The purpose of this study is to report the organization of a cost-effective screening program for @entity5 in a developing country such as Brazil. The @entity5 Screening Program of Paran   (CCSPP) was launched in October 1997 and was the result of a joint collaboration between the government of Paran   (Secretary of Health of the State of Paran  ), scientific societies (pathologists, gynecologists, and nurses), and a non governmental organization called the @entity1 's Popular Forum of Paran  . The main goal of the program was to enhance the Papanicolaou (Pap) smear screening to coverage up to 85% of female adult population with a 3-yr interval between examinations, as well as to reduce the incidence and mortality from @entity5 in the state of Paran  , a Southern state of Brazil. The cytological findings in all Pap smears recorded in a central computer-based register during 5 yr of the program (October 1997-October 2002) are discussed. During that period, 2,244,158 Pap smears were performed in @entity1 included in the program from the 398 cities of the state of Paran  . The cytological smears were analyzed according to the Bethesda System. The previous year, before the program was launched, a Pap smear was taken from 43% of @entity1 of Paran  . At the end of 5 yr, coverage was increased to around 86%. The great majority of examinations had a negative result (98%). Only 2% of examinations had cytological abnormalities (n = 44,621). Low-grade lesions predominated in @entity1 aged 15-30 yr, and the high-grade lesions were more common in @entity1 aged 25-45 yr. @entity1 older than 40 yr had the greatest incidence of @entity3 . Although the program is only 5 yr old, a decrease in the mortality from @entity5 in @entity1 from Paran   is clearly apparent: in 1998, 297 @entity1 died of @entity5 , as compared with 188 as of September 2002.

XXXX screening program of Paran  : cost-effective model in a developing country.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cervical cancer', 'Cervical Cancer'] @entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'Women'] @entity3 :: ('MESH:D009362', 'Disease') :: ['invasive cancer']
@entity5 :: (MESH:D009369,Disease) :: ['Cervical cancer']
