KEBERLANJUTAN PEMERIKSAAN IVA PADA DESA SADAR DETEKSI DINI KANKER SERVIKS

Ivanna Beru Brahmana (Fakultas Kedokteran, Universitas Muhammadiyah Yogyakarta, Indonesia)
Inayati Inayati (Fakultas Kedokteran, Universitas Muhammadiyah Yogyakarta, Indonesia)
Ana Majdawati (Fakultas Kedokteran, Universitas Muhammadiyah Yogyakarta, Indonesia)

JMM (Jurnal Masyarakat Mandiri)
Vol 5, No 2 (2021): April

Abstrak: Pemeriksaan IVA dilakukan untuk  skrining kanker serviks. Pada tahun 2019 ditemukan IVA positif 17,39% di Puskesmas Ngawen, Klaten. Pada tahun tersebut kami mengadakan pengabdian masyarakat dengan melatih tenaga kesehatan (nakes) Puskesmas Ngawen tentang pemeriksaan IVA. Menilai kemampuan nakes Puskesmas Ngawen dalam melakukan pemeriksaan IVA dan mendokumentasikannya. Prestest dan postest, ceramah mengingatkan kembali cara pemeriksaan IVA yang sudah didapat tahun lalu, membuat video dokumentasi pemeriksaan IVA. Upgrade dan update  pengetahuan  tentang kanker serviks dan IVA diikuti 15 nakes, nilai rata-rata pretest 96, rentang nilai 60-100, dan nilai postest semua 100. Upgrade dan refreshing ketrampilan pemeriksaan IVA diikuti 8 nakes, dengan total pemeriksaan IVA 21 peserta.  Setiap nakes mendokumentasikan ketrampilan mereka melalui video salah satu peserta, yang sudah memberikan surat persetujuan pemeriksaan dan pengambilan video pembelajaran. Rentang nilai video 80-280, dari nilai maksimal 400. Pemeriksaan terhadap 21 peserta menunjukkan hasil IVA negatif 100%, 38% ditemukan keputihan. Simpulan adalah pemeriksan IVA sudah rutin dilakukan di Puskesmas Ngawen, Klaten sebagai hasil pengabdian masyarakat PPDM LP3M UMY tahun lalu. Ketrampilan pemeriksaan IVA pada nakes perlu selalu dievaluasi. Abstract: IVA examination was done to screen for cervical cancer. In 2019, a positive IVA was found 17.39% at the Puskesmas Ngawen, Klaten. In that year we held community service by training health workers at the Puskesmas Ngawen on IVA examinations. Assessing the ability of the health center Ngawen in conducting IVA examinations and documenting them. Pretest and post-test, the lecture reminded us of the way the IVA examination was obtained last year, made a video documentation of the IVA examination. Upgrading and updating of knowledge about cervical cancer and IVA were followed by 15 health workers, the average pretest score was 96, the range of values was 60-100, and the post-test score was all 100. Upgrading and refreshing of the IVA examination skills were followed by 8 health workers, with a total IVA examination of 21 participants. Each health worker documented their skills through a video of one of the participants, who had already provided a letter of approval for the examination and taking the learning video. The video values ranged from 80 to 280, with a maximum value of 400. Examination of 21 participants showed 100% negative IVA results, 38% found vaginal discharge. The conclusion is that IVA examinations have been routinely carried out at the Ngawen Puskesmas, Klaten as a result of last year's PPDM LP3M UMY community service. IVA examination skills on health workers need to be evaluated.