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Background: Cervical cancer is the most common cancer in Indonesia. Cancer has a high mortality rate caused by delays in diagnosis and treatment. Nearly 70% of cancer patients are detected at an advanced stage. This is very unfortunate, because cervical cancer can be found at a stage before cancer occurs (precancerous lesions) which can be treated so that it does not become cancer. The early detection program for cervical cancer in Indonesia is carried out using the Acetic Acid Visual Inspection (IVA) method carried out by trained health workers. In three years (2020-2022), as many as 3,914,885 women aged 30-50 years or 9.3% of the target have undergone early detection of cervical cancer using the IVA method. The highest early detection of targets has undergone early detection of cervical cancer using the IVA method. Early detection was reported by West Nusa Tenggara Province at 34.1%, followed by South Sumatra at 33.5%, and Bangka Belitung Islands at 27.8%. Meanwhile, the province with the lowest early detection coverage is Papua at 0.1%, followed by West Papua at 0.4%, and North Sulawesi at 0.7%. In 2022, of the 2,175,314 women aged 30-50 years who had early detection of cervical cancer, 7,869 (0.36%) had positive VIA examination results and 1,232 (0.06%) were suspected of cervical cancer.

Eco enzyme is an organic waste liquid product produced from the fermentation process. Eco enzyme's functions include cleaning vegetables and fruit, cleaning floors, repelling insects and being able to fertilize plants. Eco enzyme has benefits for cleaning because of the acetic acid and alcohol contained in the liquid. The aim of this research is to find out the process of making Eco Enzyme and to find out the benefits of Eco Enzyme organic fertilizer, to find out the results of the nutrient content of the eco enzyme product. This research method is data collection techniques. The data source in this research is a secondary data source, in the form of documentation in the form of photos and videos in the process of making eco enzyme.

Cervical cancer is very dangerous because it can result in death, so it needs serious attention. One of the efforts to prevent cervical cancer in women of fertile age (WUS) is by conducting a visual inspection of acetic acid (IVA) test. This study aims to determine the factors that influence the low number of IVA examinations at the Margorejo Pati Community Health Center. Cervical cancer is the fourth highest cancer in women with an estimated 570,000 new cases in 2018 which represents 6.6% of all female cancers. The high mortality rate from cervical cancer globally can be reduced through prevention, early diagnosis, effective screening and treatment programs. As of 2016, VIA coverage in Indonesia was 4.34%, which is still far from the national target of 10% at the end of 2015. In Indonesia, cervical cancer is still the cancer with the second largest number of sufferers after breast cancer. The incidence of new cases of cervical cancer according to GLOBOCAN data, 2018 for women in Indonesia is around 32,469 cases (17.2%) with a death rate of 18,279 (8.8%). The Global Burden of Cancer Study (Globocan) from the World Health Organization (WHO) noted that the total cancer cases in Indonesia in 2020 reached 396,914 cases and the total deaths were 234,511 cases. According to the Indonesian Cancer Foundation (YKI), one of the causes of the high number of cancer cases in Indonesia is environmental conditions that continue to produce carcinogens, such as cigarettes, processed meat, etc. Other causes that also influence include the habit of staying up late, lack of exercise, and eating too much. As a form of cancer prevention and control in Indonesia, especially breast cancer and cervical cancer, the Ministry of Health has made several efforts such as early detection of breast cancer and cervical cancer in women aged 30-50 years using the Visual Inspection method with Acetic Acid (IVA).      

The apple cider vinegar fermentation process requires careful monitoring and control of variables such as pH, alcohol content, and amount of acetic acid.  This research adopts Fuzzy Logic Control by utilizing the MQTT communication protocol, pH, alcohol and water pump sensors, as well as solenoid valves and DC motors as actuators.  This Internet of Things (IoT) based solution provides real-time monitoring information on the fermentation process.  The results showed that the test system succeeded in maintaining a stable pH of around 3.9-4.0 during the initial stages of fermentation, while industrial data showed greater variations.  Alcohol content increased consistently in the test system, in contrast to the spike on day 7 in industry data.  At the formulation stage, the pH dropped to 3.68 in the test system, while the industry maintained 3.70.  At medium and slow mixing stages, the test system showed a significant decrease in pH and a consistent increase in alcohol.  At the harvest stage, the pH was lower in the test system compared to industrial, with slightly higher alcohol content.  Test results show that the implementation of this system can reduce the fermentation process time by up to 2 days faster compared to conventional methods.  This conclusion shows that IoT-based systems are able to provide better control and monitoring than conventional systems, so they have great potential for wider adoption in the apple vinegar fermentation industry to increase production effectiveness.

Cervical cancer generally affects women aged between 15 and 49 years. Globally in 2020, there were 19.2 million new cancer cases which caused nearly 10 million deaths, according to data from WHO. The WHO cancer profile also recorded around 604,127 cases of cervical cancer worldwide, where this incidence was the second largest in Asia with a percentage of 58.2%, or around 351,720 individuals affected by the disease. In Indonesia, based on data from Global Burden Cancer (GLOBCAN) described in the Indonesia Cancer Care Community (ICCC) article, cervical cancer is in second place in terms of the highest number of sufferers after breast cancer in women, with around 32,469 cases (17.2%) and the death rate was around 18,279 people (8.8%). Objective. Knowing the Relationship between Cervical Cancer Knowledge and Early Detection of Visual Inspection of Acetic Acid (IVA) in Women of Childbearing Age in Tawaang Barat Subdistrict, Manado City in 2023 Research Method. This research uses quantitative research with analytical survey methods and a cross-sectional approach. The sample in this study was women of childbearing age aged 25-49 years. The sample was taken using Cluster random sampling, obtaining a sample of 135 respondents. Data analysis used Chi square. Results. For sufficient knowledge, 53 people (39.3%), 78 people (57.8%) did not carry out early detection. The results of Chi square analysis for the relationship between knowledge of cervical cancer and early detection of VIA examination are p value (0.000) ˂α (0.05).