Inspection Visual of Acetic Acid (IVA) Strategy for Early Detection of Cervical Cancer at the Community Health Centre Namorambe Deli Serdang District

Introduction Cervical cancer is the main cause of death in women especially in developing countries. The delay in the discovery of cases of cervical cancer cause delays in handling because of lack of symptoms arise, a lack of knowledge about the symptoms and risk factors of cervical cancer. The implementation of early detection lowers mortality due to cervical cancer are found at an early stage. Early detection of cervical cancer in Indonesia with a pap smear and IVA is still low (about 5 %), whereas early detection is very effective for lowering the number of pain and death of WUS for cervical cancer is around 85 %. research objectives to prove IVA as a strategy for early detection of cervical cancer to find out the knowledge, attitudes, actions and cultural communities as well as explore factors opportunities and obstacles factors of IVA. Research methods qualitative and quantitative. Interpretivist perspective paradigm with qualitative and quantitative research with cross sectional. The population of Fertile Age all women (WUS) who are at risk of suffering from cervical cancer, Coordinator and head of the community health centers are the informants in this study. Data processed and analysed by the method of narrative. Research results respondents had less knowledge (44.4 %) less attitude (55.6 %), and the implementation of the IVA is not incompatible with religious values (80.3 %) but the fear of inspection results 90.1 % while the culture of shame for early detection (85.1 %). Barriers in the implementation of the IVA IE still the lack of trained health workers, Conclusion policy leadership and adequate infrastructure be opportunities program execution early detection of cervical cancer with an IVA. Expected so that education and training cadres personnel and health workers to do IVA. Need to provide information communication education and IVA becomes strategy early detection of cervical cancer.