Visual Acetic Acid Research Articles

Pengetahuan dan Sikap Ibu Rumah Tangga dalam Pencegahan Kanker Servik

Cervical cancer caused by HPV (human papillomavirus) usually attacks women aged between 35 and 55 years and ranks second as the type of cancer most commonly experienced by Indonesian women. Early detection of cervical cancer is done with the visual acetic acid test (IVA). The aim of this research was to determine the knowledge and attitudes of housewives in preventing cervical cancer in the Pringrejo Village area. This research used a cross-sectional method with the Kolmogorov Smirnov reliability test with a sample size of 100 respondents. Both tests were calculated using SPSS version 17 for Windows. The results of the research show that age, education, economic status and knowledge influence the attitudes and behavior of housewives regarding cervical cancer with a p value for each characteristic <0.10. In the results, job characteristics have no relationship with the attitude of housewives in preventing cervical cancer because the p value is > 0.10. With this research, it is hoped that health workers can provide clear information about cervical cancer to the wider community, especially housewives.

The Relationship of Delivery Method and Family Planning History with Via Examination Results (Visual Inspection of Acetic Acid)”

VIA (Visual Acetic Acid Inspection) is a type of examination to detect cervical cancer. There are several factors that can cause positive VIA results and every couple of childbearing age (PUS) should carry out early detection of cervical cancer once a year, one of which is through an VIA examination. However, unfortunately there are still many couples of childbearing age who have not done so and when the examination is carried out, some of the results are positive and are even in an advanced stage. The Objective of this study was to determine the relationship between delivery method and birth control history with the results of VIA examination (visual inspection of acetic acid).
 This type of observational analytic research, cross-sectional design. The research population was all couple of childbearing age (PUS) in Malang Regency. The inclusion criteria were carrying out a VIA examination at the Polowijen Malang Community Health Center and having given birth. The sample consisted of 34 respondents. The research was carried out on November 8 2023. Data was collected by conducting interviews about birth methods and family planning history as well as conducting VIA examinations. Data were analyzed using the chi-square test. There is no relationship between the method of delivery and the results of the VIA examination which is statistically significant with a P value = 0.223. Vaginal delivery does not always cause cervical injury which is needed by HPV to penetrate the transformation zone which can gradually lead to precancerous lesions or positive VIA results. There is no relationship between history of family planning use and VIA examination results which is statistically significant with p value = 0.994. Women who have never used hormonal or non-hormonal contraception can also experience precancerous lesions or positive VIA examination results.

WOMEN'S EMPOWERMENT, CADRE TRAINING, AND MASS EXAMINATION FOR CERVICAL CANCER DETECTION

Cervical cancer is the most common type of cancer in women and the main reason people die from cancer in poor countries like Indonesia. Cervical cancer is a type of cancer that is caused by the Human Papillomavirus (HPV) and can be dangerous to a woman's health. Cervical cancer has the second most cases and deaths in the world, after breast cancer. The East Java Provincial Health Office's Health Profile for 2021 says that Trenggalek is an area with a low rate of cervical cancer screening. So, we started doing community service projects to make more people aware of cervical cancer. This community event began with drinks for the staff and a talk about cervical cancer and how to find it early. Some of the things that are done are health education about cervical cancer and ways to find it early. During this practice, women of reproductive age (WUS) were also asked to take part in a free Visual Acetate Acid (VIA) test done by the team. The next event was a free VIA test, which 21 WUS students took part in. The results of the VIA test showed that 20 people had bad VIA and one person had good VIA. The team then sent people who had a good VIA to get more care. Women, cadres, and other important people in the community can learn more about cervical cancer through community service. However, community service in other areas is needed in the coming year so that this issue can be brought up and the community can benefit from it, especially since cervical cancer is on the rise. People also think that this would change how women with cervical cancer get their treatments and improve their quality of life.

Abstract 47: Human Papillomavirus (HPV) Cervical Cancer Screening and Secondary Prevention in Côte d’Ivoire: Time From Testing to Treatment

Abstract Purpose: Cervical cancer is both preventable and curable, yet, in Côte d’Ivoire, it is the second deadliest cancer affecting women. The Unitaid-funded SUCCESS project is supporting the Ivorian Ministry of Health (MOH) to eliminate cervical cancer through a screen-and-treat strategy with primary Human papillomavirus (HPV) DNA testing for secondary prevention. However, little is known about the challenges and opportunities of HPV-testing in Côte d’Ivoire. Here, we aimed to analyze the time elapsed between testing and results reception to highlight critical implementation steps. Methods: We analyzed preliminary cohort study data of women aged 25-49 years who underwent HPV-testing at 10 health facilities, April-November 2022. After phone-call notification of result availability, results were delivered in-person by the healthcare provider, along with counseling. Visual acetic acid inspection (VIA) followed for HPV-positive, and treatment (same-day thermal ablation (TA) or loop electrical excision procedure) for VIA-positive women. Participants were followed through each step to document the test-to-treatment process and compute the expected testing-to-treatment time. Logistic regression was used to explore factors associated with VIA completion after an HPV-positive test. Results: 1868 women (median age 37 [Inter Quartile Range: 33-41]) years were enrolled by November 2022, of whom 1712 (91.6%) preferred self-sampling. Overall, 948 (50.7%) results were available at health facility level; 240 (25.3%) within 30 days, 322 (34%) within 30-60 days and 386 (40.7%) after 60 days. There were 189 (19.9%) HPV-positive women of whom 56 (30%) underwent VIA. The average duration from testing to TA was 70.1±42.1 days, with 61.4±41.8 days from sample collection to results reception, and 27.5±29.8 days from reception to VIA. Women encountering a duration of 30-60 (OR 0.33, 95%CI: [0.16-0.68]) or more than 60 (OR 0.52, 95%CI: [0.29-0.94]) days between testing and result reception were less likely to complete VIA compared with those with less than 30 days. Conclusion: Our findings suggest that test-to-treatment completion is likely to be affected by insufficiencies in sample/result processing and return to women. Hopefully, the upcoming deployment of 07 testing platforms under the MoH’s initiative to expand laboratory coverage along with advanced strategies to improve client follow-up and treatment, will help overcome these challenges. Citation Format: Rita-Josiane Gouesse, Mathurin Dodo, Jean-Claude Kouassi, Simon Boni, Joel Setoh, Ida Zadi, Meg Bertram, Tracey Shissler, Lisa Huang, Nemdia Daceney, Innocent Adoubi, Cindy Gauvreau, Mark Kabue. Human Papillomavirus (HPV) Cervical Cancer Screening and Secondary Prevention in Côte d’Ivoire: Time From Testing to Treatment [abstract]. In: Proceedings of the 11th Annual Symposium on Global Cancer Research; Closing the Research-to-Implementation Gap; 2023 Apr 4-6. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(6_Suppl):Abstract nr 47.

Faktor-Faktor Yang Berhubungan Dengan Minat Wanita Usia Subur (WUS) Dalam Melakukan Inspeksi Visual Asam Asetat (IVA) Di Puskesmas Pondok Betung Kota Tangerang Selatan

ABSTRACT Cervical cancer is the fourth type of cancer that most often affects women. One of the prevention efforts is by using the IVA test method. The results of a preliminary study at the Pondok Betung Health Center in Tangerang City in 2021 only 11 women took the IVA Test even though the target to be achieved was 100%. To find out the factors related to the interest of Women of Reproductive Age (WUS) in Visual Inspection of Acetic Acid (IVA) at the Pondok Betung Health Center, South Tangerang City. The design of this research is a quantitative analytic study with a cross sectional design. The population taken in this study were all Married Women of Reproductive Age (WUS) aged 25-45 years who were in the working area of the Pondok Betung Health Center, South Tangerang City in October 2022 with a total of 336 respondents. Sampling in this study using a purposive sampling technique to 183 respondents. The results of the univariate study showed that most women of childbearing age received information 68.9%, did not receive husband's support 56.3%, supported by good health workers 73.8%, access to health services < 3 km 68.9% , did not experience a history of sexually transmitted diseases 59.0% and were not interested in conducting early detection of cervical cancer using the Acetic Acid Visual Inspection (IVA) method 62.3% The results of the bivariate study showed that there was a relationship between sources of information (p value 0.000), husband's support (p value 0.000), support from health workers (p value 0.000), access to health services (p value 0.000), and a history of sexually transmitted diseases (p value 0.004 ). The support of health workers has a high probability of WUS' interest in carrying out an IVA test with an OR of 47.701. Keywords : Interest in Women of Reproductive Age (WUS), Visual Acetic Acid (IVA) Inspection.

HUBUNGAN SIKAP WANITA USIA SUBUR (WUS), DUKUNGAN SUAMI DAN PERAN PETUGAS DALAM PEMERIKSAAN IVA TEST

<p><strong><em>One of method to detect scervical cancer is by visual inspection of acetic acid with the community health center coverage of the Kolok in 2017, positive for 57 women of childbearing age and those who carried out visual inspection of acetic acid tests were two women (3.5%). this is evidence that there is still a lack of participation of women of childbearing age in early detection of cervical cancer because it is influenced by some factors including attitudes, husband's support and the role of health workers. Type of thus research is a cross-sectional descriptive analytic design with a sample of 74 women of childbearing age aged 15-49 years in the working area of the Kolok community health center with a probability sampling technique with proportional random sampling. This research was conducted on 9 to 25 January 2019. Data collection is carried out by observation and analysis with the chi-square test.The results of univariate analysis shows that 55.4% are positive, 63.5% husband's support, 59.5 % good health workers and 70.3% there is no visual inspection of acetic acid tests. The results of the bivariate analysis shows that there is a correlationship between husband support (p value 0.017 and OR 5.429) and the role of officers (p value 0.005 and OR 6.840) with a visual inspection of acetic acid tests. It can concluded that role of health workers has big influence toward examining inspection visual acetic acid test in the working area of community health centre Kolok</em></strong><strong><em></em></strong></p><strong><em>Keywords: husbands’ support, inpection visual acetic acid test, health workers’ role, attitude, women of childbearing age</em></strong>

ANALISIS CAKUPAN PEMERIKSAAN IVA TEST DAN PAP SMEAR PADA PASANGAN USIA SUBUR

The Inspection Visual Acetic acid (IVA) and Pap smear tests in Benteng sub-district are still lacking and very minimal. This study aims to find out how the scope of the IVA test and Pap smear examinations for couples of childbearing ages in Benteng Kepulauan Selayar District in 2021. The type of research used is descriptive analytic with a cross-sectional research design by making couples of childbearing ages as the research sample. The target in the Benteng Health Center area with non-probability sampling technique and accident sampling technique, totaling 93 people. The research used univariate data analysis with frequency distribution tables, bivariate analysis with chi-square technique. The results of the bivariate analysis showed that there was a significant relationship between age and the IVA and Pap smear tests (p = 0.029), there was no significant relationship between education and the IVA and Pap Smear tests (p = 0.049), there was a significant relationship between knowledge and the tests. IVA and Pap Smear (p = 0.027), there was a significant relationship between attitudes with the VIA and Pap Smear tests (p = 0.020), and there was a significant relationship between husband's support with the VIA and Pap Smear tests (p = 0.017). The conclusion of this research is from the coverage analysis that greatly affects the success of the IVA test and pap smear examination, it is the husband’s involvement or husband’s support.

Analysis of Factors that Influence the Participation of Women of Childbearing Age in the Examination of Visual Acetic Acid Inspection (IVA) in Kanor Public Health Center, Bojonegoro Regency

Cervical cancer is the most common case and almost 70% of it is found in an advanced stage condition (> stage IIB). This is because the screening implementation is still low, which is <5%. In fact, the ideal screening implementation is 80%. Actually, early-stage cervical cancer can be diagnosed by performing a cytological examination through IVA. Nearly 50% of people with cervical cancer do not do IVA. The purpose of this study was to determine the effect of health services, maternal motivation, level of knowledge, and husband's support for the participation of women of childbearing age in the IVA examination at the Kanor Health Center. This research method is analytic research with cross sectional approach. The study population was all women of childbearing age between 30 and 50 years in the Kanor Health Center area. Proportional random sampling technique with a total sample of 300 people. Data analysis techniques using multiple logistic regression. The results showed that the variables that influenced participation in the IVA examination were health services (p = 0,000 and beta = 0.050) and maternal motivation (p = 0,000 and beta 0.037). While the variables that did not affect the participation of IVA examination were knowledge and husband support. The results of data analysis showed that the most dominant variable affecting the participation of women of childbearing age in the IVA examination was health services with a p value of 0.000 and an Odd Ratio of 0.050, which means that good health services will have a greater influence on the participation of women of childbearing age in IVA examinations by 0.050 times compared to poor health services. Therefore, it is necessary to have health promoter staff to provide information about health services as well as education or health education about early detection of cervical cancer through examinations.

Factors that influence the participation among women in Inspection Visual Acetic acid (IVA) test

Cervical cancer is one of the main causes of death for women in the world, so an IVA examination is needed as an early detection to reduce the incidence. Low participation in IVA examinations is one of the causes of cervical cancer development and hinders early treatment. The purpose of this study is to analyze the factors that influence the participation of women of childbearing age in the IVA examination. This research is quantitative research with a cross-sectional design conducted in the working area of Puskesmas Cepiring Kendal (Public Health Center of Cepiring Kendal ). The subjects of this study are 236 women of childbearing age who were married for more than five years. The research instrument used is a questionnaire. The factors that were significantly associated with the exclusion of fertile women in the IVA examination were access to information (0.007), family support (0.001), support from medical officers (0.007), and support from relatives (0.066). The multivariable analysis shows that family support is a significant factor. Women of childbearing age who do not get family support have a 46.9 times risk of not taking IVA examinations. Abstrak: Kanker serviks merupakan salah satu penyebab utama kematian wanita di dunia sehingga diperlukan pemeriksaan IVA sebagai deteksi dini untuk menurunkan angka kejadian kanker serviks pada wanita. Rendahnya keikutsertaan dalam pemeriksaan IVA menjadi salah satu penyebab berkembangnya kanker serviks dan menghambat pengobatan sejak dini. Tujuan dari penelitian ini adalah menganalisis faktor yang mempengaruhi keikutsertaan wanita usia subur dalam pemeriksaan IVA. Penelitian ini merupakan penelitian kuantitafif dengan desain cross-sectional yang dilakukan di wilayah kerja Puskesmas Cepiring Kendal. Subyek penelitian ini adalah 236 wanita usia subur yang sudah menikah lebih dari 5 tahun. Instrumen penelitian menggunakan kuesioner. Faktor yang berhubungan secara signifikan dengan ketidakikutsertaan Wanita Usia Subur dalam pemeriksaan IVA adalah akses informasi (0,007), dukungan keluarga (0,001), dukungan petugas (0,007), dan dukungan teman (0,066). Analisis multivariabel menunjukkan dukungan keluarga merupakan faktor yang berpengaruh signifikan. Wanita usia subur yang tidak mendapatkan dukungan keluarga memiliki risiko 46,9 kali untuk tidak ikut pemeriksaan IVA.

Faktor Yang Mempengaruhi Wanita Usia Subur Dalam Melakukan Tes Inspeksi Visual Asam Asetat (IVA)

Kanker serviks merupakan kanker kedua terbanyak ditemukan pada wanita di dunia. Kurang lebih 500.000 kasus baru kanker serviks terjadi tiap tahun dan tiga perempatnya terjadi di negara berkembang. Namun kanker serviks ini sering kali masih bisa disembuhkan jika ditemui sejak awal dengan metode Inspeksi Visual Asam Asetat (IVA). Cakupan pelaksanaan IVA Puskesmas Sapat tahun 2019 pada wanita usia subur umur 30-50 sebesar 20.95%. Tujuan penelitian adalah untuk mengetahui faktor yang mempengaruhi wanita usia subur dalam melakukan tes Inspeksi Visual Asam Asetat. Jenis penelitian adalah kuantitatif dengan pendekatan Cross Sectional. Populasi adalah seluruh wanita usia subur umur 30-50 tahun sebanyak 3240 orang. Sampel penelitian ini sebanyak 97 responden dengan tenik Proposional Random Sampling. Analisis data yang digunakan analisis univariat, bivariat (uji Chi Square), dan multivariat (uji regesi logistic berganda). Hasil penelitian menunjukkan bahwa faktor yang memengaruhi wanita usia subur dalam melakukan IVA yaitu sikap p value 0.001, dukungan kader p value 0.021, dan sumber informasi p value 0.036. Sedangkan faktor yang tidak berpengaruh adalah pengetahuan, dukungan suami, dan Persepsi. Faktor yang paling dominan pengaruhnya adalah dukungan kader dengan nilai OR=14.144 (95% CI= 1501-133.286). Kesimpulan dari penelitian ini bahwa wanita usia subur dalam melakukan IVA tes dipengaruhi oleh sikap, dukungan kader dan sumber informasi. Disarankan Puskesmas khususnya tenaga kesehatan mampu bekerja sama dengan kader dan lintas sektor dalam pembinaan kader sebagai upaya dalam mendukung promosi kesehatan IVA sehinga cakupan IVA tes di wilayah unit pembantu teknis Puskesmas Sapat dapat dilakukan secara menyeluruh.

Mother's knowledge and attitudes towards Visual Acetate Acid Inspection test in Surabaya.

Background: The incidence of cervical cancer in Indonesia is still high due to the poor awareness of married women about the necessity to check themselves with a pap smear/IVA test for early detection and possible cure. The implementation of the IVA examination still experiences obstacles due to lack of knowledge and fear.Design and Methods: This study aims to determine the relationship between knowledge and attitudes of mothers with IVA test, using the analytical and cross-sectional study. Data were obtained from mothers that visited the family planning section of the Maternal and Child Health (MCH) Center. Out of a total of 184 mothers, 126 samples were chosen by purposive sampling technique.Results: The results showed that 59.5% of respondents had scarce knowledge on IVA tests, 66.7% had unsupportive attitudes towards it, and 54.8% were not willing to carry out the tests. This study explains that there is a significant relationship between knowledge and attitude with a P-value of 0.000.Conclusions: In conclusion, various factors influence the participation of IVA examination, namely lack of knowledge, inability to access information, and fear.Significance for public healthThe incidence of cervical cancer in Indonesia is still high due to the poor awareness of married women about the necessity to check themselves with a pap smear/IVA test for early detection and cure, as cervical cancer is curable when detected early. Some techniques used to detect early symptoms include pap smears, pap net, cervicography, Visual Acetate Acid Inspection (IVA) tests. This paper describes the relationship between knowledge and attitudes of mothers with IVA test.

Knowledges Of Fertilized Women About The Visual Inspection Of Acetic Acid

AbstractCervical Cancer or Uterine Carcinoma Cervicis, is the most malignant tumor andis most often found in women. Acetic Acid Visual Inspection Examination (IVA) isan examination for cervical cancer examination. Indragiri Hulu Regency is thehighest positive IVA district, at 17.85%, from the number of women aged 30-50years who are positive suffering from cervical cancer. The purpose of this studywas to study the description of the knowledge of women of fertile age (WUS)about the inspection of visual acetate acid inspection (IVA) in Sungai Air PutihVillage, Indragiri Hulu Regency. The research design used descriptive design. Thesampling technique used was purposive sampling and random sampling with atotal of 94 respondents. Data collection techniques by submitting questionnairesto married women of childbearing age (WUS) in Sungai Air Putih Village SungaiLalaPuskesmas Work Area in Indragiri Hulu Regency starting from 2-7 August2018. Requesting research: finding inspection) less 63 WUS (67 %), enough 28WUS (30%), and good 3 WUS (3%).

Effect of education media on improvement visual acetate acid inspection at Sudiang community health center

The purpose of increasing knowledge, maternal attitudes about cervical cancer and the inspection of Visual Acetate. This is Quasi Experimental research method with non-randomized prepost-test group design. Subjects were conducted in the Papuan smear examination. Selection of samples used was purposive sampling technique with 25 respondents for each audio-visual and leaflet group. Health education uses audio-visual media and leaflets. Data was processed using Wilcoxon, and Mann-Whitney test. Health education using audio visuals and leaflet information were able to provide knowledge levels, attitudes, and visual acetic acid inspection measures (p=0.00 and 0.00) both before and after treatment. There are differences in KAA between audio-visual and leaflet group for KAA p<0.05. Study proves use of effective audio-visual media for health education activities in increasing knowledge, maternal attitudes about cervical cancer and visual acetic acid) inspection measures.

Determinant early detection cervical cancer pus with via in the health center of Galesong north Takalar

This study aims to analyze the factors related to the early detection of cervical cancer by methods VIA in couples of childbearing age in the working area health centers Galesong Takalar northern districts. The study is an observational study using cross sectional interview done on 350 women of fertile couples in the health centers Galesong north Takalar, for analyze factors related to the early detection of cervical cancer by the method of visual inspection of acetic acid (VIA), the data were analyzed by using chi-square test and binary logistic regression. The results showed factors associated with the participation of couples of childbearing age in the early detection of cervical cancer by methods VIA is knowledge (p value=0.015) Availability of Information (p value=0.023) Threat Perception (p value=0.045) and Perceived Barriers (p value=0048). The dominant factor affecting the participation of fertile age couples for early detection of cervical cancer by visual acetic acid (IVA) inspection method is knowledge, availability of information.

Role of Adiponectin in Cervical Cancer.

Cervical Cancer (CC) is the most common leading cancer in women globally. This is considered to be the type of cancer that is restricted to women. Any women in the reproductive age range can develop CC. However, women between the ages of 25 and 39 are at a higher risk. In comparison with developed countries, the screening and awareness of CC in developing countries are significantly low. Infection with Human papillomavirus (HPV) is the main cause of CC, especially HPV-16 and HPV-18. Other than HPV, there are other factors that can contribute to CC, such as Human simplex virus (HSV) infection and immunocompromised patients with HIV. Cervical cancer can be detected by molecular techniques such as (1) PCR, (2) visual acetic acid method, (3) DNA Hybrid II test, (4) liquid-based cytology, (5) Pap-Smear techniques, and (6) colposcopy techniques. Early detection of CC is very much needed; cryotherapy or LEEP (Loop electro surgical excision procedure) can be conducted during the pre-invasive stage of CC. Some metabolic changes in the human body such as fluctuating levels of insulin and triglycerides and increased activity of adiponectin may lead to CC. These contributing factors, such as adipokines, can be used as biomarkers for CC detection.

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)

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.

The Effect of Community Health Center on Visual Acetic Acid Uptake in Pati, Central Java

Background: Cervical cancer is included in the category of malignant tumors that arise in the cervix of women. The incidence of cervical cancer is high due to lack of awareness to make efforts to examine early detection of cervical cancer by using the visual inspection acetic acid (VIA) method. The purpose of this study was to analyze the effect of community health center on the use of VIA. Subjects dan Method: This was an analytic observational study with a cross sectional design. was The study was conducted at 29 community health centers in Pati, Central Java. A sample of 232 women was selected by simple random sampling. The dependent variable was VIA uptake. The independent variable were perceived susceptibility, perceived seriousness, cues to action, perceived threat, perceived benefit, perceived barrier, self-efficacy, economic status, and social capital. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13. Result: Community health center had a contextual effect on VIA uptake with intra-class correlation (ICC)= 16.91%. VIA uptake increased with high perceived susceptibility (b= 3.21; 95% CI= 0.22 to 6.19; p = 0.035), high perceived seriousness (b= 4.68; 95% CI= 1.06 to 8.29; p= 0.011), high perceived threat (b= 4.03; 95% CI= 0.61 to 7.45; p= 0.021), high perceived barrier (b= 2.48; 95% CI= 0.06 to 4.91; p= 0.044), high perceived benefit (b= 2.50; 95% CI= 0.10 to 4.91; p= 0.041), and high economic status (b= 11.22; 95% CI= 3.64 to 18.81; p= 0.004). VIA uptake decreased with low cues to action (b= -0.92; 95% CI= -3.08 to 1.24; p= 0.405), low self-efficacy (b= -0.32; 95% CI= -2.45 to 1.80; p= 0.765), and low social capital (b= 0.79; 95% CI= 3.64 to 18.81; p= 0.562). Conclusion: Community health center had a contextual effect on VIA uptake. VIA uptake increases with high perceived susceptibility, high perceived seriousness, high perceived threat, high perceived barrier, high perceived benefit, and high economic status. VIA uptake decreases with low cues to action, low self-efficacy, and low social capital. Keywords : Community Community health center, Acetic Acid Visual Inspection. Correspondence: Retno Wulan. Masters Program of Public Health, Universitas Sebelas Maret, JL. Ir.Sutami 36A, Surakarta, Central Jawa, Indonesia. E-mail: wuland.cimmutzz12@gmail.com. Mobile: 0857­4096­9271. Journal of Health Promotion and Behavior (2019), 4(3): 189-197 https://doi.org/10.26911/thejhpb.2019.04.03.04

Effective Communication Methods for Increase Mothers Intention to Inspection Visual Acetic Acid Test

Cervical cancer affects many women and deadly after breast cancer. The mortality rate is high, 70% patients come in advanced stage, one reason is early detection low coverage including VIA test. Research aims determined effective interventions to improve women intentions perform VIA test. Mixed methods explorative sequential conducted, first qualitative explorations to know factors related VIA test intention as basis message formulation. Next, quasi experimental two groups pre-post tests. The population is women 30–50 years, purposive sampling determined 30 women each group. Indepth interviews conducted eight informants, suggest IEC individuals through home visits with counseling supporting leaflets and IEC Groups through group discussions supporting video and stick posters in strategic places. The messages are VIA test definition, procedure with emphasis isn't painful, short times, quickly known results, fees and place services. who should tested, family supports. The results similar between group, 100% women in the weak intentions categories before intervention and switch to strong intentions categories after intervention. T test result showed significant difference of intention (p 0, 000) before and after intervention in both groups and there‘s no significant difference in intention change (p 0, 859) between two groups. The IEC individual as good as IEC Group method, the combination of techniques and media can improve the expected changes. No significant different (p>0, 05) intention change based on education, occupation, married age, number of children. Interventions expected to continue so that stronger intention become to real behavior and expanded to other areas.

Hubungan Higienitas Vagina, Kadar Gula Darah dan Kadar Hormon Estrogen dengan Kejadian Kandidiasis Vaginalis

Candida albicans is a normal flora in several areas of the human body and has opportunistic properties, so that if conditions support, it will be able to transform into pathogens (Ramali and Werdani, 2001). Candida can become pathogenic if there are predisposing factors, one of which is diabetes mellitus (DM), the frequency of underwear replacement (Anindita, 2006) and the use of contraceptives that affect the balance of estrogen hormones (Amelia, 2009). Researchers are interested in discussing the relationship of vaginal hygiene, blood sugar levels and estrogen hormone levels with vaginalis candidiasis.The purpose of this research was to determine the relationship of vaginal hygiene, blood sugar levels and estrogen hormone levels with vaginalis candidiasis.This research is a quantitative research with a type of analytical research studies. The research design used was a cross sectional comparative study. It was carried out at the Bhayangkara Hospital Polyclinic and Padang Pasir Health Center as well as Nanggalo. The population in this research were all women of fertile age who came to the obstetric polyclinic who conducted Visual Acetate Acid (IVA) Inspection. The sample in this research is the population that meets the inclusion and exclusion criteria. The hypothesis of this research is the relationship between vaginal hygiene, blood sugar levels and estrogen hormone with vaginalis candidiasis.There is a relationship between vaginal hygiene, blood sugar levels and estrogen hormone with vaginalis candidiasis.The conclusion of this research is that the dominant factor with vaginalis candidiasis is vaginal hygiene with an OR value of 11.37.

The Relationship of Knowledge, Perception and Family Support of Reproductive Age Women with Early Detection of Cervical Cancer Visual Acetic Acid Inspection Method at Banjarmasin Public Health Center

The Relationship of Knowledge, Perception and Family Support of Reproductive Age Women with Early Detection of Cervical Cancer Visual Acetic Acid Inspection Method at Banjarmasin Public Health Center