Rastreamento do câncer do colo do útero e de mama na atenção básica do município de Santarém, Pará

Abstract

In Brazil, neoplasias contribute to the female mortality rate, with cervical and breast cancer being the main diseases that affect this population. The prevention and screening of cervical and breast cancer by Primary Care is a particularly relevant issue in reducing female mortality. The objective of the study was to evaluate the cervical and breast cancer screening in the primary care of the city of Santarém, from the perspective of the users and the organization of the service by health professionals. This is a quantitative and exploratory research, based on secondary data from the National Program for Improving Access and Quality of Basic Care (PMAQ AB), which evaluated 16 teams from AB and 40 users from the health centers of the city of Santarém, in the year of 2012. The findings show a balance between positive and negative results, both in the perception of health teams and users. Among the positive points, it is observed that 100% of the teams interviewed carry out the preventive examination of cervical cancer, which gives quality to the tracing. In addition, most users receive some kind of guidance from the health professional, about the importance of the preventive exam and its periodicity. However, more than half of the primary health care teams do not have the registration of women with delayed collection of cytopathological examination, which may impair the quality of follow-up. Regarding the screening of breast cancer, it is noted that 50% of the women, when they access the primary care service, do not receive clinical examination in the breasts by a health professional during the consultations. In summary, advances are noticeable, but there are still aspects that need improvement in women's health care in the municipality of Santarém, when it comes to the prevention and screening of cervical and breast cancer in primary care, in order to promote the reduction of female morbidity and mortality in Santarém.