Early Detection Program for Breast and Cervical Cancer in Indonesia: How is Implementation?

  • Azriful Azriful Department of Public Health, Universitas Islam Negeri Alauddin Makassar, Makassar, Indonesia
    (ID)
  • Syamsul Alam Department of Public Health, Universitas Islam Negeri Alauddin Makassar, Makassar, Indonesia
    (ID)
  • Mufti As Siddiq Department of Public Health, Universitas Islam Negeri Alauddin Makassar, Makassar, Indonesia
    (ID)
Keywords: Implementation of program, early detection program, breast cancer detection, cervical cancer detection, IVA method

Abstract

Breast and cervical cancer have ranked first and second in terms of the highest cancer cases in Indonesia. The high incidence of breast and cervical cancer is due to the low coverage of early detection. This study aimed to examine the implementation of breast cancer early detection programs using the SADANIS method and cervical cancer using the IVA method. This current study used a qualitative and descriptive approach through input, process, output, and impact variables. Data was collected through in-depth interviews, observation, and documentation review. The results revealed that the number of trained human resources, facilities, and infrastructure was sufficient. The program had also implemented online and offline information systems and was actively conducting inspections integrated with the “Family Planning” program. The high achievement of the program had also been supported by the existence of an innovative screening system and direct examination in the community. The program achievements for 2021-2022 (January-June) and cases of cervical cancer had decreased. Implementing the early detection program for breast and cervical cancer is considered better. It can thus become a model for other regencies.

AG_ipul1.jpg

Downloads

Download data is not yet available.

References

Alterbeck, M., Järbur, E., Thimansson, E., Wallström, J., Bengtsson, J., Björk-Eriksson, T., Jiborn, T., & Godtman, R. A. (2022). Designing and Implementing a Population-based Organised Prostate Cancer Testing Programme. European Urology Focus, 8(6), 1568-1574. https://doi.org/10.1016/j.euf.2022.06.008

Amelia, R., Fajriyah, U. N., & Octaviani, D. A. (2019). Evaluasi pelaksanaan program deteksi dini kanker serviks dengan metode inspeksi visual asam asetat (iva) dan deteksi dini kanker payudara dengan metode clinical breast examination (cbe). Jurnal Kebidanan, 9(1), 56-69. https://doi.org/10.31983/jkb.v9i1.3956

Awofeso, O., Roberts, A. A., Salako, O., Balogun, L., & Okediji, P. (2018). Prevalence and pattern of late-stage presentation in women with breast and cervical cancers in Lagos University Teaching Hospital, Nigeria. Nigerian Medical Journal: Journal of the Nigeria Medical Association, 59(6), 74. https://doi.org/10.4103%2Fnmj.NMJ_112_17

Azlina, F. A., Setyowati, S., & Budiati, T. (2021). Female health education package enhances knowledge, attitudes, and self-efficacy of housewives in cervical cancer screening. Enfermeria Clinica, 31, S215-S219. https://doi.org/10.1016/j.enfcli.2020.12.025

Azriful, A., Bujawati, E., Nildawati, Ni., Ramdan, R., Mallapiang, F., & Suyuti, S. (2021). Health Belief Model on women's cancer recovery (a phenomenological study on cancer survivors). Gaceta Sanitaria, 35, S9-S11. https://doi.org/10.1016/j.gaceta.2020.12.003

Bateman, L. B., Blakemore, S., Koneru, A., Mtesigwa, T., McCree, R., Lisovicz, N. F., & Jolly, P. E. (2019). Barriers and facilitators to cervical cancer screening, diagnosis, follow‐up care and treatment: Perspectives of human immunodeficiency virus‐positive women and health care practitioners in Tanzania. The Oncologist, 24(1), 69-75. https://doi.org/10.1634/theoncologist.2017-0444

Birnbaum, J. K., Duggan, C., Anderson, B. O., & Etzioni, R. (2018). Early detection and treatment strategies for breast cancer in low-income and upper middle-income countries: a modelling study. The Lancet Global Health, 6(8), e885-e893.https://doi.org/10.1016/S2214-109X(18)30257-2

Chandraprasad, M. S., Dey, A., & Swamy, M. K. (2022). Introduction to cancer and treatment approaches. In Paclitaxel (pp. 1-27). Academic Press. https://doi.org/10.1016/B978-0-323-90951-8.00010-2

DeGroff, A., Miller, J., Sharma, K., Sun, J., Helsel, W., Kammerer, W., & Richardson, L. C. (2021). COVID-19 impact on screening test volume through the National Breast and Cervical Cancer early detection program, January–June 2020, in the United States. Preventive medicine, 151, 106559. https://doi.org/10.1016/j.ypmed.2021.106559

Douthit, N., Kiv, S., Dwolatzky, T., & Biswas, S. (2015). Exposing some important barriers to health care access in the rural USA. Public health, 129(6), 611-620. https://doi.org/10.1016/j.puhe.2015.04.001

Eby, P. R., Ghate, S., & Hooley, R. (2022). The benefits of early detection: evidence from modern international mammography service screening programs. Journal of Breast Imaging, 4(4), 346-356. https://doi.org/10.1093/jbi/wbac041

Elfström, K. M., Arnheim-Dahlström, L., von Karsa, L., & Dillner, J. (2015). Cervical cancer screening in Europe: quality assurance and organisation of programmes. European Journal of Cancer, 51(8), 950-968. https://doi.org/10.1016/j.ejca.2015.03.008

Gupta, S., Sussman, D. A., Doubeni, C. A., Anderson, D. S., Day, L., Deshpande, A. R., & Martinez, M. E. (2014). Challenges and possible solutions to colorectal cancer screening for the underserved. JNCI: Journal of the National Cancer Institute, 106(4). https://doi.org/10.1093/jnci/dju032

Hiatt, R. A., Sibley, A., Fejerman, L., Glantz, S., Nguyen, T., Pasick, R., & Ashworth, A. (2018). The San Francisco Cancer Initiative: a community effort to reduce the population burden of cancer. Health Affairs, 37(1), 54-61. https://doi.org/10.1377/hlthaff.2017.1260

Huremović, D. (Ed.). (2019). Psychiatry of pandemics: a mental health response to infection outbreak. Springer. https://doi.org/10.1007/978-3-030-15346-5

Insani, S. D., & Marlina, S. (2020). Analisis Implementasi Kebijakan Pelaksanaan Inspeksi Visual Asam Asetat Test Untuk Deteksi Dini Kanker Serviks. Jurnal Doppler, 4(2), 71-77. https://journal.universitaspahlawan.ac.id/index.php/doppler/article/view/1031

Joseph, G., Pasick, R. J., Schillinger, D., Luce, J., Guerra, C., & Cheng, J. K. Y. (2017). Information mismatch: cancer risk counseling with diverse underserved patients. Journal of genetic counseling, 26(5), 1090-1104. https://doi.org/10.1007/s10897-017-0089-4

Juwitasari, Harini, R., & Rosyad, A. A. (2021). Husband Support Mediates the Association between Self-Efficacy and Cervical Cancer Screening among Women in the Rural Area of Indonesia. Asia-Pacific Journal of Oncology Nursing, 8(5), 560-564. https://doi.org/10.4103/apjon.apjon-2085

Kelly, C., Hulme, C., Farragher, T., & Clarke, G. (2016). Are differences in travel time or distance to healthcare for adults in global north countries associated with an impact on health outcomes? A systematic review. BMJ open, 6(11), e013059. https://doi.org/10.1136/bmjopen-2016-013059

Kung, T. P. H., Gordon, J. R., Abdullahi, A., Barve, A., Chaudhari, V., Kosambiya, J. K., & Wells, K. J. (2019). “My husband says this: If you are alive, you can be someone…”: Facilitators and barriers to cervical cancer screening among women living with HIV in India. Cancer Causes & Control, 30(4), 365-374. https://doi.org/10.1007/s10552-019-01145-7

Leung, J., Pachana, N. A., & McLaughlin, D. (2014). Social support and health‐related quality of life in women with breast cancer: a longitudinal study. Psycho‐Oncology, 23(9), 1014-1020. https://doi.org/10.1002/pon.3523

Levesque, J. F., Harris, M. F., & Russell, G. (2013). Patient-centred access to health care: conceptualising access at the interface of health systems and populations. International journal for equity in health, 12(1), 1-9. https://doi.org/10.1186/1475-9276-12-18

Lohiya, A., Daniel, R. A., Kumar, D., Varghese, C., Rath, R. S., SA, R., & Nongkynrih, B. (2022). Effectiveness of Visual Inspection with Acetic Acid (VIA) Screening on Cervical Cancer Mortality and Incidence-A Systematic Review and Meta-Analysis. Asian Pacific Journal of Cancer Prevention, 23(2), 399-407. https://doi.org/10.31557/APJCP.2022.23.2.399

Marantika, F., Daiyah, I., & Rizani, A. (2022). Faktor-Faktor Yang Berpengaruh Terhadap Keikutsertaan WUS (Wanita Usia Subur) Dalam Pemeriksaan IVA (Inspeksi Visual Asam Asetat) Tahun 2021. Jurnal Inovasi Penelitian, 3(1), 4719-4726. https://doi.org/10.47492/jip.v3i1.1777

Ministry of Health Republic of Indonesia. (2018). Metodologi penelitian kesehatan (2018th ed.). Kementerian Kesehatan Republik Indonesia. http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._34_ttg_Penanggulangan_Kanker_Payudara_dan_Leher_Rahim_.pdf

Ministry of Health Republic of Indonesia. (2021). Laporan kinerja tahun 2020 direktoran P2PTM. Kementerian Kesehatan RI. https://e-renggar.kemkes.go.id/file2018/e-performance/1-465889-4tahunan-536.pdf

Ng, C. G., Mohamed, S., See, M. H., Harun, F., Dahlui, M., Sulaiman, A. H., & Taib, N. A. (2015). Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: a 1-year prospective study. Health and quality of life outcomes, 13(1), 1-9. https://doi.org/10.1186/s12955-015-0401-7

Nuryana, R., Salmah, U., & Russeng, S. S. (2020). Determinant early detection cervical cancer pus with via in the health center of Galesong north Takalar. Enfermería Clínica, 30, 367-370. https://doi.org/10.1016/j.enfcli.2019.10.102

Prasad, B., Grimm, D., Strauch, S. M., Erzinger, G. S., Corydon, T. J., Lebert, M., & Krüger, M. (2020). Influence of microgravity on apoptosis in cells, tissues, and other systems in vivo and in vitro. International journal of molecular sciences, 21(24), 9373. https://doi.org/10.3390/ijms21249373

Rahmadini, A. F., DS, R. K., & Agustiani, T. (2022). Edukasi Perilaku Pemeriksaan Payudara Sendiri (Sadari) Dalam Pencegahan Kanker Payudara Pada Remaja. Jurnal Pemberdayaan dan Pendidikan Kesehatan (JPPK), 1(02), 105-113. https://doi.org/10.34305/jppk.v1i02.433

Rasul, V. H., Cheraghi, M. A., & Moqadam, Z. B. (2015). Influencing factors on cervical cancer screening from the Kurdish women’s perspective: A qualitative study. Journal of medicine and life, 8(Spec Iss 2), 47. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5327709/

Rasyid, M. Z. (2018). Kebijakan Pengendalian Kanker Melalui Pelaksanaan Tes Iva (Inspeksi Visual Asam Asetat) Dalam Upaya Deteksi Dini Kanker Leher Rahim di Banjarbaru. Jurnal Kebijakan Pembangunan, 13(2), 123-128. http://jkpjournal.com/index.php/menu/article/view/74

Setyowibowo, H., Sijbrandij, M., Iskandarsyah, A., Hunfeld, J. A., Sadarjoen, S. S., Badudu, D. F., ... & Passchier, J. (2017). A protocol for a cluster-randomized controlled trial of a self-help psycho-education programme to reduce diagnosis delay in women with breast cancer symptoms in Indonesia. BMC cancer, 17(1), 1-8. https://doi.org/10.1186/s12885-017-3268-7

South Sulawesi Provincial Health Office. (2020). Profil kesehatan provinsi sulawesi selatan. In Dinkes Sulsel.

South Sulawesi Provincial Health Office. (2021a). Laporan tahunan deteksi dini kanker di provinsi Sulawesi Selatan.

South Sulawesi Provincial Health Office. (2021b). Profil kesehatan provinsi Sulawesi Selatan. Dinas kesehatan provinsi sulsel.

Weller, J., Boyd, M., & Cumin, D. (2014). Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgraduate medical journal, 90(1061), 149-154. http://dx.doi.org/10.1136/postgradmedj-2012-131168

Williams, F., & Jeanetta, S. C. (2016). Lived experiences of breast cancer survivors after diagnosis, treatment and beyond: qualitative study. Health expectations, 19(3), 631-642. https://doi.org/10.1111/hex.12372

World Health Organization. (2020a). Cancer Incident in Indonesia. International Agency for Research on Cancer - World Health Organization. https://gco.iarc.fr/today/data/factsheets/populations/360-indonesia-fact-sheets.pdf

World Health Organization. (2020b). The Global Cancer Observatory - All cancers. In International Agency for Research on Cancer - WHO. https://gco.iarc.fr/today/home

World Health Organization. (2020c). WHO report on cancer. In World Health Organization. https://apps.who.int/iris/rest/bitstreams/1267643/retrieve

Zeadally, S., & Bello, O. (2021). Harnessing the power of Internet of Things based connectivity to improve healthcare. Internet of Things, 14, 100074. https://doi.org/10.1016/j.iot.2019.100074

Published
2022-12-31
How to Cite
Azriful, A., Alam, S., & As Siddiq, M. (2022). Early Detection Program for Breast and Cervical Cancer in Indonesia: How is Implementation?. Al-Sihah: The Public Health Science Journal, 14(2), 211-224. https://doi.org/10.24252/al-sihah.v14i2.33508
Section
Volume 14, Nomor 2, July-December 2022
Abstract viewed = 580 times