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Public health in Cuba Dr. Peter G. Bourne
CUBAN HEALTH SYSTEM UNIVERSAL FREE ACCESSIBLE
INTEGRATES  5  SUBSYSTEMS  HEALTH NATIONAL SYSTEM  Information Health Care Medical  Education Research Health Control CUBA
HEALTH INSTITUTIONS NETWORK  IN   CUBA Universities, Politechnics. Institutes and Research Centers   Policlinics,  Hospitals, Clinics   Centers and Units  of  Hygiene Information  Centers, Libraries
Medical Care Facilities Cuba, 2000
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
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%
LIFE EXPECTANCY. CUBA
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
ACHIEVEMENT  PUBLIC HEALTH IN CUBA ,[object Object],(Human values) ,[object Object],[object Object],[object Object],[object Object],[object Object],HOW ?
HUMAN  RESOURCES CUBA/2001 350 000  Health Workers Include: 105,000 profesionals 75,000 nurses 56,000 technicians 67 %
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
HEALTH COMPLEX EDUCATION RESEARCH MEDICAL UNIVERSITY HEALTH  POLITECNIC HOSPITAL POLICLINIC ODONTOLOGY CLÍNIC RESEARCH CENTER  MEDICAL CARE
[object Object],[object Object],[object Object],2001
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
HEALTH HUMAN RESOURCES DEVELOPMENT ,[object Object],[object Object],[object Object],[object Object]
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
HEALTH FOR ALL  in the XXI CENTURY EQUITY IN HEALTH PREVENTIVE SANITARY POLICY  FINANCIAL SUPPORT KNOWLEDGE ACCESS
THE BIG  CHALLENGE  FOR HEALTH EQUITY  and QUALITY * MEDICAL TECHNOLOGY (ICT) * PRIMARY HEALTH CARE  * SOCIAL MEDICINE * HEALING MEDICINE
TELEHEALTH ,[object Object],[object Object],[object Object],[object Object],KNOWLEDGE NETWORK Cuban Medical University Strategy Estrategic Alliance ,[object Object],[object Object],[object Object]
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
Cuban Health Network Connection Municipality  80 Institutions  730 Users  20,000   Traffic daily message  34,000 Daily visits to Infomed Website  45,000
ESTRATEGIC PROJECTS ,[object Object],[object Object],CUBA /2001 TELEMATIC NETWORK IN HEALTH (INFOMED)
www.uvirtual.sld.cu
 
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: ,[object Object],[object Object],[object Object],[object Object]
¡ TO ACEPT THE CHALLENGE ! VIRTUAL  EDUCATION   Health University  XXI Century PRESENCE  EDUCATION   NEW  INFORMATION AND  COMMUNICATIONS TECHNOLOGIES  DIGITAL AGE

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PUBLIC HEALTH IN CUBA

  • 1. Public health in Cuba Dr. Peter G. Bourne
  • 2. CUBAN HEALTH SYSTEM UNIVERSAL FREE ACCESSIBLE
  • 3. INTEGRATES 5 SUBSYSTEMS HEALTH NATIONAL SYSTEM Information Health Care Medical Education Research Health Control CUBA
  • 4. HEALTH INSTITUTIONS NETWORK IN CUBA Universities, Politechnics. Institutes and Research Centers Policlinics, Hospitals, Clinics Centers and Units of Hygiene Information Centers, Libraries
  • 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. 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%
  • 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.
  • 11. HUMAN RESOURCES CUBA/2001 350 000 Health Workers Include: 105,000 profesionals 75,000 nurses 56,000 technicians 67 %
  • 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. HEALTH COMPLEX EDUCATION RESEARCH MEDICAL UNIVERSITY HEALTH POLITECNIC HOSPITAL POLICLINIC ODONTOLOGY CLÍNIC RESEARCH CENTER MEDICAL CARE
  • 14.
  • 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.
  • 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 FINANCIAL SUPPORT KNOWLEDGE ACCESS
  • 19. THE BIG CHALLENGE FOR HEALTH EQUITY and QUALITY * MEDICAL TECHNOLOGY (ICT) * PRIMARY HEALTH CARE * SOCIAL MEDICINE * HEALING MEDICINE
  • 20.
  • 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. Cuban Health Network Connection Municipality 80 Institutions 730 Users 20,000 Traffic daily message 34,000 Daily visits to Infomed Website 45,000
  • 23.
  • 25.  
  • 26.
  • 27. ¡ TO ACEPT THE CHALLENGE ! VIRTUAL EDUCATION Health University XXI Century PRESENCE EDUCATION NEW INFORMATION AND COMMUNICATIONS TECHNOLOGIES DIGITAL AGE