PUBLIC HEALTH IN CUBA

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PUBLIC HEALTH IN CUBA

  1. 1. Public health in Cuba Dr. Peter G. Bourne
  2. 2. CUBAN HEALTH SYSTEM UNIVERSAL FREE ACCESSIBLE
  3. 3. INTEGRATES 5 SUBSYSTEMS HEALTH NATIONAL SYSTEM Information Health Care Medical Education Research Health Control CUBA
  4. 4. HEALTH INSTITUTIONS NETWORK IN CUBA Universities, Politechnics. Institutes and Research Centers Policlinics, Hospitals, Clinics Centers and Units of Hygiene Information Centers, Libraries
  5. 5. Medical Care Facilities Cuba, 2000
  6. 6. MOTHER-CHILD PROGRAM Child Mortality under 1 year old Rate per 1 000 life births Child Mortality under 5 years old Maternal Mortality 1959 1995 1999 2000 Rate per 10 000 life births 12,5 2,7 3,0 3,4 60 9,4 6,5 7,2 0 10 20 30 40 50 60 1959 1995 1999 2000 Rate per 1 000 life births . 43.8 12,5 8,4 9,1 0 10 20 30 40 50 1970 1995 1999 2000
  7. 7. VACCINATION PROGRAM RESULT POLIO ELIMINATED SINCE 1962 DIPHTHERIA ELIMINATED SINCE 1969 NEWBORN TETANUS ELIMINATED SINCE 1972 CONGENITAL RUBELLA ELIMINATED SINCE 1989 MENINGITIS POST MUMPS ELIMINATED SINCE 1989 MEASLES ELIMINATED SINCE 1993 WHOOPING COUGH TRANSMISSION INTERRUPTED SINCE 1994 RUBELLA TRANSMISSION INTERRUPTED SINCE 1995 MUMPS TRANSMISSION INTERRUPTED SINCE 1995 MORBIDITY MENINGOCOCCICAL DISEASE REDUCTION 93% TYFHOID FEVER REDUCTION 75% B HEPATITIS REDUCTION 52%
  8. 8. LIFE EXPECTANCY. CUBA
  9. 9. 996 994 992 990 980 970 960 940 920 900 800 700 600 500 100 200 400 1 000 2 000 4 000 10 000 20 000 40 000 Gross National Product per Capita in US Dollars, 1995 Children surviving up to 5 years of age per 1000 live births, 1995 GLOBAL HEALTH CHART VERSION SEPT. 97 177 Countries with more than 100 000 inhabitans Hans rosling, Division of International Health Care Research Dept. of Public Health Sciences. Karolinska Institute. Sweden AFRICA ASIA & PACIFIC AMERICAS EUROPE MOZAMBIQUE NIGER INDIA CHINA USA JAPON BRASIL MEXICO SOUTH AFRICA PAKISTAN EGIPTO VIENAM BANGLADESH INDONESIA ANGOLA SIERRA LEONA NIGERIA CUBA RUSIA THAILANDIA ARGENTINA UK GERMANY FRANCE FINLAND SWEDEN HONG KONG SINGAPUR CZECH SOUTH KOREA JAMAICA COSTA RICA URUGUAY CHILE ETHIOPIA GABON SUDAN CONGO TANZANIA PANAMA IRAN BOLIVIA LIBYA SAUDI ARABIA HAITI
  10. 10. ACHIEVEMENT PUBLIC HEALTH IN CUBA <ul><li>HUMAN RESOURCES </li></ul>(Human values) <ul><li>POLITIC WILLINGNESS </li></ul><ul><li>HEALTH EDUCATION </li></ul><ul><li>SINGLE HEALTH SYSTEM </li></ul><ul><li>COMMUNITY PARTICIPATION </li></ul><ul><li>PREVENTIVE ATTENTION </li></ul>HOW ?
  11. 11. HUMAN RESOURCES CUBA/2001 350 000 Health Workers Include: 105,000 profesionals 75,000 nurses 56,000 technicians 67 %
  12. 12. MEDICAL UNIVERSITIES* OF THE HEALTH NATIONAL SYSTEM * * * * * 8373 Professors * * * * * * * * * * - * 4 Medical Sciencies Universities - 1 Latin American School of medicine - 21 Medicine Faculties - 4 Odontologies Faculties - 1 Public Health School - 20 Municipality Branchs
  13. 13. HEALTH COMPLEX EDUCATION RESEARCH MEDICAL UNIVERSITY HEALTH POLITECNIC HOSPITAL POLICLINIC ODONTOLOGY CLÍNIC RESEARCH CENTER MEDICAL CARE
  14. 14. <ul><li>Home medical care </li></ul><ul><li>Social and community participation </li></ul><ul><li>Urgency care at primary health level </li></ul>2001
  15. 15. MEDICAL COLABORATION 57 Countries 83 Countries 1963 - 2000 WORKERS WORKERS 2001 40 175 TRABAJADORES 2 238 TRABAJADORES Colaboration with 6 Medicine Faculties Professors in 25 countries
  16. 16. HEALTH HUMAN RESOURCES DEVELOPMENT <ul><li>ACCREDITATION </li></ul><ul><li>COMPETENCE AND PERFORMANCE EVALUATION </li></ul><ul><li>ACADEMIC SYSTEM WITH CREDITS </li></ul><ul><li>CONTINUOUS EDUCATION </li></ul>
  17. 17. THE HEALTH IN THE INFORMATION SOCIETY Health vs. Illness Preventive medicine vs. Healing medicine Center of Health vs. Hospital Distance vs. Presence Use ICT vs. Traditional care
  18. 18. HEALTH FOR ALL in the XXI CENTURY EQUITY IN HEALTH PREVENTIVE SANITARY POLICY FINANCIAL SUPPORT KNOWLEDGE ACCESS
  19. 19. THE BIG CHALLENGE FOR HEALTH EQUITY and QUALITY * MEDICAL TECHNOLOGY (ICT) * PRIMARY HEALTH CARE * SOCIAL MEDICINE * HEALING MEDICINE
  20. 20. TELEHEALTH <ul><li>TELE-EDUCATION </li></ul><ul><li>TELEMEDICINE </li></ul><ul><li>RESEARCH </li></ul><ul><li>MANAGMENT </li></ul>KNOWLEDGE NETWORK Cuban Medical University Strategy Estrategic Alliance <ul><li>HEALTH </li></ul><ul><li>EDUCATION </li></ul><ul><li>COMMUNICATION </li></ul>
  21. 21. INFOMED Telematic Health Network in Cuba . National node 3 regional nodes 10 provinces nodes http://www.sld.cu/ La Habana Villa Clara Camagüey Santiago de Cuba
  22. 22. Cuban Health Network Connection Municipality 80 Institutions 730 Users 20,000 Traffic daily message 34,000 Daily visits to Infomed Website 45,000
  23. 23. ESTRATEGIC PROJECTS <ul><li>HEALTH VIRTUAL UNIVERSITY </li></ul><ul><li>HEALTH VIRTUAL LIBRARY </li></ul>CUBA /2001 TELEMATIC NETWORK IN HEALTH (INFOMED)
  24. 24. www.uvirtual.sld.cu
  25. 26. HEALTH VIRTUAL UNIVERSITY AND LIBRARY - of informa tion - of discus s i o n - of consult ancy - of education - of re sources Offered S ervices Interaccion Spaces: <ul><li>Virtual Clinic </li></ul><ul><li>Virtual Classroom </li></ul><ul><li>Virtual Convention Center </li></ul><ul><li>Scientific Network </li></ul>
  26. 27. ¡ TO ACEPT THE CHALLENGE ! VIRTUAL EDUCATION Health University XXI Century PRESENCE EDUCATION NEW INFORMATION AND COMMUNICATIONS TECHNOLOGIES DIGITAL AGE

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