Claro Itamar Bento, Lima Luciana Dias de, Almeida Patty Fidelis de
Instituto Nacional de Câncer José Alencar Gomes da Silva. Rua Marquês de Pombal 125 7º andar, Centro. 20230-240 Rio de Janeiro RJ Brasil.
Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2021 Oct;26(10):4497-4509. doi: 10.1590/1413-812320212610.11352021. Epub 2021 May 27.
This article analyzes cervical cancer control policies and actions in Brazil and Chile, focusing on prevention and screening. We adopted a comparative approach to identify similarities and differences in guidelines and cervical cancer prevention and screening strategies between the two countries. We used the following data collection techniques: analysis of official documents and secondary data, consultations with experts, government officials and program coordinators, and literature review. The findings show that Chile has a well-structured program with centralized decision-making and a system that permits monitoring of actions. Brazil on the other hand faces ongoing issues with lack of coordination and shortcomings in the follow-up of women with abnormal test results. The following challenges to consolidating cervical cancer screening stand out in Brazil: lack of active tracking of the target population; absence of a test quality assurance system; and inadequate follow-up of women with abnormal test results. Both countries need to increase coverage and implement organized screening.
本文分析了巴西和智利的宫颈癌防控政策与行动，重点关注预防和筛查。我们采用比较方法来识别两国在指南以及宫颈癌预防和筛查策略方面的异同。我们使用了以下数据收集技术：分析官方文件和二手数据、咨询专家、政府官员和项目协调员以及文献综述。研究结果表明，智利有一个结构完善的项目，具备集中决策以及允许对行动进行监测的系统。另一方面，巴西面临着持续存在的协调问题以及对检测结果异常的女性后续跟进不足的问题。在巴西，巩固宫颈癌筛查面临以下突出挑战：缺乏对目标人群的积极追踪；缺乏检测质量保证体系；以及对检测结果异常的女性后续跟进不足。两国都需要提高覆盖率并实施有组织的筛查。
