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

Abstract

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.