Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, Brazil

Detalhes bibliográficos
Autor(a) principal: Zeferino, Luiz Carlos
Data de Publicação: 2006
Outros Autores: Pinotti, José A., Jorge, Jessé P. Neves, Westin, Maria Cristina A., Tambascia, Julia K., Montemor, Eliana B. L.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2850
Resumo: Cervical cancer screening remains a challenge in developing countries due to a complex array of problems. This paper aimed to describe the experience with organization of cervical cancer screening in three districts of Campinas and the surrounding region in São Paulo State, Brazil, and to report the resulting data. The program was organized in a pyramid format, and the health care hierarchy was defined according to the complexity and total number of medical procedures. Screening has been extended currently to 88 municipalities, of which 51 are equipped with colposcopy and eight have facilities for treating advanced cervical cancer. The standardized incidence rate for cervical cancer in Campinas was 14.2/100,000 women per year in 1993-1995, and the standardized mortality rate per district ranged from 2.7 to 3.0 per 100,000 women in 1997-1998. This project has clearly shown that hierarchical and decentralized organization of health procedures is a necessary condition for achieving the goals of an effective cervical cancer screening program.
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spelling Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, BrazilCervix NeoplamsCytologyPapanicolaou SmearMortalityHealth ServicesCervical cancer screening remains a challenge in developing countries due to a complex array of problems. This paper aimed to describe the experience with organization of cervical cancer screening in three districts of Campinas and the surrounding region in São Paulo State, Brazil, and to report the resulting data. The program was organized in a pyramid format, and the health care hierarchy was defined according to the complexity and total number of medical procedures. Screening has been extended currently to 88 municipalities, of which 51 are equipped with colposcopy and eight have facilities for treating advanced cervical cancer. The standardized incidence rate for cervical cancer in Campinas was 14.2/100,000 women per year in 1993-1995, and the standardized mortality rate per district ranged from 2.7 to 3.0 per 100,000 women in 1997-1998. This project has clearly shown that hierarchical and decentralized organization of health procedures is a necessary condition for achieving the goals of an effective cervical cancer screening program.O programa de rastreamento do câncer do colo uterino ainda é um desafio para os países em desenvolvimento devido a uma série complexa de problemas. Este estudo objetivou descrever a experiência adquirida com a organização e mostrar alguns dados sobre o rastreamento deste câncer em três distritos de Campinas e região, São Paulo, Brasil. A hierarquia das ações de saúde foi estabelecida de acordo com a complexidade dos procedimentos e do total destes procedimentos que precisavam ser realizados. Atualmente, o rastreamento se estende a 88 municípios, dos quais 51 realizam colposcopia e oito têm serviços para tratar câncer avançado do colo uterino. A taxa de incidência ajustada em Campinas foi de 14,2/100 mil mulheres por ano em 1993-1995, e a taxa de mortalidade ajustada por distrito variou entre 2,7 e 3,0 por 100 mil mulheres em 1997-1998. De acordo com a experiência adquirida, a organização hierárquica e descentralizada dos procedimentos constituiu-se como condição necessária para alcançar alguns dos objetivos do rastreamento do câncer do colo uterino.Reports in Public HealthCadernos de Saúde Pública2006-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2850Reports in Public Health; Vol. 22 No. 9 (2006): SeptemberCadernos de Saúde Pública; v. 22 n. 9 (2006): Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2850/5740https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2850/5741Zeferino, Luiz CarlosPinotti, José A.Jorge, Jessé P. NevesWestin, Maria Cristina A.Tambascia, Julia K.Montemor, Eliana B. L.info:eu-repo/semantics/openAccess2024-03-06T15:27:16Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2850Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:03:18.617017Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, Brazil
title Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, Brazil
spellingShingle Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, Brazil
Zeferino, Luiz Carlos
Cervix Neoplams
Cytology
Papanicolaou Smear
Mortality
Health Services
title_short Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, Brazil
title_full Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, Brazil
title_fullStr Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, Brazil
title_full_unstemmed Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, Brazil
title_sort Organization of cervical cancer screening in Campinas and surrounding region, São Paulo State, Brazil
author Zeferino, Luiz Carlos
author_facet Zeferino, Luiz Carlos
Pinotti, José A.
Jorge, Jessé P. Neves
Westin, Maria Cristina A.
Tambascia, Julia K.
Montemor, Eliana B. L.
author_role author
author2 Pinotti, José A.
Jorge, Jessé P. Neves
Westin, Maria Cristina A.
Tambascia, Julia K.
Montemor, Eliana B. L.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Zeferino, Luiz Carlos
Pinotti, José A.
Jorge, Jessé P. Neves
Westin, Maria Cristina A.
Tambascia, Julia K.
Montemor, Eliana B. L.
dc.subject.por.fl_str_mv Cervix Neoplams
Cytology
Papanicolaou Smear
Mortality
Health Services
topic Cervix Neoplams
Cytology
Papanicolaou Smear
Mortality
Health Services
description Cervical cancer screening remains a challenge in developing countries due to a complex array of problems. This paper aimed to describe the experience with organization of cervical cancer screening in three districts of Campinas and the surrounding region in São Paulo State, Brazil, and to report the resulting data. The program was organized in a pyramid format, and the health care hierarchy was defined according to the complexity and total number of medical procedures. Screening has been extended currently to 88 municipalities, of which 51 are equipped with colposcopy and eight have facilities for treating advanced cervical cancer. The standardized incidence rate for cervical cancer in Campinas was 14.2/100,000 women per year in 1993-1995, and the standardized mortality rate per district ranged from 2.7 to 3.0 per 100,000 women in 1997-1998. This project has clearly shown that hierarchical and decentralized organization of health procedures is a necessary condition for achieving the goals of an effective cervical cancer screening program.
publishDate 2006
dc.date.none.fl_str_mv 2006-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2850
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2850
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2850/5740
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2850/5741
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 22 No. 9 (2006): September
Cadernos de Saúde Pública; v. 22 n. 9 (2006): Setembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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