EVALUASI CATATAN MEDIS DETEKSI DINI KANKER INSPEKSI VISUAL ASAM ASETAT DI PUSKESMAS KARANG JAYA TAHUN 2025

EVALUASI CATATAN MEDIS DETEKSI DINI KANKER SERVIK
INSPEKSI VISUAL ASAM ASETAT
DI PUSKESMAS KARANG JAYA
TAHUN 2025
Ardila Yeni
Prodi Kebidanan Program Sarjana Terapan
Email:ardilayeni76.@gmail.com

ABSTRAK

Latar Belakang : Evaluasi adalah suatu proses yang sistematis untuk mengumpulkan, menganalisis, dan menafsirkan informasi guna mengetahui tingkat keberhasilan suatu kegiatan, program, atau pekerjaan berdasarkan kriteria atau standar yang telah ditetapkan. Evaluasi dilakukan untuk menilai apakah suatu kegiatan telah berjalan sesuai dengan tujuan yang diharapkan serta untuk mengidentifikasi kekuatan, kelemahan, dan upaya perbaikan yang diperlukan. Kelengkapan catatan medis merupakan salah satu indikator mutu pelayanan kesehatan. Rekam medis yang lengkap berfungsi sebagai sumber informasi mengenai identitas pasien, hasil pemeriksaan, diagnosis, tindakan, dan pelayanan yang telah diberikan kepada pasien sehingga dapat mendukung kesinambungan pelayanan kesehatan.Tujuan Penelitian:Mendeskripsikan pelaksaanaan dan kelengkapan pengisian Catatan Medis Deteksi Dini Kanker Servik Inspeksi Visual Asam Asetat di wilayah kerja Puskesmas Karang Jaya Tahun 2025. Metode Penelitian : Penelitian ini menggunakan pendekatan kualitatif dengan rancangan deskritif.Penelitian ini dilaksanakan april-mei 2026.Populasi dalam penelitian ini semua catatan medis dan 4 Informan.Hasil penelitian: menunjukkan bahwa catatn medis belum terisi lenkap evaluasi catatan medis deteksi dini kanker servik inspeksi visual asam asetat di Puskesmas Karan Jaya belum berjalan dengan maksimal. Tenaga pelaksana yang masih terbatas tidak sesuai dengan aturan yang ditentukan. Selain itu, dalam pencatatan medis sudah ada format bakunya, selain itu kelenkapan catatn medis masih belum terisi lengkap,lalu catatan medis tempat penyimpanannya di dalam lemari ruangan puskesmas,selanjutnya pengawasan belum dilakukan secara maksimal karna hanya melalui laporan bulanan,dan laporan di kirim melalui link.Kesimpulan : Pada penelitian ini catatatan medis belum terisi dengan lengkap.
Kata Kunci : Catatan Medis Deteksi Dini Kanker Servik

EVALUATION OF MEDICAL RECORDS FOR EARLY DETECTION OF CERVICAL CANCER USING VISUAL INSPECTION WITH ACETIC ACID (VIA) AT KARANG JAYA COMMUNITY HEALTH CENTER IN 2025
Ardila Yeni
Applied Bachelor Program in Midwifery
Email: ardilayeni76@gmail.com

ABSTRACT

Background: Evaluation is a systematic process of collecting, analyzing, and interpreting information to determine the level of success of an activity, program, or work based on predetermined criteria or standards. Evaluation is conducted to assess whether an activity has been implemented according to its intended objectives and to identify strengths, weaknesses, and necessary improvement efforts. The completeness of medical records is one of the indicators of healthcare service quality. Complete medical records serve as a source of information regarding patient identity, examination results, diagnoses, treatments, and services provided to patients, thereby supporting the continuity of healthcare services.
Research Objective: To describe the implementation and completeness of Medical Records for Early Detection of Cervical Cancer using Visual Inspection with Acetic Acid (VIA) within the working area of Karang Jaya Community Health Center in 2025.Research Methods: This study employed a qualitative approach with a descriptive design. The research was conducted from April to May 2026. The population consisted of all medical records and four informants.
Results: The findings indicated that the medical records had not been completed adequately. The evaluation of medical records for early detection of cervical cancer using Visual Inspection with Acetic Acid (VIA) at Karang Jaya Community Health Center had not been implemented optimally. The number of implementing personnel was still limited and did not comply with established regulations. In addition, although a standardized recording format was available, the completeness of the medical records remained insufficient. The medical records were stored in a cabinet within the health center. Furthermore, supervision had not been carried out optimally because it was conducted only through monthly reports, and the reports were submitted via an online link.
Conclusion: This study found that the medical records had not been completed comprehensively.
Keywords: Medical Records, Early Detection of Cervical Cancer, Visual Inspection with Acetic Acid (VIA).