Itinerário terapêutico de mulheres migrantes com câncer de colo uterino em um município de fronteira
Cervical cancer is a serious public health issue and remains one of the leading causes of morbidity and mortality among women worldwide. The therapeutic itinerary plays a crucial role in the trajectory of patients seeking diagnosis and treatment, especially in contexts of social vulnerability. In bo...
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| Tipo de recurso: | tesis de maestría |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | Brasil |
| Institución: | Universidade Estadual do Oeste do Paraná (UNIOESTE) |
| Repositorio: | Biblioteca Digital de Teses e Dissertações do UNIOESTE |
| Idioma: | portugués |
| OAI Identifier: | oai:tede.unioeste.br:tede/8050 |
| Acceso en línea: | https://tede.unioeste.br/handle/tede/8050 |
| Access Level: | acceso abierto |
| Palabra clave: | Itinerário terapêutico Câncer de colo uterino Saúde de migrantes Sistema único de saúde Therapeutic itinerary Cervical cancer Migrant health Unified health system Ruta terapéutica Neoplasias del cuello uterino Salud del Migrante Sistema único de salud SAUDE COLETIVA::SAUDE PUBLICA |
| Sumario: | Cervical cancer is a serious public health issue and remains one of the leading causes of morbidity and mortality among women worldwide. The therapeutic itinerary plays a crucial role in the trajectory of patients seeking diagnosis and treatment, especially in contexts of social vulnerability. In border regions, population mobility and barriers to accessing healthcare services may affect this path, generating challenges and inequalities in care. This study aimed to understand the therapeutic itinerary of migrant women with cervical cancer who use the Brazilian Unified Health System (SUS) in a border municipality, by analyzing barriers and facilitators in the process of diagnosis and treatment, as well as capturing their experiences during this journey. This is a qualitative, exploratory, and descriptive research study, grounded in a hermeneutic-dialectical theoreticalmethodological framework. Data were collected through semi-structured interviews with migrant women undergoing treatment for cervical cancer at an oncology center in Foz do Iguaçu, Paraná. The interviews were analyzed using the thematic analysis approach proposed by Minayo, resulting in the categorization of data into three main axes: the therapeutic itinerary followed by the participants, their experiences during treatment, and their perceptions of healthcare services in the border region. The categories reveal that migration to Brazil occurred mainly due to the free access provided by SUS and the shortage of medical specialties in the participants’ countries of origin. However, challenges such as late diagnosis, delays in test results, language barriers, and social vulnerability were identified as factors that compromise treatment. Additionally, frequent cross-border movement and bureaucratic hurdles in accessing SUS were reported as difficulties faced by the participants. Family support and religiosity emerged as central elements in coping with the disease. The hermeneutic-dialectical analysis allowed the understanding that the process of illness and care extends beyond the biomedical scope and involves social and cultural interactions between the patients and the healthcare system. The study concludes that, although SUS represents significant progress in expanding access to healthcare, structural and social barriers persist that hinder appropriate care for this population. Therefore, public policies focused on health equity for migrants are essential to ensure more effective care and to reduce inequalities in access to cervical cancer diagnosis and treatment. |
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