Edukasi Skrining dan Deteksi Dini Kanker Payudara melalui Breast Self-Examination dan Deteksi Dini Kanker Serviks melalui Pemeriksaan Iva
Authors: Isnaini Yuni Subhi , Mintaningtyas Sestu Iriami 
Published: June 2023

ABSTRAK Kanker masih menjadi penyakit yang menakutkan, di samping biaya operasi yang mahal, kesadaran masyarakat untuk melakukan pencegahan sangat rendah. Salah satu faktor penghambat pencegahan kanker ialah kurangnya pengetahuan tentang kanker, mulai dari tanda-tanda, faktor penyebab, sampai pencegahan/deteksi dini  kanker kanker payudara merupakan kanker dengan jumlah penderita terbanyak di dunia.(Purba & Simanjuntak, 2019) Prevalensi kanker payudara di Indonesia sebesar 40 per 100.000 penduduk. Angka baru yang dirilis WHO pada Jumat (3/2/2017) menunjukkan bahwa setiap tahun ada 8,8 juta orang meninggal akibat kanker, terutama di negara-negara berpenghasilan rendah dan menengah. Satu masalah utama adalah banyak kasus kanker didiagnosis terlambat. Bahkan di negara-negara dengan sistem kesehatan yang optimal, banyak kasus kanker yang didiagnosis pada stadium lanjut. Di Indonesia, berdasarkan data Riset Kesehatan Dasar prevalensi kanker di Indonesia adalah 1,4 per 1000 penduduk atau sekitar 347 ribu orang. Salah satu penyebab tingginya angka kematian akibat kanker payudara adalah minimnya pengetahuan masyarakat, terutama kaum wanita. Kondisi ini bila tidak segera diatasi dipercaya akan memperburuk keadaan sehingga jumlah penderita kedua jenis kanker ini akan terus meningkat setiap tahunnya. Salah satu bentuk deteksi dini kanker payudara adalah menggunakan teknik Breast Self-Examination/SADARI dan juga melalui pemeriksaan IVA untuk deteksi dini kanker serviks.(Riskesdas, 2013) Di beberapa negara, program deteksi dini terbukti mampu menurunkan angka kejadian dan kematian akibat kanker. Kegiatan pengabdian ini dilakukan selama 1 minggu dengan memberikan edukasi selama 2 hari didampingi langsung dalam pemeriksaan IVA dan menonton video cara melakukan Breast Self-Examination/SADARI,  Pihak yang terlibat dalam kegiatan pengabdian masyarakat ini adalah Dosen, mahasiswa dan ibu pengajian Raudatul Janah sebagai kelompok sasaran. Tahap awal dilakukan penyuluhan  tentang bahaya kanker payudara dan serviks ,  menonton video SADARI, di ajarkan cara melakukan Breast Self-Examination serta didampingi dalam melakukan pemeriksaan IVA selanjutnya  akan dievaluasi  hasil edukasi yang telah diberikan dengan menggunakan lembar observasi atau lembar cheklist cara melakukan Teknik Breast Self-Examination Hasil dari kegiatan pengabdian masyarakat ini terjadinya peningkatan keterampilan pada ibu ibu dalam melakukan Breast Self-Examination, diharapkan bidan di Puskesmas Sowi dapat dengan rutin memberikan edukasi pada ibu/Wanita usia subur tentang Breast Self-Examination / SADARI  serta melakukan pemeriksaan IVA Secara Rutin.Kata Kunci: Deteksi Dini,  Iva , Breast Self-Examination  dan  Wanita  ABSTRACT Cancer is still a frightening disease, apart from the high cost of surgery, public awareness for prevention is very low. One of the inhibiting factors for cancer prevention is the lack of knowledge about cancer, starting from the signs, causative factors, to prevention/early detection of breast cancer, which is the cancer with the highest number of sufferers in the world.(Purba & Simanjuntak, 2019) The prevalence of breast cancer in Indonesia is 40 per 100,000 population. New figures released by WHO on Friday (3/2/2017) show that every year 8.8 million people die from cancer, mainly in low and medium prayer countries. One major problem is that many cases of cancer are diagnosed too late. Even in countries with optimal health systems, many cases of cancer are diagnosed at an advanced stage. In Indonesia, based on 2013 Basic Health Research (Riskesdas) data, the prevalence of cancer in Indonesia is 1.4 per 1000 population or around 347 thousand people. One of the causes of the high death rate from breast cancer is the lack of public knowledge, especially women. If this condition is not immediately resolved, the belief will be pressure from the situation so that the number of sufferers of these two types of cancer will continue to increase every year. One form of early detection of breast cancer is using the Breast Self-Examination/BSE technique and also through IVA examination for early detection of cervical cancer.(Riskesdas, 2013) In several countries, early detection programs have been proven to be able to reduce the incidence and death from cancer. This community service activity was carried out for 1 week by providing education for 2 days accompanied directly in IVA examinations and watching videos on how to do BSE. The parties involved in this community service activity were lecturers, students and the mother of the Raudatul Janah recitation as the target group. The initial stage is counseling about the dangers of breast and cervical cancer, watching BSE videos, being treated for how to do a Breast Self-Examination and assisted in carrying out an IVA examination. Then the results of the education that has been given will be evaluated using observation sheets or checklist sheets on how to do the Breast Self-Examination Technique. from this community service activity there is an increase in the skills of mothers in carrying out Breast Self-Examination, it is hoped that midwives at the Sowi Health Center can routinely provide education to mothers/Women of childbearing age about Breast Self-Examination/BSE and carry out Routine IVA checks Keywords: Early Detection, Iva , Breast Self-Examination and Women