Salud en Cuba

1
Public health in Cuba
Dr. Peter G. Bourne
2
CUBAN HEALTH SYSTEM
3
HEALTH NATIONAL SYSTEM

CUBA
Medical Education
Health Care
Information
INTEGRATES 5 SUBSYSTEMS
Research
Health Control
4
HEALTH INSTITUTIONS NETWORK IN CUBA
Policlinics, Hospitals, Clinics
Information Centers, Libraries
Universities, Politechnics.
Centers and Units of Hygiene
Institutes and Research Centers
5
Medical Care Facilities Cuba, 2000
6
MOTHER-CHILD PROGRAM
Child Mortality under 1 year old
Child Mortality under 5 years old
Rate per 1 000 life births
Maternal Mortality
12,5
Rate per 10 000 life births
3,4
3,0
2,7
1959
1995
1999
2000
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
LIFE EXPECTANCY. CUBA
9
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
FINLAND SWEDEN
996 994 992 990 980 970 960 940 920 900 80
0 700 600 500
HONG KONG SINGAPUR
UK
GERMANY
JAPON
SOUTH KOREA
CUBA
CZECH
FRANCE
CHILE
USA
COSTA RICA
JAMAICA
PANAMA
URUGUAY
ARGENTINA
IRAN
THAILANDIA
RUSIA
MEXICO
SAUDI ARABIA
VIENAM
Children surviving up to 5 years of age per
1000 live births, 1995
CHINA
EGIPTO
BRASIL
BANGLADESH
AFRICA ASIA PACIFIC AMERICAS EUROPE
SUDAN
LIBYA
INDONESIA
TANZANIA
SOUTH AFRICA
CONGO
HAITI
INDIA
BOLIVIA
PAKISTAN
ETHIOPIA
GABON
NIGERIA
SIERRA LEONA
MOZAMBIQUE NIGER
ANGOLA
100 200 400 1 000
2 000 4 000 10 000
20 000 40 000
Gross National Product per Capita in US
Dollars, 1995
10
HOW ?

• POLITIC WILLINGNESS
• HEALTH EDUCATION
• SINGLE HEALTH SYSTEM
• COMMUNITY PARTICIPATION
• PREVENTIVE ATTENTION

ACHIEVEMENT PUBLIC HEALTH IN CUBA

• HUMAN RESOURCES

(Human values)
11
HUMAN RESOURCESCUBA/2001
350 000 Health Workers
67
Include 105,000 profesionals
75,000 nurses 56,000 technicians
12
MEDICAL UNIVERSITIES OF THE HEALTH NATIONAL
SYSTEM





8373 Professors
13
RESEARCH
HEALTH COMPLEX
EDUCATION
MEDICAL CARE
MEDICAL UNIVERSITY
HOSPITAL
POLICLINIC
RESEARCH CENTER
ODONTOLOGY CLÍNIC
HEALTH POLITECNIC
14
2001

• Home medical care
• Social and community participation
• Urgency care at primary health level

15
MEDICAL COLABORATION
1963 - 2000
2001
WORKERS
WORKERS
57 Countries
83 Countries
16
HEALTH HUMAN RESOURCES DEVELOPMENT

• ACCREDITATION
• COMPETENCE AND PERFORMANCE EVALUATION
• ACADEMIC SYSTEM WITH CREDITS
• CONTINUOUS EDUCATION

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
HEALTH FOR ALL in the XXI CENTURY
EQUITY IN HEALTH
PREVENTIVE SANITARY POLICY
KNOWLEDGE ACCESS
FINANCIAL SUPPORT
19
EQUITY and QUALITY
THE BIG CHALLENGE FOR HEALTH
HEALING MEDICINE
SOCIAL MEDICINE
MEDICAL TECHNOLOGY (ICT)
PRIMARY HEALTH CARE
20
Cuban Medical University Strategy
TELEHEALTH
KNOWLEDGE NETWORK

• TELE-EDUCATION
• TELEMEDICINE
• RESEARCH
• MANAGMENT

Estrategic Alliance

• HEALTH
• EDUCATION
• COMMUNICATION

21
INFOMED Telematic Health Network in
Cuba.
http//www.sld.cu/
National node 3 regional nodes 10 provinces nodes
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
TELEMATIC NETWORK IN HEALTH (INFOMED)
ESTRATEGIC PROJECTS
CUBA /2001

• HEALTH VIRTUAL UNIVERSITY
• HEALTH VIRTUAL LIBRARY

24
www.uvirtual.sld.cu
25
(No Transcript)
26
HEALTH VIRTUAL UNIVERSITY AND LIBRARY
Interaccion Spaces
Offered Services

• Virtual Clinic
• Virtual Classroom
• Virtual Convention Center
• Scientific Network

-of information
-of discussion
-of consultancy
-of education
-of resources
27
NEW INFORMATION AND COMMUNICATIONS TECHNOLOGIES

TO ACEPT THE CHALLENGE !
VIRTUAL EDUCATION
DIGITAL AGE
Health University XXI Century
PRESENCE EDUCATION