Deteksi Dini Kanker Serviks dengan IVA Test pada Kelompok Rentan Terkena HIV

Dhesi Ari Astuti, Nurul Kurniati

Abstract


Di Indonesia, jumlah kasus baru HIV positif yang dilaporkan pada Tahun 2015 sebanyak 30.935 kasus, menurun dibandingkan tahun sebelumnya. Perkumpulan Ibu-ibu  Dasa Wisma Seruni merupakan perkumpulan ibu-ibu di wilayah Balecatur yang memiliki karakteristik dari segi profesi beragam, meliputi tenaga kesehatan, tenaga kependidikan, dan 70 % adalah IRT. Jenis pekerjaan yang dimiliki jika diperhatikan merupakan jenis pekerjaan yang rentan terhadap penularan HIV/AIDS dan paparan HIV/AIDS ini erat kaitannya dengan Kanker Serviks yaitu sopir truk antar kota, pelayar kapal, tenaga kerja di Arab. Balecatur merupakan wilayah di Kabupaten Sleman yang keberadaannya dekat dengan Jalan Wates sehingga merupakan wilayah yang berisiko dengan akses ke penjaja seks tidak langsung. Tujuan kegiatan adalah transfer informasi dan skrining Ca.Cerviks memlaui pemeriksaan IVA pada ibu rumah tangga di wilayah Dasawisma Dusun Ngaran Balecatur. Metode pelaksanaan kegiatan dengan melakukan skrining pada ibu ibu di perkumpulan Dasawisma Seruni Balecatur, karena skrining ini terutama dilakukan pada kelompok yang rentan terhadap paparan HIV yakni karena telah di ketahui bahwa pada kelompok ini akan lebih mudah terkena paparan HPV penyebab kanker serviks. Skrining dilakukan pada 15 ibu dasawisma yang telah dilakukan anamnesa dan pemeriksaan vtal sign terlebih dahulu. Kegiatan IbM skrining IVA ini hasilnya dari 15 ibu terdapat 13 hasil normal dan 2 ibu perlu rujukan ke puskesmas. Sebagai upaya tindak lanjut dari kegiatn ini diperlukan kerjaam dengan lintas sektor baik itu perangkat desa di masyarakat maupun dengan sektor penyedia layanan kesehatan untuk dapat melakukan kegiatan serupa secara rutin sehingga bisa menjamin kualitas kesehatan masyarakat pada umumnya.

Kata kunci: deteksi dini, kanker serviks, IVA.

Abstract

In Indonesia, the number of new HIV positive cases reported in 2015 was 30,935 cases, down from the previous year. The Dasawisma Seruni is an association of mothers in the Balecatur region who have various professional characteristics, including health workers, education staff, and 70% are IRTs. The type of work that is owned if it is considered is the type of work that is susceptible to HIV / AIDS transmission and exposure to HIV / AIDS is closely related to Cervical Cancer namely inter-city truck drivers, ship sailors, workers in Arabia. Balecatur is an area in Sleman Regency which is close to  Wates Street, making it a risky area with access to indirect sex workers. The purpose of the activity was the transfer of information and screening of Cervical Cancer through IVA examination in housewives in the Dasawisma area of Ngaran, Balecatur. The method of carrying out activities is by screening mothers in the Dasawisma Seruni Balecatur , because screening is mainly done in groups vulnerable to HIV exposure because it is known that this group will be more susceptible to exposure to HPV causing cervical cancer. Screening was carried out on 15 charismatic mothers who had done anamnesa and vtal sign examination first. The IbM IVA screening activity results from 15 mothers with 13 normal results and 2 mothers needing referral to the puskesmas. As a follow-up effort, these activities require cross-sectoral work, both village officials in the community and with the health care provider sector to be able to carry out similar activities on a regular basis so that they can guarantee the quality of public health in general.


Keywords


screening; cervical cancer; IVA

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References


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DOI: https://doi.org/10.26714/jsm.1.2.2019.111-115

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