P-ISSN: 2808-0467
E-ISSN: 2808-5051
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1721
BREAST CANCER PREVENTION THROUGH SADARI
INTERVENTION IN WOMEN OF REPRODUCTIVE AGE IN LOA
BAKUNG
Evy Nurachma
*
, Samsiah, Fara Imelda
Department of Midwifery, East Kalimantan Health Polytechnic, Samarinda, East Kalimantan, Indonesia
*
hjevynurach[email protected]
PAPER INFO ABSTRACT
Received:
December 2022
Revised:
December 2022
Approved:
December 2022
Background: Cancer is a non-communicable illness brought on by the
unnatural and unchecked proliferation of bodily tissue cells. A malignant
tumor of the breast or one of the breasts is breast cancer in and of itself.
Aim: The purpose of this activity is to educate through BSE (Breast Self-
Examination, SADARI) socialization as the first step in preventing breast
cancer and increasing the participation of the community, especially women
of reproductive age, in carrying out early detection of breast cancer
prevention.
Method: To delve further into this subject, the researchers adopted a
qualitative technique. The researchers sought to learn more about residents'
awareness about breast cancer and its prevention, particularly SADARI, by
initial observation and interviews. The researchers analyzed and organized
the data they had gathered in order to come up with a reliable conclusion.
Findings: In terms of knowledge, before being given health education by
Posyandu (Integrated Healthcare Center, Pos Pelayanan Terpadu) cadres
most of the knowledge of women of reproductive age about SADARI was in
the sufficient category as many as 18 respondents (45.%) and after being
given health education there was an increase where most of the women of
reproductive age’s knowledge (80%) became good. Meanwhile, for the
attitude before being given health education by Posyandu cadres, some of
women of reproductive age had a negative attitude towards SADARI (12.5%),
and after being given There was an increase in health education by cadres,
namely the majority of respondents 39 respondents (97%) had a positive
attitude towards SADARI.
KEYWORDS
breast cancer, BSE, SADARI, cancer prevention
© The author(s). This work is distributed under the terms of the Creative
Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0)
INTRODUCTION
Health transition is now a challenge in Indonesian. The incidence of non-communicable
diseases continues to grow, while the incidence of infectious diseases still remains high. The
health transition is caused by two things, namely the demographic transition and the
epidemiological transition (Marthias et al., 2021). The demographic transition is caused by
changes such as urbanization, industrialization, increasing incomes and education levels, as
well as the development of health and medical technology in society (Stolnitz, 2018).
Meanwhile, the epidemiological transition arises due to changes in mortality patterns,
especially infections, total fertility rates, increasingly high life expectancy of the population,
and an increase in non-communicable diseases or also known as chronic diseases (Adogu et
al., 2015; Corbett et al., 2018; Gómez-Dantés et al., 2016; Özdemir et al., 2014).
Cancer is a non-communicable disease caused by abnormal and uncontrolled growth of
body tissue cells (Geto et al., 2020; Kerry et al., 2021). Breast cancer is a malignant tumor of
Breast Cancer Prevention through SADARI Intervention in Women of Reproductive Age in Loa Bakung
1722 Interdisciplinary Social Studies, 2(3), Dec 2022
the two breasts or one of them (Drukker et al., 2014). It is also a lump or single mass that is
often present in the outer upper quadrant area (Famá et al., 2016; Kojima & Tsunoda, 2011); it
is hard and irregular in shape and immobile (Fisher et al., 2018). Breast cancer occurs due to
damage to genes that regulate cell growth and differentiation so that cells grow and multiply
uncontrollably. Breast cancer is a cancer that generally affects women (Santrock, 2007).
According to Oladimeji et al. (2015), the importance of health promotion in increasing
awareness and willingness to do breast self-examination in an effort to early detect breast
cancer so as to improve preventive strategies in breast cancer patients. Based on Nurachma's
research at SMAN XI Sambutan Samarinda on the Benefits of Providing Health Education
about SADARI shows that there is a significant influence of health education about SADARI
on respondents' knowledge, with p value (0.0001) <α (0.05) and there is a significant influence
of health education about SADARI on respondents' attitudes with p value (0.002) <α (0.05)
(Nurachma & Hendriani, 2020). However, the aforementioned research have not discussed
further on how SADARI applies in rural society.
The purpose of this activity is to conduct health education through SADARI socialization
as the first step in preventing breast cancer and increasing participation from the community,
especially women of Reproductive age in carrying out early detection of breast cancer
prevention.
METHOD
The implementation of solutions to overcome partner problems consists of observation
steps to Loa Bakung Village, identification of partner problems, literature studies,
determination of solutions, coordination with the Loa Bakung Public Health Center regarding
the implementation of solutions, SADARI training, and evaluation of activities. The
implementation of SADARI training includes providing material and video screenings about
breast cancer and SADARI, SADARI simulations, as well as providing SADARI modules and
leaflets. The direct target is the Loa Bakung community, especially women of Reproductive
age who are in the work area of the Loa Bakung Public Health Center.
Picture 1. Locals at Loa Bakung Public Health Center
Evaluation Design
Evaluation During the Process and at the End of Educational Activities
Health by giving questions orally as follows:
1) Re-explain the notion of breast cancer;
2) Describe the cause of breast cancer;