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All Journal Proceeding Mulawarman International Conference on Tropical Public Health
Nabila Khairunisa Azzahra
University of Brawijaya
Public Health

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Accuracy of Visual Inspection with Acetic Acid for Cervical Lesions: A Systematic Review and Meta-Analysis Faris Regi Riswana; Faris Rega Riswana; Krisjentha Iffah Agustasari; Nabila Khairunisa Azzahra
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background: Cervical cancer is the most common cancer and a main cause of death among women in low- and middle-income country. A simple screening method using Visual Inspection with Acetic Acid (VIA) has been recommended. However, the diagnostic accuracy of this test varies across populations and clinical contexts. Objective: To evaluate the diagnostic accuracy of VIA compared with the gold standard (histopathology) for detecting precancerous lesions in the cervix. Research Methods: A systematic search was conducted in PubMed, Scopus, and ScienceDirect from 2015 to 2025 following the PRISMA guidelines. A total of 764 studies were identified and only 15 studies were included, with a total sample of 3,237. The risk of bias was assessed using the QUADAS-2. Studies reporting diagnostic outcomes (TP, FP, TN, FN) were included in this review. The data were analysed using a bivariate random-effects model with HSROC curve. Results: The overall analysis showed a pooled sensitivity of 68% (95% CI: 55–80%) and a specificity of 79% (95% CI: 66–88%), indicating moderate diagnostic accuracy across studies. The HSROC curve was positioned toward the upper-left region, reflecting higher specificity and improved model stability. Subgroup analysis revealed that VIA in HIV-negative women demonstrated the best diagnostic performance sensitivity 78%, specificity 85%. When VIA was used as a primary test, it exhibited the most balanced accuracy sensitivity 75%, specificity 80% compared with VIA as a triage test. Conclusion: VIA test demonstrates moderate diagnostic accuracy for detecting cervical precancerous lesions, the best performing in HIV-negative populations, and when used as a primary test.
Global Research Trends on Stunting Prevention in Low- and Middle-Income Countries Putri Anita Ariyatna; Nabila Khairunisa Azzahra; Salma Santi Widuri; Winny Cinta Permata Putri; Isnawiyah Madaningrum
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Stunting is a significant health problem in low- and middle-income countries (LMICs). Despite the upward research of stunting in LMICs, the prevalence of stunting still exceeds WHO targets. Objective : This research trend aims to look at the future research of stunting prevention in LMICs. Research Methods/ Implementation Methods : Bibliometric analysis was conducted using the PubMed database with a publication range of 1990–2024. A total of 430 articles that met the inclusion criteria were extracted and analyzed using bibliometric tools and VOSviewer. Results : The number of publications has increased significantly, particularly over the past 34 years. Research on stunting prevention in low- and middle-income countries has been predominantly conducted by the London School of Hygiene and Tropical Medicine, while the United States emerged as the most productive country. Most publications focused on themes related to breastfeeding, undernutrition, and education. Based on the keyword co-occurrence visualization, this bibliometric analysis identified potential themes that may guide future research directions. Conclusion/Lesson Learned : This study uses quantitative data to emphasize the importance of greater research attention to stunting prevention in children, especially in low- and middle-income countries. Stunting prevention interventions are shifting from traditional approaches to addressing multifactorial causes.
Co-Authors Faris Rega Riswana Faris Regi Riswana Isnawiyah Madaningrum Krisjentha Iffah Agustasari Putri Anita Ariyatna Salma Santi Widuri Winny Cinta Permata Putri