EVALUASI PELAKSANAAN PROGRAM INSPEKSI VISUAL ASAM ASETAT (IVA) TEST OLEH BIDAN DALAM CAPAIAN KEIKUTSERTAAN WANITA USIA SUBUR (WUS) DI UPTD PUSKESMAS PEMETUNG BASUKI TAHUN 2026

Latar Belakang : Kanker serviks merupakan salah satu penyebab kematian tertinggi pada perempuan yang dapat dicegah melalui deteksi dini menggunakan pemeriksaan Inspeksi Visual Asam Asetat (IVA). Rendahnya cakupan pemeriksaan IVA di UPTD Puskesmas Pemetung Basuki menunjukkan masih rendahnya keikutsertaan Wanita Usia Subur (WUS) dalam pemeriksaan IVA.Tujuan Penelitian : Mengetahui evaluasi pelaksanaan Program IVA Test oleh bidan dalam capaian keikutsertaan Wanita Usia Subur (WUS) di UPTD Puskesmas Pemetung Basuki Tahun 2026. Metode Penelitian : Penelitian ini menggunakan metode kualitatif dengan desain deskriptif evaluatif. Informan penelitian terdiri dari Kepala Puskesmas, bidan pelaksana Program IVA, dan Wanita Usia Subur (WUS). Teknik pengumpulan data dilakukan melalui wawancara mendalam menggunakan pedoman wawancara semi terstruktur. Analisis data menggunakan model Miles dan Huberman melalui tahap reduksi data, penyajian data, dan penarikan kesimpulan. Hasil Penelitian : Hasil penelitian menunjukkan bahwa pelaksanaan Program IVA di UPTD Puskesmas Pemetung Basuki telah didukung oleh sumber daya manusia, sarana prasarana, dan pendanaan program. Proses pelaksanaan Program IVA dilakukan melalui penyuluhan, konseling, pemeriksaan IVA, monitoring, dan evaluasi program. Hambatan pelaksanaan Program IVA meliputi rendahnya kesadaran masyarakat, rasa malu dan takut melakukan pemeriksaan, serta kurangnya pemahaman mengenai pentingnya deteksi dini kanker serviks. Faktor yang memengaruhi keikutsertaan Wanita Usia Subur dalam pemeriksaan IVA meliputi pengetahuan, sikap, dukungan keluarga, pengalaman pemeriksaan IVA, serta edukasi yang diberikan oleh tenaga kesehatan.Kesimpulan :Pelaksanaan Program IVA Test di UPTD Puskesmas Pemetung Basuki telah berjalan, namun capaian keikutsertaan Wanita Usia Subur masih rendah sehingga diperlukan peningkatan edukasi kesehatan, dukungan sarana prasarana, dan penguatan peran bidan dalam pelaksanaan Program IVA.

Background : Cervical cancer is one of the leading causes of death among women which can be prevented through early detection using Visual Inspection with Acetic Acid (VIA) examination. The low coverage of VIA examination at UPTD Puskesmas Pemetung Basuki indicates the low participation of Women of Reproductive Age (WRA) in VIA screening. Objective : To evaluate the implementation of the VIA Test Program by midwives in achieving the participation of Women of Reproductive Age (WRA) at UPTD Puskesmas Pemetung Basuki in 2026. Method : This study used a qualitative method with a descriptive evaluative design. The informants consisted of the Head of Public Health Center, VIA program implementing midwife, and Women of Reproductive Age (WRA). Data were collected through in-depth interviews using semi-structured interview guidelines. Data analysis used the Miles and Huberman model through data reduction, data presentation, and conclusion drawing. Results : The results showed that the implementation of the VIA Program at UPTD Puskesmas Pemetung Basuki was supported by human resources, facilities and infrastructure, and program funding. The implementation process of the VIA Program included health education, counseling, VIA examination, monitoring, and program evaluation. The obstacles in implementing the VIA Program included low public awareness, feelings of shame and fear in undergoing examination, and lack of understanding regarding the importance of early detection of cervical cancer. Factors influencing the participation of Women of Reproductive Age in VIA examination included knowledge, attitudes, family support, previous VIA examination experience, and education provided by health workers. Conclusion : The implementation of the VIA Test Program at UPTD Puskesmas Pemetung Basuki has been carried out, however the participation rate of Women of Reproductive Age is still low. Therefore, it is necessary to improve health education, support facilities and infrastructure, and strengthen the role of midwives in implementing the VIA Program.