Cervical cancer guidelines, prevention and screening strategies: experiences from Brazil and Chile

Ciencia e Saude Coletiva

article

Claro, Itamar Bento¹  Lima, Luciana Dias de²  Almeida, Patty Fidelis de³ 

[1] Instituto Nacional de Câncer José Alencar Gomes da Silva;Fundação Oswaldo Cruz;Universidade Federal Fluminense

关键词: Cervical cancer;    Screening;    Public policy;    Health systems;   

DOI  :  10.1590/1413-812320212610.11352021

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This article analyzes cervical cancer control policies and actions in Brazil and Chile, focusing on prevention and screening. We adopted a comparative approach to identify similarities and differences in guidelines and cervical cancer prevention and screening strategies between the two countries. We used the following data collection techniques: analysis of official documents and secondary data, consultations with experts, government officials and program coordinators, and literature review. The findings show that Chile has a well-structured program with centralized decision-making and a system that permits monitoring of actions. Brazil on the other hand faces ongoing issues with lack of coordination and shortcomings in the follow-up of women with abnormal test results. The following challenges to consolidating cervical cancer screening stand out in Brazil: lack of active tracking of the target population; absence of a test quality assurance system; and inadequate follow-up of women with abnormal test results. Both countries need to increase coverage and implement organized screening.

【 授权许可】

CC BY