This article analyzes mammogram coverage in the state of Mato Grosso do Sul, Brazil, in 2004, considering the differences between the regions and towns that prescribe and those that carry out the exam. The study used secondary data from all of the state's 77 municipalities. Data collection and analysis had the following classification: towns that don't have mammogram services and refer the women to another location to have their exams; towns that have mammogram services (reference towns) and carry out the exam. All three regions of the state were analyzed. The results show that: the offer is below the demand for the exam; the coverage is unequal for the different regions; the commitment to the terms of the Programmed and Integrated Pact fulfill the recommendations of the Breast Cancer Control Consensus. In only one region the exam coverage is uniform. The region with the highest concentration of mammogram machines has very unequal coverage.
mammogram; health services coverage; access equity
