Abstract
Objective : to understand how is the access to the public health service users in the Papanicolaou Test. Methods : qualitative study, with 52 women who have changes in the Pap smear exam, questioning the exam achievement frequency and the difficulties of its access and the consultations. It was developed a thematic analysis based on the Fekete accessibility reference. Results : three categories emerged: access to information on the frequency of Pap smears, highlighting the completion of the examination linked only to the professional application; access to Pap smears, in which most women do not have difficulty; access to a return visit, showing the difficulty of women getting back into service after the exam. Conclusion : most women have easy access to the Pap smear. However, there are limitations on the return visit, hindering to establish immediate actions to the beginning of treatment.
Highlights
Between 1980 and 2010, the number of cases of cervical cancer in the world increased by 0.6% per year and the number of deaths caused by it grew by 0.4% per year, driven by increasing and aging populations, respectively(1)
Study of qualitative developed with women who had a Pap smear test in January 2010 to July 2011 on the public health service of the city of Rio Grande/ RS
Having the data from the interviews, it was sought to search of regularity and similarity and three categories emerged: access to information on the frequency of Pap smear, Pap test access and access to a return visit
Summary
Between 1980 and 2010, the number of cases of cervical cancer in the world increased by 0.6% per year and the number of deaths caused by it grew by 0.4% per year, driven by increasing and aging populations, respectively(1).The discussion of this subject is necessary for view of the fact that this cancer is more common in the North (23.5/100,000), the second most frequent in the Midwest (22.1/100,000) and northeast (18.7/100,000), the fourth in the Southeast (10.1/100,000) and the fifth most common in the South (15.8/100,000), taking years to develop. Between 1980 and 2010, the number of cases of cervical cancer in the world increased by 0.6% per year and the number of deaths caused by it grew by 0.4% per year, driven by increasing and aging populations, respectively(1). In an investigation in northern Paraná, with women who had Pap by the Unified Health System, low test coverage has been checked, and in 2006, the coverage was 7.6% among women aged 25-59 years old(3). It is not just only provide the cytopathology in the basic units; it is necessary to encourage women for their achievement. Despite the strategies used in prevention programs, they especially come up against, in the absence of information, leading to delayed diagnosis and increased mortality(4)
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