FERRAMENTA DIGITAL PARA GESTÃO E DIAGNÓSTICO SITUACIONAL NO CONTROLE DO CÂNCER DO COLO DO ÚTERO

• Ano de defesa: 2025
• Autor(a) principal: ALVES, Nayara Gonçalves
• Orientador(a): AMARAL, Flavia Maria Mendonça do
• Banca de defesa: AMARAL, Flavia Maria Mendonça , FERREIRA, Viviane Sousa , BELFORT, Ilka Kassandra Pereira , CARTAGENES, Maria do Socorro de Sousa , SARDINHA, Ana Helia Lima
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Maranhão
• Programa de Pós-Graduação: PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE E AMBIENTE/CCBS
• Departamento: COORDENAÇÃO DO CURSO DE FARMÁCIA/CCBS
• País: Brasil
• Palavras-chave em Português: Gestão em Saúde; Tecnologia e Inovação em Saúde; Saúde Digital
• Palavras-chave em Inglês: Health Management; Health Technology and Innovation; Digital Health
• Área do conhecimento CNPq: Cancerologia
• Link de acesso: https://tedebc.ufma.br/jspui/handle/tede/6697

Cervical cancer remains a significant public health challenge in Brazil, particularly in the state of Maranhão, where screening rates and vaccination coverage have historically been low. This study aimed to develop a digital tool capable of supporting situational diagnosis and enhancing municipal management in addressing the disease. The result was the creation of ONCOCALC, a digital calculator structured through methodologies such as the Delphi technique and based on threshold logic with internal proportionality. The tool incorporates five strategic indicators: Municipal Human Development Index (MHDI), HPV vaccination coverage, cytopathological screening coverage, hospitalizations, and mortality from cervical cancer. Data were sourced from official systems (DATASUS, SISCAN, SIM, SIH/SUS, and UNDP) covering the period from 2014 to 2023. Developed using web technologies (React.js, PHP, and RESTful APIs), ONCOCALC automates score calculations, generates analytical reports, and proposes evidence-based action plans. In its pilot implementation in the municipality of São Luís (Maranhão), the final score was 3.3 out of 10, classified as "poor", highlighting low vaccination coverage (12.9%), limited screening, and high rates of hospitalizations and deaths, despite a high MHDI. The tool demonstrated potential to support strategic decision-making, guide investments, and strengthen women's health surveillance. It is concluded that its adoption can enhance municipalities' response capacity and contribute to reducing regional disparities in cervical cancer control.