Upaya Peningkatan Cakupan Skrining Melalui Deteksi Risiko Kanker Serviks Dengan Sinara di Maluku

Devita Madiuw; Valensya Yeslin Tomasoa; Westy Tahapary; Sinthia Rosanti Maelissa; Dene Fries Sumah; Zasendy Rehena; Lisse Pattipeiluhu; Dian Thiofany Sopacua; Vanny Leutualy; Theosobia Grace Orno

doi:10.54639/kks.v4i1.1519

Upaya Peningkatan Cakupan Skrining Melalui Deteksi Risiko Kanker Serviks Dengan Sinara di Maluku

Devita Madiuw, Valensya Yeslin Tomasoa, Westy Tahapary, Sinthia Rosanti Maelissa, Dene Fries Sumah, Zasendy Rehena, Lisse Pattipeiluhu, Dian Thiofany Sopacua, Vanny Leutualy, Theosobia Grace Orno

Abstract

Kasus kanker serviks terus meningkat, namun kesadaran wanita melakukan skrining masih sangat rendah. Permasalahan yang ditemukan di Negeri Karlutu Warasiwa, bahwa sebagian besar wanita tidak mengetahui skrining melalui IVA maupun Papsmear dapat mendeteksi dini kanker serviks. Hal ini karena belum pernah diadakan edukasi kesehatan maupun skrining kanker serviks pada wilayah tersebut. Kegiatan PkM ini dilaksanakan di Negeri Karlutu Warasiwa, Kecamatan Seram Utara, Kabupaten Maluku Tengah, Provinsi Maluku dengan sasaran wanita usia subur. Kegiatan ini bertujuan untuk mengidentifikasi risiko kanker serviks pada wanita usia subur di Negeri Karlutu. Instrumen yang digunakan adalah kuesioner pre dan post-test, serta instrumen Sinara. Hasil evaluasi kuesioner pre dan post-test menunjukkan, sebesar 27 peserta (100%) mengalami peningkatan pengetahuan setelah diberikan penyuluhan. Selain itu, hasil skrining menunjukkan semua peserta (100%) mengalami risiko sedang hingga tinggi mengalami kanker serviks. Direkomendasikan bagi pemerintah negeri agar dapat berkoordinasi dengan petugas kesehatan setempat, untuk dilakukan kegiatan skrining kanker serviks bagi wanita usia subur di wilayah tersebut.

Keywords

cakupan skrining; deteksi risiko; kanker serviks; sinara

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References

Bellatika, S. S., & Afriani, L. D. (2024). Implementation of the Early Detection Program for Cervical Cancer Through IVA Examination. Indonesian Journal of Midwifery, 7(2), 189–199. http://jurnal.unw.ac.id/index.php/ijm

Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., & Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74(3), 229–263. https://doi.org/10.3322/caac.21834

Darmayanti, Hapisah, & Kirana, R. (2015). Faktor-faktor yang berhubungan dengan kanker leher rahim di RSUD Ulin Banjarmasin. Jurnal Kesehatan, 6(2), 172–177.

Dinas Kesehatan Provinsi Maluku. (2023). Data Deteksi Dini Kanker Serviks dan Payudara.

Fitrisia, C. A., Khambri, D., Utama, B. I., & Muhammad, S. (2019). Analisis faktor-faktor yang berhubungan dengan kejadian lesi pra kanker serviks pada wanita pasangan usia subur di wilayah kerja Puskesmas Muara Bungo 1. Jurnal Kesehatan Andalas, 8(4), 33–43. https://doi.org/https://doi.org/10.25077/jka.v8i4.1147

International Agency for Research on Cancer. (2020). Incidence, Mortality and Prevalence by cancer site (Indonesia). https://doi.org/10.1001/jama.247.22.3087

International Agency for Research on Cancer. (2022). Incidence, Mortality and Prevalence by cancer site (Indonesia). https://gco.iarc.who.int/media/globocan/factsheets/populations/360-indonesia-fact-sheet.pdf

Kemenkes RI. (2022). Profil Kesehatan Indonesia 2021. Kementerian Kesehatan Republik Indonesia. https://kemkes.go.id/id/profil-kesehatan-indonesia-2021

Kementerian Kesehatan RI. (2024). Profil Kesehatan Indonesia 2023. https://kemkes.go.id/id/profil-kesehatan-indonesia-2023

Kim, J., Kim, B. K., Lee, Þ. C. H., Seo, S.-S., Park, S.-Y., & Roh, J.-W. (2012). Human papillomavirus genotypes and cofactors causing cervical intraepithelial neoplasia and cervical cancer in Korean women. International Journal of Gynecology Cancer, 22(9), 1570–1576. https://doi.org/10.1097/IGC.0b013e31826aa5f9

Madiuw, D. (2022). Instrument Self-Risk Assessment Cervical Cancer (SINARA) (Patent 000386284). https://pdki-indonesia.dgip.go.id/detail/e3b0c44298fc1c149afbf4c8996fb92427ae41e4649b934ca495991b7852b855

Madiuw, D., Hermayanti, Y., & Solehati, T. (2021). Indonesian self-risk assessment for cervical cancer (SiNara): Instrument development and validation. Nurse Media Journal of Nursing, 11(2), 219–232. https://doi.org/10.14710/NMJN.V11I2.34199

Madiuw, D., & Nivaan, G. V. (2024). Aplikasi SINARA (Patent 000761399). https://pdki-indonesia.dgip.go.id/detail/e3b0c44298fc1c149afbf4c8996fb92427ae41e4649b934ca495991b7852b855

Madiuw, D., Tahapary, W., Rahmawati, A., Imansari, B., Nurhidayah, I., & Napisah, P. (2022). Skrining Kanker Serviks (M. Nasrudin, Ed.). Penerbit NEM. https://www.penerbitnem.com/2022/10/skrining-kanker-serviks.html

Mohanapriya, D., Sakthivel, K. M., Baskar, N., Immaculate, H. J., & Selvarathi, M. (2024). Deadly cancer of cervix tackled with early diagnosis using machine learning. Artificial Intelligence and Machine Learning for Women’s Health Issues, 219–234. https://doi.org/10.1016/B978-0-443-21889-7.00003-8

Obol, J. H., Lin, S., Obwolo, M. J., Harrison, R., & Richmond, R. (2021). Knowledge, attitudes, and practice of cervical cancer prevention among health workers in rural health centres of Northern Uganda. BMC Cancer, 21(1). https://doi.org/10.1186/s12885-021-07847-z

O’Donovan, B., Mooney, T., Rimmer, B., Fitzpatrick, P., Flannelly, G., Doherty, L., Martin, C., O’Leary, J., O’Connor, M., & Sharp, L. (2021). Advancing understanding of influences on cervical screening (non)-participation among younger and older women: A qualitative study using the theoretical domains framework and the COM-B model. Health Expectations, 24(6), 2023–2035. https://doi.org/10.1111/hex.13346

Origa, M., Kayiira, A., Ghebre, R., Bollinger, L., Kisakye, S. I., & Teoh, D. (2025). Views on cervical cancer screening among female caregivers at the Uganda cancer Institute. Gynecologic Oncology Reports, 57. https://doi.org/10.1016/j.gore.2024.101654

Safitri, F., & Rahmi, N. (2019). Determinan kejadian kanker serviks di Rumah Sakit Umum Daerah dr. Zainoel Abidin, Provinsi Aceh. Media Litbangkes, 29(1), 89–98. https://doi.org/10.22435/mpk.v29i1.437

Shrestha, A. D., Andersen, J. G., Gyawali, B., Shrestha, A., Shrestha, S., Neupane, D., Ghimire, S., Campbell, C., & Kallestrup, P. (2022). Cervical cancer screening utilization, and associated factors, in Nepal: a systematic review and meta-analysis. In Public Health (Vol. 210, pp. 16–25). Elsevier B.V. https://doi.org/10.1016/j.puhe.2022.06.007

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660

Thakur, A., Gupta, B., Gupta, A., & Chauhan, R. (2015). Risk factors for cancer cervix among rural women of a Hilly State : A case-control study. Indian Journal of Public Health, 59(1), 10–13. https://doi.org/10.4103/0019-557X.152862

Yuliani, V., Mose, J. C., & Susanto, H. (2019). Perbedaan faktor risiko dan perilaku deteksi dini kanker serviks pada wanita usia subur antara wilayah parungkuda dengan palabuhanratu. Jurnal Kebidanan, 5(2), 172–180. https://doi.org/10.33024/jkm.v5i2.1202

Zulkarnaini, M. S., Faradila, A., & Angkotasan, I. (2022). Profil Kesehatan Provinsi Maluku Tahun 2022. Dinas Kesehatan Provinsi Maluku.

DOI: https://doi.org/10.54639/kks.v4i1.1519