[Assessment of the cervical cancer screening in the Family Health Strategy in Amparo, São Paulo State, Brazil].
Uterine cervical cancer mortality has not been declining. The territorial distribution and registration of families in Brazil's Family Health Strategy help identify women that have performed a Pap smear or that have not had one for more than three years. This study analyzed whether cervical cancer screening in Amparo, São Paulo State, Brazil, made progress in complying with the prevailing guidelines during the seven years of experience with the Strategy. The annual examination rate remained high, with a slight trend towards greater intervals between follow-up tests. Distribution of tests tended to increase in the 40-59-year age bracket and decrease in the over-60 age group, while annual coverage tended to decrease. The proportions of excess tests varied from 61.2% to 65.5%. Concluding, the upgrading of cervical cancer screening was slight, and did not change the opportunistic pattern of follow-up tests. Considering that community health agents can act to increase the coverage of these measures, it is essential to train them for this work.
Vale
Diama Bhadra Andrade Peixoto do
DB
Centro de Atenção Integral à Saúde da Mulher, Universidade Estadual de Campinas, Campinas, Brasil.
Morais
Sirlei Siani
SS
Pimenta
Aparecida Linhares
AL
Zeferino
Luiz Carlos
LC
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D055088:Early Detection of Cancer / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D005192:Family Health; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008403:Mass Screening / Q000592:standards* / Q000706:statistics & numerical data; D008875:Middle Aged; D065006:Papanicolaou Test; D015397:Program Evaluation; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D055815:Young Adult