0178/2021 - DIRETRIZES, ESTRATÉGIAS DE PREVENÇÃO E RASTREAMENTO DO CÂNCER DO COLO DO ÚTERO: AS EXPERIÊNCIAS DO BRASIL E DO CHILE GUIDELINES, STRATEGIES OF PREVENTION AND SCREENING FOR CERVICAL CANCER: THE EXPERIENCES OF BRAZIL AND CHILE
Este artigo analisa as políticas e ações de controle do câncer do colo do útero no Brasil e no Chile, com foco na prevenção e no rastreamento. Adotou-se a abordagem comparativa, buscando identificar semelhanças e diferenças entre as diretrizes e as estratégias de prevenção e rastreamento do câncer do colo do útero entre os países. A pesquisa compreendeu revisão bibliográfica, análise documental e de dados secundários e consultas a especialistas, técnicos e dirigentes do programa. Em que pesem as diferenças nas estratégias de rastreamento do câncer do colo do útero, o Chile possui um programa bem estruturado, com concentração de decisões no nível nacional e um sistema que permite o monitoramento das ações. O Brasil, enfrenta recorrentes problemas relacionados à falta de uma coordenação das ações e falhas no segmento das mulheres com exames alterados. As principais dificuldades para a consolidação de programas de rastreamento do câncer do colo do útero (não realização da busca ativa da população em risco, ausência de sistema de controle de qualidade dos exames e seguimento inadequado de mulheres com resultados alterados) são mais evidentes no Brasil. Em ambos os países há necessidade de aumento da cobertura e implantação do rastreamento organizado.
Palavras-chave:
Neoplasias do Colo do Útero, Programas de Rastreamento, Política Pública, Sistemas de Saúde, Brasil, Chile.
Abstract:
This article analyzes cervical cancer control policies and actions in Brazil and Chile, with a focus on prevention and screening. The comparative approach was adopted, seeking to identify similarities and differences between the guidelines and strategies for the prevention and screening of cervical cancer between the two countries. The research included bibliographic review, documentary and secondary data analysis and consultations with specialists, technicians and program managers in 2019. Despite the differences in cervical cancer screening strategies, Chile has a well-structured program, with concentration of decisions at the national level and a system that allows monitoring of actions. Brazil faces recurrent problems related to the lack of coordination of actions and failures in the segment of women with altered exams. The main difficulties for the consolidation of cervical cancer screening programs (failure to actively search for the population at risk, absence of a quality control system for exams and inadequate follow-up of women with altered results) are more evident in Brazil . In both countries there is need to increase the coverage and implementation of organized screening.
Keywords:
Cervical Neoplasms, Screening, Public policy, Health Systems, Brazil, Chile.
GUIDELINES, STRATEGIES OF PREVENTION AND SCREENING FOR CERVICAL CANCER: THE EXPERIENCES OF BRAZIL AND CHILE
Resumo (abstract):
This article analyzes cervical cancer control policies and actions in Brazil and Chile, with a focus on prevention and screening. The comparative approach was adopted, seeking to identify similarities and differences between the guidelines and strategies for the prevention and screening of cervical cancer between the two countries. The research included bibliographic review, documentary and secondary data analysis and consultations with specialists, technicians and program managers in 2019. Despite the differences in cervical cancer screening strategies, Chile has a well-structured program, with concentration of decisions at the national level and a system that allows monitoring of actions. Brazil faces recurrent problems related to the lack of coordination of actions and failures in the segment of women with altered exams. The main difficulties for the consolidation of cervical cancer screening programs (failure to actively search for the population at risk, absence of a quality control system for exams and inadequate follow-up of women with altered results) are more evident in Brazil . In both countries there is need to increase the coverage and implementation of organized screening.
Palavras-chave (keywords):
Cervical Neoplasms, Screening, Public policy, Health Systems, Brazil, Chile.
Claro, I. B., de Lima, L. D., Almeida, P. F.. DIRETRIZES, ESTRATÉGIAS DE PREVENÇÃO E RASTREAMENTO DO CÂNCER DO COLO DO ÚTERO: AS EXPERIÊNCIAS DO BRASIL E DO CHILE. Cien Saude Colet [periódico na internet] (2021/mai). [Citado em 19/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/diretrizes-estrategias-de-prevencao-e-rastreamento-do-cancer-do-colo-do-utero-as-experiencias-do-brasil-e-do-chile/18077?id=18077&id=18077
