COVERAGE OF PREVENTIVE EXAMS AND CHALLENGES OF CANCER PREVENTION IN TOCANTINS:

FOCUS ON BREAST AND CERVICAL CANCER

Abstract

This study analyzes cancer prevention actions in the state of Tocantins, focusing on breast and cervical cancer screening programs. It is a descriptive research based on secondary data from official sources (INCA, Ministry of Health, and the State Health Department of Tocantins). The results show that, although annual campaigns such as Pink October and Lilac March raise awareness about the importance of preventive exams, adherence remains insufficient. In 2020, only 26.5% of women in the recommended age group underwent Pap smears, which are essential for the early detection of precursor lesions of cervical cancer. Mammography coverage has also declined, reducing the possibility of diagnosis at early stages, when treatment is more effective. It is concluded that the low performance of these exams is related to socioeconomic barriers, difficulties in accessing health services, and weaknesses in population awareness strategies, which increase the risk of late diagnoses and mortality. Strengthening cancer prevention in Tocantins requires continuous, accessible, and locally adapted strategies, combining consistent public policies, health education, and encouragement of early screening.

Keywords: Oncological prevention. Breast cancer. Cervical câncer. Screening. Public health.