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"Skripsi ini membahas tentang gambaran karakteristik wanita yang melakukan kunjungan deteksi dini kanker leher rahim pada Kecamatan Cilodong, khususnya Kelurahan Cilodong, Jatimulya, Kalibaru, Kalimulya, dan Sukamaju, Kota Depok Tahun 2018. Penelitian ini adalah penelitian mixed method, yaitu secara kuantitatif dan kualitatif dengan desain studi deskriptif. Variabel yang akan diteliti pada penelitian kuantitatif adalah usia, pendidikan, pekerjaan, riwayat kanker keluarga, usia pertama kali berhubungan seksual, frekuensi menikah, usia pertama kali hamil, paritas, penggunaan kontrasepsi, riwayat merokok, dan riwayat merokok pasangan pada kunjungan deteksi dini kanker leher rahim. Hasil penelitian kuantitatif menunjukkan bahwa adanya perbedaan karakteristik pada variabel usia, pendidikan, pekerjaan, riwayat kanker keluarga, dan frekuensi menikah pada kelima kelurahan di Kecamatan Cilodong. Sedangkan hasil penelitian kualitatif adalah program safari IVA gratis setiap tahun, promosi dilakukan pada media sosial dan oleh kader, kader memberikan penyuluhan di posyandu, pengetahuan informan yang baik, faktor pendorong adalah gratis, khwatir akan kesehatan, malu, dan merasa sehat, serta ajakan dari Kader berpengaruh terhadap pelaksanaan deteksi dini.

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This thesis disscus about characteristic distribution of women who came to cervical early detection in Cilodong Distrcit, escecially Cilodong, Jatimulya, Kalibaru, Kalimulya, and Sukamaju Sub-district by the year 2018. This thesis is using mixed method, quantitative and qualitative with descriptive study design. Variables that are analyzed are age, education, occupation, family history of cancer, first age of sexual encounter, marriage frequancy, age of first pregnancy, parity, contraception use, smoking history, and partner’s smoking history in early detection visit. Quantitative analysis shows there are differences of characteristic distribution of age, education, occupation, family history of cancer, and marriage frequency in all five sub-district. Qualitative analysis results are there are free-charge IVA every year, promotion are done in social media and by Kader, Kader gives promotions in Posyandu, informants’ good knowledge, free-charge IVA, worried of their own health, and feel healthy are reinforce factor, also Kader influences to persuade women are important in cervical cancer ealy detection visit."

"Bank Sampah merupakan  program pemerintah yang digunakan sebagai salah satu upaya menanggulangi sampah yang kian hari kian bertambah. Bank Sampah di Kota Depok berperan sebagai tempat pengumpulan sampah-sampah non organik yang masih memiliki nilai ekonomis. Penelitian ini berusaha mengkaji faktor-faktor yang membuat  Bank Sampah Kota Depok dapat berperan hingga hari ini dan hubungannya dengan masyarakat yang terlibat dalam kegiatan Bank Sampah tersebut. Melalui pendekatan kualitatif dengan studi kasus, penulis melakukan pengamatan terhadap obyek serta melakukan wawancara  mendalam (indepth  interview) dengan sejumlah informan. Penelitian ini menghasilkan bahwa terdapat empat faktor penting yang menjadikan sebuah Bank Sampah dapat terus berperan, yakni dengan adanya pemimpin yang handal (leadership), pengelolaan yang baik (management),  insentif (incentive)  dan keterlibatan mitra (partnership). Sedangkan karakteristik komuniti berdasarkan tingkat pendidikan, tingkat pendapatan  turut pula mempengaruhi partisipasi komuniti dalam menerima Bank Sampah sebagai bentuk pengelolaan sampah di Kota Depok.

 

Kata kunci: bank sampah, pengelolaan sampah, komuniti perkotaan

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Waste Bank is one of the government programs that are used as one of the efforts to tackle the increasingly growing garbage day. Waste Bank in Depok City serves as a collection of non-organic waste that can still be used to be useful goods even have economic value. This study attempts to examine the factors that make a Waste Bank in one of Depok sub-districts can continue its activities to this day and its relationship with the communities involved in the Waste Bank activities. Through qualitative approach with case study, the researcher observes the object and conducts in-depth interviews with a number of key informants and supporters to obtain the required data. In some activities, researchers participated closely observe the activity of Waste Bank  (active obeservasi). This research resulted that the factors that make a Waste Bank able to do its activities are to have a good leader, good management, incentive and partnership. While the characteristics of the community as urban community based on the level of education, income level was also affect the public awareness in receiving the Waste Bank as a form of waste management in the city of Depok. "

"Instalasi Pengolahan Lumpur Tinja (IPLT) merupakan pengolahan air limbah yang dirancang hanya menerima dan mengolah lumpur tinja yang berasal dari sistem setempat yang diangkut melalui sarana pengangkutan lumpur tinja. Lumpur tinja yang dihasil tersebut tentu harus diolah terlebih dahulu agar sesuai dengan baku mutu yaitu, Peraturan Menteri Lingkungan Hidup Nomor 68 Tahun 2016 Tentang Baku Mutu Air Limbah Domestik. Namun demikian, dalam proses pengolahan air limbah ini, tidak dapat dihindari kemungkinan terlepasnya pencemar udara mikrobiologis (bioaerosol) ke udara sekitar. Tujuan penelitian ini untuk mengetahui sumber pencemar, mengetahui total bakteri dan jamur di udara serta perbedaan konsentrasi bakteri dan jamur pada musim kemarau dan musim hujan, dan meninjau faktor lingkungan (suhu, kelembaban, dan Kecepatan angin) yang mempengaruhi konsentrasi. Penelitian ini dilakukan pada musim kemarau dan hujan dengan masing-masing lima hari pengambilan dan dilakukan di empat titik pada IPLT Kalimulya Depok (unit bak pengisian, digester anaerob, pemekat lumpur, dan biofilter aerob-anaerob). Dari hasil penelitian, rata-rata konsentrasi bakteri pada musim kemarau yaitu unit bak pengisian sebesar 243±265 CFU/m3, pemekat lumpur sebesar 155±326 CFU/m3, digester anaerob sebesar 154±157 CFU/m3, dan biofilter aerob anaerob sebesar 76±122 CFU/m3. Sedangkan pada musim hujan konsentrasi bakteri yaitu unit bak pengisian sebesar 33±24 CFU/m3, pemekat lumpur sebesar 25±62 CFU/m3, biofilter aerob-anaerob sebesar 21±20 CFU/m3, dan digester anaerob sebesar 16±13 CFU/m3. Kemudian pada musim kemarau, konsentrasi jamur pada pemekat lumpur sebesar 516±554 CFU/m3, unit bak pengisian sebesar 364±202 CFU/m3, digester anaerob sebesar 340±181 CFU/m3, dan biofilter aerob-anaerob sebesar 231±201 CFU/m3. Sedangkan pada musim hujan konsentrasi jamur pada unit bak pengisian sebesar 58±39 CFU/m3, pemekat lumpur sebesar 55±33 CFU/m3, digester anaerob sebesar, 36±32 CFU/m3, dan biofilter aerob-anaerob sebesar 32±23 CFU/m3. Sehingga, diketahui konsentrasi bakteri tertinggi ditemukan pada unit bak pengisian pada musim kemarau dan terendah pada digester anaerob pada musim hujan. Konsentrasi jamur tertinggi ditemukan di pemekat lumpur pada musim kemarau dan terendah pada biofilter aerob-anaerob pada musim hujan. Konsentrasi bakteri dan jamur berada dibawah standar baku mutu. Sedangkan korelasi antara faktor lingkungan terhadap konsentrasi bakteri dan jamur ditemukan di beberapa tempat dan terdapat juga perbedaan konsentrasi bakteri dan jamur pada musim kemarau dan musim hujan.

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Sewage Treatment Plants (STPs) are wastewater processing systems that are designed to process only stool mud received from local systems of stool mud transport. The stool mud received must be processed so that it abides to the standard of quality according to the Regulation of the Minister of the Environment Number 68 Year 2016 concerning Domestic Wastewater Quality Standards. However, in the treatment process, there is a probability for a microbiological air pollutant (bioaerosol) to be produced that cannot be avoided. This research aims to analyze the source of pollution, the total amount of bacteria and fungi in the air, the difference of bacteria and fungi concentration between the dry and rainy season, and observe the environmental factors (temperature, humidity, wind speed) that affects bacteria and fungi concentration. This research was done during the dry and rainy season, each for a 5 day period in four observation points at the Kalimulya Depok STP (filling unit, anaerobic digester, mud concentrator and aerobic-anaerobic biofilter). The results of this research shows that the average bacteria concentration during the dry season is 243±265 CFU/m3 at the filling unit, 155±326 CFU/m3 at the mud concentrator, 154±157 CFU/m3 at the anaerobic digester, and 76±122 CFU/m3 at the aerobic-anaerobic biofilter. During the rainy season, the average bacteria concentration is 33±24 CFU/m3 at the filling unit, 25±62 CFU/m3 at the mud concentrator, 21±20 CFU/m3 at the aerobic-anaerobic biofilter, and 16±13 CFU/m3 at the anaerobic digester. The average fungi concentration during the dry season is 516±554 CFU/m3 at the mud concentrator, 364±202 CFU/m3 at the filling unit, 340±181 CFU/m3 at the anaerobic digester, and 231±201 CFU/m3 at the aerobic-anaerobic biofilter. As for the rainy season, the average fungi concentration is 58±39 CFU/m3 at the filling unit, 55±33 CFU/m3 at the mud concentrator, 36±32 CFU/m3 at the anaerobic digester, and 32±23 CFU/m3 at the aerobic-anaerobic biofilter. It can be seen that for the bacteria concentration, its highest value occurs at the filling unit during the dry season while its lowest value occurs at the anaerobic digester during the rainy season. For the fungi concentration, its highest value occurs at the mid concentrator during the dry season while its lowest value occurs at aerobic-anaerobic biofilter during the rainy season. The bacteria and fungi concentration values lie below the standard of quality. There are several correlations between environmental factors and the bacteria and fungi concentration values in some of the observed locations. There is also a difference between the bacteria and fungi concentration during the dry season and the rainy season.

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"Emisi Gas Rumah Kaca (GRK) merupakan permasalahan global yang menyebabkan perubahan iklim. Salah satu sumber emisi GRK adalah praktik pengolahan sampah organik yang merupakan sumber emisi GRK non-CO₂ terbesar ketiga secara global. Di Indonesia, permasalahan sampah terutama sampah organik yang terakumulasi di Tempat Pemrosesan Akhir (TPA) masih belum teratasi. Oleh karena itu, diperlukan upaya mitigasi untuk mencegah dampak yang semakin buruk. Penelitian ini bertujuan untuk mengembangkan konsep mitigasi emisi GRK dari pengolahan sampah organik tingkat kawasan. Metode yang digunakan meliputi analisis skenario dengan dukungan Analytical Hierarchy Process (AHP), analisis investasi-operasi-pemeliharaan, analisis matematis berdasarkan faktor emisi, dan analisis Theory Planned Behavior (TPB). Temuan penelitian mencakup data emisi GRK dan biaya dari teknologi pengolahan sampah organik, intensi perilaku pemilahan, serta skenario alternatif untuk konsep mitigasi. Analisis skenario dengan membandingkan teknologi budidaya Black Soldier Fly (BSF), pengomposan windrow, dan Anaerobic Digestion (AD) menunjukkan bahwa konsep mitigasi emisi GRK yang dipilih adalah skenario dengan 84% sampah organik diolah menggunakan teknologi budidaya BSF dan pengomposan windrow, serta fokus pada intensi perilaku pemilahan sampah.Greenhouse Gas (GHG) emissions are a global problem that causes climate change. One source of GHG emissions is the practice of processing organic waste, which is the third largest source of non-CO2 GHG emissions globally. In Indonesia, the problem of waste, especially organic waste, which accumulates at final processing sites (TPA), is still not resolved. Therefore, mitigation efforts are needed to prevent the impact from getting worse. This research aims to develop a concept for mitigating GHG emissions from processing organic waste at the regional level. The methods used include scenario analysis with the support of the Analytical Hierarchy Process (AHP), investment-operation-maintenance analysis, mathematical analysis based on emission factors, and Theory Planned Behavior (TPB) analysis. Research findings include data on GHG emissions and costs of organic waste processing technology, sorting behavior intentions, as well as alternative scenarios for mitigation concepts. Scenario analysis by comparing Black Soldier Fly (BSF) cultivation technology, windrow composting, and Anaerobic Digestion (AD) shows that the GHG emission mitigation concept chosen is a scenario with 84% of organic waste processed using BSF cultivation technology and windrow composting and focuses on intention. waste sorting behavior."

"ABSTRAKAngka kejadian KDRT pada perempuan dewasa terus meningkat setiap tahunnya.Penelitian ini bertujuan untuk memberikan gambaran pengetahuan dan sikapperempuan dewasa tentang KDRT di RW 10 Kelurahan Sukamaju Baru, Tapos,Depok. Desain penelitian yang digunakan deskriptif sederhana dengan metodeanalisis univariat. Jumlah sampel sebanyak 93 responden, ditentukan denganteknik quota sampling. Hasil penelitian menunjukkan 64,5% responden memilikipengetahuan kurang dan 54,8% responden memiliki sikap buruk tentang KDRT.Pengetahuan kurang karena kurangnya sumber informasi, tidak berpengalaman,dan finansial terbatas. Sikap buruk dipengaruhi pengalaman significant others,budaya patriarki, dan keterbatasan akses media. Penyedia layanan kesehatanhendaknya memberikan penyuluhan dan konseling mengenai KDRT.

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ABSTRACTThe number of domestic violence to women increases every year. This studypurpose was to provide an overview about knowledge and attitudes of adultwomen about domestic violence in RW 10, Sukamaju Baru Village, Tapos,Depok. The research design was simple descriptive with univariate analysismethods. Total samples were 93 respondents; determined by quota samplingtechnique. The results showed 64.5% of respondents had low level of knowledgeand 54.8% of respondents have bad attitudes toward domestic violence. Lessknowledge caused by inadequate resources, experienced, and financial.Significant others? experiences, patriarchy, and limited media access influencebad attitude. To prevent domestic violence, the health service providers shouldprovide adequate health education."

"Kanker leher rahim menempati posisi ketiga dengan jumlah sebanyak 36.633 kasus dan 21.003 kematian (9,0%) setelah jantung koroner dan kanker payudara di Indonesia. Hal ini mendorong pemerintah menempatkan pencegahan dan penanggulangan kanker leher rahim sebagai salah satu prioritas masalah Kesehatan melalui program deteksi dini IVA. Meski sudah memiliki bukti yang kuat bahwa deteksi dini mampu menurunkan angka kematian akibat kanker leher rahim, namun capaian deteksi dini tetap saja rendah. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan riwayat kunjungan deteksi dini kanker leher rahim pada WUS di Puskesmas Alianyang Pontianak Tahun 2022 berdasarkan teori multistage model of carcinogenesis oleh Armitage dan Doll. Desain studi yang digunakan adalah potong lintang dengan sumber data sekunder dari catatan medis deteksi dini kanker leher rahim dan kanker payudara. Analisis data dilakukan secara bivariat menggunakan uji chi square. Jumlah sampel penelitian adalah 101 WUS. Hasil penelitian menunjukkan bahwa faktor-faktor yang berhubungan dengan riwayat kunjungan deteksi dini kanker leher rahim adalah pendidikan PR = 2,766 (95% CI: 0,698-7,904) dan frekuensi menikah PR = 4,725 (95% CI: 0,727-30,721). Perlu dilakukan peningkatan pengetahuan masyarakat khususnya WUS mengenai deteksi dini kanker leher rahim dan faktor risikonya baik melalui media berbasis internet, media sosial maupun intervensi langsung ke masyarakat.

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Cervical cancer occupies the third position with a total of 36,633 cases and 21,003 deaths (9.0%) after coronary heart and breast cancer in Indonesia. This has prompted the government to place prevention and control of cervical cancer as one of the priority health issues through Early Detection using IVA test. Despite of strong evidence that cervical cancer screening results in reducing mortality from the disease, the uptake for cervical screening among Indonesian women remains low. This study aims to determine the factors associated to history of early detection of cervical cancer among women of Reproductive Age in Puskesmas Alianyang Pontianak in 2022 based on the theory of the multistage model of carcinogenesis by Armitage and Doll. This cross-sectional study was conducted using secondary data from medical records of early detection of cervical cancer and breast cancer. Bivariate analysis was performed using the chi square test. The number of research sample was 101 reproductive-aged women. The results showed that the factors associated to history of early detection of cervical cancer were education PR = 2,766 (95% CI: 0,698-7,904) and frequency of marriage PR = 4,725 (95% CI: 0,727-30,721). It is necessary to improve community’s knowledge especially the women in their reproductive age about cervical precancer early detection and related risk factors through internet-based media, social media and direct intervention to the community."

"Kanker leher rahim merupakan kanker yang sering terjadi pada wanita, meliputi 12% dari seluruh kanker di dunia. Insiden yang tertinggi terjadi di Amerika Selatan dan Karibian, Sub Sahara Afrika, Asia Selatan dan Asia Tenggara. Di Indonesia menurut Kementerian Kesehatan RI, insiden kanker leher rahim di perkirakan 100 per 100.000. Ketahanan hidup 5 tahun penderita kanker leher rahim bila ditemukan pada stadium yang lebih awal, probabilitasnya semakin tinggi. Untuk stadium I (95,1-80,1%), II (66,3-63,5%), III (38,7-33,3%), IV (17,1-9,4%) dan pada masa pra invasif mencapai 100%. Di negara maju insidens dan kematian akibat kanker leher rahim turun 50-60% dalam 20 tahun karena 40-50% wanitanya pernah menjalani screening. Di negara berkembang sebaliknya terus naik karena hanya 5% wanitanya yang pernah menjalani screening.Metode Inspeksi Visual dengan Asam Asetat (IVA) telah diakui WHO efektif digunakan di negara berkembang dengan alasan sederhana, murah, nyaman, praktis dan mudah. Mempunyai sensitifitas 66-96% dan spesifisitas (64-98%). Kabupaten Karawang terpilih sebagai lokasi penelitian karena merupakan salah satu daerah pilot proyek deteksi dini kanker leher rahim. Dari bulan Juli 2007 - Maret 2010 ditemukan 2,3% kasus IVA positif. Kasus kanker leher rahim di Kabupaten Karawang tergolong tinggi dimana pada tahun 2005 dilaporkan 217 kasus dan tahun 2006 sampai dengan bulan September ditemukan 180 kasus. Sesuai etiologinya dua faktor risiko utama terjadinya kanker leher rahim adalah usia pertama kali berhubungan seksual dan jumlah pasangan seksual.Terkait faktor risiko berganti pasangan seksual, kasus kawin cerai di Karawang tinggi. Tahun 2008 tercatat 508 kawin, 259 cerai talak dan 424 cerai gugat. Tahun 2009 tercatat 270 talak dan 562 gugat. Terkait faktor risiko usia hubungan seksual, pernikahan muda di Karawang juga tinggi. Tahun 2007 42,8% pernikahan usia muda di Indonesia terjadi di pantai utara Jabar. Pernikahan di Jabar 35% dilakukan wanita dibawah usia 16 tahun.Penelitian ini bertujuan mengetahui hubungan usia pertama kali berhubungan seksual dan jumlah pasangan seksual dengan kejadian lesi pra kanker leher rahim pada wanita yang melakukan deteksi dini menggunakan metode Inspeksi Visual dengan Asam Asetat (IVA) di Puskesmas Cikampek, Pedes dan Kota Baru Kabupaten Karawang tahun 2009 ? 2010. Metode penelitian yang digunakan adalah studi analitik observasional dengan desain kasus kontrol. Faktor yang diteliti didapat melalui wawancara terstruktur dengan kuesioner. Sedangkan data kasus kontrol diambil dari buku register dan catatan medik di Puskesmas Cikampek, Pedes dan Kota Baru dalam 2 tahun terakhir 2009 ? 2010. Total sampel yang diambil adalah 357 yang terdiri dari 119 kasus dan 238 kontrol.Variabel independen yang diteliti adalah usia pertama kali berhubungan seksual dan jumlah pasangan seksual. Variabel kovariat terdiri dari umur, pendidikan, pekerjaan, pendapatan, riwayat kanker keluarga, jarak haid pertama kali dengan hubungan seksual pertama, kebiasaan merokok, jumlah batang rokok per hari, lama merokok, riwayat partus, riwayat abortus, penggunaan kontrasepsi, lama penggunaan kontrasepsi, riwayat deteksi dini sebelumnya, kebiasaan merokok pasangan, jumlah batang rokok per hari pasangan, lama merokok pasangan, riwayat perkawinan pasangan dan sirkumsisi. Analisis data dilakukan dengan soft ware SPSS versi 17.0 yang meliputi analisis univariat, bivariat, stratifikasi dan multivariat.Hasil penelitian mendapatkan ada hubungan yang bermakna antara usia pertama kali berhubungan seksual dengan kejadian lesi pra kanker leher rahim setelah di kontrol dengan variabel lain dengan p value 0,001 dan OR 2,539 (CI 95% 1,444 - 4,464) sedangkan dampak potensialnya AR% 60,61%. Untuk jumlah pasangan dengan kejadian lesi pra kanker leher rahim setelah di kontrol dengan variabel umur juga memiliki hubungan yang bermakna dengan p value 0,002 dan OR 3,441 (CI 95% 1,598 ? 7,410) sedangkan dampak potensialnya AR% 70,94%.Kesimpulan penelitian adalah risiko terkena lesi pra kanker leher rahim pada wanita yang memulai hubungan seksual pada usia < 17 tahun adalah 2,539 kali lebih tinggi dibanding mereka yang memulai hubungan seksual < 17 tahun dan kejadian lesi prakanker pada seorang wanita dapat dicegah 60,61% bila dia tidak melakukan hubungan seksual pertama < 17 tahun. Sedangkan untuk risiko terkena lesi pra kanker leher rahim pada wanita yang memiliki jumlah pasangan seksual > 1 orang adalah 3,441 kali lebih tinggi dibanding mereka yang mempunyai pasangan seksual 1 orang setelah di kontrol variabel umur dan kejadian lesi pra kanker pada seorang wanita dapat dicegah 70,94% bila dia tidak mempunyai jumlah pasangan seksual > 1.

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Cervical cancer is the most common cancer in women, counting for 12% of all cancers in the world. The highest incidence occurred in South America and Karibian, Sub-Saharan Africa, South Asia and Southeast Asia. In Indonesia, according to the Ministry of Health, the incidence of cervical cancer is estimated occurred 100 per 100.000. The probability of 5-year survival of patients with cervical cancer when found at an earlier stage is higher. For stage I (95.1 to 80.1%), II (66.3 to 63.5%), III (38.7 to 33.3%), IV (17.1 to 9.4%) and in the pre-invasive reaches 100%. In developed countries the incidence and death from cervical cancer are decreased by 50-60% in the last 20 years since 40-50% women of those counties had undergone screening. In developing countries on the contrary, it continues to rise because only 5% women who had undergone screening.

Method of Visual Inspection with Acetic Acid (VIA) has been recognized by WHO effectively used in developing countries by reason of simple, inexpensive, convenient, practical and easy. The specifity of VIA method is 64-98% and sensitivity is 66-96%. Karawang District was selected as research sites because it is one of the pilot projects for early detection of cervical cancer. From July 2007 - March 2010 found 2.3% positive VIA cases. The cases of cervical cancer in the Karawang regency is high, where in 2005 was reported 217 cases and as of September 2006 was found 180 cases.

According to the etiology of two major risk factors for cervical cancer is the age at first intercourse and multisexual partners. In relation to risk factors of sexual partner change, a divorce & marriage case in Karawang is high. In 2008 it was recorded 508 marriage, 259 divorces and 424 divorce claim. In 2009 there were 270 divorces and 562 divorce claim. Concerning to age-related risk factors for sexual intercourse, young marriages in Karawang are also high. In 2007 42.8% marriage of young age in Indonesia was occurred in the northern coast of West Java. Marriage in West Java which is done by women under the age of 16 years was counted as 35%.

This study is aimed to verify the relationship of age at first intercourse and multisexual partners with cervical pre-cancerous lesions in women doing early detection using Visual Inspection with Acetic Acid (VIA) in Cikampek, Pedes and Kota Baru Public Health Center of Karawang District in 2009 - 2010. The research method used was an observational analytic study with case control design. Factors studied were obtained through structured interviews with questionnaires. While the case-control data were taken from the book registers and medical records at Cikampek, Pedes and Kota Baru Public Health Center in the last two years from 2009 to 2010. Total samples taken was 357 consisting of 119 cases and 238 controls.

Independent variables studied were age at first intercourse and multisexual partners. Kovariat variables consisted of age, education, occupation, income, family history of cancer, distance of first menstruation to first intercourse, smoking habits, number of cigarettes per day, duration of smoking, history of parturition, and abortion history, contraceptive use, duration of use of contraception, previous history of early detection, smoking spouse, the number of cigarettes per day couples, duration of couples smoking, history of marriage partners and circumcision. Data analysis was performed with SPSS version 17.0 software which includes univariate, bivariate, and stratification and multivariate analysis.

The results of study find significant relationship between age at first sexual intercourse with cervical pre-cancerous lesions after being controlled with other variables with p value of 0.001 and OR 2.539 (95% CI 1.444 - 4.464), while the potential impact of AR% 60.61%. For the number of sexual pairs with cervical precancerous lesions after being controlled with variables of age also have a meaningful relationship with p value of 0.002 and OR 3.441 (95% CI 1.598 - 7.410) while the potential impact of AR%, 70.94%.

The conclusion is the risk of cervical pre-cancerous lesions in women who began sexual intercourse at age <17 years is 2.539 times higher than those who start a sexual intercourse at age < 17 years and the incidence of precancerous lesions in a woman could be prevented 60.61% if she does not have first sexual intercourse before 17 years. While for the risk of cervical pre-cancerous lesions in women who have a number of sexual partners more than 1 person is 3.441 times higher than those who have only one sexual partners after being controlled by variables of age and the incidence of precancerous lesions in a woman can be prevented 70.94 % if she does not have the number of sexual partners more than 1."

"Tesis ini membahas analisis manajemen program deteksi dini kanker payudara dan kanker leher rahim di Puskesmas Karang Kitri dan Puskesmas Pejuang Kota Bekasi 2022 pada kerangka logic model meliputi input, activities, output dan feedback. Penelitian ini merupakan penelitian kualitatif analitik deskriptif dengan desain studi kasus. Penelitian dilakukan di Puskesmas Karang Kitri dan Puskesmas Pejuang. Hasil penelitian membuktikan bahwa permasalahan pada input dan activities dapat menyebabkan output yang tidak baik diperkuat dengan adanya perbedaan manajemen program yang dilakukan oleh kedua Puskesmas. Perlunya kebijakan daerah, sdm yang terlatih, pembagian tugas dan kordinasi program di internal Puskesmas, anggaran, sarpras dan sistem informasi terintegrasi diperlukan untuk melakukan manajemen program deteksi dini kanker payudara dan kanker leher rahim, mulai dari perencanaan, sosialisasi promosi, pelaksanaan, pencatatan dan pelaporan, pembinaan dan pengawasan serta monitoring evaluasi. Sehingga peningkatan cakupan deteksi dini kanker payudara dan kanker leher rahim dapat tercapai.

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This thesis discusses the analysis of the management program for early detection of breast cancer and cervical cancer in Puskesmas Karang Kitri and Puskesmas Pejuang Bekasi City 2022 in a logical framework model including input, activity, output and feedback. This research is a descriptive analytic qualitative research with a case study design. The research was conducted at the Karang Kitri Health Center and the Pejuang Health Center. The results of the study prove that problems with inputs and activities can lead to poor output which is strengthened by the differences in program management carried out by the two Community Health Centers. The need for regional policies, trained human resources, division of tasks and coordination of programs in the internal health center, budget, infrastructure and integrated information systems are needed to carry out the management of early detection programs for breast cancer and cervical cancer, starting from planning, outreach, promotion, implementation, recording and reporting. coaching and supervision as well as evaluation monitoring. Thus increasing the coverage of early detection of breast cancer and cervical cancer can be achieved."