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Cakupan IVA test di Puskesmas Pulau Temiang Kabupaten Tebo pada tahun 2020 terjadi penurunan 15,5% dari 22,1% pada tahun 2019. Hasil test IVA
positif sebanyak 14 orang. Puskesmas Pulau temiang menduduki cakupan
terendah dari 20 Puskesmas yang ada di Kabupaten Tebo. Penelitian ini merupakan penelitian kualitatif deskriptif yang bertujuan untuk mengetahui bagaimana pelaksanaan program deteksi dini kanker serviks dengan metode IVA di puskesmas Pulau Temiang tahun 2021. Subjek penelitian dipilih dengan purposive sampling yang terdiri dari 3 informan utama dan 14 informan kunci. Tehknik pengambilan data menggunakan wawancara mendalam. Hasil penelitian menggambarkan bahwa terdapat 1 orang bidan sebagai penanggung jawab dan 2 orang bidan pelaksana IVA. Terdapat ruangan khusus untuk periksa IVA serta alat dan bahan yang cukup. Untuk pendanaan program IVA bersumber dari dana BOK dan JKN. Metode yang digunakan Pasif dan Aktif dengan kecenderungan penggunaan metode pasif. Pelaksanaan IVA untuk tahun 2021 belum berjalan secara aktif. Monitoring dan evaluasi dilaksanakan bertahap dari puskesmas dan dinas kesehatan. Pencatatan dan pelaporan dilaksanakan sesuai pelaksanaan kegiatan dan dilaporkan secara berkala ke Dinas Kesehatan Kabupaten Tebo. Kesimpulan penelitian menunjukkan pelaksanaan program deteksi dini kanker servik terkendala oleh pembatasan kegiatan di masyarakat di era covid ini. Untuk kecukupan tenaga, sarana dan prasarana, dana serta pencatatan pelaporan tidak ada kendala, untuk monitoring dan evaluasi mengalami kendala dimana hasil evaluasi pelaksanaan IVA tidak berjalan karena kondisi pembatasan kegiatan dimasyarakat di era covid serta kurangnya minat kesadaran masyarakat untuk periksa IVA. Disarankan agar mencari solusi dan inovasi dalam meningkatkan kesadaran serta minat masyarakat untuk periksa IVA.

The coverage of IVA test in Pulau Temiang Community Health Center, Tebo Regency in 2020 decreased by 15.5% from 22.1% in 2019. The results of
the IVA test were positive as many as 14 people. Pulau temiang Community
Health Center is the lowest coverage of the 20 health centers in Tebo Regency
The type of this study was descriptive qualitative research that aimed to analyze Cervical Cancer Early Detection Program Implementation with IVA Method at Pulau Temiang Community Health Center in 2021. The subjects were selected by purposive sampling consisting of 3 main informants and 14 key informants or triangulation. The data were collected through in-depth interviews. The results of the study illustrated that there was 1 midwife as the person in charge and 2 midwives as IVA implementers. There was a special room to check IVA as well as sufficient tools and materials. Funding for the IVA program comes from BOK and JKN funds. The method was passive and active with a tendency to use passive methods. The implementation of the IVA for 2021 had not been actively running. Monitoring and evaluation had been carried out in stages from the community health center and health offices. Routine recording and reporting were carried out in accordance with the implementation of activities and they reported periodically to Tebo District Health Office. In short, the implementation of the cervical cancer early detection program was constrained by restrictions on activities in the community in this Covid era. For the adequacy of manpower, facilities and infrastructure, funds and recording and reporting there were no obstacles, only for monitoring and evaluation there were obstacles where the results of the evaluation of the IVA implementation do not work due to the conditions of restrictions on activities in the community in Covid era and the lack of public interest and awareness to check IVA. It is recommended to look for solutions and innovations in increasing public awareness and interest in examining IVA.