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APLIKASI MODEL EDUKASI POSTNATAL MELALUI PENDEKATAN FAMILY CENTERED MATERNITY CARE (FCMC) SEBAGAI STRATEGI OPTIMALISASI COMPETENT MOTHERING asmuji, asmuji; Indriyani, Diyan
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (428.86 KB) | DOI: 10.20473/%oj.Ners111%y17-28

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Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support. Methodology: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents. Result: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00. Discussion:  This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively. Keywords: Postnatal Education Model, FCMC, Competent Mothering
ANALISIS PERILAKU OPTIMALISASI PRODUKSI ASI PADA IBU POSTPARTUM BEKERJA DAN TIDAK BEKERJA DI WILAYAH PUSKESMAS SUMBERSARI JEMBER Indriyani, Diyan; A, Asmuji
Jurnal Penelitian IPTEKS Vol 2, No 2 (2017): JURNAL PENELITIAN IPTEKS
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.26 KB) | DOI: 10.32528/ipteks.v2i2.1898

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Air Susu Ibu (ASI) sangatlah penting bagi bayi baru lahir karena merupakan sumber nutrisi utama. Banyak faktor yang mempengaruhi ASI terhambat untuk diproduksi secara optimal, padahal ASI ini yang sangat dibutuhkan oleh bayi. Faktor tersebut antara lain karena pengetahuan dan perilaku stimulasi produksi ASI yang belum maksimal, tertundanya pertemuan ibu dan bayi, dukungan suami kurang optimal, nutrisi yang kurang seimbang, ibu terlalu muda (pengalaman kurang) dan lain-lainnya. Tujuan penelitian ini adalah menganalisis perilaku optimalisasi produksi ASI pada ibu postpartum bekerja dan tidak bekerja. Penelitian ini menggunakan desain Deskriptif Korelasional, dengan sampel 62 responden yang terbagi yaitu 30 ibu postpartum bekerja dan 32 ibu postpartum tidak bekerja yang ada di Wilayah Puskesmas Sumbersari Jember. Instrument yang digunakan yaitu kuesioner dan skala likert, dengan analisa data menggunakan Chi Square (?=0,05). Hasil penelitian menunjukkan ada perbedaan perilaku pada ibu postpartum bekerja dan tidak bekerja terhadap optimalisasi produksi ASI, dengan P Value sebesar 0,043. Mengingat pentingnya ASI bagi bayi, maka direkomendasikan yaitu meskipun ibu bekerja disarankan tetap memiliki motivasi untuk mengoptimalkan produksi ASI, sedangkan pada ibu postpartum yang tidak bekerja disarankan menggunakan waktu sebaik-baiknya dalam mensukseskan perilaku mengoptimalkan produksi ASI.
HUBUNGAN PERILAKU SPIRITUAL DENGAN PERILAKU BERPACARAN PADA REMAJA DI SMAN 1 JENGGAWAH KABUPATEN JEMBER Astutik, Windy; Indriyani, Diyan; Kholifah, Siti
The Indonesian Journal of Health Science Vol 8, No 2 (2017): The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.181 KB) | DOI: 10.32528/the.v8i2.872

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Introduction: The spiritual behavior during the teenage time allows emotional shock, anxiety, and worries that cause teenagers to show any behaviors that represent  their  own  mind,  like  the  dating  behavior.  Method:  This research employs correlational design by using cross sectional approach which is intended to analyze the correlation between spiritual behavior and dating behavior of the teenagers. The population of this research is theX and XI grade students at SMAN 1 JenggawahJember Regency, numbering 462 individuals. As many as 214 respondents  are  taken as  the sample  of the research  by using  Proportionate Stratified Random Sampling technique. Result: Results of the research reveal that majority  of  the  respondents  show  good  spiritual  behavior  as  shown  by  187 (87,4%) respondents, whereas 27 (12,6%) respondents show poor spiritual behavior. As many as 185 (86,4%) respondents show no deviant behavior as opposed to 29 (13,6%) respondents who show deviant behavior. The statistical testing conducted by using Fisher Exact Test (?=0,05) results in the correlation between spiritual behavior and dating  behavior as illustrated by the p value 0,000?0,05. The conclusion of this research states that the correlation between spiritual   behavior   and dating behavior of   the   teenagers at SMAN 1 JenggawahJember Regency exists. Discuss: This research recommends that parents hold effective communication with teenagers for at least 15 minutes per day, respectively.Keywords: Spiritual Behavior; Dating Behavior; Teenager
MODEL EDUKASI POSTNATAL MELALUI PENDEKATAN FAMILY CENTERED MATERNITY CARE (FCMC) ., Asmuji; Indriyani, Diyan
Jurnal Keperawatan Vol 5, No 2 (2014): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.633 KB) | DOI: 10.22219/jk.v5i2.2342

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MODEL EDUKASI POSTNATAL MELALUI PENDEKATAN FAMILY CENTERED MATERNITY CARE (FCMC) Postnatal Education Model Through Family Centered Maternity Care (FCMC)Asmuji(1) & Diyan Indriyani(2)(1,2) Fakultas Ilmu Kesehatan Universitas Muhammadiyah JemberJl. Karimata 49 Jember,E-mail : 1)asmujia@gmail.com; dieindri@yahoo.comABSTRAKPeriode post partum ialah masa enam minggu sejak bayi lahir sampai organ-organ reproduksi kembali ke keadaan normal sebelum hamil. Metode yang digunakan pada penelitian ini ada 2 tahapan yaitu: (1) pendekatan partisipatif, (2) Participatory Action Research (PRA). Penentuan sampel dengan tehnik purposive sampling. Jumlah sampel 50 orang di RSD Dr. Soebandi Jember dan 50 sampel ibu postpartum dan keluarga di Wilayah Kecamatan Kaliwates, jumlah total 100 responden. Pengolahan data dianalisis secara kualitatif. Pelaksanaan edukasi postnatal bagi ibu nifas dengan pendekatan FCMC sesuai persepsi yang muncul dari ibu post partum, tetapi hal ini belum dilaksanakan dengan memperhatikan kebutuhan informasi sesuai tahapan dari masa nifas. Edukasi postnatal ini menjadi alternative pilihan yang tepat bagi petugas kesehatan untuk menyiapkan ibu nifas dalam beradaptasi menjalankan tugas-tugas perkembangan yang akan dijalaninya.Kata Kunci: Model Edukasi Postnatal, FCMC (Family Centered Maternity Care)ABSTRACT Post partum period is a period of six weeks after the baby is born until the reproductive organs return to normal pre-pregnancy state. There are two methods used in this study split into two stages, namely: (1) Participatory Approach, (2) Participatory Action Research (PRA). The samples used is purposive sampling technique. The number of samples taken 50 people in RSD Dr. Soebandi Jember and 50 samples of postpartum mothers and families in Kaliwates District, the total of 100 respondents in all. Processing of the data is analyzed qualitatively. Implementation of postnatal education model through family centered maternity care come from perception of maternal postpartum, but this has not been done by looking at the information according to the stages of the puerperium. Postnatal education model is an alternative option which is appropriate for health workers to prepare puerperal women in adapting to run the development tasks to be through.Keywords: Postnatal Education Model, FCMC (Family Centered Maternity Care)
Analisis Dukungan Petugas Kesehatan Dalam Optimalisasi Competence Baby Care Pada Ibu muda Melalui Pendekatan Maternal Sensitivity Models Berbasis Keluarga (Analysis of Health Official Support in Optimizing Baby Care Competencies among Early Mothers Using Family-based Maternal Sensitivity Models) indriyani, diyan
Jurnal Keperawatan Vol 8, No 2 (2017): JULI
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (496.974 KB) | DOI: 10.22219/jk.v8i2 Jul.4308

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ABSTRAKPendahuluan: Bayi merupakan kelaompok yang sangat rentan terhadap kondisi sakit, karena imunitas bayi masih rendah. Perawatan bayi yang kurang tepat dapat menimbulkan bayi berisiko sakit. Petugas kesehatan memiliki peran yang sangat penting dalam membantu ibu muda dan keluarga dalam optimalisasi perawatan bayi. Metoda: Penelitian ini dilakukan dengan tujuan mengeksplorasi peran petugas kesehatan dalam Optimalisasi  Competence  Baby Care pada ibu muda melalui pendekatan Maternal Sensitivity Models berbasis keluarga. Pendekatan penelitian berupa partisipatif (kualitatif) dan Participatory Action Reseacrh (PRA). Tehnik pengumpulan data melalui Focus Group Discussion (FGD) dan indept interview pada petugas kesehatan di Puskesmas Sumbersari dan Sukorambi Jember sejumlah 9 partisipan, sedangkan jumlah responden yang menjadi subyek penelitian adalah 50 keluarga. Tehnik pengambilan sampel menggunakan Purposive Sampling pada bulan Maret - Agustus 2016. Analisis data secara kuantitaf dan kualitatif. Hasil: Penelitian menunjukkan jenis penyakit tersering pada bayi adalah ISPA, diare dan febris. Ibu muda dan keluarga sudah memiliki perilaku baik dalam menggunakan fasilitas pelayanan kesehatan saat bayi sakit, meskipun terdapat keluarga yang datang terlambat, dan keluarga cenderung tidak melakukan follow up. Cakupan imunisasi sudah memenuhi target, namun cakupan ASI Ekslusif masih tergolong rendah. Perawatan bayi berupa memandikan bayi dan perawatan tali pusat cenderung diserahkan pada orang lain. Penyuluhan kesehatan tentang perawatan bayi sudah dilakukan, hanya untuk topik tumbuh kembang dan stimulasinya belum pernah diberikan. Diskusi: petugas kesehatan disarankan memiliki  rancangan program yang lebih efektif dan terstruktur dalam membangun persepsi masyarakat tentang peraatan bayi, termasuk melakukan pelatihan kader secara berkesinambungan agar kegiatan meja 5 pada pelayanan Posyandu dapat ditingkatkan. Kata Kunci: Dukungan, Petugas kesehatan, Competence Baby Care, ibu muda. ABSTRACTIntroduction: Infants are extremely vulnerable group to various pain conditions because their immunity system is still low. The lack of proper baby care can cause the infants to be risky to illness. Health officials play a very important role in helping early mothers and families in optimizing baby care.Method: This research was conducted to explore the role of health officials in optimizing Baby Care Competencies among early mothers through the approach of Family-based Maternal Sensitivity Models. It was applied in the form of participative(qualitative) and Participatory Action Research (PRA). The data were collectedusing Focus Group Discussion (FGD) and indept interview on health officials in both public health centers of Sumbersari and Sukorambi Jember with 9 participants, while the number of respondents who became the subject of this research were 50 families. Purposive sampling was used for the sampling techniques conducted in March to August 2016. The data were then analyzed both in quantitative and qualitative methods.Results: The findings confirmed that the most common diseases undergone by infants were respiratory infections, such as diarrhea and febrile. Early mothers and families already had good behaviors in the use of health care facilities when the baby was sick, although there were some families who came late, and then they tend not to follow it up. Immunization coverage had already met the target, but the exclusive breastfeeding was still relatively low. Baby care, such as bathing and cord care, tend to be taken over to another one. Health education about baby care had already done, but the topicof baby growth and development as well as the stimulation had never been yet given. Discussion: It is suggested to the health officials to have more effective and well structured program design in building public perception of baby care, including the training of cadres on an ongoing basis so that the activities of table 5 on Maternal and Child Health services can be improved. Keywords: Support, health officials, baby care competencies, early mothers.
Relationship of Marriage Age with Pregnancy Acceptance Readiness in Pregnant Mothers in the Work Area of Sumberjambe Public Health Center, Jember Regency Dwiningtyas, Wilujeng; Azza, Awatiful; Indriyani, Diyan
D'Nursing and Health Journal (DNHJ) Vol. 3 No. 2 (2022): Maternity Nursing as A Management in The Provision of Nursing Care
Publisher : Universitas Bondowoso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61595/dnursing.v3i2.427

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Introduction: Marriage can be interpreted as a married couple of men and women so commonly referred to as husband and wife. A person is said to be legally married in terms of the age of the two spouses. Law number 16 of 2019 concerning the minimum age limit for marriage for both men and women is the same as the minimum age limit for men, namely 19 years. Couples who are married <19 years are said to be early marriage Method: This study uses quantitative research with a cross-sectional approach. The population in this study were primigravida mothers with a total sample of 92 respondents. Using a simple random sampling technique. The collected data were analyzed by chi-square test. Results: in this study, the results of the analysis of the chi-square test with the results of p-value .000 (<0.005) said that there was a relationship between the age of marriage and the readiness of pregnant women. Conclusion: The age of marriage is closely related to the mother's readiness for pregnancy physically, psychologically, financially, and culturally. Married young teenage girls are still a phenomenon now, there needs to be a role from health workers in providing education in the form of information.
Hubungan Dukungan Keluarga dengan Adaptasi Perawatan Bayi Baru Lahir pada Ibu Primipara di Puskesmas Kalibaru Kulon Banyuwangi Novarinda, Erika; Indriyani, Diyan; Asmuji, Asmuji
Health & Medical Sciences Vol. 1 No. 1 (2023): November
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v1i1.26

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Dukungan keluarga menjadi hal yang sangat penting selama proses adaptasi berlangsung. Adaptasi ini membutuhkan pengetahuan dan pemahaman yang benar dalam melakukan perawatan bayi baru lahir sehingga proses adaptasi kebiasaan baru dapat tercapai. Perawatan bayi baru lahir merupakan asuhan yang diberikan untuk menjaga kesehatan bayi meliputi memandikan bayi dengan tepat dan perawatan tali pusat yang dapat mencegah timbulnya infeksi dan mempercepat pelepasan tali pusat. Tujuan: Penelitian untuk mengetahui hubungan dukungan keluarga dengan adaptasi perawatan bayi baru lahir pada ibu primipara di Puskesmas Kalibaru Kulon Banyuwangi. Metode: Penelitian ini menggunakan deskriptif korelasi dengan teknik pendekatan cross sectional. Populasi dalam penelitan ini yaitu ibu primipara di Puskesmas Kalibaru Kulon Banyuwangi yang berjumlah 72 ibu primipara. Teknik pengambilan sampel menggunakan teknik non probability sampling dengan sejumlah sampel 61 ibu primipara. Pengumpulan data menggunakan kuesioner dukungan keluarga dan adaptasi perawatan bayi baru lahir. Analisis data menggunakan uji korelasi spearman rho. Hasil: Hasil penelitian menunjukkan hubungan dukungan keluarga dengan adaptasi perawatan bayi baru lahir (p value = 0.002) dengan (r =0.397) artinya kekuatan hubungan moderat. Semakin baik dukungan keluarga maka semakin adaptif ibu primipara dalam melakukan perawatan bayi baru lahir. Saran: Penting nya dukungan keluarga pada ibu primipara dalam beradaptasi melakukan perawatan bayi baru lahir, semakin baik dukungan keluarga maka semakin adaptif ibu primipara dalam melakukan perawatan bayi baru lahir.
HUBUNGAN PERAN TENAGA KESEHATAN DENGAN KEMAMPUAN IDENTIFIKASI RISIKO KEHAMILAN PADA IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS AJUNG KABUPATEN JEMBER: HUBUNGAN PERAN TENAGA KESEHATAN DENGAN KEMAMPUAN IDENTIFIKASI RISIKO KEHAMILAN PADA IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS AJUNG KABUPATEN JEMBER Rahmawati, Lintang; Indriyani, Diyan; Suryaningsih, Yeni
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 9 No. 4 (2024): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v9i4.8082

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Secara profesional tenaga kesehatan dalam praktek klinik mempunyai peran menurunkan angka kematian ibu. Tenaga kesehatan merupakan garda terdepan dalam mendeteksi kemungkinan risiko. Penelitian ini bertujuan untuk mengetahui hubungan peran tenaga kesehatan dengan kemampuan identifikasi risiko kehamilan pada ibu hamil trimester III di Wilayah Kerja Puskesmas Ajung Kabupaten Jember. Penelitian ini menggunakan design cross sectional. Populasi pada penelitian ini adalah ibu hamil trimester III di wilayah kerja Puskesmas Ajung Kabupaten Jember dengan melibatkan sebanyak 66 partisipan. Partisipan dipilih menggunakan teknik purposive sampling yang memenuhi kriteria inklusi. Data diambil menggunakan kuesioner. Data dianalisis menggunakan uji Spearman Rho. Hasil penelitian menunjukan pada ibu hamil trimester III teridentifikasi bahwa peran tenaga kesehatan jumlah terbanyak adalah kategori kurang (51,5%), memiliki kemampuan identifikasi risiko kehamilan dengan jumlah terbanyak pada kategori kurang (53,0%). Analisis bivariate menunjukkan secara signifikan terdapat ada hubungan peran tenaga kesehatan dengan kemampuan identifikasi risiko kehamilan pada ibu hamil trimester III (p-value = 0,0001; α = 0,05; r = 0,805). Temuan ini memberikan bukti bahwa secara independen peran tenaga kesehatan yang optimal akan disertai dengan kemampuan identifikasi risiko kehamilan yang baik pada ibu hamil. Kolaborasi timbal balik antara ibu dan tenaga kesehatan dengan memberikan konseling manajemen risiko berkualitas tinggi dapat mengarah pada pemilihan strategi manajemen risiko yang efektif.
Development of a family support model to reduce preeclampsia through antenatal care Indriyani, Diyan; Yunitasari, Esti; Efendi, Ferry
Jurnal Ners Vol. 20 No. 1 (2025): VOLUME 20 ISSUE 1 FEBRUARY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i1.53752

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Introduction: One of the pregnancy complications that needs to be monitored is the occurrence of preeclampsia because it has a high risk of maternal and infant death. The risk of preeclampsia during pregnancy can be determined through routine pregnancy checks. Routine pregnancy checks, or antenatal care, have low coverage. This study aimed to investigate the validity of the family centered maternity care (FCMC) construct and the relationship between pregnant women's characteristics, family characteristics, healthcare factors, sources of support, and family support in antenatal visit adherence using structural equation modeling (SEM). Methods: The research design was correlational, using a Cross-Sectional Study approach. A total of 135 respondents were included in this study. The research data were analyzed using structural equation modeling. Results: FCMC-based family support is based on the characteristics of pregnant women, family characteristics, health services, and sources of support, with family characteristics being the most significant contributor to FCMC-based family support. Compliance with antenatal care (ANC) visits is shaped by family characteristics, health services, and FCMC-based family support, where FCMC-based family support is the variable that makes the most significant contribution to ANC visit compliance for pregnant women. Conclusions: Health services are essential for facilitating public health issues, with all efforts and activities carried out to prevent and treat diseases. Health service officers must involve families in antenatal care to avoid complications during pregnancy.
HUBUNGAN SELF EFFICACY DENGAN PENCEGAHAN DINI KANKER SERVIKS PADA WANITA USIA SUBUR DI WILAYAH KERJA PUSKESMAS KENCONG JEMBER: HUBUNGAN SELF EFFICACY DENGAN PENCEGAHAN DINI KANKER SERVIKS PADA WANITA USIA SUBUR DI WILAYAH KERJA PUSKESMAS KENCONG JEMBER Laksmana, Brylion Nando; Azza, Awatiful; Indriyani, Diyan
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 14 No. 1 (2025): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v14i1.11693

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Kanker serviks merupakan kanker ganas pada wanita yang mengancam kesehatan wanita dengan dampak kematian. Deteksi dini dipandang sebagai cara yang paling efisien untuk mencegah kasus kanker serviks. Penelitian ini bertujuan untuk mengetahui hubungan self efficacy dengan pencegahan dini kanker serviks pada wanita usia subur. Penelitian ini menggunakan design cross sectional. Populasi pada penelitian ini adalah Wanita Usia Subur di Wilayah Kerja Puskesmas Kencong Jember dengan melibatkan sebanyak 104 partisipan. Partisipan dipilih menggunakan teknik cluster random sampling yang memenuhi kriteria inklusi. Data diambil menggunakan kuesioner. Data dianalisis menggunakan uji Spearman Rho. Hasil penelitian menunjukan pada wanita usia subur paling banyak memiliki tingkat self efficacy yang rendah (39,4%), tingkat pencegahan kurang (52,9%). Analisis bivariate menunjukkan secara signifikan terdapat hubungan self efficacy dengan pencegahan dini kanker serviks pada wanita usia subur (p-value = <0,001; α= 0,05; r = 0,553). Temuan ini memberikan bukti bahwa semakin tinggi self efficacy pada wanita usia subur akan diikuti dengan semakin baik perilaku pencegahan dini kanker serviks. Pengalaman pribadi wanita usia subur dalam skrining kanker serviks berkontribusi pada efikasi diri mereka melalui dua proses: penyelesaian skrining itu sendiri dan internalisasi pengalaman skrining.