OBJECTIVES: The purpose of this study was to evaluate patient factors such as knowledge, attitude, motivation, perception, socio-economic status and travel time to health facilities and assess how these factors affected patients' decision to pursue cervical cancer screening with visual inspection with acetic acid (VIA). METHODS: A total of 80 women of childbearing age who visited Kenjeran and Balongsari Public Health Centers for health assessments were involved in this study. Patients who agreed to participate in the study underwent a verbal questionnaire to evaluate various factors. RESULTS: Bivariate analysis concluded that knowledge, attitude, motivation, perception, socio-economic status, and travel time to health facilities were significantly different between women who received VIA screening and women who did not receive VIA screening (p < 0.05). The factors of knowledge, attitudes, motivation, perception, socio-economic status, and the travel time to health facilities accounted for 2.920-fold, 2.043-fold, 3.704-fold, 2.965-fold, 3.198-fold and 2.386-fold possibility, respectively, of patients to pursue cervical cancer screening with VIA. Multivariate analysis showed that perception, socio-economic status, and travel time to health facilities were the most important factors influencing whether or not women pursued VIA screening. CONCLUSION: Knowledge, attitude, motivation, perception, socio-economic status, and travel time to health facilities appears to affect women’s’ decision to pursue cervical cancer screening with VIA, with the largest intake being the motivational factor.
Acetic Acid* ; Female ; Health Facilities ; Humans ; Mass Screening ; Motivation ; Multivariate Analysis ; Public Health ; Uterine Cervical Neoplasms

Introduction: One factor that contributes to ischemic stroke is obesity. This research aims to show a positive effect between abdominal obesity and BMI in ischemic stroke. Methods: This study used a case control design. The case group was patients who diagnosed ischemic stroke and the control group was patients who diagnosed but not as ischemic stroke (inflammatory disease, epilepsy, movement disorders and peripheral nerve disorders). The number of samples for each group is 44 which was obtained by carrying out the purposive sampling technique. Waist circumference data was obtained from waist circumference measurements using metline, while BMI is obtained by measuring the weight using TANITA brand digital scales and height using microtoise. The statistical tests used were Pearson parametric correlation test and simple logistic regression analysis. Results: There is a significant relationship between abdominal obesity and p value 0.0000 and BMI with p value 0.0260 for ischemic stroke. The probability of abdominal obesity in ischemic stroke was (1.75), and BMI was (0.794). Conclusion: someone who has abdominal obesity was 1.75 times more at risk of having an ischemic stroke, with a probability event of 85%.The best method of identifying the risk of ischemic stroke was to use the measurement of abdominal obesity.

Introduction: Measles is one of the infectious diseases which is very easy to spread and can even cause death. There are frequent outbreaks of measles in East Java province, Indonesia. Therefore, this study was conducted to evaluate case-based measles surveillance system (CBMS) in Provincial Health Office, East Java, Indonesia. Methods: This study was conducted on October 21, 2018 to November 17, 2018. To obtain data and information systems related to the implementation of measles surveillance system at East Java Provincial Health Office, an interview was undertaken to surveillance officers and study documents originating from the 2014-2017 of Provincial Health Service Annual Report, and CBMS performance reports and Regency/City Laboratory Results in 2018 (per 1st May 2018) were used. The goal of this research was to evaluate the measles surveillance system at Provincial Health office, East Java, Indonesia by comparing the indicators and attributes of surveillance to Technical Guide for Measles Surveillance 2012. Results: The study showed that there were still several weaknesses related to Human Resources (HR) in terms of quantity. There was a low flexibility attribute especially the implementation of CBMS was constrained due to limited stock of reagents and inadequate specimens. Simplicity, data quality, acceptability, Positive Predictive Value (PPV), and timelines were relatively low. Conclusion: The current issues were on HR due to low quantity and understanding about good measles surveillance among officers. Poor allocation of funds for training and supporting infrastructure especially for the reagents and procurement of bulletins might possessed additional effect.