PRELIMINARY
cancer by 45 (0.34%) and tumors / lumps 104
Cervical cancer is cancer that causes
women's deaths due to cancer, especially in
developing countries. An estimated 500,000
people have encountered throughout the
world and the majority occur in developing
countries. In 2017, the WHO said that by
2030 the number of cancer patients in
Indonesia increased by 75%. 75 percent is the
number of deaths from cervical cancer. A
WHO study reveals the number of cancers in
Indonesia increased from year to year of age
of women stricken with cervical cancer in the
younger Indonesia 21-22 range this year
disebaban inaction on cervical cancer
screening in Indonesia.
Based on data from the World Health
Organization finds that there are 493 243
inhabitants per year of new cervical cancer
patients in the world with a mortality rate as
much as 273 505 inhabitants per year.
Cervical cancer often occurs in over 40 years,
and dysplasia commonly detected 10 years
before they develop into cancer. Data from
Indonesia Health Profile 2016, in Indonesia
the number of women with cervical cancer as
much as 73 453 (3.81%) of the total number
of women who check as many as 1,925,943
people. In East Java, the number of women
with cervical cancer as much as 17,824
(4.39%) of the total number of women who
check as many as 405 626 people (MoH RI,
2017).
IVA and SADANIS inspection
coverage in Indonesia from 2008-2016 year is
as much as 1,623,913 votes (4.34%) of the
total target of 37.5 million Indonesian
women. While in East Java province IVA
inspection coverage as much as 405 626
people. In Bojonegoro number of women
screened for cervical cancer in women aged
30-50 years target as many as 278 773 women
in the Puskesmas Trucuk amount cervical
cancer screening 302 (2.70%) women were
examined with the goal of women aged 30-
50 years as many as 8156 people and the IVA
posiitf as many as 11 people (DHO.
Bojonegoro, 2017). Womb cancer early
detection coverage Bojonegoro in 2017 the
Education, knowledge of the IVA and support families with early detection Opt IVA examination in women
number of women suffering from cervical
women (0.81%) in District Trucuk women
with cervical cancer by 11 (0.85 %) people
(DHO. Bojonegoro, 2017). From the reports
of early detection of cervical cancer and
breast cancer in 2017 at the health center of
the village Banjarsari Trucuk as many as 12
people gathered for a IVA and there are 3
people who IVA posiitf (PHC Data Trucuk,
2017).
The participation of women to
examine Visual Inspection Acetic Acid (VIA)
can be affected by several factors such as
level of education, level of knowledge,
sufficient knowledge about the dangers of
cervical cancer could help raise awareness of
a person to carry out early detection of
cervical cancer. The lower a person's
knowledge about cervical cancer then the
greater the impact it will have either to
himself or his family. Instead a good
knowledge of cervical cancer will minimize a
person exposed to the negative impacts. As
well as support factor husband / family, Role
Model of the family is very important in
giving the motivation and drive to do an
activity, especially in rural communities. The
effects if women do not make early detection
of cervical cancer cervical cancer is detected
Rahim typically have an advanced stage
(Suprapti I, 2017).
Efforts are being made to improve the
inspection of IVA, people are expected to
know, understand and participate in the
examination of early detection of cervical
cancer, so that the necessary material that
contains about the importance of early
detection examinations for women through a
variety of print and electronic media. The
material includes, a call for a clean and
healthy living behavior as well as SMART,
the risk factors that need to be avoided by a
person to prevent cancer, anyone who needs
to be checked for early detection,
investigation of what will be done to the
woman. Promotional and educational
activities involving religious leaders,
community leaders using print and electronic
mass media of national and local area. The
of childbearing age1
medium used is expected to expand the scope No. Education total %
of information to the public. Banners or short 1. No school 0 0.0
messages via mobile phones, newspapers, 2. SD, SMP (Basic) 80 66.1
3. High School 32 26.4
radio, television and social networking are
(Secondary)
examples of media that can be used in the 4. College 9 7.4
promotion and education to the community. total 121 100
Based on the description above, the
researchers wanted to know the relationship Table 3 WUS knowledge about IVA in the
of education, knowledge of the IVA and village Banjarsari Trucuk District of
family support with the participation of early Bojonegoro
detection examinations IVA in Puskesmas Knowledge of the
No. total %
Trucuk Bojonegoro. IVA
1 Less 83 68.6
MATERIALS AND METHODS 2 Enough 20 16.5
3 Well 18 14.9
total 121 100
Prior to the study conducted, every
incoming respondents assessed according to
table 4 Support families in the village
the criteria, then the distribution of the
Banjarsari Trucuk District of Bojonegoro
questionnaire respondents who fit the criteria. No. Family support total %
1 Low 76 62.8
RESULTS 2 moderate 3 2.5
3 High 42 34.7
characteristics of respondents total 121 100
Table 1 Characteristics of Respondents by
Age, number of children, Jobs table 5 Opt IVA on WUS Village Trucuk
Banjarsari District of Bojonegoro
characteristics N %
Age No
Opt IVA on WUS total %
.
20 years 23 19.0% 1 No checks IVA 109 90.1
> 20 years 63 52.1% Examination IVA
> 35 years 35 28.9% 2 12 9.9
Number of total 121 100
children
Not have children 17 11.6% Test Results Statistics
1 39 32.2% Statistical test result pWUS Education with
2 42 34.7% the participation of early detection IVA
>2 26 21.5% examination in women of childbearing
agewith Rho Spearnan test can be seen in the
Work table below:
Does not work 97 80.2% correlations
(IRT) Educat
farmer 16 13.2% ion IVA
Private 6 5.0% Spearman's Educat correlation Coefficient 1,000 .522
rho ion **
PNS 2 1.7% Sig. (2-tailed) , .000
Source: Data Analysis Results N 121 121
IVA correlation Coefficient .522 1,000
variable characteristics **
Sig. (2-tailed) .000 ,
Table 2 Characteristics Variable N 121 121
Education WUS Village Banjarsari Trucuk **. Correlation is significant at the 0:01 level (2-tailed).
District of Bojonegoro
Based on the results of data analysis
using the Spearman Rho assistance for
windows resultρ values obtained value =
Education, knowledge of the IVA and support families with early detection Opt IVA examination in women
of childbearing age2
0.000, meaning that the value of  value in DISCUSSION
this study is smaller than α (0.05) or below
0.05 then H1 accepted, Relations WUS education, knowledge and
support of families with the participation
Statistical test results knowledge with the of IVA on WUS Village Trucuk Banjarsari
participation of early detection IVA District of Bojonegoro
examination in women of childbearing age Based on the research results table ASI
with Rho Spearnan test can be seen in the Role of Fathers in Puskesmas Blabak mind
table below: that almost all respondents ASI father's role in
correlations
a role category is 48 respondents (94%) of the
knowl
edge is IVA total 51 respondents.
Spearman's Knowl correlation Coefficient 1,000 .522 The results of the bivariate analysis
rho edge ** WUS education with the participation of the
Sig. (2-tailed) , .000
IVA on WUS, with Spearman Rho test values
N 121 121
obtained ρ value = 0.000 (<0, 05), meaning
IVA correlation Coefficient .522 1,000
** that the value of  value in this study is
Sig. (2-tailed) .000 , smaller than α (0.05) or below 0.05, there is a
N 121 121 connection with the participation level of
**. Correlation is significant at the 0:01 level (2-tailed). education WUS IVA early detection
examination in women of childbearing age in
Based on the results of data analysis using the the working area health centers Banjarsari
Spearman Rho assistance for windows resultρ village Trucuk Bojonegoro.
values obtained value = 0.000, meaning that Education has a significant effect on
the value of  value in this study is smaller knowledge, attitudes and behavior. The higher
than α (0.05) or below 0.05 then H1 accepted, the education hopefully someone can have a
broader insight into the thinking, although
Statistical test results family support with the other external factors still influence. The level
participation of early detection IVA of education obtained one can affect a person
examination in women of childbearing age healthy behavior. The higher a person's
with Rho Spearnan test can be seen in the
table below: education level, the higher the person's health
correlations behaviors in the prevention of a disease,
Suppo including the implementation of early
rt IVA detection of cervical cancer Rahim (Wahyu F,
Spearman's Suppo correlation Coefficient 1,000 .445
rho rt **
2016).
Sig. (2-tailed) , .000
The results showed an association of
N 121 121
education with the participation of IVA on
IVA correlation Coefficient .445 1,000 WUS Village Trucuk Banjarsari District of
** Bojonegoro. The level of education does one
Sig. (2-tailed) .000 , determine how much knowledge he has in
N 121 121 which most respondents with primary
**. Correlation is significant at the 0:01 level (2-tailed). education level have less knowledge about the
examination of IVA, this means that the level
Based on the results of data analysis using the of education has a significant influence on
Spearman Rho assistance for windows resultρ knowledge WUS. Because most of the
values obtained value = 0.000, meaning that respondents with basic education level that is
the value of  value in this study is smaller SD / or junior high school / equivalent. With
than α (0.05) or below 0.05 then H1 accepted, less education a person's thinking ability is
still limited, in other words the higher the
person's level of education, the more easily
receive information that the more knowledge.
Lack of knowledge on WUS is reasonable
Education, knowledge of the IVA and support families with early detection Opt IVA examination in women
of childbearing age3
because it is generally not included in the
formal education curriculum related to health,
especially reproductive health. In formal
education contains only education has been
implemented by the government that despite
the high level of formal education they do not
necessarily know about the IVA examination.
Therefore, to improve the inspections IVA
WUS then health workers should further
increase the frequency of checks IVA
counseling and outreach activities to seek
equitable so as to cover the entire target IVA
examination.
Relations with the participation of
knowledge about early detection IVA IVA
examination in women of childbearing age
in the village Puskesmas Trucuk
Banjarsari Bojonegoro
The results of the bivariate analysis with
the participation IVA knowledge on WUS,
with Spearman Rho test values obtained ρ
value = 0.000 (<0, 05), meaning that the value
of  value in this study is smaller than α
(0.05) or below 0.05, there is a relationship of
knowledge with the participation of early
detection IVA examination in women of
childbearing age in the working area health
centers Banjarsari village Trucuk Bojonegoro.
Adequate knowledge about the dangers
of cervical cancer could help raise awareness
of a person to carry out early detection of
cervical cancer. The lower a person's
knowledge about cervical cancer then the
greater the impact it will have either to
himself or his family. Instead a good
knowledge about cervical cancer will
minimize a person exposed to the negative
impacts. Education has a significant effect on
knowledge, attitudes and behavior. The higher
the education hopefully someone can have a
broader insight into the thinking, although
other external factors still influence. The level
of education obtained one can affect a person
healthy behavior. The higher a person's
education level, the higher the person's health
behaviors in the prevention of a disease,
including the implementation of early
detection of cervical cancer (Wahyu F, 2016).
Based on the research results didapatan
no relation to the participation of knowledge
Education, knowledge of the IVA and support families with early detection Opt IVA examination in women
about IVA IVA WUS Village Trucuk
Banjarsari District of Bojonegoro. Ignorance
or lack of knowledge about the prevention of
cervical cancer through IVA can lead to early
detection of cervical cancer. When a woman
has a vast knowledge will lead to confidence
in the early detection of cervical cancer.
Through the knowledge gained, women of
childbearing age (WUS) will be looking for a
tool to solve the problem and associated with
cervical cancer Rahim then women of
childbearing age (WUS) would find out the
causes, modes of transmission, prevention,
and how to detect them so that the next will
check the IVA is regular and timely. The lack
of knowledge among women of reproductive
age (WUS) will affect WUS to no checks
IVA, which is made possible by a lack of
information and knowledge about cervical
cancer Rahim and inspection IVA through
television, radio, brochures, leaflets, friends,
relatives and even health workers including
health cadre , As well as the results of
research conducted in the village Banjarsari
Trucuk District of Bojonegoro where IVA
affecting participation in addition to
education, the most prominent is its own
individual factor that is no awareness or
willingness to carry out checks and the
assumption of individuals associated with
aging. Where many young mothers with
secondary education, higher education and
even that assumes a Pap test is not important
for mothers of young age, but more important
for mothers old age as more risky.
Family support relationships with the
participation of early detection IVA
examination in women of childbearing age
in the village Puskesmas Trucuk
Banjarsari Bojonegoro
From the results of the bivariate
analysis with the participation of family
support IVA on WUS, with Spearman Rho
test values obtained ρ value = 0.000 (<0, 05),
meaning that the value of  value in this study
is smaller than α (0.05) or below 0.05, there is
a family support relationships with the
participation of early detection IVA
examination in women of childbearing age in
of childbearing age4
the working area health centers Banjarsari
village Trucuk Bojonegoro.
Modeling of the family is very
important in giving the motivation and drive
to do an activity, especially in rural
communities. Understanding and a good
understanding and correct from the
surrounding environment will provide
motivation for individuals to participate in the
early detection of cervical cancer. Support
your husband / family is one thing that must
be addressed in the implementation of early
detection of cervical cancer by of Ministry of
Health explained that it is necessary the
participation of the husband / family to
support the success of early detection of
cervical cancer to lower the number of deaths
caused by cervical cancer (Wahyu F, 2016).
Based on the research results didapatan
no family support relationships with the
participation of IVA WUS Village Trucuk
Banjarsari District of Bojonegoro. Where
with the support of the respondent's family
will get informational support involves the
provision of information, advice or feedback
on individual circumstances. This type of
information can help respondents to identify
and solve problems more easily. Emotional
support makes the respondents have the
feeling comfortable, confident cared for and
loved by the sources of social support so that
respondents could face problems better. This
support is very important in the face of
circumstances that are considered
uncontrollable. Support on self-esteem can be
a positive appreciation of the respondents,
encouragement, approval on the opinions of
respondents and a positive comparison with
the others. The support helps WUS in
building self-esteem and competence as well
as a form of support to the group can make
individuals feel a member of a group that has
the same interests and social activities with
her. With so WUS will feel to have friends in
the same boat.
SUGGESTION
For the respondents, expected to be
more active to obtain information about IVA
Education, knowledge of the IVA and support families with early detection Opt IVA examination in women
from a midwife or other health professionals
as well as from various kinds of media, for
example television, radio, newspapers and so
forth.
For further research, this study was a
new experience for researchers so that there
are still many shortcomings that need
improvement, and research can be used as a
reference for other similar research.
For educational institutions, this thesis
should be able to add a library and can be
used as reference for subsequent researchers.
For health workers, is expected to
increase the frequency of communication,
information using attractive media and
systematically about the IVA so as to increase
the knowledge society in general and in
particular about the IVA WUS can be
implemented through health care or study
groups.
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