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- Title
Enfoque estratégico-situacional para o rastreamento do câncer do colo do útero: um relato de experiência.
- Authors
SilvaNeves, Felipe; Atala LombeloCampos, Angélica; Alves de Moura, Denise Cristina; de Castro Dias Duque, Kristiane; Azevedo e., Gulnar; RibeiroGuerra, Maximiliano; Bustamante-Teixeira, Maria Teresa
- Abstract
Objective: To describe the experience of the strategic-situational planning for cervical cancer screening in a cohort study. Methods: The description of this experience concerns the second phase of a cohort study, conducted in the period of 2015-2016. The first phase of the study was conducted in 2010-2012, comprising 778 women, aged 20-59, residing in areas covered by two Primary Health Care Units (PHCU). To re-evaluate the participants, we adopted a strategic-situational planning, with four steps: explanatory (conduced a diagnosis of the PHCU service); normative (defined the objectives to be achieved and formulated for interventions); strategy (outlining feasibility mechanisms); and tactical-operational (pre-established tasks were executed, monitored and evaluated). In the end of the second phase of the cohort, after educational practices for health promotion -- with orientations about the relevance of Papanicolaou test -- and also after the elimination of access barriers to gynecological appointments, 479 women were evaluated (out of a total of 535 eligible women). Therefore, the rate of adhesion was 89.5%. Conclusion: Just a small proportion of the eligible women was resistant to new uptake. The strategic-situational planning was considered elementary for the systematization of cervical cancer screening process. The recognition of the importance of all health professionals contributed to the planning and represented the key point in making decisions and in the delimitation of strategies.
- Subjects
BRAZIL; STRATEGIC planning; EARLY detection of cancer; PAP test; PRIMARY health care; DESCRIPTIVE statistics; CERVIX uteri tumors; LONGITUDINAL method; HEALTH promotion
- Publication
Revista de Atencao Primaria a Saude, 2020, Vol 23, Issue 1, p195
- ISSN
1516-7704
- Publication type
Article
- DOI
10.34019/1809-8363.2020.v23.25995