Implementation Of Health Bpjs Service System In Cervical Cancer Screening In Bengkulu City

Abstract

Cervical cancer is a disease with the highest cases in the world. Primary services with cervical cancer screening use IVA tests as a form of promotion and preventive health services. Health BPJS provides guarantees to participants who have performed cervical cancer screening without fees. The coverage of cervical cancer screening in Bengkulu City is 1.44%, while the WHO target is 80%. This study aims to analyze the implementation of the BPJS health service system in cervical cancer screening in Bengkulu City in 2017. The method used in this study is descriptive with a qualitative approach. Subjects or informants in this study were BPJS staff in the Primary Services section, Head of P2M Section of the Health Office, a program implementing midwives in the Puskesmas, health BPJS participants who have performed cervical cancer screening. Data collection techniques use in-depth interviews. Data processing is done by describing the contents. The results showed that the implementation of cervical cancer screening was not optimal. The implementing staff is not by the rules that are determined, the limitations of cryotherapy equipment are only found in one puskesmas, there is no specific funding source provided for program development, and monitoring activities are only carried out once a year. Suggestions for relevant institutions to be able to increase the number of implementing personnel through training so that implementation is more optimal, and implementing officers can increase socialization, counseling, and collaborate with influential parties in order to increase the coverage of cervical cancer screening.