Objective:

To evaluate the care process of the Cervical Cancer Early Detection program focused on screening coverage, access to care, and adherence when addressing the diagnosis and treatment, in six towns of Colombia.

Methods:

A cross-sectional, descriptive, observational study conducted using the analysis of secondary information sources from the Cervical Cancer Early Detection program of an occupational health insurer of persons employed, and with the ability to pay. Data processing and analysis were performed using the statistical program SPSS® version 22 with the identification of absolute and relative frequencies, central tendency, and variability measurements.

Results:

In the year 2014, of the 28,442 PAP smear tests taken, 2.3% were found to have some kind of anomaly. An annual screening coverage of 28.2% (0.0% - 280.6%) was observed. The access to care between the date of the sample and the delivery of the result was 15 days (4 - 118), between the result of the test and the diagnosis: 18 days (2 - 294), and 49.5 days (2 - 240) between the diagnosis and treatment. For adherence, 81.6% showed adherence to the diagnosis based on the cytological result, and 62.6% showed compliance in the diagnosis-treatment approach.

Conclusions:

The cervical cancer early detection program has a low screening coverage, with failures in complying with timely care and adherence in addressing diagnosis and treatment.

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