Cervical cancer is the fourth most common neoplasm in women worldwide. Its
prevention can be achieved through cervical cytopathological examination from a
screening that allows the detection of lesions and / or early diagnosis of the disease, but
there are still a large number of women who do not carry out prevention for numerous
factors. The objective of this study was to evaluate the coverage rate of cervical cancer
screening (Pap), incidence and mortality from cervical cancer in the state of Para in the
period 2006 - 2014. This is an ecological study, with data from the Cervical Cancer
Information System – SISCOLO/DATASUS and Cancer Information System –
SISCAN, of the entire state of Pará, subdivided into three triennia so that
georeferencing techniques were use to. We identified patterns of distribution of the
variables studied, where we observed correlations between the rate of the test, the
incidence and mortality from cervical cancer. The Marajó mesoregion showed an
increase in its coverage rate and incidence and kept its mortality rate stable from the
second to the third triennium of study. In the other mesoregions, there was a decrease in
the coverage rate of the exam, and the increase in mortality in these localities was
observed. The metropolitan mesoregion of Belém was the one that showed the most
decline in its coverage rate, becoming the second in a decrease in the incidence of
neoplasia, since the Southwest did not show expansion or decrease in its rate of exams
performed and was shown to be a greater decrease in incidence and, consequently, a
greater increase in the standardized rate of mortality rate. Except for the Marajó and
Southwest mesoregions, the pattern found was: decreased Pap coverage, decreased
incidence, and increased mortality. Moran 's analysis revealed the expression of pockets
of high - high municipalities, mainly in the northeastern mesoregion of the state, which
remained in the 3rd triennium, although there was a decrease in incidence and mortality
in the region. This study reaffirms the relationship between the coverage and the
morbidity and mortality of cervical cancer, since the examination is aimed at early
diagnosis and this factor has a direct influence on the reduction of mortality, since there
will then be a good time for the treatment and cure of this user. Although the Pará
shows values close to what is recommended, in relation to the coverage by the Pap, in
domestic areas, access to health makes it difficult to carry out the examination and
treatment, due to factors ranging from the lack of health professionals, to lack of
knowledge of its importance for the promotion of well-being and prevention against
neoplasia in women.
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