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Health system

Nicole Love

on 2 March 2010

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Transcript of Cuba

Cuba Cuba 1200 km (745 miles) long
covers approximately 111, 000 square kilometers 14 provinces and a special municipality

From West to East, the provinces are...
Pinar del Rio
City of Havana
Villa Clara
Sancti Spiritus
Ciego de Avila
Las Tunas
Santiago de Cuba
Guantanamo Isla de la Juventud As of June 2000,
the population estimate for the Republic of Cuba was 11,187,673 Language Mainly Spanish with english spoken at hotels and tourist destinations The economy of Cuba largely relies on tourism as it’s leading income contributor. Industries That Benefit
The Economy of Cuba Cigars
and Biotechnological
Production + Free Education Cuba Allows Freedom of Religion AND Cuba’s revolution of

drastically changed many
social determinants of health 1959 Cuba adopted a

following the revolution of 1959
and this combined with

has been the main force of
health gains in Cuba
since the revolution. Public Health Care System Primary Health Care Gross Domestic Product Per Capita and
Female Life Expectancy at Birth,
Selected Countries, 2004 Revolution changed
the health care system

of Cubans have full
access to free health
care because of Health Care System 1959 99% Che Guevara Foundation of their health care system is

Focus on Primary Care Prevention and
Promotion Universal Health Care system

Rural health care system Covers medical, mental, dental health care

Medical teams go to rural areas to make sure
their entire population is taken care of are permitted on Cuban grounds

in polyclinics

Policy drafted that

between regions and population groups No private clinics or hospitals 24 hour access eliminated health inequalities In the 1998-99 year alone, 21 new hospitals were opened, as well as 16 polyclinics, 10,000 new doctors' offices, three dental clinics, 44 homes for the elderly, six homes for the disabled, and12 research
institutes among other new facilities

of its human resources went to family doctor practices 50% The idea of ‘Health for all’

Income, employment security, and social status do not determine health

Women and early childhood care are made a priority

No shortage of doctors or highly trained nurses

Accesible; sophisticated network of ‘polyclinics’

Overall political commitment to the quality of health

Cuba succeeds where Canada fails in the Public health system Advantages Limited accessibility to import basic drugsPenicillin, Insulin, Aspirin and Asthma drugs

Disadvantages Limited access to importing drugs

Brain Drain

Brain Waste Contributing factor to the burden of disease within Cuba ...

US embargo blockading trade, forced Cuba to become self-sufficient

Cuban’s are paid with peso’s but must buy vaccines and drugs in US dollars

Cuba was forced to develop it’s own pharmaceutical products and vaccines Burden of Disease Cuba has

trained doctors 51, 000 62.7 per 100, 000
inhabitants to Mortality from infectious disease fell from 9.9 increased from around
50 for Cubans born in the early 50s to Life expectancy 75 by the early 1980s Infant Mortality Infant mortality has decreased
from 7.9 per 1000 births in 1997
to 7.2 per 1000 births in 2000 In 1996 Cuba’s infant mortality rate was half that of the city of Washington DC. ie. Stroke and heart disease The leading cause of death within Cuba is diseases of the circulatory system non-communicable disease Burden of Communicable disease AIDS is treated free of charge Tuberculosis vaccine 99%
covered for
newborn babies Rationalized food portions for families so that it is available at a more affordable rate for everyone.

Government targeted pregnant women and children with more milk, etc, and give them special priority.

In 1992 and 1993,

was prevalent in adult males due to nutritional deficiencies in the period where women and children were given special privileges. Malnutrition outbreak in optic and peripheral neuropathy Cubans were forced to rely on themselves due to the failure of the USSR economy

This caused a socialist revolution in Cuba

Complete overhaul in political system resulted in their current health care system Political Economy of Health Analysis Che Guevara The importance of public policy

Currency Devaluation

Production of vaccines Embargos on trade with Cuba put them in debtTheir currency is in Peso’s but they must purchase things using the US dollar

Cuban produced vaccines and pharmaceutical products are devalued and bought out for cheap from high income countries. Proper patents are not put in place and this is taken advantage of.

Producing vaccines and new drugs in the biotech labs. Ie. Vaccines for hepatitis B, bacterial infections meningococcus

Biotechnology labs create jobs and stimulate the Cuban economy

More vaccines mean less burden of disease and less treatment time, therefore less strain on the healthcare system in general.

Saving a lot of money by making the prevention of disease a priority Cuba is not growing economically
However, their health resources are increasing. Cuba’s national manufacturer’s produce

of the drugs consumed in Cuba,
including more than 1000 generic drugs 87% Fidel Castro was awarded the WHOs Health For All Gold Medal in 1998 for his

Cuba’s national health system has been proclaimed as
“an international success story” “Strong commitment to the health sector of his country” Global organizations pay little attention
to the success of Cuba.

There is one in particular… The World Bank Cuba’s success has been intentionally avoided or overlooked by the world bank, USAID and other global advisors

Because they chose NOT to expand the private sector. The driving force behind particular health reforms is

health needs

creating an ideological approach influenced almost entirely by NOT Capital it is ‘As with its unique revolution, Cuba’s health care system is not so much a model that could be adopted by other countries, as a reminder that another line of approach is not only possible, but in many ways preferable.’ (Skolnik 2008: 148) Questions
1. Canada spends $3672 international dollars on their health care systems and have a probability of death at birth per 1000 of 6. Cuba spends $373 of their international dollars on their health systems and have a probability of death at birth per 1000 of 7. Why is it that Canada spends 10 times more than Cuba does yet the probability of death is practically the same?

2. Why is it that Cubans are individually seen as healthy yet are such a poor country? The cycle states that healthy people work more, therefore produce more, which makes more money. Where does Cuba go wrong?

3. Is being a self-sufficient country a good thing?
Part B - How does globalization play a part? Portrait Photography by Vincent de Groot
Retrieved from: http://www.photo-vinc.com/
Full transcript