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SADAR SERVIK: EDUKASI DAN PEMERIKSAAN IVA TEST DALAM DETEKSI DINI KANKER SERVIKS DI DESA BOMAKI KAB. KEPULAUAN TANIMBAR Kasmiati Kasmiati; Arvicha Fauziah; Kristiova M. Saragih; Jakob L. Jambormias
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 6 No. 1 (2026): Juni 2026
Publisher : Bajang Institute

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Abstract

Cervical cancer is one of the leading causes of death among women in Indonesia, with the trend of new cases reaching 36,964 cases in 2022. Although the Visual Inspection with Acetic Acid (VIA) method is available efficiently and at low cost, national screening coverage has only reached 10.4%, far below the government target of 80%. This stagnation also occurred in Bomaki Village, Tanimbar Islands Regency, where the non-participation rate in VIA examinations reached 69.81% despite the majority of Women of Reproductive Age (WRA) having higher education and living close to health facilities. This community service activity aimed to improve WRA knowledge regarding cervical cancer and to conduct early detection through the VIA test method. The implementation was carried out in February 2026 at Bomaki Auxiliary Health Center through stages of licensing, material preparation, socialization, VIA test examinations, counseling, and follow-up planning. The results showed that 53 WRA attended the socialization activity and 16 of them were willing to undergo VIA testing. Participant characteristics were dominated by highly educated WRA (87.5%), Tanimbar ethnicity (81.25%), and high levels of psychological acceptance and husband support (75%). However, concerning behavioral risk factors were identified, namely that 87.5% of participants were active smokers and 100% were passive smokers. Of the 16 WRA examined, 13 tested negative (81.25%), 2 had inflammation (12.5%), and 1 tested positive for a precancerous lesion (6.25%). The conclusion of this activity is that education and direct screening were able to encourage WRA participation in early detection, and the examination results obtained have been coordinated with Saumlaki Community Health Center for further management.
KORELASI KAREKATERISTIK DEMOGRAFI DAN PSIKOLOGI DALAM PEMERIKSAAN IVA TEST PADA WANITA USIA SUBUR (WUS) DI DESA BOMAKI Kasmiati; Kasmiati Kasmiati; Arvicha Fauziah; Kristiova M. Saragih; Jakob L. Jambormias
Journal of Innovation Research and Knowledge Vol. 6 No. 1 (2026): Juni 2026
Publisher : Bajang Institute

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Abstract

Latar Belakang: Cakupan pemeriksaan Inspeksi Visual Asam Asetat (IVA) di Indonesia masih jauh di bawah target ideal. Di Desa Bomaki, meskipun akses fisik memadai, tingkat partisipasi Wanita Usia Subur (WUS) dalam deteksi dini kanker serviks tetap rendah akibat berbagai kendala individu. Penelitian ini bertujuan menganalisis korelasi karakteristik demografi dan psikologi terhadap perilaku pemeriksaan IVA pada WUS di Desa Bomaki, Kabupaten Kepulauan Tanimbar. Metode: Penelitian analitik dengan pendekatan cross-sectional dilakukan pada bulan Februari–Maret 2025. Sampel sebanyak 53 responden WUS berusia 20–60 tahun dipilih menggunakan teknik proportionate stratified random sampling. Data primer dikumpulkan melalui wawancara terstruktur dengan kuesioner dan dianalisis menggunakan uji Chi-Square (x = 0,05). Hasil: Uji statistik menunjukkan tidak ada karakteristik demografi (umur, pendidikan, pekerjaan, status pernikahan, suku, pendapatan, jarak faskes) yang berhubungan signifikan dengan perilaku pemeriksaan IVA (p > 0,05). Sebaliknya, faktor psikologi menerima prosedur (p < 0,00), pengetahuan spesifik tentang pemeriksaan IVA (p= 0,01), dan dukungan suami (p = 0,03) memiliki korelasi positif yang sangat signifikan. Pengetahuan umum mengenai kanker serviks tidak menunjukkan hubungan bermakna (p = 0,12). Kesimpulan: Karakteristik demografi dan akses fisik tidak menjamin keikutsertaan WUS dalam skrining jika tidak disertai kesiapan psikologis dan dukungan interpersonal. Penguatan strategi Komunikasi, Informasi, dan Edukasi (KIE) yang berfokus pada prosedur spesifik IVA serta keterlibatan suami sangat diperlukan untuk meningkatkan capaian skrining.