O rastreamento do câncer de colo de útero no contexto da expansão da Estratégia de Saúde da Família no município do Rio de Janeiro

Abstract

The present study seeks to correlate the screening of cervical cancer through the number of collections of preventive cytopathological exams of cervical cancer with the expansion of Primary Care in the Municipality of Rio de Janeiro. It was possible to notice that due to the increase in investment in the expansion of teams and coverage of primary care in the city of Rio de Janeiro, there was a correlation with the increase in exams in the period from 2008 to 2016. In contrast, in the period of 2016 there was a reduction in exams, in the same period that there were staff cuts, strikes and later the pandemic. Some factors that may interfere with the non-achievement of the recommended indicator in the city of Rio de Janeiro were suggested, such as the need for qualification of professionals in the collection of exams, qualification of laboratories that analyze the exams, improvement in the recording of this information in electronic medical records. Still needing expansion of access, completeness of teams, reduction of vacancies. Concluding that in fact there was a correlation with the increase in exams during the period of expansion of the ESF in the Municipality of Rio de Janeiro, however, so new quantitative research is necessary on the comparison of the number of exams that are actually collected by professionals of the units and the numbers available on the data platforms of the Ministry of Health, as well as identifying possible reasons for the users not performing this test.