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"Alir Terhadap Pelaksanaan IMD di Puskesmas Kota Bogor Tahun 2019 Inisiasi Menyusu Dini (IMD) memiliki banyak manfaat bagi bayi, salah satunya mencegah kematian neonatal. Di Kota Bogor, sebagian besar bayi baru lahir tidak mendapatkan IMD. Salah satu penyebab pelaksanaan IMD menjadi kurang optimal di Kota Bogor adalah belum adanya prosedur standar baku yang menjabarkan alur pelaksanaan IMD yang dapat membantu bidan meningkatkan pemahaman dan keterampilan dalam memberikan pelayanan IMD secara optimal, khususnya yang menolong persalinan. Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan media KIE berbentuk bagan alir dalam pelaksanaan IMD oleh bidan di Puskesmas Kota Bogor tahun 2019. Penelitian dilakukan di 8 puskesmas menggunakan desain penelitian kuasi-eksperimental. Responden terbagi dalam kelompok intervensi dan kelompok kontrol, masing-masing terdiri dari 29 bidan yang diambil menggunakan teknik purposive sampling. Kelompok intervensi diberikan KIE prosedur standar IMD menggunakan bagan alir sedangkan kelompok kontrol diberikan KIE berupa penjelasan secara singkat. Hasil penelitian menunjukkan keberhasilan IMD kelompok intervensi lebih tinggi (93,1%) dibandingkan kelompok kontrol (20,7%). Rata-rata skor bidan kelompok intervensi lebih tinggi (96±3,7) dibandingkan kelompok kontrol (84,7±5,2). Secara statistik, penggunaan media KIE bagan alir berpengaruh signifikan dalam pelaksanaan IMD di puskesmas Kota Bogor (p value <0,000). Media KIE prosedur standar berbentuk bagan alir efektif digunakan untuk mengoptimalkan pelaksanaan IMD oleh bidan di puskesmas Kota Bogor.

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Flowchart to EIB Implementation at Public Health Center in Bogor City 2019 Early Initiation of Breastfeeding (EIB) has many benefits for babies, which can prevent the neonatal death. In Bogor City, most newborns did not get EIB. One of the causes of the EIB implementation being less optimal in Bogor City is the lack of standardized standard procedures that show the flow of EIB implementation which can help midwives to improve their understanding and skills in providing EIB services, especially those who helping childbirths. This study aims to determine the effectiveness of the use of IEC materials through standard procedure flowchart in the implementation of EIB by midwives at Public Health Center (PHC) in Bogor City 2019. The location of this studywas in 8 PHCs using a quasi-experimental research design. Respondents were dividedinto intervention and control groups, which is consisting of 29 midwives in each groupusing a purposive sampling technique. The intervention group was given IEC materialsthrough standard procedure flowchart and the control group was only brief explanation. The results showed the success of EIB in the intervention group was higher (93.1%) than the control group (20.7%). The average score of the intervention group was also higher (96±3.7) than the control group (84.7±5.2). Statistically, the use of IEC materials through standard procedure flowchart has a significant effect on the implementation of EIB in PHC in Bogor City (p value <0,000). IEC materials through standard procedure flowchart is used to optimize the implementation of the EIB by midwives in PHC."

"Kecamatan Limo merupakan kecamatan di Kota Depok dengan cakupan ASI eksklusif terendah pada tahun 2015 dan mengalami penurunan pada tahun 2016. Tujuan penelitian ini adalah untuk melihat hubungan pelaksanaan inisiasi menyusu dini IMD terhadap pemberian ASI eksklusif di wilayah keraja UPT. Puskesmas Kecamatan Limo tahun 2017. Penelitian ini menggunakan desain studi cross sectional dengan sumber data laporan KP-ASI yang dikumpulkan oleh kader masing-masing posyandu sepanjang tahun 2017 dan register kohort ibu yang dikumpulkan oleh Puskesmas Kecamatan Limo sejak tahun 2015 - 2017.Hasil dari penelitian ini menemukan bahwa ibu yang melaksanakan IMD 5,03 kali lebih berpeluang memberikan ASI eksklusif kepada bayinya selama 6 bulan dibandingkan ibu yang tidak melaksanakan IMD OR = 5,03 : 95 CI 2,8 ndash; 8,4. Serta terdapat perbedaan peluang pada masing-masing kategori variabel usia ibu, wilayah tempat tinggal, paritas, kunjungan ANC dan penolong persalinan dengan melaksanakan inisiasi menyusu dini IMD terhadap pemberian ASI eksklusif 6 bulan. Dimana peluang terendah pada ibu berusia < 20 tahun OR = 2,7 : 95 CI 0,28 ndash; 26,6 dan peluang tertinggi pada ibu yang tinggal di Kelurahan Limo OR= 6,5 : 95 CI 2,2 ndash; 19,4, ibu primipara OR= 5,7 : 95 CI 1,6 ndash; 9,8 , ibu dengan kunjungan ANC ge; 4 kali OR= 8,5 : 95 CI 2,1 ndash; 33,8, dan ibu dengan persainan di tolong oleh Dokter OR= 36,8 : 95 CI 3,4-396,7.

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Limo sub district is a sub district in Depok City with the lowest coverage of exclusive breastfeeding in 2015 and decreased by 2016. The purpose of this study was to examine the relationship of early breastfeeding initiation IMD to exclusive breastfeeding in the Heath Center District of Limo in 2017. This study used cross sectional study design with data source of KP ASI report collected by each posyandu cadre during 2017 and mother cohort register collected by Limo District Health Center since 2015 2017.

The result of this research found that mother who carried out IMD 5,03 times more likely to give exclusive breastfeeding to her infant for 6 months than mother who did not implement IMD OR 5,03 95 CI 2,8 8,4. There was also difference of opportunity in each category of variable maternal age, residence area, parity, ANC visit and birth attendant by initiation u early IMD against exclusive breastfeeding 6 months. Where the lowest probability was for mothers aged."

"Bayi yang diberi kesempatan untuk melakukan Inisiasi Menyusu Dini IMD dengan menyusu pada 1 jam pertama setelah kelahiran dan dilakukan kontak kulit ibu dengan bayi selama minimal 1 jam dapat menekan angka kematian bayi. Sedangkan, peran dan komitmen dari instansi kesehatan dan pemberi pelayanan sangat diperlukan untuk mendukung pelaksanaan IMD. Untuk tercapainya hal tersebut perlu dilakukannya inovasi yang bisa meningkatkan pengetahuan dan ketrampilan bidan.Penelitian ini bertujuan untuk mengetahui adanya pengaruh penggunaan media Komunikasi, Informasi Edukasi KIE dalam pelaksanaan IMD oleh bidan di Puskesmas Jakarta Timur Tahun 2018. Jenis penelitian quasy eksperimen dengan jumlah sampel 42 bidan yang terbagi menjadi 21 bidan kelompok intervensi dan 21 bidan kelompok kontrol. Peneliti membuat suatu media KIE berupa poster dan booklet mengenai alur tahapan pelaksanaan IMD dalam asuhan bayi baru lahir yang menarik, mudah diingat dan sebelumnya belum pernah ada, kemudian media tersebut diberikan pada kelompok intervensi. Penelitian dilakukan pada bulan April sampai Mei 2018. Data yang terkumpul dianalisis secara univariat dan bivariat menggunakan uji-t independen. Hasil penelitian didapatkan bahwa, pada analisis univariat jumlah nilai rata-rata skor pelaksanaan IMD pada kelompok intervensi lebih tinggi sebesar 97.41 dibandingkan nilai rata-rata pada kelompok kontrol sebesar 78.28. Sedangkan hasil analisis bivariat dengan uji-t independen didapatkan nilai p = 0.001 yang artinya nilai p < 0.05 dan secara statistik terdapat perbedaan yang signifikan rata-rata skor pelaksanaan IMD antara kelompok intervensi dan kelompok kontrol.Nilai skor pelaksanaan IMD oleh bidan pada kelompok intervensi yang mendapatkan KIE dengan media poster dan booklet lebih tinggi secara bermakna dibandingkan bidan pada kelompok kontrol. Sehingga terdapat pengaruh media KIE terhadap pelaksanaan IMD.

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Infants given the opportunity to early initiation of breastfeeding by suckling in the first hour after birth and making skin contact with a baby for at least 1 hour can reduce infant mortality. Meanwhile, the role and commitment of health agencies and providers of services is needed to support the implementation of early initiation of breastfeeding. To achieve this it is necessary to do innovations that can increase knowledge and skills of midwives.This study aims to determine the influence of the use of communication, information, education media in the implementation of early initiation of breastfeeding by midwife in community health centers East Jakarta 2018. Type of quasy experimental research with a sample of 42 midwives divided into 21 midwives of the intervention group and 21 midwives of the control group. The researcher made a communication, information, education media in the form of posters and booklets about the flow of IMD implementation stage in newborn care that is interesting, easy to remember and never before, then the media is given to the intervention group. The study was conducted from April to May 2018. Collected data were analyzed univariat and bivariate using independent t test.The results showed that, in univariate analysis, the mean value of early initiation of breastfeeding implementation score in intervention group was higher by 97.41 than the mean score in the control group was 78.28. While the results of bivariate analysis with independent t test obtained p value 0.001 which means the value of p."

"eHealth TB merupakan inovasi sistem informasi kesehatan yang dilakukan secara elektronik untuk menghadapi epidemi TB. eHealth TB menghadapi kendala missing case TB terkait kemampuan sumber daya manusia dan ketidakberhasilan sistem informasi kesehatan dengan terjadinya underreporting data terkait TB tahun 2012 dan 2013 di Jawa Barat pada Puskesmas di Kabupaten Cianjur dan Tasikmalaya. sehingga menghasilkan kualitas data yang rendah. Berdasarkan studi pendahuluan di kota Tasikmalaya, penggunaan eHealth TB petugas layanan DOTS Puskesmas rendah. Studi ini menggunakan data primer melalui wawancara dengan menggunakan kuesioner model UTAUT menggunakan desain cross sectional. Tujuan penelitian untuk mengetahui faktor yang berhubungan dalam penerimaan penggunaan eHealth TB. Subyek penelitian menggunakan total sampling 87 orang. Hasil uji statistik menunjukkan pengguna eHealth TB hanya mencapai 75%, penggunaan eHealth TB terbanyak adalah SITRUST, sedangkan penggunaan SITT hanya mencapai 11%. Harapan usaha berhubungan dengan intensi perilaku (B=0,733) dan sikap penggunaan (B=0,569) eHealth TB. Sedangkan perilaku penggunaan berhubungan dengan jenis kelamin dengan OR=0,029 berarti perempuan cenderung menggunakan eHealth TB sebanyak 34 kali dibanding lakilaki. Perlu dilakukan pengawasan, diseminasi berkala dan pelatihan SITT. Penguatan perilaku penggunaan eHealth TB diberikan melalaui penghargaan, sanksi dan manfaat.

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eHealth TB is an electronic health information system innovation that conducted electronically in alleviating TB epidemic. Obstacle in eHealth TB is missing TB case due to human resource issue and unsuccess of the health information system by underreporting data related to TB in 2012 and 2013 in West Java at primary health care in Cianjur and Tasikmalaya District that resulting in low data quality. Preliminary study in Tasikmalaya City, show the Use of eHealth TB by user in DOTS facility of primary health care was low. The study used primary data through interviews using the UTAUT model questionnaire with cross sectional design. Research objectives to know the related factors in the use acceptance of the eHealth TB. The study subjects used total sampling with 87 people. Statistical results show the eHealth TB user only reaches 75%, the most use of eHealth TB is SITRUST, while the use of SITT only reaches 11%. Effort expectacy relate to behavioral intention (B=0,733) and use behavior (B=0,569). Usage relates to gender with OR=0,029 means women tend to use eHealth TB 34 times than men. Further evaluation of the use of eHealth TB especially SITT is reviewed in terms of user, organization, technology and benefit."

"Pemerintah telah berupaya mencegah dan mengurangi angka kejadian penyakit dengan Inpres No.1 Tahun 2017 tentang GERMAS. GERMAS adalah suatu tindakan sistematis dan terencana yang dilakukan secara bersama-sama oleh seluruh komponen bangsa dengan kesadaran, kemauan dan kemampuan berperilaku sehat untuk meningkatkan kualitas hidup. Puskesmas merupakan ujung tombak pelayanan kesehatan di Indonesia. Penelitian ini bertujuan untuk mengetahui pelaksanaan GERMAS di Puskesmas Kota Depok tahun 2019. Desain penelitian ini adalah cross-sectional dan data dikumpulkan dari 30 Puskesmas di Kota Depok. Analisis data statistik univariat dengan distribusi frekuensi, analisis bivariat menggunakan chi-square dan analisis multivariat dengan korelasi logistik Hasil penelitian menunjukkan 83,3% Puskesmas melaksanakan sosialisasi GERMAS dan edukasi sehat, 100% Puskesmas melakukan penyuluhan ASI ekslusif, 83.3 % Puskesmas melakukan kegiatan deteksi dini penyakit, IVA dan Ca mammae dan 80% Puskesmas melakukan kegiatan sosialisasi gemar aktivitas fisik. Ketersediaan sumber daya manusia, dana, sarana dan prasarana dalam pelaksanaan GERMAS di Puskesmas Kota depok memadai, namun belum adanya petunjuk pelaksana/SK dari Dinas Kesehatan maupun SK Kepala Puskesmas untuk pelaksanaan GERMAS di Puskesmas. Saat ini petunjuk pelaksana yang dipakai sebagai pedoman kegiatan GERMAS masih mengikuti Perwal yang ada. Perencanaan dan pengorganisasiannya belum mempunyai roadmap pelaksanaan GERMAS di Puskesmas dan 70 % Puskesmas pengawasannya baik. Terdapat hubungan yang signifikan antara sarana dan prasarana terhadap kegiatan GERMAS (p-value<0,05). Tidak terdapat hubungan yang signifikan antara perencanaan, pengorganisasian dan pelaksanaan terhadap kegiatan GERMAS (p-value >0,05) dan terdapat hubungan yang signifikan antara pengawasan dengan pelaksanaan GERMAS . Analisis multivariat menunjukkan faktor yang dominan mempengaruhi kegiatan GERMAS adalah pengawasan. Puskesmas diharapkan meningkatkan sosialiasi dan upaya pemberdayaan masyarakat dalam pelaksanaan GERMAS.

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The government has tried to prevent and reduce the incidence of disease with Presidential Instruction No.1 Year 2017 concerning GERMAS. GERMAS is a systematic and planned action carried out jointly by all components of the nation with awareness, willingness and ability to behave in a healthy manner to improve the quality of life. Puskesmas are the spearhead of health services in Indonesia. This study aims to determine the implementation of the GERMAS in Depok City Health Center in 2019. The design of this study was cross-sectional and data were collected from 30 Puskesmas in Depok City. Univariate statistical data analysis with frequency distribution, bivariate analysis using chi-square and multivariate analysis with logistical correlations The results showed 83.3% of Puskesmas conducted GERMAS socialization and healthy education, 100% of Puskesmas conducted exclusive breastfeeding, 83.3% Puskesmas conducted early detection activities disease, IVA and Ca mammae and 80% of Puskesmas conduct socialization activities like physical activity. The availability of human resources, funds, facilities and infrastructure in the implementation of the GERMAS in the Depok City Health Center is adequate, but there are no implementing instructions/decree from the Health Office or SK Head of the Health Center for the implementation of the GERMAS in the Health Center. At present the implementing instructions used as guidelines for GERMAS activities still follow the existing Supervisory Regulations. The planning and organization does not yet have a roadmap for implementing GERMAS in Puskesmas and 70% of Puskesmas have good supervision. There is a significant relationship between facilities and infrastructure of the GERMAS activity (p-value <0.05). There is no significant relationship between planning, organizing and implementing GERMAS activities (p-value> 0.05) and there is a significant relationship between supervision and GERMAS implementation. Multivariate analysis shows that the dominant factor influencing GERMAS activities is supervision. Puskesmas are expected to increase socialization and community empowerment efforts in implementing GERMAS."

"ABSTRAKPenggunaan obat rasional merupakan salah satu elemen penting dalam mencapai kualitas kesehatan yang baik bagi masyarakat. Puskesmas merupakan pelayanan kesehatan terdepan dalam penyelenggaraan pelayanan kesehatan dasar di tingkat masyarakat, sehingga penggunaan obat yang tidak rasional di puskesmas dapat menyebabkan kerugian bagi masyarakat luas. Penelitian ini bertujuan untuk menilai dan membandingkan rasionalitas penggunaan obat yang ditinjau dari indikator peresepan menurut WHO di dua puskesmas terakreditasi madya Kota Depok pada tahun 2019. Metode yang digunakan adalah metode potong lintang dimana data sampel berasal dari data resep pada periode bulan Januari-Desember 2019 di Puskesmas Abadi Jaya dan Sukmajaya Kota Depok. Hasil penelitian dibandingkan dengan target kerasionalan yang telah ditetapkan oleh WHO. Pada hasil penelitian, didapatkan total sampel sebanyak 216 resep dengan jumlah obat yang diresepkan sebanyak 693 obat. Karakteristik demografi sampel penelitian adalah pasien wanita sebanyak 64,4% dan pasien pria sebanyak 35,6% pada rentang usia 18-59 tahun. Pada Puskesmas Abadi Jaya dan Sukmajaya, nilai masing-masing parameternya adalah: jumlah obat tiap pasien 3,32 dan 3,09; peresepan obat generik 99,16% dan 98,50%; peresepan antibiotik 17,59% dan 25%; peresepan injeksi 0; dan peresepan obat Fornas 97,77% dan 95,21%. Terdapat perbedaan yang signifikan (p < 0,05) pada parameter persentase obat yang diresepkan dari formularium. Sedangkan pada parameter rata-rata jumlah obat, persentase peresepan obat generik, persentase pasien yang diresepkan antibiotik, dan persentase pasien yang diresepkan injeksi tidak terdapat perbedaan yang signifikan (p > 0,05). Dari studi dapat disimpulkan bahwa penggunaan obat di kedua puskesmas pada seluruh parameter indikator peresepan tidak rasional, kecuali pada parameter peresepan antibiotik dan injeksi.

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ABSTRACT

Rational use of drug is an important element in achieving good health qualities for community. Public Health Centers is a leading health service in the organization of primary health care at the community level, so irrational use of drug at Public Health Centers can cause harm to the wider community. Therefore, Public Health Centers should apply the rational use of drug according to the existing standards. This study was designed to assess and compare the rationality of drug use at two accredited Public Health Centers in Depok City through prescribing indicators according to WHO. Method of this study was cross-sectional observation where the sample was derived from prescription data in the period of January-December 2019 at two Public Health Centers in Depok City. The results of the study were compared with rational targets by WHO. The total number of samples was 216 prescriptions with 693 drugs. The demographic characteristics of the sample were 64.4% women and 35.6% men in the age range 18-59 years. In both Public Health Centers, the values of each parameter were: average drug prescribed 3,32 and 3,09; medicines prescribed by generic name 99,16% and 98,50%; antibiotic prescribed 17,59% and 25%; injection prescribed 0; and medicines prescribed from formulary 97,77% and 95,21%. Significant difference between Public Health Centers were only found in the percentage of formulary drug prescriptions (p < 0,05). It can be concluded that the use of drugs in both Public Health Centers was still irrational except for the use of antibiotics and injection."

"Puskesmas merupakan ujung tombak pelaksana pelayanan kesehatan yang sangat strategis dalam melaksanakan berbagai kebijakan dan program kesehatan, seperti SPM, PISPK, dan KBK-BPJS. Kebijakan-kebijakan yang dilaksanakan secara bersama-sama menimbulkan situasi koeksistensi. Penelitian ini bertujuan untuk mengetahui apakah pelaksanaan kebijakan SPM, PISPK, dan KBK-BPJS di Puskesmas terjadi koeksistensi secara mutually exclusive (saling berdiri sendiri), competitive (berkompetisi), complementary (saling mendukung) dan integrated (terintegrasi) dalam hal tenaga, waktu, sarana, dana, dan pelaporan di Puskesmas di Kabupaten Bogor. Penelitian ini menggunakan pendekatan kualitatif melalui wawancara mendalam terhadap 15 orang informan yang berada di Puskesmas Bojonggede, Puskesmas Cibinong, Puskesmas Cirimekar, Puskesmas Kemuning dan Dinas Kesehatan Kabupaten Bogor. Hasil penelitian menunjukkan bahwa koeksistensi secara mutually exclusive terjadi pada aspek pelaporan, sistem pelaporan program mempunyai aplikasi masing-masing seperti SIKDA, SIMPUS, dan Laporan Suplemen pada program SPM, Web Keluarga Sehat pada program PISPK, dan P-Care untuk pelaporan KBK-BPJS. Koeksistensi secara competitive terjadi pada aspek tenaga dan waktu kerja. Pelaksanaan program yang dinilai paling berat adalah PISPK, sementara SPM dinilai program rutin yang biasa dilakukan di puskesmas. KBK BPJS dinilai lebih mudah dilaksanakan daripada PISPK dalam hal pencapaian angka kontak. Complementary terjadi pada aspek sarana dan dana. Pelaksanaan ketiga kebijakan SPM, PISPK, dan KBK-BPJS sistemnya belum terintegrasi sempurna.<

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Centre or in Indonesia called Puskesmas plays a crucial and strategical role as a health care provider in implementing various policies and health program such as Minimum Service Standards (SPM), Healthy Indonesia Program with family approach (PIPSK), and Capitation-Based on Service Commitment (KPK-BPJS). Implementing the policies and programs simultaneously creates a condition called coexistence. This study aims to investigate whether implementation of the policies in Puskesmas works in a coexistence manner that is mutually exclusive, competitive, complementary and integrated in terms of human resources, work time, health facilities, funds and reporting. This study used a qualitative approach through in-depth interviews with 15 informants who were met at the community health centre in Bojonggede, Cibinong, Cirimekar, Kemuning and at the department of health of Bogor. The results of this study showed that the coexistence of mutually exclusive occurs in reporting. Specifically, program reporting systems have their own applications including SIKDA, SIMPUS, supplement report for SPM program; Health Family Web for PISPK and P-Care for KBK-BPJS. This study also found that the coexistence of competitive occurs in human resources and work time. PISPK is claimed as the most difficult program to carry out at the health centre in Bogor in comparison to KPK-BPJS in terms of achieving contact rates. Also, the program that routinely is done at the primary health centre in Bogor is SPM. The current study further indicates that the coexistence of complementary occurs in health facilities and funds. Finally, the coexistence of integrated policies such as implementations of SPM, PIPSK and KPK-BJS has not been fully worked at the community health centre in Bogor."

"Evaluation on Management of Nutrition Program Implementation on Health Center in Bogor, 1999Health Center gives health service to whole people in Indonesia. Its aim to prevent nutrition problems and to improve nutrition status. In Health Center, there are several employee like nutritionist, nurse, midwife, and others. Bogor was located on West Java and near Capital of Indonesia. Total population on 1999 approximately 680.541 people. Bogor has 23 Health Centers, 31 sub districts, and 37 villages. All of Health Centers implement nutrition program, but it was low targets for DIS, NIS, and PEM, except in 1999/2000. At the present time, management is one of important instrument on health development So, it has to efficient and effective. The study was aimed to get information about evaluation on input (human resource, cost, and facility), process (planning, leadership, and controlling), and output (D/S, NIS, PEM) in implementation of nutrition program. The study was conducted at 6 Health Centers. Data collecting was got from in depth interview and focus group discussion by questionnaire to input and process variable, where as output use secondary data from annual report at Dinkes, 1999. Data analysis use triangulation and was compared between interview result and theory. The result of this study show that input (human resource, cost, and facility) was less and process (planning, organization, leadership, controlling) always exist. The target (NIS, KIS) was increased. Organization gives support to achieve the program. Leader is determinant to moving his staff on implement the program. On the other hand, report monthly was needed to do controlling. Result of under five years (balita) weighing in Bogor show that poor nutrition (medium PEM) are 3,3% (2047 children) and children that weighing are 100%. To intervention poor nutrition, there are fund from APBD II and other from Social Safety Network for Health. Where, it implementation by giving adding food to recovery. On this study, community involvement is necessary and we need one policy about Pozi (Pojok Gizi) Program."

"ABSTRAKOne effort to reduce the prevalence of cervical cancer is by IVA Test, but the coverageof IVA Test in Bondongan Health Center is still low and has not reached the nationaltarget, in 2016 (9.9%), 2017 (0.8%). The research objective was to examine in depth aboutthe behavior of WUS (30-50 years) in conducting IVA Test in the work area ofBondongan Health Center. This research is a qualitative study with the Rapid AssessmentProcedure design. Data collection was done through Focus Group Discussion, In-depthInterviews and document review observations, carried out in March-May 2019 atBondongan Health Center and Bogor City Health Office. The results of the researchshowed that the knowledge of informants about cervical cancer and IVA Test waslacking. Access from home to health services is still affordable. The attitude and behaviorof the officers in providing IVA Test services are considered good. Cervical cancer is athreat to the health of informants and by carrying out IVA Test is known to have or notcervical cancer. Obstacles found in conducting IVA Test: 1) fear and shame at the timeof examination, and fear of examination results, 2) not having time to check because ofwork 3) not knowing information about IVA Test (schedule and costs) 4) no complaintsand WUS's knowledge is still lacking, 5) obstacles in terms of facilities: the IVA Testroom in Bondongan Health Center is narrow 6) barriers from officers: the number ofprograms held by each health worker and different work motivation. There is supportfrom husbands, health workers, friends, neighbors in conducting IVA Test. Disseminationof information by the Bondongan Community Health Center to WUS is still not optimaland uneven. There are already policies that regulate the management of IVA Testprograms at the national level (Kepmenkes and PMK) and at the regional/city level ofBogor (Perwal) including SOP

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ABSTRACTOne effort to reduce the prevalence of cervical cancer is by IVA Test, but the coverageof IVA Test in Bondongan Health Center is still low and has not reached the nationaltarget, in 2016 (9.9%), 2017 (0.8%). The research objective was to examine in depth aboutthe behavior of WUS (30-50 years) in conducting IVA Test in the work area ofBondongan Health Center. This research is a qualitative study with the Rapid AssessmentProcedure design. Data collection was done through Focus Group Discussion, In-depthInterviews and document review observations, carried out in March-May 2019 atBondongan Health Center and Bogor City Health Office. The results of the researchshowed that the knowledge of informants about cervical cancer and IVA Test waslacking. Access from home to health services is still affordable. The attitude and behaviorof the officers in providing IVA Test services are considered good. Cervical cancer is athreat to the health of informants and by carrying out IVA Test is known to have or notcervical cancer. Obstacles found in conducting IVA Test: 1) fear and shame at the timeof examination, and fear of examination results, 2) not having time to check because ofwork 3) not knowing information about IVA Test (schedule and costs) 4) no complaintsand WUS`s knowledge is still lacking, 5) obstacles in terms of facilities: the IVA Testroom in Bondongan Health Center is narrow 6) barriers from officers: the number ofprograms held by each health worker and different work motivation. There is supportfrom husbands, health workers, friends, neighbors in conducting IVA Test. Disseminationof information by the Bondongan Community Health Center to WUS is still not optimaland uneven. There are already policies that regulate the management of IVA Testprograms at the national level (Kepmenkes and PMK) and at the regional/city level ofBogor (Perwal) including SOP."