scholarly journals Percepções de médicos sobre a prevenção do câncer de mama

2019 ◽  
Vol 13 (2) ◽  
pp. 315
Author(s):  
Sílvia Amélia Prado Burgos Madeira Campos ◽  
Camila Aparecida Pinheiro Landim Almeida ◽  
Eliana Campêlo Lago ◽  
Frabício Ibiapina Tapety ◽  
Eucário Leite Monteiro Alves
Keyword(s):  
Public Health ◽  
Breast Cancer ◽  
Family Health ◽  
Diagnostic Methods ◽  
Cáncer De Mama ◽  
Cross Sectional ◽  
Basic Care ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

RESUMO Objetivo: avaliar o conhecimento de médicos da Estratégia de Saúde da Família sobre os métodos de diagnóstico por imagem para a detecção do câncer de mama. Método: trata-se de um estudo qualitativo, descritivo, transversal, fundamentado no Discurso do Sujeito Coletivo, com 19 médicos de equipes de Saúde da Família. Utilizou-se um roteiro semiestruturado para a entrevista e os resultados apresentam-se em quatro temas com suas respectivas ideias centrais e a frequência com que eram citadas, acompanhadas de seus discursos do sujeito coletivo. Resultados: apresentou-se, no estudo, como se configura o conhecimento de profissionais da Estratégia Saúde da Família entrevistados sobre os métodos de diagnóstico por imagem para o câncer de mama. Organizaram-se os resultados em quatro temas com as ideias centrais divididas em: importância para a saúde pública e atenção básica; idade e exames; cuidados; detecção e tipologias. Conclusão: demonstra-se, por meio da evidente capacitação dos profissionais e de suas preocupações salientes nos discursos, que os médicos da Estratégia Saúde da Família apresentam conhecimentos satisfatórios sobre a problemática abordada. Descritores: Mamografia; Diagnóstico; Neoplasias de Mama; Estratégia Saúde da Família; Saúde Pública; Médicos.ABSTRACT Objective: to evaluate the knowledge of physicians of the Family Health Strategy on the methods of diagnostic imaging for the detection of breast cancer. Method: this is a qualitative, descriptive, cross-sectional study, based on the Collective Subject Discourse, with 19 doctors from Family Health teams. A semi-structured script was used for the interview and the results are presented in four themes with their respective central ideas and the frequency with which they were cited, accompanied by their discourses of the collective subject. Results: the study presented how the knowledge of professionals of the Family Health Strategy interviewed about the diagnostic methods for imaging for breast cancer was presented. Results were organized into four themes with central ideas divided into: importance for public health and basic care; age and examinations; care; detection and typologies. Conclusion: it is demonstrated, through the evident qualification of the professionals and their salient concerns in the speeches, that the physicians of the Family Health Strategy present satisfactory knowledge about the problem addressed. Descriptors: Mammography; Diagnosis; Breast Neoplasms; Family Health Strategy; Public Health; Physicians.RESUMENObjetivo: evaluar el conocimiento de médicos de la Estrategia de Salud de la Familia sobre los métodos de diagnóstico por imagen para la detección del cáncer de mama. Método: se trata de un estudio cualitativo, descriptivo, transversal, fundamentado en el Discurso del Sujeto Colectivo, con 19 médicos de equipos de Salud de la Familia. Se utilizó un guion semiestructurado para la entrevista y los resultados se presentan en cuatro temas con sus respectivas ideas centrales y la frecuencia con que eran citadas, acompañadas de sus discursos del sujeto colectivo. Resultados: se presentó, en el estudio, cómo se configura el conocimiento de profesionales de la Estrategia Salud de la Familia entrevistados sobre los métodos de diagnóstico por imagen para el cáncer de mama. Se organizaron los resultados en cuatro temas con las ideas centrales divididas en: importancia para la salud pública y atención básica; edad y exámenes; cuidado; detección y tipologías. Conclusión: se demuestra, por medio de la evidente capacitación de los profesionales y de sus preocupaciones sobresalientes en los discursos, que los médicos de la Estrategia Salud de la Familia presentan conocimientos satisfactorios sobre la problemática abordada. Descriptores: Mamografía; Diagnóstico; Neoplasias de la Mama; Estrategia de Salud Familiar; Salud Pública; Médicos.

scholarly journals Breast cancer: prevention actions in the family health strategy

2014 ◽  
Vol 6 (2) ◽  
pp. 663-675
Author(s):  
Magaly Bushatsky ◽  
Mariana Boulitreau Siqueira Campos Barros ◽  
Luciana da Rocha Cabral ◽  
Juliana da Rocha Cabral ◽  
Jessica Rayanne da Silva Bezerra ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Prevention ◽  
Family Health ◽  
Breast Cancer Prevention ◽  
Cáncer De Mama ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objetivo: Levantar as ações de prevenção ao câncer de mama, segundo os níveis estabelecidos por Leavell & Clarck, na Estratégia Saúde da Família (ESF) de Sirinhaém (PE). Método: Trata-se de estudo quantitativo, desenvolvido com 261 mulheres com idades > 18 anos e cadastradas na ESF. A coleta ocorreu nas 9 unidades de Saúde da Família (USF) do município em questão, de agosto de 2012 a janeiro de 2013, por meio de questionário estruturado. Resultados: Os extremos etários foram 18 e 84 anos. Entre as entrevistadas, 12,6% haviam recebido orientação acerca do tema, 49,4% praticam o autoexame e 13,8% indicaram ter realizado o exame clínico das mamas. Conclusão: Observou-se precariedade em relação às ações de promoção e proteção à saúde e aos serviços de diagnóstico precoce do câncer de mama.

scholarly journals Screening and Brief Intervention for the use of alcohol and other drugs

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2258-2263 ◽  
Author(s):  
Ângela Maria Mendes Abreu ◽  
Rafael Tavares Jomar ◽  
Gunnar Glauco de Cunto Taets ◽  
Maria Helena do Nascimento Souza ◽  
Daiane Belisário Fernandes
Keyword(s):  
Brief Intervention ◽  
Family Health ◽  
Cross Sectional Study ◽  
Screening And Brief Intervention ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Substance Involvement ◽  
Alcohol And Other Drugs

ABSTRACT Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.

scholarly journals Working conditions of nurses in the Family Health Strategy

10.3823/2606 ◽  
2019 ◽  
Vol 12 ◽  
Author(s):  
Lázaro Clarindo Celestino ◽  
Laura Andrian Leal ◽  
Fernanda Ludmilla Rossi Rocha ◽  
Silvia Helena Henriques
Keyword(s):  
Working Conditions ◽  
Family Health ◽  
Working Hours ◽  
Healthy Environment ◽  
Occupational Risks ◽  
Basic Care ◽  
Health Strategy ◽  
Mina Gerais ◽  
The Family ◽  
Family Health Strategy

Background: To describe the working conditions of the nurses of the Family Health Strategy, characterizing the forms and modalities of work contract, types of bond, working hours, benefits, career plan and salaries. Method and Findings: Exploratory qualitative approach study. Participants were 18 nurses from the teams of the Family Health Strategy of a municipality in the countryside of Mina Gerais, Brazil. The data collection took place in July 2018 through interviews, using a script with closed questions. The Ethics Committee of the proposing Institution according to Official Letter 090/2018, CAAE 83419418.2.0000.5393, approved the study. Two forms of work contracts have been identified represented by the city hall and outsourced companies, the latter being the mode that offers the most benefits to workers. In addition, there was a lack of commensurate links, in addition to units with physical infrastructure that were compromised, lack of basic materials and supllies essential for the provision of care, absence of essential benefits for this category, insalubrity, commission for productivity, long journeys and overload of work, neglect and devaluation of the worker. Conclusions: This study should promote the managers' reflection on the working conditions offered to nurses in basic care, rethinking management models that help them cope with problems related to their work context, stimulating a healthy environment, mitigating possible occupational risks that could compromise physical or mental health of the worker.    

scholarly journals Relational technologies as instruments of care in the Family Health Strategy

2017 ◽  
Vol 70 (5) ◽  
pp. 981-987 ◽  
Author(s):  
Tatiana Fernandes Kerches de Abreu ◽  
Fernanda Amendola ◽  
Monica Martins Trovo
Keyword(s):  
Family Health ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Daily Work ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Final Consideration ◽  
Basic Health Units

ABSTRACT Objective: This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients. Method: Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis. Results: From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies. Final consideration: Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.

Arterial hypertension in the elderly people in the field of health attention

2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito
Keyword(s):  
Arterial Hypertension ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group,  were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%).  In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.  

scholarly journals Insulin self-administration technique with disposable syringe among patients with diabetes mellitus followed by the family health strategy

2009 ◽  
Vol 17 (4) ◽  
pp. 474-480 ◽  
Author(s):  
Thaís Santos Guerra Stacciarini ◽  
Ana Emilia Pace ◽  
Vanderlei José Haas
Keyword(s):  
American Diabetes Association ◽  
Family Health ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Self Administration ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Patients With Diabetes ◽  
Family Health Strategy

This cross-sectional study aimed to describe the most common correct and incorrect self-administration techniques for insulin using disposable syringes by patients cared for by the Family Health Strategy (FHS), relate the findings to sociodemographic variables and also identify the professional responsible for teaching this technique. A total of 169 patients were selected by simple random sampling in 37 FHS units in a city in the state of Minas Gerais, Brazil from August to October 2006. The results identified errors in all the steps recommended by the American Diabetes Association and Brazilian Diabetes Association for the safe administration of insulin, from hand washing to compression on the injection site. The FHS favors the development of interventions focused on the needs of the clientele registered at the unit, stimulating self-care. Results from this study can contribute to the planning of these interventions.

scholarly journals Conjugal violence in the perspective of "Family Health Strategy" professionals: a public health problem and the need to provide care for the women

2014 ◽  
Vol 22 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Nadirlene Pereira Gomes ◽  
Alacoque Lorenzini Erdmann
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Family Health ◽  
Public Health Problem ◽  
Ethics Committee ◽  
Conjugal Violence ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Care Practices

OBJECTIVE: to construct a theoretical matrix based on the meanings of the interactions and actions experienced by the professionals regarding the nursing care practices and the health of women in situations of conjugal violence in the ambit of the Family Health Strategy. METHODS: research based in Grounded Theory. Following approval by the Research Ethics Committee, 52 professionals were interviewed in Santa Catarina, Brazil. The analysis was based on open, axial and selective codifications. RESULTS: the theoretical model was delimited based on the phenomenon "Recognizing conjugal violence as a public health problem, and the need for management of the care for the woman", which reflects the experience of the professionals in relation to care for the woman, as well as the meanings attributed to this care. CONCLUSIONS: the phenomenon allows one to understand the movement of action and interaction regarding the care for the woman in a situation of conjugal violence.

scholarly journals Riscos para o desencadeamento da osteoporose em idosos

2019 ◽  
Vol 13 (1) ◽  
pp. 148
Author(s):  
Vívian Roselany Ferreira Hipólito ◽  
Laura Maria Feitosa Formiga ◽  
Ana Klisse Silva Araújo ◽  
Lorena Mayara Hipólito Feitosa ◽  
Kathelyn Jane Sousa Carvalho ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional ◽  
Vitamina D ◽  
Health Strategy ◽  
Modifiable Factors ◽  
The Family ◽  
Family Health Strategy ◽  
Life Habits

ABSTRACTObjective: to know the risks for the onset of osteoporosis in the elderly. Method: this is a quantitative, cross-sectional and descriptive study in the Family Health Strategy (FHS). An instrument covering sociodemographic characteristics, anthropometry, clinical variables and life habits was used for data collection. The results were analyzed through the SPSS software, version 20.0, and the findings were presented in tables. Results: hypertension and diabetes mellitus prevailed. With respect to the family history, it was found that the elderly never had a fracture, did not have genetic factors on osteoporosis and did not use calcium and vitamin D. As for the modifiable factors, a large part of the elderly said not to practice physical activity, nor get exposed to the sun, and they said they ingested much caffeine and milk. Conclusion: the proposed objective was reached and it is hoped that the results found in this study contribute to the construction of knowledge about this disease that has increasingly affected people, helping to elaborate prevention strategies or avoid possible complications. Descriptors: Nursing; Aged; Osteoporosis; Disease Prevention; Health Care (Public Health); Aging.RESUMOObjetivo: conhecer os riscos para o desencadeamento da osteoporose nos idosos. Método: trata-se de estudo quantitativo, transversal e descritivo na Estratégia Saúde da Família (ESF). Utilizou-se, para a coleta de dados, um instrumento composto por características sociodemográficas, antropometria, variáveis clínicas e hábitos de vida. Analisaram-se os resultados por meio do programa SPSS, versão 20.0, e se apresentaram os achados em tabelas. Resultados: prevaleceram-se as doenças hipertensão arterial e diabetes mellitus. Encontrou-se, sobre o histórico familiar, o fato de os idosos nunca terem apresentado fratura, não possuírem fatores genéticos sobre a osteoporose e não fazerem uso de cálcio e vitamina D. Com relação aos fatores modificáveis, grande parte dos idosos afirmou não praticar atividade física, não se expor ao Sol, ingerir bastante cafeína e leite. Conclusão: atingiu-se o objetivo proposto e espera-se que os resultados encontrados contribuam na construção do conhecimento sobre essa doença de crescente acometimento auxiliando a elaboração de estratégias de prevenção ou evitando possíveis complicações. Descritores: Enfermagem; Idoso; Osteoporose; Prevenção de Doenças; Atenção à Saúde; Envelhecimento.RESUMENObjetivo: conocer los riesgos para el desencadenamiento de la osteoporosis en los adultos mayores. Método: se trata de estudio cuantitativo, transversal y descriptivo en la Estrategia Salud de la Familia (ESF). Se utilizó para la recolección de datos, un instrumento compuesto por características sociodemográficas, antropometría, variables clínicas y hábitos de vida. Se analizaron los resultados por medio del programa SPSS, versión 20.0, y se presentaron los hallados en tablas. Resultados: prevalecieron las enfermedades hipertensión arterial y diabetes mellitus. Se encontró, sobre el histórico familiar, el hecho de los adultos mayores nunca haber presentado fractura, no poseer factores genéticos sobre la osteoporosis y no hacer uso de cálcio y vitamina D. Con relación a los factores modificables, grande parte de los adultos mayores afirmo no practicar actividad física, no exponerse al Sol, ingerir bastante cafeína y leche. Conclusión: se consiguió el objetivo propuesto y se espera que los resultados encontrados contribuyan en la construcción del conocimiento sobre esa enfermedad de creciente acometimiento auxiliando la elaboración de estrategias de prevención o evitando posibles complicaciones. Descriptores: Enfermería; Anciano; Osteoporosis; Prevención de Enfermedades; Atención a la Salud; Envejecimento.

scholarly journals Articulated Actions of the Family Health Strategy Teams and their Centres of Support in the State of Piauí, Brazil

10.3823/2275 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Izaias Almeida Belas ◽  
Jorge Henrique Alves da Rocha ◽  
Filipe Melo da Silva ◽  
João Victor Batista Lustosa ◽  
Wendell Soares Carneiro ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Care ◽  
Family Health ◽  
The State ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
The Matrix ◽  
Family Health Strategy ◽  
Care Support

Objective: From the perspective of professionals acting in the Family Health Strategy (FHS) in the state of Piauí, Brazil, the aim of this study was to asses the articulated actions of technical-pedagogical and clinical-care support offered by the Family Health Support Centres (FHSC) to the FHS’s professionals. Methodology: This is an analytical census retrospective study, with a cross sectional design developed in a quantitative approach with a descriptive and exploratory nature. The research data was collected through the Program of Improvement in Quality of Access in Primary Care (PIAQ-PC) in Brazil, on its second cycle in 2013, and were analysed by using descriptive statistics. Results: The actions of clinical-care support has been further developed by FHSC, all with frequency greater than 85%. In Piauí, the fields where FHSC has showed to be the nutritional care, rehabilitation and maternal and child care and also non-communicative diseases NCD that showed frequency higher than 85%. Conclusion: The FHSC initiative contributes significantly with their services to the FHS to achieve its goals. However, to make the work of these teams more effective there must be ownership of Primary Care Services by its user and appreciation of it by the managers. The developed actions are being supported and agreed on among the matrix support teams.  Keywords: Primary Health Care; Health  Promotion; Family Health.

scholarly journals MONITORING OF CERVICAL CANCER CONTROL ACTIONS AND ASSOCIATED FACTORS

2021 ◽  
Vol 30 ◽  
Author(s):  
Eduarda Ferreira dos Anjos ◽  
Poliana Cardoso Martins ◽  
Nília Maria Brito de Lima Prado ◽  
Vanessa Moraes Bezerra ◽  
Patty Fidelis de Almeida ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Family Health ◽  
Cancer Control ◽  
Northeastern Brazil ◽  
High Grade ◽  
Cross Sectional ◽  
Health Region ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to analyze factors associated with the monitoring of actions to control cervical cancer in the Family Health Strategy, in a health region of northeastern Brazil. Method: a cross-sectional study conducted from January to March 2019 by means of interviews with 241 physicians and nurses from the Family Health Teams of the Vitória da Conquista health region, Bahia, Brazil. Adequate monitoring was assessed by the degree of actions taken to promote, prevent and actively seek to control cervical cancer. Three blocks of variables were tested as explanatory: professional characterization and training; organization of the unit and access to cytopathological exam; and care coordination and integration. Poisson regression with robust variance was employed, adopting hierarchical entry of variables. Results: 51.9% (95% CI: 45.5-58.2) of the professionals performed adequate monitoring for the control of cervical cancer. Being a nurse, working in the municipality’s primary care network (≥2 years), disclosure of results collection through posters and other communication means, existence of a high-grade lesion, time to perform the biopsy ≤1 month, and agility in the release of the reports were elements associated to the outcome. Conclusion: even with the extended coverage of the Family Health Strategy, small municipalities in the Northeast have characteristics that impose obstacles to comprehensiveness, favoring the incidence of high-grade lesions and greater difficulty in the control of cervical cancer. Assessing the assistance quality in this level revealed challenges in the regionalized network.

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