Human right's perspective for cervical cancer control in Soacha, Colombia

Introduction: Low income countries, like Colombia, have achieved a low impact on mortality rates due to cervical cancer. This can be partially explained by the implemented cancer control models and their approaches. This study adopted a cancer control model designed by the National Cancer Institute (Instituto Nacional de Cancerología) based on interventions at three different levels, and on the use of social strategies founded on a human rights perspective.  Methods: A participatory community-based intervention was carried out in three phases: diagnosis (2004-2005), intervention (2006) and evaluation (2007). The evaluation phase included three components: analysis of community leader’s perceptions on human rights, health and cervical cancer. Comparative analysis of population surveys before (2005) and after the intervention (2007). Analysis of the demand for cytology services (2001-2007). Analysis of the opportunity to access a definitive diagnosis and treatment (2007). Results: We found a significant increase in activities related to human rights claims. Cytology evaluation increased 27% in the most vulnerable sector of the population during the past year. The intervention contributed to recover the credibility on public health services according to the type of health system affiliation. Likewise, it enhanced the quality of the services offered to women.  Conclusion: The cancer control model promotes the development of effective actions at multiple levels. It is pertinent to encourage a human rights approach in cancer control programs.