Fatores interferentes nas estratégias de controle do câncer do colo do útero com ênfase na infecção pelo HPV

Abstract

Cervical cancer is one of the serious health public problems in the world and in Brazil. Papanicolau test and health education strategies are tactics to the success of the program for prevention of cervical cancer in public health services. A cross-sectional analytical study aiming to identify and discuss interfering factors in strategies to control cervical cancer , with emphasis on HPV infection , from the perspective of program clients. The study population was formed by 858 women who were attended in public health facilities in two Family Health strategies and three basic Health Units , one of them is the Health Center School, in the city of Belém / PA . Data were collected by means of interviews. Among the factors that affect negatively strategies effectiveness of the respective program are included: client’s profile in age, educational level and family income; service characteristics and program demand type; women knowledge about uterine cervical cancer, cervical intraepithelial neoplasia, HPV virus and anti - hpv vaccine and the use of educational practices by Health Units in this study. It is concluded that interventions in public health organization services can contribute to the effectiveness of these strategies, such as efficient supervision to improve women access in the age groups which most infections prevail by HPV virus and women who delay the annual Pap smear exam. As well as the establishment of educational practices as a permanent organizational resource to raise the level of women knowledge about cervical cancer and HPV virus, Moreover taking effective monitoring of women under annual checkup. After all, get organizational tools in important primary and secondary prevention perspectives for the control of cervical cancer and HPV virus.