Indian Journal of Public Health Research & Development

Adang Bachtiar Kantaatmaja ¹, Dumilah Ayuningtyas ¹, Sri Windiarti ¹

Affiliations
1 Universitas Indonesia, Depok, ID

Abstract

Cervical cancer is the third highest cause of women mortalities in the world; in Indonesia, it was estimated that every one hour one person died. State burden for handling cervical cancer is quite high. The biggest cause cervical cancer is late for early detection. Visual Inspection with Acetate(VIA) method is an effective and efficient method to be applied to countries with low social determinants and limited human resources. This study aims to obtain about the behavior of VIA test on the WCA who have been given counseling and the tendency of relationship among factors affecting. This research is a qualitative study used Rapid Assessment Procedure (RAP) on 14 people informants WCA who have been given counseling about the cervical cancer detection, married, aged 30 - 50 years, reside in Bima City of West Nusa Tenggara. The results show that 1. The decision to do VIA test tends to be influenced by method, process and evaluation of counseling. 2. Counseling on individual method tends to be more effective than mass counseling. 3. Counseling given when midwives provide counseling and IUD KB installation service tends to be more effective because it can be done simultaneously. 4. Counseling about VIA given tends to increase knowledge but does not necessarily change behavior in VIA test. 5. Other factors that tend to influence the behavior of VIA test on WCA who have been given counseling are perception, motivation, and husband support.

Keywords

VIA, WCA, Early Detection, Cervical Cancer, Qualitative Study.

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Dwi Rachmatullah ¹, Dumilah Ayuningtyas ², Raden Roro Mega Utami ²

Affiliations
1 National Resilience Strategic Study, Strategic and Global Study School, Universitas Indonesia, ID
2 Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, ID

Abstract

Background: The length of “open access” areas from Indonesia which leads to the vulnerability state is the factor that influence terrorism, disease, and other transnational crimes. This study aims to analyze the contribution strategies made by the Government of Indonesia in efforts to equalize health services in the Indonesia‑Malaysia border region in order to strengthen health resilience as an important part that is inseparable from national security. Method: The method used in this study is narrative review of published articles and news related to the policy environment and health service facilities in the border regions of Indonesia and in the other countries that have been published in Scopus‑accredited and indexed journals. Results: It was found that there were obstacles faced by the health providers during the implementation process, including the lack of availability of human resources as health workers as well as health facilities in the border area. As such, many Indonesians living on the border choose to seek treatment in Malaysia. The entry and exit routes from neighbor countries are inevitably becoming vulnerable areas which need attention to prevent various threats from entering the border line which will have an impact on National Resilience. Conclusions: The fulfillment of human resources availability for health workers and health facilities in the border area has not been maximized due to the difficulty of distribution and limited access. Managing the Indonesian border by relying solely on security and military approaches is not enough, that it requires a multi‑sector approach that involves all relevant stakeholders. Good management of border areas is needed as an effort to strengthen Indonesia’s national security.

Keywords

Cross‑Border; Health Sector; Health Personnel; Health Facility; National Resilience.

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