CERVICAL & BREAST

CANCER SCREENING
PROGRAM

DIRECTORATE GENERAL OF
DISEASE CONTROL AND ENVIRONMENTAL HEALTH
MINISTRY OF HEALTH, REPUBLIC OF INDONESIA
 Data SIRS 2005-
2005-2008
10 JENIS KANKER T ERBANYAK DI INDO NESIA TAHUN 2004-2007

9000

8000
JUMLAH KASUS

7000

6000
2004
5000
2005
4000
2006
3000
2007
2000

1000

0
Kanker Kanker Kanker hati & Leukemia Limfoma Non Kanker Kanker Kanker kolon Kanker Kanker
payudara serv iks saluran Hodgkin bronkhus & ovarium daerah nasopharink
uterus empedu paru rektosigmoid
intrahepatik & anus

JENIS KANKER
SUMBER : SIRS 2005-2008
 10 Leading Cancers among women in 31
Hospitals in Jakarta (Cancer Registry) 2005
Breast Ca 32.0
Cervix Ca 21.5
Ca Ovarium 8.0
Leukaemia 6.5
TOPO

Colorectal Ca 5.0
Thyroid Ca 3.8
Nasopharynx Ca 3.6
Lung Ca 2.7
Skin Ca 2.7

Liver Ca 2.0

0.00 5.00 10.00 15.00 20.00 25.00 30.00 35.00

Percent
 MOH of RI Organization Structure
Ministry of Health

Secretary General

DG of DG of DG of Disease DG of Inspectorate
Medical Farmacies& Public Health General
Control & EH
Services med-supp
Secretary of DG of DC & EH

Directorate Directorate Directorate Directorate of Directorate

of SESPIM of DCDC VBDC NCDC of EH

Subdit Subdit. DM & Subdit. Subdit Subdit.

Cardiovas Other Metabolik Chronis & Cancer Violence &
degeneratif Injury
Pilot Project of Cervical & Breast Cancer Screening
- Goal : Increase ccoverage of cervical cancer & breast cancer
screening
- Target : woman age 30 -50 yrs
- Coverage target: 80% from target population in 5 years
- Location : 8 Districts @ 8 Primary Health Center (2008)
- Method : single visit approach with Visual Inspection with
Acetic acid/VIA
acid/VIA & Cryotherapy (for VIA+), and Clinical Breast
Examination/CBE + Breast Self Examination/BSE
- Provider : well trained MD & midwives in PHC
- Supervisor: 1. Clinician (Obsgyn & Surgeon)
2. Management: District & Provincial health officer

National Program, 21 April 2008

1) Need Assessment in districts
2) Socialization & advocacy in MoH, provinces,
districts, & subd distristricts
3) Training of Trainier for managers of cancer
control
4) Training of Trainers (TOT) for obsgyn, GP, &
midwives
5) Training for providers (GP & midwives)
6) Training for cadres
7) Promotion, information, education to people
8) Screening
9) Technical Assistance
10)Monitoring
10) Monitoring & Evaluation
 Screening of Cervical & Breast Cancer in
Pilot Projects (8 Districts of 6 Provinces)
2007-2008
Suspect Ca
TARGET 5 TARGET Screened VIA (+) Breast tumor
NO DISTRICTS Cervix
years 1 year
∑ % ('08) ∑ % ∑ % ∑ %
1 Deli Serdang 27,597 5,519 4,510 16.34 109 2.42 0 1 0.02
2 Karawang 45,793 9,159 3,698 8.08 103 2.79 16 0.43 31 0.84
3 Kebumen 15,540 3,108 5,692 36.63 205 3.60 11 0.19 23 0.40
4 Gresik 34,572 6,914 3,394 9.82 221 6.51 2 0.06 24 0.71
5 Gunung Kidul 35,711 7,142 2,176 6.09 106 4.87 4 0.18 28 1.29
6 Gowa 16,846 3,369 1,019 6.05 18 1.77 13 1.28 7 0.69
7 Pekalongan 23,627 4,725 943 3.99 58 6.15 5 0.53 2 0.21
8 Malang 17,425 1,000 467 2.68 32 6.85 4 0.86 - 0.00
TOTAL 217,111 40,937 21,899 10.09 852 3.89 55 0.25 116 0.53
 RESULT OF THE SCREENING IN 8
DISTRICTS 2007-2008
DATA DASAR DIRUJUK KE RS

DILAKUKAN Benar Benar Kanker

KOLPOSKOPI CaCervix Payudara
NO KABUPATEN Benar
IVA IVA tnyt Dilakukan Follow up
positif negatif ∑ % ∑ % Krioterapi pasca krio
1 DELI SERDANG
2 GOWA 2 0 0 7 3 0
3 KARAWANG 37
4 GUNUNG KIDUL
5 KEBUMEN 84 48 1 0 61
6 GRESIK 98 375 6 4 196 140
7 PEKALONGAN
8 KOTA MALANG

TOTAL 184 423 7 0.028 11 0.044 297 140

KEY OF SUCESSFUL PROGRAM

Keterkaitan
Deteksi Dini
Efektivitas
dan Pengobatan
Pengobatan

Cakupan
Deteksi Dini
Min 80% WUS
(30-50 TH)
Promosi
& Awareness Konseling

Source: Max Parkin, IARC

Thank You