Ernie Yantho Faculty of Medicine Atma Jaya Catholic University of Indonesia

KNOWLEDGE ON CERVICAL CANCER TOWARD HPV VACCINATION PARTICIPATION AMONG THE FIRST YEAR MEDICAL FEMALE STUDENTS FROM ATMA JAYA UNIVERSITY YEAR 2011

BACKGROUND

Cervical Cancer in the World

Cervical Cancer in Indonesia

Knowledge Knowledge of cervical cancer

Attitude Attitude to have HPV vaccination

Practice Have HPV vaccination

To explore the relationship between knowledge of cervical cancer toward attitude that may lead to participation on HPV vaccination

PURPOSE

Purpose of Study
To know alteration of knowledge level before and after participating in cervical cancer seminar To know about attitude toward HPV vaccination after participating in cervical cancer seminar To know about HPV vaccination practice after process of education about cervical cancer To know other external factors which lead to HPV vaccination practice

Theoritical Framework

One who have persistent HPV infection can develop into anogenital wart or cervical cancer, depends on types of HPV genotypes. Prevention of HPV infection can be done with HPV vaccination. To have HPV vaccination, sufficient knowledge and positive attitude is needed

Conceptual Framework
Knowledge Knowledge of cervical cancer Attitude Attitude to have HPV vaccination Practice Have HPV vaccination

Independent Variable
Knowledge of cervical cancer

Dependent Variable
Attitude and Practice toward HPV vaccination

Design of study
Experimental Study quantitative study(questionnaire) followed by qualitative study (in-depth interview)

Study Samples
Study Samples: All first year medical female students in Atma Jaya University Jakarta Sampling:
Qualitative Study purposive sampling.

Respondents Criteria
Inclusion Criteria
Gender Atma Jaya University Faculty of Medicine first year students in 2011 Must participate in cervical cancer seminar provided in this study Willing to sign informed consent

Exclusion Criteria
Had ever participated in cervical cancer seminar Had HPV vaccine vaccinated Resigned from this study

Experimental Scheme
Scheme of Respondents

 Quantitative Study Qualitative Study

RESULTS

Change of Knowledge Rate Before and After Seminar Toward Attitude and Practice in HPV Vaccination
Knowledge Very Insufficient Insufficient Very Insufficient Sufficient Very Insufficient Excellent Insufficient Insufficient Insufficient Sufficient Insufficient Excellent Sufficient Sufficient Amount 0 1 (2%) 0 0 17 (34%) 3 (6%) 20 (40%) Attitude Attitude Practice + + 0 0 0 0 17 (34%) 3 (6%) 19 (38%) 0 1 (2%) 0 0 0 0 1 (2%) 1 (2,1%) 1 (2,1%) 16 (33,3%) 3 (6,25%) 18 (37,5%) Practice -

Sufficient Excellent

9 (18%)

9 (18%)

1 (2,1%)

8 (16,7%)

Qualitative Study

Source of Information about Cervical Cancer from Respondents

Knowledge about cervical cancer mostly obtained from seminar Moreover, information about cervical cancer is acquired from internet, friends and familys recommendation, print medias or electronic medias and doctor
Seminar Internet Students who had not been vaccinated (n=6) Students who had already been vaccinated (n=3) Pharmacy Doctors Friends or Family Advertisement Brochure Recommendation Recommendation

Consideration of Respondents from Vaccines Aspect

Aspects of vaccine respondents belief eventhough they have been provided education. Aspects of vaccine main consideration Aspects of vaccine effectiveness, side effect, expense, and duration of effect from HPV vaccination
Effectiveness Students who had not been vaccinated (n=6) Students who had already been vaccinated (n=3) 4 Side Effects 1 Expenses 4 Duration of Effect 4

Consideration of Familys Aspect in Respondent

Family has big influence toward attitude and practice in HPV vaccination
Mothers knowledge and support Sex education in family Familys medical history
Mothers Knowledge 5 2 Familys Medical History 3 3

Sex Education
Students who had not been vaccinated
Students who had been vaccinated

Mothers Support 5 3

3 2

CONCLUSION

Knowledge, Attitude and Practice in Respondents

External factors

Knowledge Knowledge about Cervical Cancer

Improvement of knowledge level

Attitude Attitude to have HPV vaccination

Practice Have vaccinated HPV vaccine

Not having HPV vaccination

Positive Attitude

Conclusion
Provision of education by seminar can improve respondents knowledge about cervical cancer and importance of HPV vaccination Improvement in level of knowledge can promote positive attitude toward HPV vaccination, yet unsuccessful to encourage practice to have HPV vaccination HPV vaccination practice is influenced with some external factors which are vaccine aspect and family aspect.

Suggestion
Knowledge of cervical cancer dissemination periodically is needed This study can be done and developed more with larger sample and wider target sample since studies between knowledge, attitude and practice toward HPV vaccine in Indonesia is still less

THANK YOU