Latar Belakang: Kanker leher rahim (kanker serviks) masih menjadi salah satu kanker paling umum ke-empat setelah kanker payudara, kolorektal, dan paru-paru di kalangan wanita. Pemerintah telah mengembangkan progam deteksi dini sebagai upaya pencegahan dan pengendalian kanker serviks. Jumlah deteksi dini kanker serviks metode IVA di Indonesia sangat rendah terutama di Kelurahan Sendangmulyo. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan perilaku deteksi dini kanker serviks metode Inspeksi Visual Asam Asetat (IVA) di Kelurahan Sendangmulyo. Metode: Jenis penelitian ini adalah kuantitatif dengan metode observasional analitik dan rancangan cross sectional. Jumlah responden dalam penelitian ini 93 orang dengan tekhnik proportionate stratified random sampling dan analisis data menggunakan analisis univariat dan bivariat dengan uji statistik Chi-Square. Hasil: Hasil analisis menunjukkan 61,3% responden tidak pernah melakukan deteksi dini IVA, 66,7% mendapat dukungan keluarga dalam melakukan deteksi dini kanker serviks. Hasil analisis uji statistik didapatkan (p value0,042). Kesimpulan: Dapat disimpulkan bahwa terdapat hubungan antara dukungan keluarga dengan perilaku deteksi dini IVA di Kelurahan Sendangmulyo.
Background: Disabilities are often called physical, mental and sensory disabilities or disorders that limit a person's ability to carry out daily activities. Parenting a child with a disability is not easy because the child cannot perform any activities independently and the child's behavior is not controlled. This results in a negative impact on the mother psychologically, physically and can disrupt family dynamics such as domestic violence and quarrels. This study aimed to explore the experiences of mothers caring for children with disabilities. Subjects and Method:This was a qualitative study with a phenomenological approach, conducted at the Persatuan Rakyat Indonesia Special School (SLB) in Pekalongan, Central Java. The study subjects were selected purposively as many as four participants, namely housewives without caregivers who have children with physical disabilities, deaf-speech, and mentally retarded children. Data were collected using in-depth interview technique. The tools used in this research are camera, recording device and interview guide. Data analysis using Colaizz's method. Results: This qualitative research resulted in seventeen themes that show the experience of mothers in caring for children with disabilities, namely destiny, mother's burden, mother's initial psychological response, emotional changes, behavioral changes, limited funds, obstacles in daily life, social stigma, financial support, social support, assistance efforts. health workers, efforts to seek other assistance, the attitude of the mother when the child conveys a choice, the attitude of the mother when the child acts inappropriately, the expectations and limitations of special health services for disability, the wisdom of spiritual improvement and bathing. Conclusion: Mother's experience in caring for children with disabilities found unstable emotional changes, excessive worry and excessive attention. Support is very influential for mothers in the form of information support, extended family support, nuclear family and the surrounding community. During caring for children with disabilities, mothers gain wisdom, namely increasing patience and gratitude.
Background: Based on research states that the prevalence rate of complete postpartum visits (KF) in Indonesia is 37%, where this figure has increased from 2013 of 32.1%. The problem with the achievement of postpartum visits in Indonesia is that the underdeveloped areas mentioned in Presidential Decree Number 63 of 2020, namely North Sumatra, Central Sulawesi, Maluku, Papua and West Papua, occupy the bottom 6 provinces in the complete postnatal visit. The province of West Papua is the region with the lowest KF coverage rate in Indonesia. Subjects and Method: Meta-analysis conducted using the PRISMA systematic guidelines. Population= puerperium mother, Intervention= Urban, Comparison= Rural, Outcome= Utility of postnatal health service. The process of searching for articles was carried out between 2005 and 2021 using a database search engine consisting of; PubMed, Science Direct, Springer Link, and Google Scholar. Based on the database search, there were ten articles that met the criteria with a cross-sectional design and observational studies and research that discussed demographic factors (urban & rural) on health care facilities. Results:The results of the analysis had high heterogeneity between studies I 2 = 94%, so that the Random Effect Model was used. Postnatal mothers living in urban areas increased by 1.48 times in utilizing postnatal care health services compared to postnatal mothers living in rural areas. however it was not statistically significant (SMD= 1.48; 95% CI= 0.90 to 2.44; p= 0.012). Conclusion: Postpartum women who live in urban areas use postpartum health services more than postpartum women who live in rural areas.
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