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CUBA. Ing. Jorge Castro Medina jcastro@infomed.sld.cu Clinical Eng. Dep. Manager National Hospital for Physical Rehabilitación La Habana, Cuba. Presented by. La Habana, Cuba. Geographic data. Surface = 109.886 km² (1/91 Canada surface) Total of Provinces = 16 Widest part = 191 km
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CUBA Ing. Jorge Castro Medina jcastro@infomed.sld.cu Clinical Eng. Dep. Manager National Hospital for Physical Rehabilitación La Habana, Cuba Presented by
La Habana, Cuba ACCE ACEW Program Review, Atlanta, GA, USA
Geographic data Surface = 109.886 km² (1/91 Canada surface) Total of Provinces = 16 Widest part = 191 km Narrowest point only 31 km ACCE ACEW Program Review, Atlanta, GA, USA
in Brief HTM Seminar, Denver, CO, USA
Country’s Health System Profile • The Constitution of the Republic of Cuba, 1976, Article 50 states: "The Constitution of the Republic of Cuba, 1976, Article 50 states: "Everyone has the right to take care and protect their health. The State guarantees this right”. • Health care is universal, public and free at all levels. • The universal health coverage in Cuba is based on the primary health care strategy. • Primary care in Cuba is based on the model of Family Medicine and its gateway is the “family doctor and nurses”. • A total of 500 294 health workers, 325 000 have served in 158 countries. HTM Seminar, Denver, CO, USA
Country’s Health System Profile • Situation in 1959, (Victory of the Revolution): • Illiteracy reached 40% of the population. • There were only 3 universities and only 1 medical school. • 6 286 doctors concentrated in large cities, over 50% of whom emigrated, mainly to the United States. • Infant mortality higher than 60 per thousand live births. • Life expectancy less than 60 years. • Current status (2014): • 35 Universities, 15 medical school. • 86 340 doctors(14 times more) • A doctor every 130 inhabitants. • A dentist every 671. • A nurse every 123. • Physician density is 7.7 per thousand inhabitants. HTM Seminar, Denver, CO, USA
Country’s Health System Profile • The health sector has: • 500 294 workers. • 10 741 family clinics; • 451 polyclinics; • 151 hospitals with 45 462 beds; • 13 medical research institutes. • 1215 dental services, with 5 252 dental sets; • 138 maternity homes with 3 589 beds; • 247 grandparents houses; • 143 nursing homes with 13 533 beds. ACCE ACEW Program Review, Atlanta, GA, USA
Country's Health Technology Support Program • History • On October 3, 1963, it is considered the beginning of Electro Service. On this date, several companies were nationalized and technical staff went to the Ministry of Public Health. • In 1982 the National Network of Electro is created on the initiative of Fidel. • Structure • 1 National Center of Electromedicine (CNE). Regulatory, Methodological and Rector functions. Supervise the Electromedicine activities across the country. • 16 Provincial Centers. Perform installation, calibration, maintenance, repair, etc. of medical equipment in all health institutions of the National Health System who need these services. • 21 Regional Centers. Subordinated to the PCs, which perform the same functions of the PCs but in greater geographical complexity territories within the province. • 137 Municipalities (Electro Technical Groups). • 150 Technical Groups in Hospitals
Country's Health Technology Support Program (*) Datos cortesía de la Dirección Nacional de Electromedicina HTM Seminar, Denver, CO, USA
Medical Equipments (2013)* (*) Datos cortesía de la Dirección Nacional de Electromedicina
Thank you for your attention. Questions? HTM Seminar, Denver, CO, USA