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Public health in Cuba

Public health in Cuba. Dr. Peter G. Bourne. UNIVERSAL. FREE. ACCESSIBLE. CUBAN HEALTH SYSTEM. HEALTH NATIONAL SYSTEM. CUBA. Medical Education. Health Care. Information. INTEGRATES 5 SUBSYSTEMS. Research. Health Control. HEALTH INSTITUTIONS NETWORK IN CUBA. Policlinics,

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Public health in Cuba

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  1. Public health in Cuba Dr. Peter G. Bourne

  2. UNIVERSAL FREE ACCESSIBLE CUBAN HEALTH SYSTEM

  3. HEALTH NATIONAL SYSTEM CUBA Medical Education Health Care Information INTEGRATES 5 SUBSYSTEMS Research Health Control

  4. HEALTH INSTITUTIONS NETWORK INCUBA Policlinics, Hospitals, Clinics Information Centers, Libraries Universities, Politechnics. Centers and Units of Hygiene Institutes and Research Centers

  5. Medical Care Facilities Cuba, 2000

  6. 50 60 43.8 60 40 Rate per 1 000 life births . 50 30 40 30 20 12,5 20 8,4 9,1 9,4 10 6,5 7,2 10 0 0 1970 1995 1999 2000 1959 1995 1999 2000 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 COUGHTRANSMISSION INTERRUPTED SINCE 1994 RUBELLATRANSMISSION INTERRUPTEDSINCE 1995 MUMPS TRANSMISSION INTERRUPTEDSINCE 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 996 994 992 990 980 970 960 940 920 900 800 700 600 500 HONG KONG SINGAPUR UK GERMANY SOUTH KOREA JAPON CUBA CZECH FRANCE CHILE USA COSTA RICA JAMAICA PANAMA URUGUAY IRAN ARGENTINA THAILANDIA RUSIA MEXICO SAUDI ARABIA VIENAM Children surviving up to 5 years of age per 1000 live births, 1995 CHINA EGIPTO BANGLADESH BRASIL AFRICA ASIA & PACIFIC AMERICAS EUROPE SUDAN LIBYA INDONESIA TANZANIA CONGO SOUTH AFRICA 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. * * * * * * * * * * - * 4 Medical Sciencies Universities - 1 Latin American School of medicine - 21 Medicine Faculties - 4 Odontologies Faculties - 1 Public Health School - 20 Municipality Branchs 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. 40 175 TRABAJADORES 2 238 TRABAJADORES Professors in 25 countries Colaboration with 6 Medicine Faculties MEDICAL COLABORATION 1963 - 2000 2001 WORKERS WORKERS 83 Countries 57 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. La Habana Villa Clara Camagüey Santiago de Cuba INFOMEDTelematic 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. 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

  26. NEW INFORMATION AND COMMUNICATIONS TECHNOLOGIES ¡ TO ACEPT THE CHALLENGE ! VIRTUAL EDUCATION DIGITAL AGE Health University XXI Century PRESENCE EDUCATION

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