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Kanker leher rahim merupakan penyakit berbahaya pada wanita yang dapat ditangani semenjak awal dengan melakukan deteksi dini. Capaian deteksi dini kanker leher rahim di Indonesia yang rendah menyebabkan peningkatan angka kesakitan dan kematian akibat kanker leher rahim. Puskesmas Batuceper merupakan salah satu puskesmas di Kota Tangerang dengan capaian deteksi dini kanker leher rahim metode IVA terendah pada tahun 2022. Penelitian ini bertujuan untuk mengetahui determinan perilaku wanita usia 30-50 tahun dalam melakukan deteksi dini kanker leher rahim metode IVA di Puskesmas Batuceper tahun 2024 berdasarkan teori Health Belief Model (HBM). Desain penelitian menggunakan studi cross-sectional. Data dikumpulkan dengan metode wawancara menggunakan kuesioner kepada 172 wanita usia 30-50 yang dipilih dengan teknik consecutive sampling. Data dianalisis secara univariat, bivariat dan multivariat dengan uji regresi logistik ganda. Hasil penelitian menunjukkan 11,6% wanita usia 30-50 tahun telah melakukan deteksi dini metode IVA dalam 3 tahun terakhir. Faktor yang berhubungan dengan perilaku deteksi dini kanker leher rahim metode IVA adalah persepsi hambatan dan isyarat bertindak, dimana persepsi hambatan merupakan faktor yang paling dominan. Responden dengan persepsi hambatan yang rendah memiliki peluang 4,68 kali untuk melakukan deteksi dini kanker leher rahim metode IVA dibandingkan responden dengan persepsi hambatan yang tinggi setelah dikontrol oleh isyarat bertindak (aOR=4,68 95% CI 1,45-15,10). Oleh karena itu, penting dilakukan upaya untuk mengurangi hambatan dan meningkatkan isyarat bertindak dengan memperluas kegiatan pemberian edukasi dan informasi mengenai bahaya kanker leher rahim serta pentingnya pemeriksaan IVA kepada calon pengantin, suami/pasangan, orangtua siswa di sekolah serta lintas sektor. Kata Kunci: Deteksi Dini, Kanker Leher Rahim, Health Belief Model, Puskesmas
Cervical cancer is a dangerous disease in women that can be treated early by screening. The low achievement of cervical cancer screening in Indonesia has led to an increase in the incidence of pain and death from cervical cancer. The Batuceper Health Center is one of the health centers in Tangerang City with the lowest achievement of cervical cancer screening with IVA method in 2022. This study aims to determine the behavioral determinants of women aged 30-50 in conducting early detection of cervical cancer using the IVA method at the Batuceper Health Center in 2024 based on the Health Belief Model (HBM) theory. The research design uses a cross-sectional study. Data was collected by interview method using a questionnaire to 172 women aged 30-50 who were selected using consecutive sampling techniques. The data were analyzed univariately, bivariate, and multivariate with multiple logistic regression tests. The results showed that 11.6% of women aged 30-50 had successfully detected the IVA method early in the last 3 years. Factors related to the behavior of early detection of cervical cancer IVA method are the perception of obstacles and action signals, where the perception of obstacles is the most dominant factor. Respondents with a low perception of obstacles had 4.68 times the chance of cervical cancer screening with IVA method compared to respondents with a high perception of obstacles after being controlled by action signals (aOR=4.68, 95% CI 1.45-15.10). Therefore, it is important to make efforts to reduce the barriers and increase action signals by expanding education and information activities about the dangers of cervical cancer as well as the importance of IVA examination to brides-to-be, husbands/partners, and parents of students at school and across sectors. Keywords: Screening, Cervical Cancer, Health Belief Model, Health Center
Kata Kunci: COVID-19, Health Belief Model, mahasiswa kesehatan dan non-kesehatan
This study discusses about the preventive health behaviours of COVID-19 among studentsmajoring in health and non-health sciences Universitas Indonesia. The objective of this studywas to look preventive health behaviour COVID-19 among students majoring in health andnon-health sciences based of health belief model. Variabels in this study including preventivebehaviour, modifying factors (Age, sex, and knowledge), individual perceived (perceivedsusceptibility, perceived severity, perceived benefits, dan perceived barriers and selfefficacy). This study using quantitative approaches and cross sectional study methods.Thetotal samples of this study is 110 people of students majoring in health and non-healthsciences with purposive sampling method. The result showed that 68% students majoringhealth sciences are having good preventive behaviour and 31.6% have enough preventivebehaviour, while 59.7% the student majoring non-health science have good preventivebehaviour and 40.3% have enough preventive behaviour. There was significant associationsbetween sex with preventive health behaviour of COVID-19 (p=0.020)
Keywords: COVID-19, Health Belief Model, Students majoring health and non-healthscience.
PMTCT (Prevention of Mother To Child HIV / AIDS Transmission) is one form to control over the issue of HIV / AIDS in pregnant women and infants. One of the programs is to perform an HIV test to all pregnant women. There are 4,8% pregnant women who do not want to do an HIV test, even though the target of the government is at 100 percent of pregnant women with HIV test done. The purpose of this study is to describe the cause is still there pregnant women who do not want to do an HIV test at Pasar Rebo PHC. The study is a qualitative research technique of in-depth interviews and focus group discussions in data retrieval. Data were obtained from 8 informants check ups pregnant women in sub-district Pasar Rebo PHC. The result of this research is the perception of pregnant women such barriers do not permit of a husband, a mother afraid test results are not guaranteed confidentiality and the mother fears that there is a suspicion of the people around that maternal behavior would be considered a negative HIV test when the mother does not want to do the HIV test . Mother's perception of vulnerability to HIV / AIDS is also a factor that affects the mother to do the HIV test. Mothers who feel they have risk factors for HIV infection would do the HIV test, while mothers who feel healthy and do not have risk factors do not test for HIV.
In the effort to prevent stunting from the begining then implemented the program of assistance the pre marriage couple through the use of the information system which is the application ELSIMIL. ELSIMIL aims to find out whether the pre marriage couple condition has been ideal or at risk of giving birth to a stunting baby after filtering through the filling of a questionnaire in ELSIMIL. Of the 27 districts/cities that are in the West Java Province, Bekasi City has the lowest percentage on access that performs questionnaire filling on ELSIMIL compared with the entire pre marriage couple registered on ELSIMIL in Bekasi City by 13%. The general objective of research to know the acceptance of pre marriage couple assistance programmes through the ELSIMIL in Bekasi City is reviewed with the framework approach of RE-AIM and TAM. Research design uses qualitative with the type of case study. The data collection method is carried out with in-depth interviews of program manager informants and informants, as well as family support teams as app users. The result of the program acceptance with the RE-AIM model is that the range of targets is still low, the effectiveness cannot be measured quantitatively, and the majority of program managers have adopted the program. In addition, there have been available budgets, SDM and means that support the implementation, but there has not been a policy that contains implementation of ELSIMIL intervention in Bekasi City. The TAM model results in the finding that ELSIMIL is a useful, user-friendly application but requires interesting innovations for sustainable use.
Kata kunci: Perilaku Pencegahan COVID, Masyarakat, Provinsi DKI Jakarta, Health Belief Model
The DKI Jakarta Province is the epicenter of the spread of COVID-19 with the highest cases in Indonesia, for this reason prevention efforts are needed in the community. This study aims to see the prevention measures for the transmission of COVID-19 in the people of DKI Jakarta in terms of the variables in the Health Belief Model theory. Research with a quantitative method approach, cross sectional design, was conducted on 320 people aged 15-64 years and was taken by quota sampling from 5 areas of DKI Jakarta. Data were collected using the respondent's method of giving a questionnaire which was conducted online and analyzed descriptively. The results of community research have done most of the prevention of COVID-19 transmission well, such as using masks every time you leave the house, applying cough etiquette, washing hands with soap and water before eating, after eating, after using the bathroom, after activities and objects, as well as washing hands for at least 20 seconds, using hand sanitizers, staying at home when sick, avoiding shaking hands, giving 1-2 meters distance from other people, avoiding activities that involve many people, avoiding public places and transportation, and avoiding traveling to the zone red. This is because the community knowledge about efforts to prevent COVID-19 is high, but still low regarding alcohol use and the time it takes to catch COVID-19. Society in general complicates COVID-19, a serious disease for itself and susceptible to COVID-19. Of the society does not feel there are obstacles to taking precautions, and stopping COVID-19 prevention measures is beneficial for them and they feel capable of taking preventive measures. It is necessary to increase effective and consistent education or socialization through various media for knowledge and behavior that is still inadequate, conduct counseling on how to use masks properly, and increase the implementation of policies and discipline in all sectors.
Key words: COVID-19 prevention behaviour, community, DKI Jakarta Province, Health Belief Model
