Introduction: Cervical cancer is the fourth most frequent cancer in women with an estimated 570,000 new cases in 2018 representing 6.6% of all female cancers. Approximately 90% of deaths from cervical cancer occurred in low- and middle-income countries. The high mortality rate from cervical cancer globally could be reduced through a comprehensive approach that includes prevention, early diagnosis, effective screening and treatment programmes. Until 2016, the coverage of VIA in Indonesia was 4.34% which was still far from the national target of 10% at the end of 2015. Sleman Regency was the district with the lowest achievement compared to 4 other districts in DIY to achieve the target of early detection (0.01%).Method: Type of analytical survey research with cross sectional design. The study was conducted at the Kalasan Public Health Center, Sleman, DIY on March 19 to May 4 2018. The study sample was all women aged 19-49 years who visited the Kalasan Health Center, domiciled in Kalasan Subdistrict, fulfilling the inclusion and exclusion criteria. The number of samples was 350 people selected by consecutive sampling technique. Test the validity of the questionnaire with 2 experts. The instruments used were questionnaires and data collection techniques with interviews. Data analysis used chi square.Result: Knowledge of cervical cancer is mostly in the low category (97%). A positive attitude towards early detection of cervical cancer is 96%. 80% believe cervical cancer will heal if it is found early. As many as 92% did not do VIA test in the last 3 years. Factors related to early detection of cervical cancer are knowledge (fisher exact test results, p-value = 0.003). Discussion: There is no relationship between attitudes, beliefs with early detection of cervical cancer because there are other factors that are more influential. According to the results of the study, 68.9% did not do VIA because they did not know about VIA.Keyword : knowledge, attitude, trust, IVA, cervical cancer
Background: Women who are in pregnancy experience a lot of changes in themselves, both physically and psychologically. Changes continue to occur during the 9 months of pregnancy. Physical and psychological discomfort can be felt from the beginning during pregnancy. Then added with an overview of the labor process and how the baby will be after birth. Approximately 70% of pregnant women experience low back pain (LBP) that may occur since the early trimester, where the peak incidence of LBP occurs in pregnant women in the second and third trimesters of pregnancy. Anxiety or psychological mothers in facing the childbirth process is one of the discomforts experienced by pregnant women.The Aim: This study aims to determine the physical and psychological discomfort of third trimester pregnant women in the PuskesmasBerbahSleman DIY. Method: This was an analytic survey research with a cross sectional design. The research was conducted in the area of PuskesmasBerbahSleman Yogyakarta. The number of samples is 63 TM III pregnant women, the type of data is primary data, questionnaire instrument. Statistical test analysis using Kendal Tau. Results: shows that the age of the respondents is reproductive age (20-35 years) as much as 84.10%, higher education as much as 46%, working mothers as much as 52.40%, a history of spontaneous labor as much as 46%, physical discomfort in the third trimester of pregnancy is moderate. as much as 77.80%, the psychological discomfort of pregnancy in the third trimester was moderate as much as 46%, the anxiety of the third trimester pregnant women due to the Covid-19 pandemic was 52.40%, there was a relationship between physical and psychological discomfort in the third trimester of pregnant women (p-value = 0.012), there is a relationship between physical discomfort and anxiety due to the Covid-19 pandemic in third trimester pregnant women (p-value = 0.013). Conclusion: there is a relationship between physical discomfort between the psychology of pregnant women in the third trimester, there is a relationship between physical discomfort and anxiety due to the Covid-19 pandemic in third trimester pregnant women in the PuskesmasBerbahSleman DIY.
Latar Belakang: Kanker serviks merupakan penyebab kematian tertinggi kedua pada perempuan di Indonesia, oleh karena itu memerlukan intervensi melalui pencegahan primer (vaksinasi). Pelaksanaan vaksinasi HPV di Kulon Progo dan Gunung Kidul tahun 2017 merupakan tahapan demonstrasi sebagai dasar pengembangan dan introduksi ke dalam program imunisasi nasional. Vaksinasi HPV diperuntukkan pada anak perempuan sejak usia 9 tahun. Vaksinasi HPV pada remaja merupakan suatu intervensi baru. Penelitian sebelumnya menyebutkan kesediaan remaja untuk vaksinasi masih rendah. Tujuan: Penelitian ini bertujuan mengetahui kesediaan vaksinasi HPV pada remaja dan faktor yang berhubungan dengan kesediaan vaksinasi. Metode: Jenis penelitian survei analitik dengan rancangan cross sectional. Penelitian dilaksanakan di SD Muhammadiyah Macanan, Ngemplak, Sleman dan SMPN 1 Berbah, Sleman dalam waktu Mei-Juli 2019. Jumlah sampel 127 remaja putri kelas 4, 5, 7 dan 8 dipilih dengan accidental sampling. Jenis data adalah data primer, instrumen kuesioner. Uji validitas kuesioner dengan 2 expert. Analisis bivariat dengan uji Somers’d untuk variabel sikap, fisher exact test untuk variabel pengetahuan. Hasil: Hasil penelitian menunjukkan kesediaan vaksinasi HPV masih rendah (42,5%), faktor yang berhubungan dengan kesediaan vaksinasi HPV adalah sikap remaja (p-value = 0,000). Faktor yang menjadi pertimbangan terbanyak remaja dalam pengambilan keputusan vaksinasi adalah keamanan vaksin dengan persentase 89,8%. Kesimpulan: Ada hubungan antara sikap remaja dengan kesediaan vaksinasi HPV pada remaja putri.
Background:The discomforts of pregnant women in the third trimester are: increased frequency of urination, upper and lower back pain, upper and lower back pain, hyperventilation and shortness of breath, dependent edema, heartburn, leg cramps, constipation, tingling and numbness in fingers, insomnia. The percentage of discomfort that appears in pregnant women such as swelling in the legs 20%, leg cramps 10%, shortness of breath 60%, headaches 20%, and back pain 70%. Forms of exercise that can help pregnant women get good power so as to facilitate the process delivery and reduce physical discomfort, namely antenatal yoga. Objective:This study aims to determine the effectiveness of Happy Prenatal Yoga (ujjayi pranayama technique and nadisodhasana) in reducing physical discomfort in the third trimester of pregnancy. Method:The type of research used in this study is a single factor quasiexperimental design with a Non Equivalent Group Pre Test Post Test Control approach. The population of pregnant women in the working area of the Berbah Health Center, Yogyakarta.Purposive sampling technique, with the number of respondents 59 people.Data collection tool using a questionnaire. Analysis of univariate and bivariate statistical tests with Mann U WhitneyResults:There were differences in the types of physical discomfort of pregnancy in TM 3 pregnant women before and after treatment in the ujjayi pranayama group including constipation (0.026), dental and gum problems (0.011), and easy fatigue (0.013). While in the sodhasana pulse group included low back pain (0.008), tooth and gum problems (0.020), easy fatigue (0.029). The results of the analysis showed that there was no difference between the ujjayi pranayama and nadisodhasana groups in reducing the frequency of dental and gum problems (p-value=0.835> 0.05), fatigue easily (p-value=0.877> 0.05). This means that ujjayi pranayama and nadisodhasana are equally effective in reducing the frequency of occurrence of dental and gum problems, and fatigue Conclusion:Regular practice of Happy Prenatal Yoga (ujjayi pranayama and nadisodhasana) will reduce complaints of physical discomfort during pregnancy. so that the mother's pregnancy proceeds normally.
Infeksi HPV dan pre kanker serviks (sel-sel abnormal pada leher rahim yang dapat menyebabkan kanker) telah menurun secara signifikan sejak vaksin HPV digunakan.Cakupan vaksinasi HPV masih rendah di Indonesia.Orang tua adalah pemegang tanggung jawab dan kewajiban utama di dalam penjaminan pemenuhan hak dasar anak untuk mendapatkan vaksinasi. Tujuan penelitian adalah untuk mengetahui faktor yang berhubungan (sikap, kepercayaan, dukungan orang tua) dengan kesediaan vaksinasi pada remaja putri. Jenis penelitian adalah survey analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di SD Muhammadiyah Macanan, Ngemplak dan SMPN 1 Berbah, Sleman pada Mei-Juli 2019. Jumlah sampel 127 remaja putri beserta orang tuanya dipilih dengan accidental sampling. Instrumen kuesioner dan telah dilakukan uji validitas. Analisis bivariat dengan uji chi square (dukungan instrumen, emosional, kepercayaan orang tua) dan uji fisher exact (dukungan informasi dan sikap). Hasil penelitian menunjukkan 92,9% orang tua tidak memberikan dukungan informasi, 85% tidak memberikan dukungan instrumen, 75,6% memberikan dukungan emosional kepada putrinya terkait vaksinasi. Faktor yang berhubungan dengan kesediaan vaksinasi adalah dukungan instrumen (p-value = 0,048). Faktor yang menjadi pertimbangan terbanyak orang tua untuk mengijinkan anaknya di vaksinasi adalah keamanan vaksin (81,1%). Kesimpulan: Ada hubungan dukungan instrumen orang tua dengan kesediaan vaksinasi HPV pada remaja putri. HPV infections and cervical precancers (abnormal cells on the cervix that can lead to cancer) have dropped significantly since HPV vaccine has been in use. HPV vaccination coverage is still low in Indonesia. Parents are the main responsibility and obligation in guaranteeing the fulfillment of the child's basic rights to get a vaccination. The purpose of this study was to determine the related factors (attitudes, beliefs, parental support) with the willingness to participate in HPV vaccination among adolescent girls. This type of the study was analytic survey with cross sectional approach. The study was conducted at SD Muhammadiyah Macanan, Ngemplak and SMPN 1 Berbah, Sleman in May-July 2019. The sample was 127 adolescent girl and their parents selected by accidental sampling. The instrument used questionnaire and already undergone validity test. The bivariate analysis used chi square test (instrument and emotional support, parental trust) and fisher exact test (information support and attitude). The results showed 92.9% of parents did not provide information support, 85% did not provide instrument support, 75.6% provided emotional support to their daughters related to vaccination. Factors related to the willingness of vaccinations were instrument support (p-value = 0.048). The factor that was considered by most parents to allow their children to be vaccinated was vaccine safety (81.1%). Conclusion: There was a correlation between parental instrument support and HPV vaccination willingness of adolescent girls.
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