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Table 4 Summary of basic epidemiological data and policy results by country

From: Breast cancer policy in Latin America: account of achievements and challenges in five countries

Country Breast cancer epidemiology (Estimated incidence and mortality per 100,000 women 2008)a Specific breast cancer policy Early detection strategy Civil society and civic participation Information system
Mexico Incidence: 27.2 Yes. Supported by a program with defined objectives and goals. Organized opportunistic mammography screening program for women 40–69 years old. High level of participation in the areas of education, research, service provision and lobbying but atomized. Yes. SICAM PRO-MAMA is a routine data collection system.
Mortality: 10.1
Colombia Incidence:31.2 No. Recently approved a cancer care law. National Cancer Institute is involved in policy. Opportunistic mammography screening for both contributory and subsidized regimens. Not fully organized. Annual mammography starting at 49 years of age, except for symptomatic cases and the related risks. High level of participation in the areas of education, research, service provision and lobbying but atomized. No. Indicators produced through national surveys [35].
Mortality: 10.0
Venezuela Incidence: 42.5 Not. The Ministry of Health has an under-funded sub-program for breast cancer control. Sub-program with indications for opportunistic mammography screening carried out differently in each state. Starting age of mammography 35 years and for women with known risk factors at low age. Low level of participation in program and policy definition. Active participation in educational activities and support for women with breast cancer. Yes. Data collection is problematic and not all stakeholders are aware of its existence.
Mortality: 13.7
Brazil Incidence:42.3 Yes. Supported by a program with defined objectives and goals. Organized opportunistic mammography screening program for women 35 years and older and for women with known risk factors less than 35 years old. High level of organized participation. Assigned seats in state and municipal health councils. Yes. SISMAMA is a routine information collection system.
Mortality: 12.3
Argentina Incidence: 74.0 Not at the national level. Some provinces have well developed policies. No national screening program due to decentralized health system structure. In generally annual mammography starting from 49 years of age, except for symptomatic cases and the Low level of participation in program and policy definition. Active participation in service provision. No. Measured through national studies.
Mortality: 20.1
  1. Source: own elaboration with information obtained from fieldwork primary and secondary sources
  2. aData [20]