in Tasikmalaya City. This research used a qualitative method with descriptive design. The data collection was done using indepth interview based on purposive sampling criteria of the primary healthcare center that had increase and decrease in VIA. The research subjects were midwives, doctors and PTM Program Holders as the main informant and for the triangulations informants were 2 head of infectious diseases unit in Tasikmalaya District Health Office, 7 head of primary healthcare center, 7 cadres, and 7 women of reproductive age. The variables researched were implementation, communication, resources and disposition. The results showed that the implementation of Acetic Acid Visual Inspection program at health centers in Tasikmalaya City still had some constraint in program socialization, so that health workers and women of reproductive age still had not have good understanding of program information and the lack of trained HR and the availability of VIA kits in for each Health Center, this is influenced by communication, resources, and disposition. It needs to be an increase in program socialization from the Tasikmalaya City Health Office and from the health center.