Assessment of Cervical Cancer Early Detection Program in Consolacion del Sur municipality

Authors

  • Maricel Ramírez Valle Licenciada en Enfermería. Máster en Atención Integral a la Mujer. Instructora. Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río.
  • José Guillermo Sanabria Negrín Especialista de segundo grado en Histología. Doctor en Ciencias Biológicas. Profesor Auxiliar. Universidad de Ciencias Médicas. Pinar del Río.
  • Víctor Enríque Salgueiro Medina Especialista de segundo grado en Ginecología y Obstetricia. Máster en Atención Integral a la Mujer. Profesor Auxiliar. Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río.

Keywords:

Cytodiagnosis, Health care, Uterine cervical neoplasm/diagnosis, National health programs.

Abstract

Introduction: the assessment of Cervical Cancer Early Detection Program should be carried out frequently to solve current difficulties.
Objective: to assess the development and quality of Cervical Cancer Early Detection Program in Consolacion del Sur during 2005-2007.
Material and Method: an observational, retrospective and cross-sectional study with analytical components was conducted. The target group involved (N=34570 women from ≥ 15 years old). The sampling frame was comprised of 22233 women from 25-59 years old (included into Cervical Cancer Early Detection Program). Annual incidence of lesions and the age of onset were calculated. Quality of cytological diagnosis was also assessed by means of performance tests. Chi-squared distribution (χ²), Cohen’s kappa concordance analysis and Pearson’s correlation coefficient were used.
Results: low-continuous coverage with variations in the different health areas of the municipality was observed, despite the fact that cytological diagnosis is inserted into the international standards with a sensitivity of more than 60% and a global efficacy of more than 70%, the annual incidence of low-degree lesions doubled at the end of the period, but those having high-degree were stable. Invasive carcinomas were present, though scarcely.
Conclusion: Cervical Cancer Early Detection Program showed achievements in Consolacion del Sur, but deficiencies in both Primary and Secondary Health Care are still present.

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Published

2013-02-08

How to Cite

1.
Ramírez Valle M, Sanabria Negrín JG, Salgueiro Medina VE. Assessment of Cervical Cancer Early Detection Program in Consolacion del Sur municipality. Rev Ciencias Médicas [Internet]. 2013 Feb. 8 [cited 2025 Aug. 30];17(1):36-48. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/532

Issue

Vol. 17 No. 1 (2013)

Section

ORIGINAL ARTICLES

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