Analysis of the reasons for abandoning the follow-up and treatment process in women with pre-cancerous cervical lesions in the province of Jujuy: implications for health management

Melisa Paolino Bachelor in Sociology. Intern researcher, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina. , Silvina Arrossi Bachelor in Sociology. PhD in Demography. Independent Researcher, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET). Senior Researcher, Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina.
Published: 4 December 2012 Open Access
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Abstract


Adequate follow-up and treatment of women with high-grade squamous intraepithelial lesion (HSIL) and cancer is key in reducing cervical cancer mortality. This research study aims to analyze the magnitude of abandonment in the follow-up and treatment process, as well as the reasons for this abandonment, in women with HSIL who received care in public health services in the province of Jujuy in 2010. Secondary sources were analyzed and women were interviewed in their homes. The abandonment rate within the study population was 23.5%. Among these women, 40.5% mentioned organizational problems in the health care system as a reason for abandoning and 30.9% mentioned subjective reasons. Our results have been used in the reorganization of the follow-up and treatment process being carried out in the province.