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Cuban Health System
- Universal, geographically accessible
- Without distinction (by race, gender, creed or politics)
- Community-based
- Intersectoral
- Principle of international coopperation
Republic of Cuba 114 000 km2 11.2 million pop. 14 Provinces / 1 - - PowerPoint PPT Presentation
Republic of Cuba 114 000 km2 11.2 million pop. 14 Provinces / 1 - - PowerPoint PPT Presentation
Republic of Cuba 114 000 km2 11.2 million pop. 14 Provinces / 1 Special Municipality Cuban Health System Universal, geographically accessible Without distinction (by race, gender, creed or politics) Community-based Intersectoral
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1959 2007
One medical school 6,286 doctors, most in private practice in major cities; 50% emigrated after the revolution. Infant mortality >60 x 1000 live births Life Expectancy <60 years High prevalence of infectious diseases. 24 medical schools Chronic noncommunicable diseases prevail. Immunization program against 13 diseases Life Expectancy: 77 years Infant mortality 5.3 x 1000 live births 72,416 doctors, 44.9% family
- doctors. 99.7% of rural areas
covered.
Health in Cuba: Evolution
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MD’s Ophthalmologists 1959 6,000 118 1963 3,000 38 2007 72,400 940
In 2009:
- 950 ophthalmologists
- 1,600 residents in ophthalmology
Human Resources
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1960: First Cuban medical assistance Emergency medical team and 8 tons of medical equipment and supplies to earthquake-stricken Chile.
International Medical Cooperation: Disaster Relief
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1963: first year of long-term international medical cooperation
- program. Cuban medical team
serves one year in recently independent Algeria (57 doctors, nurses, and technicians, including 2 ophthalmologists).
International Medical Cooperation: Long-Term Assistance
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Cuban Health Professionals Abroad
1963-2008: 127,600 health professionals in 104 countries (includes those who have served more than once) Currently: 38,538 Cuban health professionals in 74 countries (mainly in poor and remote regions, primary care)
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Training International Human Resources for Health
- Medical schools abroad:
Cuba has founded 11 medical schools in developing countries
- Latin American Medical School, Havana:
Graduated 5,960 low-income students from the Americas and Africa since 2005. Current enrollment: 9,466
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- Eye care for those in need
- Development of human resources
- Development of technological infrastructure
Cuba’s Vision Restoration Program: Operation “Miracle”
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2004
Cuban teachers in Venezuela’s literacy program discovered vision problems among their students. The vision restoration program began as a bilateral effort to solve this problem.
The Beginnings
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2005
Patients from Cuba, 15 Caribbean and 12 Latin American countries were added to in the program.
TODAY
Patients from 34 countries…
2005 and Beyond
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Caribbean Antigua & Barbuda Bahamas Barbados Cuba Dominica Grenada Haiti Jamaica Martinique Montserrat
- St. Kitts & Nevis
- St. Lucia
- St. Vincent & the Grenadines
Suriname Trinidad & Tobago
Patients’ Countries of Origin
Central & South America Argentina Belize Bolivia Brazil Colombia Ecuador El Salvador Guatemala Guyana Honduras Mexico Nicaragua Panama Paraguay Peru Uruguay Venezuela Africa Angola Mali
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24 Eyecare Centers
The Cuban Eyecare and Prevention Program
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CUBA-VENEZUELA-BOLIVIA-BRAZIL- NICARAGUA-ECUADOR-GUATEMALA HONDURAS-MEXICO-PANAMA-PARAGUAY- PERU-URUGUAY-MALI-ANGOLA
Geographic Distribution of Eyecare Centers
59 Centers in 15 countries, with 87 surgical stations
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2004-present: 1,562,608 patients surgically treated Of these: 360,826 cataracts (23%). Cubans were 112,698 14,173 glaucomas 45,942 laser treatments Conditions treated: Cataracts, Pterigium, Eyelid Ptosis, Squint, Glaucoma, Diabetic retinopathy
Surgical Interventions
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Results 2004-2009
Vision has been restored or improved in 1,562,608 patients
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