AVALIAÇÃO DE UM PROGRAMA DE RASTREAMENTO MÓVEL DO CÂNCER DO COLO DO ÚTERO EM SÃO LUÍS, MA: IMPACTO E DESAFIOS PARA O RASTREAMENTO EFICIENTE.

Detalhes bibliográficos
Autor(a) principal: LEAL, Rachel Jorge Dino Cossetti
Data de Publicação: 2019
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFMA
Texto Completo: https://tedebc.ufma.br/jspui/handle/tede/tede/2944
Resumo: Cervical cancer (CC) is the most frequent cause of cancer and cancer-related mortality in women in Maranhão. The Brazilian national screening program recommends cervical cytology (Pap test) every three years in women 25 to 64 years of age who have initiated sexual activity. This was a prospective, intervention-based, analytic study to evaluate a CC screening program through a mobile screening unit (MSU), in several communities in São Luís, from April to August/2018. Women were invited for CC screening. Screening test were carried out and their results were returned on the scheduled date, along with information about the need for complementary tests. Quality control and monitoring was carried out. A structured questionaire was applied. 960 appointments were carried out in 15 communities, and 545 women aswered the questionare. Median age was 43 years (34 – 52), with 88,2% of women in the recommended target age. Socioeconomic charachteristics: 47,3% completed high school education, 37,8% were housewives, 16,1% were unemployed, 56,3% were married/in a stable union, and 59,8% had a monthly familiy income of up to 1 minimum wage. About undergoing Pap test and related difficulties: 94,1% underwent at least one previous test, 78,2% had a test within the past three years, 48,4% referred to dificculties to schedule the test, 23,3% time constraints, 11,2% being ashamed shame, and 10,4% financial restrains. The mobile screening unit (MSU) strategy enabled overcoming the geographic barrier to screening through facilitated access to a test with quality control within the national guidelines recommendations and retrieval of results within a reasonable timeframe accompanied by trained health professional guidance. The most importante barriers to efficient screening were the non-organized process of invitation of the target population, unavailability of the MSU to perform tests on an alternative date and the follow-up tests following the screening guidelines recommended intervals, failure to follow-up positive cases, with difficulty to assure reference to secondary units capable of performing additional investigation. Incorporation of low-cost technology for more rigorous follow-up of screening flow, results and propaedeutics could improved management and effectiveness of CC screening.
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spelling BRITO, Luciane Maria Oliveira406507http://lattes.cnpq.br/0446524487971854CHEIN, Maria Bethânia da Costa407661http://lattes.cnpq.br/6140088004101694BRITO, Luciane Maria Oliveira406507http://lattes.cnpq.br/0446524487971854NOGUEIRA NETO, Joãohttp://lattes.cnpq.br/5470784242102943PACHECO, Marcos Antônio Barbosahttp://lattes.cnpq.br/2293822271258933BRITO, Haissa Oliveirahttp://lattes.cnpq.br/2303050934162020006.506.563-85http://lattes.cnpq.br/0598135606543184LEAL, Rachel Jorge Dino Cossetti2019-12-17T19:41:15Z2019-06-05LEAL, Rachel Jorge Dino Cossetti. Avaliação de um programa de rastreamento móvel do câncer do colo do útero em São Luís, MA: Impacto e desafios para o rastreamento eficiente.. 2019. 81 folhas. Dissertação( Programa de Pós-Graduação em Rede em Saúde da Família/CCBS) - Universidade Federal do Maranhão, São Luís, 2019.https://tedebc.ufma.br/jspui/handle/tede/tede/2944Cervical cancer (CC) is the most frequent cause of cancer and cancer-related mortality in women in Maranhão. The Brazilian national screening program recommends cervical cytology (Pap test) every three years in women 25 to 64 years of age who have initiated sexual activity. This was a prospective, intervention-based, analytic study to evaluate a CC screening program through a mobile screening unit (MSU), in several communities in São Luís, from April to August/2018. Women were invited for CC screening. Screening test were carried out and their results were returned on the scheduled date, along with information about the need for complementary tests. Quality control and monitoring was carried out. A structured questionaire was applied. 960 appointments were carried out in 15 communities, and 545 women aswered the questionare. Median age was 43 years (34 – 52), with 88,2% of women in the recommended target age. Socioeconomic charachteristics: 47,3% completed high school education, 37,8% were housewives, 16,1% were unemployed, 56,3% were married/in a stable union, and 59,8% had a monthly familiy income of up to 1 minimum wage. About undergoing Pap test and related difficulties: 94,1% underwent at least one previous test, 78,2% had a test within the past three years, 48,4% referred to dificculties to schedule the test, 23,3% time constraints, 11,2% being ashamed shame, and 10,4% financial restrains. The mobile screening unit (MSU) strategy enabled overcoming the geographic barrier to screening through facilitated access to a test with quality control within the national guidelines recommendations and retrieval of results within a reasonable timeframe accompanied by trained health professional guidance. The most importante barriers to efficient screening were the non-organized process of invitation of the target population, unavailability of the MSU to perform tests on an alternative date and the follow-up tests following the screening guidelines recommended intervals, failure to follow-up positive cases, with difficulty to assure reference to secondary units capable of performing additional investigation. Incorporation of low-cost technology for more rigorous follow-up of screening flow, results and propaedeutics could improved management and effectiveness of CC screening.O câncer do colo do útero ou câncer cervical (CC) é a primeira causa de câncer e morte por câncer nas mulheres maranhenses. O programa brasileiro de rastreamento do CC recomenda a realização da citologia oncótica (CO) cervical a cada 3 anos em mulheres de 25 a 64 anos que iniciaram atividade sexual. Esse foi um estudo de intervenção, prospectivo, analítico para a avaliação de um programa de rastreamento do CC através de uma unidade móvel de rastreamento (UMR) em diferentes comunidades da ilha de São Luís no período de abril a agosto/2018. As mulheres foram convocadas para realização da citologia cervical. Os exames foram realizados e os resultados foram entregues nas datas programadas, recebendo orientação e encaminhamento para realização de exame complementar quando necessário. Foi realizado o controle de qualidade e monitorização dos resultados dos exames. Foi aplicado questionário estruturado. Foram realizados 960 atendimentos em 15 comunidades, com 545 mulheres entrevistadas. A mediana de idade foi de 43 anos (34 – 52), sendo 88,2% dentro da faixa etária recomendada. Características socioeconomicas: 47,3% de escolaridade com segundo grau completo, 37,8% eram donas de casa, 16,1% estavam desempregadas, 56,3% eram casadas/união estável e 59,8% tinham renda familiar de até 1sm. Sobre a CO e dificuldades para sua realização: 94,1% fez pelo menos um exame na vida, 78,2% fez um exame nos últimos 3 anos, 48,4% referiu dificuldade para agendamento, 23,3% falta de tempo, 11,2% vergonha, 10,4% falta de dinheiro. A utilização de UMR possibilitou a superação da barreira geográfica para realização da CO, com facilidade no acesso ao exame com padrão de qualidade dentro das diretrizes nacionais, entrega de resultados em tempo hábil e orientação por profissional de saúde treinado. As principais barreiras encontradas ao rastreamento eficiente foram o processo não sistemático de convocação das mulheres, indisponibilidade da UMR para realização da CO em data alternativa e exames subsequentes conforme intervalo recomendado, falhas no acompanhamento dos casos positivos com dificuldades no encaminhamento para unidades habilitadas. A incorporação de tecnologias de baixo custo para melhoria do acompanhamento dos fluxos de rastreamento, resultados e propedêutica pode aprimorar a gestão e efetividade do rastreamento do CC.Submitted by Maria Aparecida (cidazen@gmail.com) on 2019-12-17T19:41:14Z No. of bitstreams: 1 Rachel Jorge Dino.pdf: 924985 bytes, checksum: 7bfa5b50fcd7ae377e63de5a6452473c (MD5)Made available in DSpace on 2019-12-17T19:41:15Z (GMT). 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dc.title.por.fl_str_mv AVALIAÇÃO DE UM PROGRAMA DE RASTREAMENTO MÓVEL DO CÂNCER DO COLO DO ÚTERO EM SÃO LUÍS, MA: IMPACTO E DESAFIOS PARA O RASTREAMENTO EFICIENTE.
dc.title.alternative.eng.fl_str_mv EVALUATION OF A MOBILE TRACKING PROGRAM OF CERVICAL CANCER IN SÃO LUÍS, MA: IMPACT AND CHALLENGES FOR EFFECTIVE SCREENING.
title AVALIAÇÃO DE UM PROGRAMA DE RASTREAMENTO MÓVEL DO CÂNCER DO COLO DO ÚTERO EM SÃO LUÍS, MA: IMPACTO E DESAFIOS PARA O RASTREAMENTO EFICIENTE.
spellingShingle AVALIAÇÃO DE UM PROGRAMA DE RASTREAMENTO MÓVEL DO CÂNCER DO COLO DO ÚTERO EM SÃO LUÍS, MA: IMPACTO E DESAFIOS PARA O RASTREAMENTO EFICIENTE.
LEAL, Rachel Jorge Dino Cossetti
Câncer do colo do útero;
Rastreamento;
Citologia cervical
Cervical câncer;
Screening;
Cervical cytology
Saúde Publica
title_short AVALIAÇÃO DE UM PROGRAMA DE RASTREAMENTO MÓVEL DO CÂNCER DO COLO DO ÚTERO EM SÃO LUÍS, MA: IMPACTO E DESAFIOS PARA O RASTREAMENTO EFICIENTE.
title_full AVALIAÇÃO DE UM PROGRAMA DE RASTREAMENTO MÓVEL DO CÂNCER DO COLO DO ÚTERO EM SÃO LUÍS, MA: IMPACTO E DESAFIOS PARA O RASTREAMENTO EFICIENTE.
title_fullStr AVALIAÇÃO DE UM PROGRAMA DE RASTREAMENTO MÓVEL DO CÂNCER DO COLO DO ÚTERO EM SÃO LUÍS, MA: IMPACTO E DESAFIOS PARA O RASTREAMENTO EFICIENTE.
title_full_unstemmed AVALIAÇÃO DE UM PROGRAMA DE RASTREAMENTO MÓVEL DO CÂNCER DO COLO DO ÚTERO EM SÃO LUÍS, MA: IMPACTO E DESAFIOS PARA O RASTREAMENTO EFICIENTE.
title_sort AVALIAÇÃO DE UM PROGRAMA DE RASTREAMENTO MÓVEL DO CÂNCER DO COLO DO ÚTERO EM SÃO LUÍS, MA: IMPACTO E DESAFIOS PARA O RASTREAMENTO EFICIENTE.
author LEAL, Rachel Jorge Dino Cossetti
author_facet LEAL, Rachel Jorge Dino Cossetti
author_role author
dc.contributor.advisor1.fl_str_mv BRITO, Luciane Maria Oliveira
dc.contributor.advisor1ID.fl_str_mv 406507
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/0446524487971854
dc.contributor.advisor-co1.fl_str_mv CHEIN, Maria Bethânia da Costa
dc.contributor.advisor-co1ID.fl_str_mv 407661
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/6140088004101694
dc.contributor.referee1.fl_str_mv BRITO, Luciane Maria Oliveira
dc.contributor.referee1ID.fl_str_mv 406507
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/0446524487971854
dc.contributor.referee2.fl_str_mv NOGUEIRA NETO, João
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/5470784242102943
dc.contributor.referee3.fl_str_mv PACHECO, Marcos Antônio Barbosa
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/2293822271258933
dc.contributor.referee4.fl_str_mv BRITO, Haissa Oliveira
dc.contributor.referee4Lattes.fl_str_mv http://lattes.cnpq.br/2303050934162020
dc.contributor.authorID.fl_str_mv 006.506.563-85
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0598135606543184
dc.contributor.author.fl_str_mv LEAL, Rachel Jorge Dino Cossetti
contributor_str_mv BRITO, Luciane Maria Oliveira
CHEIN, Maria Bethânia da Costa
BRITO, Luciane Maria Oliveira
NOGUEIRA NETO, João
PACHECO, Marcos Antônio Barbosa
BRITO, Haissa Oliveira
dc.subject.por.fl_str_mv Câncer do colo do útero;
Rastreamento;
Citologia cervical
topic Câncer do colo do útero;
Rastreamento;
Citologia cervical
Cervical câncer;
Screening;
Cervical cytology
Saúde Publica
dc.subject.eng.fl_str_mv Cervical câncer;
Screening;
Cervical cytology
dc.subject.cnpq.fl_str_mv Saúde Publica
description Cervical cancer (CC) is the most frequent cause of cancer and cancer-related mortality in women in Maranhão. The Brazilian national screening program recommends cervical cytology (Pap test) every three years in women 25 to 64 years of age who have initiated sexual activity. This was a prospective, intervention-based, analytic study to evaluate a CC screening program through a mobile screening unit (MSU), in several communities in São Luís, from April to August/2018. Women were invited for CC screening. Screening test were carried out and their results were returned on the scheduled date, along with information about the need for complementary tests. Quality control and monitoring was carried out. A structured questionaire was applied. 960 appointments were carried out in 15 communities, and 545 women aswered the questionare. Median age was 43 years (34 – 52), with 88,2% of women in the recommended target age. Socioeconomic charachteristics: 47,3% completed high school education, 37,8% were housewives, 16,1% were unemployed, 56,3% were married/in a stable union, and 59,8% had a monthly familiy income of up to 1 minimum wage. About undergoing Pap test and related difficulties: 94,1% underwent at least one previous test, 78,2% had a test within the past three years, 48,4% referred to dificculties to schedule the test, 23,3% time constraints, 11,2% being ashamed shame, and 10,4% financial restrains. The mobile screening unit (MSU) strategy enabled overcoming the geographic barrier to screening through facilitated access to a test with quality control within the national guidelines recommendations and retrieval of results within a reasonable timeframe accompanied by trained health professional guidance. The most importante barriers to efficient screening were the non-organized process of invitation of the target population, unavailability of the MSU to perform tests on an alternative date and the follow-up tests following the screening guidelines recommended intervals, failure to follow-up positive cases, with difficulty to assure reference to secondary units capable of performing additional investigation. Incorporation of low-cost technology for more rigorous follow-up of screening flow, results and propaedeutics could improved management and effectiveness of CC screening.
publishDate 2019
dc.date.accessioned.fl_str_mv 2019-12-17T19:41:15Z
dc.date.issued.fl_str_mv 2019-06-05
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dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
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dc.identifier.citation.fl_str_mv LEAL, Rachel Jorge Dino Cossetti. Avaliação de um programa de rastreamento móvel do câncer do colo do útero em São Luís, MA: Impacto e desafios para o rastreamento eficiente.. 2019. 81 folhas. Dissertação( Programa de Pós-Graduação em Rede em Saúde da Família/CCBS) - Universidade Federal do Maranhão, São Luís, 2019.
dc.identifier.uri.fl_str_mv https://tedebc.ufma.br/jspui/handle/tede/tede/2944
identifier_str_mv LEAL, Rachel Jorge Dino Cossetti. Avaliação de um programa de rastreamento móvel do câncer do colo do útero em São Luís, MA: Impacto e desafios para o rastreamento eficiente.. 2019. 81 folhas. Dissertação( Programa de Pós-Graduação em Rede em Saúde da Família/CCBS) - Universidade Federal do Maranhão, São Luís, 2019.
url https://tedebc.ufma.br/jspui/handle/tede/tede/2944
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dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv COORDENAÇÃO DO CURSO DE MEDICINA/CCBS
publisher.none.fl_str_mv Universidade Federal do Maranhão
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