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Abstrak :
ABSTRAK
One effort to reduce the prevalence of cervical cancer is by IVA Test, but the coverage of IVA Test in Bondongan Health Center is still low and has not reached the national target, in 2016 (9.9%), 2017 (0.8%). The research objective was to examine in depth about the behavior of WUS (30-50 years) in conducting IVA Test in the work area of Bondongan Health Center. This research is a qualitative study with the Rapid Assessment Procedure design. Data collection was done through Focus Group Discussion, In-depth Interviews and document review observations, carried out in March-May 2019 at Bondongan Health Center and Bogor City Health Office. The results of the research showed that the knowledge of informants about cervical cancer and IVA Test was lacking. Access from home to health services is still affordable. The attitude and behavior of the officers in providing IVA Test services are considered good. Cervical cancer is a threat to the health of informants and by carrying out IVA Test is known to have or not cervical cancer. Obstacles found in conducting IVA Test: 1) fear and shame at the time of examination, and fear of examination results, 2) not having time to check because of work 3) not knowing information about IVA Test (schedule and costs) 4) no complaints and WUS's knowledge is still lacking, 5) obstacles in terms of facilities: the IVA Test room in Bondongan Health Center is narrow 6) barriers from officers: the number of programs held by each health worker and different work motivation. There is support from husbands, health workers, friends, neighbors in conducting IVA Test. Dissemination of information by the Bondongan Community Health Center to WUS is still not optimal and uneven. There are already policies that regulate the management of IVA Test programs at the national level (Kepmenkes and PMK) and at the regional/city level of Bogor (Perwal) including SOP

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ABSTRACT
One effort to reduce the prevalence of cervical cancer is by IVA Test, but the coverage of IVA Test in Bondongan Health Center is still low and has not reached the national target, in 2016 (9.9%), 2017 (0.8%). The research objective was to examine in depth about the behavior of WUS (30-50 years) in conducting IVA Test in the work area of Bondongan Health Center. This research is a qualitative study with the Rapid Assessment Procedure design. Data collection was done through Focus Group Discussion, In-depth Interviews and document review observations, carried out in March-May 2019 at Bondongan Health Center and Bogor City Health Office. The results of the research showed that the knowledge of informants about cervical cancer and IVA Test was lacking. Access from home to health services is still affordable. The attitude and behavior of the officers in providing IVA Test services are considered good. Cervical cancer is a threat to the health of informants and by carrying out IVA Test is known to have or not cervical cancer. Obstacles found in conducting IVA Test: 1) fear and shame at the time of examination, and fear of examination results, 2) not having time to check because of work 3) not knowing information about IVA Test (schedule and costs) 4) no complaints and WUS`s knowledge is still lacking, 5) obstacles in terms of facilities: the IVA Test room in Bondongan Health Center is narrow 6) barriers from officers: the number of programs held by each health worker and different work motivation. There is support from husbands, health workers, friends, neighbors in conducting IVA Test. Dissemination of information by the Bondongan Community Health Center to WUS is still not optimal and uneven. There are already policies that regulate the management of IVA Test programs at the national level (Kepmenkes and PMK) and at the regional/city level of Bogor (Perwal) including SOP.

Abstrak :
Data Dinas Kesehatan Kab. Tapanuli Tengah, Provinsi Sumatera Utara, menunjukkan bahwa cakupan Imunisasi Hepatitis B 0 Tahun 2009 sebanyak 36 % dan di Puskesmas Gonting Mahe Kecamatan Sorkam hanya 7 %, tahun 2010 15,4%. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara factor pemudah (umur, pendidikan, pekerjaan, pengetahuan, sikap), faktor pemungkin (frekuensi ANC, tempat persalinan, penolong persalinan, keberadaan bidan desa) dan faktor penguat (keterpaparan media informasi, dukungan suami, dukungan petugas kesehatan, dukungan tokoh masyarakat) dengan perilaku ibu dalam memberikan imunisasi Hepatitis B 0 (0-7 hari) pada bayi 8 hari-12 bulan. Desain yang digunakan adalah cross sectional, dengan wawancara dan menggunakan instrumen kuesioner yang telah diuji coba. Populasi dalam penelitian ini adalah bayi berumur 8 hari sampai 12 bulan di Puskesmas Gonting Mahe yang berjumlah 130 orang. Sedangkan pemilihan sampel dalam penelitian ini adalah total populasi. Analisis data dilakukan secara univariat dan bivariat (menggunakan uji chi square dengan 9=0,05). Dari hasil penelitian didapatkan ibu yang memberikan imunisasi Hepatitis B 0 ada 12,3%. Faktor yang berhubungan secara signifikan dengan perilaku ibu adalah pengetahuan ibu (p=0,001), sikap ibu (p=0,000), tempat persalinan (p=0,001) dan dukungan tenaga kesehatan (p=0,025). Sedangkan faktor yang tidak berhubungan dengan perilaku ibu adalah umur, pekerjaan, pendidikan, frekuensi ANC, penolong persalinan, keterpaparan media informasi, dukungan suami, dukungan tokoh masyarakat. Dari hasil analisis ini disarankan untuk meningkatkan efektifitas program pemberian imunisasi hepatitis B 0 (0-7 hari) di wilayah kerja Puskesmas Gonting Mahe. ......Health service data of central Tapanuli District, showed that Hepatitis B 0 Immunization in 2009 coverage as much as 36% and Public Health Center Gonting Mahe, Sorkam district only 7%, in 2010 as much as 15.4 %. This study aims to analyze the corelation between predisposing factors (age, education, occupation, knowledge, attitude), enabling factors (frequence of ANC, delivery place, birth attendants, the village midwife) and reinforcing factors (exposure information media, husband support, health workerst support, community leaders support) with the behaviour of mothers in providing the Hepatitis B 0 Immunization (0-7 days) in infant 8 days-12 months The design used was cross sectional, with interview and questionnaire instruments that have been tested. The population in this study were infants aged 8 days to 12 months in Public Health Center Gonting Mahe, amounting to 130 people while the selection of the sample in this study is the total population. Data analysis was done using univaraite and bivariate (chisquare test, 8=0,05). From the results, mother who provide Hepatitis B 0 Imunization is 12.3%. Factors significantly associated with maternal behaviour is the knowledge of mothers (p=0.001), maternal attitude (p=0.000), delivery place (p=0.001) and health workers support (p=0.025). While the factors that are not associated with maternal behaviour are age, occupation, education, frequency of antenatal care (ANC), birth attendants, exposure to information media, husband suggested to increase the effectiveness of Hepatitis B 0 Immunization in Public Health Center.