PENGARUH JARAK DAN WAKTU TEMPUH TERHADAP PEMANFAATAN PELAYANAN DETEKSI DINI KANKER SERVIKS METODE INSPEKSI VISUAL ASAM ASETAT (IVA) DI PUSKESMAS TIGA JUHAR KABUPATEN DELI SERDANG

PEBRINA WANTI BR SARAGIH

PEBRINA WANTI BR SARAGIH Akbid Indah

Keywords: Factor of Consumers, Factor of Health Service Providers, VCT Clinic, Use of Revisit

Abstract

The problem of HIV/AIDS develops rapidly and becomes a threat globally. In order to
restrain the spread of HIV/AIDS, the government provides health service facility with VCT (Voluntary
Counseling and Testing) Clinic. Patients who did not revisit VCT Clinic of RSUP Haji Adam Malik,
Medan, increased to 46.2% in 2011 and 62.4% in 2012.
The objective of the research was to find out the influence of the factors of consumers and
health service providers on the use of revisit to the special service center (Pusyansus) of VCT clinic
at RSUP Haji Adam Malik, Medan. The research was an explanatory survey; it was conducted from
July to September, 2013. The population was all 849 patients who had visited VCT clinic, and 90 of
them were used as the samples. The data were gathered by conducting interviews with
questionnaires and analyzed by using multiple logistic regression analysis at α = 0.05.
The result of the research showed that, statistically, the factors of consumers (perception on
illness, perception on VCT service, and belief in the result of clinical diagnosis) and health service
providers (attitude of medical personnel, availability of medicines, and medical facility) had positive
and significant influence on the use of revisit to VCT clinic of RSUP Haji Adam Malik, Medan. The
perception on illness was the variable which had the most dominant influence on the revisit.
It is recommended that the management of RSUP Haji Adam Malik, Medan: a) provide
coordination with other agencies concerned such as the Health Service, KPA Province, KPAD,
LSM, religious figures, and public figures to increase promotion about VCT through mass media,
electronic, brochures/leaflets, and banners in order to prevent from the transmission of HIV/AIDS, b)
develop doctors and counselors in communication technique with patients so that the effectiveness
between doctors and patients in VCT clinic can be achieved, and counseling service to guarantee
patients' confidentiality and comfort, and c) motivate health care providers to participate in training
regularly in order to improve their skill and insight so that patients do not wait too long to do VCT