The Indonesian women who aged over 30 years old with breast cancer participated in this study. The numbers of primary informants in this study as much as six breast cancer fighters. All informants work as housewives. The majority of informants diagnosed with stage 3 breast cancers. A detail description of informant information presented in Table 1.
Early Diagnosis of Breast Cancer
The majority of informant experience different feelings at the time of the first diagnosis of breast cancer. A complaint felt by the majority of informants was pain in the breast and or chest to pierce into the back and detect a lump in the breast. Treatment of the informant at the time of feeling pain in the breast was a scrapping as known ‘kerokan’. The pain in the breast is considered a symptom of colds. This is evidenced from the in-depth interviews of informants are:
"... .. Starting at the beginning of 2016 to do the examination in the surgical poly with breast complaints hurt when held-up to the pain to the back. Sometimes chest pain to the left of the concern arises if suffering from heart disease. After being diagnosed it turns cancer. informants claimed to care about health, often doing BSE. But from the pain of a lump appeared in the left breast. informants had moved from hospital to another hospital until asked to check with FNAB examination, ultrasound, and biopsy. The breasts have been lifted one. " (ISMDH, 51 year).
Another informant confessed the secret of his experience since mid-2013. Complaints are felt was sore like a cold and find a lump on the palpation of the breast. The informant was afraid to check up the health status to the doctor. Felt ashamed that the doctor did palpation. They prefer to do traditional self-healing to cure it (reduce the pain in the breast). Traditional treatment that was did consume white turmeric, boiled soursop leaves, consuming Japanese ants, and Moringa leaf. After taking the traditional medication, the lump in the breast was getting bigger but the informant does not tell other family members.
The informant ventured to medical treatment and met a female doctor. The first doctor she met directly diagnosed that the informant was exposed to breast cancer and then referred to the hospital. Informant was diagnosed with stage 3 cancer. At the time of reference, the informant did not go directly to the hospital and kept the referral letter for 3 months. During the 3 months, the informant felt the chest pain and red rash, the nipple out of the blood and the mucus, the nipple peeled and wounded and given the ointment purchased alone at the pharmacy, finally the informant felt the need to go to the hospital again and ask for referral letter back to health facility. Doctors suggest that go to the hospital very soon before the disease getting worst. The doctor's words made the informant felt the spirit to seek treatment after four years of keeping her own secret. Informants need time to communicate with close relatives (husbands and children) that would be operated.
Psychological, Attitude, and Social Support (Family members and neighbour)
Most of the informants feeling shocked when diagnosed getting breast cancer. They tried to hide it from their family. Feelings of acceptance of destiny are also experienced by some informants, but concerns about the high cost of treatment. The informant felt helpful with national health insurance, although the financing assistance provided by national health insurance did not completely cover all types of services. Laboratory examination and early-stage examination were not paid by the insurance. This is evidenced by the in-depth interviews as follows:
"... Gain motivation from friends who suffer from the same pain even younger than informants, get support from children, so do not feel alone, close family support added more closely during the pre-time-and post-operation process." (ES, 47 years)
Communication between doctor and patients
Most of the research informants explained that they need details information about the disease from the doctor. Four of informants said that the doctor was not telling the disease clearly. In some informants mentioned that doctors who handle them are not communicative in conveying the health condition of patients, so they feel worried about the health conditions. This is evidenced based on the results of in-depth interviews on informants as follows:
"... Doctors should provide as much information as possible about the illness and stages suffered by the patient, provide a transparent explanation of the results of the lab so as not to make the patient feel anxious guessing and guessing about cancer they are experiencing.”