Deteksi Dini Kanker Serviks pada Wanita Usia Subur
Abstract
Cervical cancer is the leading cause of death among women in developing countries,. Visual inspection of acetic acid (IVA) is a screening strategy for detecting cervical cancer. The purpose of this systematic review is to review the detection of cervical cancer infertile women with the IVA test method. Appraisal studies using the Critical Appraisal Skills Program (CASP) program and the synthesis method using a modified PEOS with data sources obtained from PubMed have 326 articles reviewed. Inclusion criteria are fertile age women, IVA test, health workers, screening, qualitative, articles published from 2013 to 2018, and international journals. There are 4 articles that meet the inclusion criteria. Based on the review found 3 themes of the implementation of Cervical Ca Screening, namely electronic media, obstacles, policy. The results of a systematic literature review study found that the implementation of cervical cancer early detection showed cervical cancer screening using an electronic device that is using a mobile phone where they receive calls and SMS / Whatsapp as a reminder to perform services in health services. Obstacles in detecting cervical cancer include concerns about side effects, fear, and stigma related to the treatment of marital disputes, financial problems, access to religious and cultural beliefs, and limited knowledge. Policies that are carried out by screening carry out vaccination of HPV as a secondary prevention effort.