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Joined: 15 Nov 2006
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PostPosted: Wed Nov 15, 2006 5:07 am    Post subject: HEALTHCARE IN CUBA / CUBA HOSPITAL GUIDE Reply with quote

HEALTHCARE IN CUBA

STATE HEALTHCARE

In Cuba the state assumes full responsibility for the health care of its citizens. In 1983 the parliament adopted the Public Health Law, which lays out the general activities to be carried out by the state to protect the health of Cuban citizens. The National Health system is organized at three levels - national, provincial and municipal -, which mirror the country's administrative structure.

The National Health System comprises a network of institutions that are easily accessible and provide coverage to 100% of the population. In 1998 the system included 62,000 hospital beds (5.4 per 1,000 inhabitants). Medical care is provided through a network made up of 283 hospitals, 11 research institutes, 440 polyclinics, and a contingent of family doctors practicing in workplaces and schools in the community. In addition, there are 164 health posts and 209 maternity homes. Social welfare services include 190 homes for the elderly and 27 homes for disabled persons of different ages and with various types of impairment. The family doctor and nurse programme serves 97% of the Cuban population and in 1996, the country had 60, 129 physicians (52.7 per 10,000 inhabitants) and 76,013 nursing personnel (66.7 per 10,000 inhabitants).

Cuba's health system is financed out of the state budget. The population receives free preventive, curative, and rehabilitation services, which range from primary care, routine medical attention and dentistry; to hospital care requiring the use of highly sophisticated medical technologies. In addition, all necessary diagnostic testing and drugs are provided free of charge to pregnant women and to persons receiving out-patient care in the context of certain programmes. Out-of -pocket expenditures for families include drugs prescribed for out-patient treatment, hearing aids, dental and orthopaedic apparatuses, wheelchairs, crutches and similar articles, and eyeglasses, but prices for all these items are low and are subsidized by the state.

Despite the economic difficulties of recent years, spending on public health has increased steadily, which reflects the political will to maintain the successes achieved in this area. In 1998 health spending totaled CUP 1.36bn and is budgeted to increase to CUP 1.4bn in 1999.

The decisive factor for ensuring the sustainability of the National Health System is foreign currency financing for the sector, which is currently considered to be insufficient to cover necessities and has also had an impact on the ability of the health sector to procure disposable medical supplies. Cuba has received little foreign aid to maintain the vitality of its health system because its access to traditional sources of financing is seriously hindered by the US blockade, although the country receives humanitarian aid totaling around USD 20mn annually.

MANAGED HEALTHCARE

Health promotion strategy in Cuba stresses planning and execution of local projects, community organization, participation of all productive and non-productive sectors, and the political will to support the development and implementation of health promotion activities. The main expression of this strategy is via the healthy communities movement, which seeks to pool local resources to promote health. The national health promotion network, composed of 28 municipalities, was created in December 1994, and within two years it had expanded to include 51 municipalities.

Regarding private healthcare, the only insurance coverage provided is under travel package or medical expense policies for visitors to Cuba, or for Cubans traveling abroad.

No statistics are available, but premium income is believed to be negligible.

DIRECTORY OF HOSPITALS & CLINICS

Clinica Central Cira Garcia
Calle 20 No 4101 esq Av 41
Havana
Cuba
Tel: + 53 7 204 2811

Clinica Internacional Cienfuegos
Calle 37 e/ 2 y 4-Punta Gorda
Cienfuegos
Cuba
Tel: + 53 432 51 1683

Clinica Internacional De Guardalavaca
Calle 2da No 15
Guardalavaca
Cuba
Tel: + 53 24 30291

Clinica Internacional De Santa Maria
Av Terrazas No 36
Havana
Cuba
Tel: + 53 7 97 1032

Clinica Internacional Santiago De Cuba
Av Pujol esq calle 10
Santiago de Cuba
Cuba
Tel: + 53 22 642 589

Clinica Internacional Varadero
Calle 60 y Primera Avenida
Varadero
Cuba
Tel: + 53 45 667 710

Clinica Internacional de Cayo Largo
Cayo Largo
Havana
Cuba
Tel: + 53 45 248 238

Hermanos Ameijeiras Hospital
Calle San Lazaro No. 701
e/Marques Gonzalez y Belascoain
Centro Habana
Ciudad de la Habana
Havana
Cuba
Tel: + 53 7 616 950/615 562
Fax: + 53 7 335 036

Hospital General Saturnino Lora
Carretera Central
Santiago de Cuba
Cuba
Tel: + 53 22 626 571

Hospital Provincial de Camaguey
Camaguey
Havana
Cuba
Tel: + 53 32 82010

Hospital Provincial de Holguin (Lenin)
Holguin
Cuba
Tel: + 53 24 42 5302

Instituto Pedro Kouri (IPK)
Autopista Novia del Mediodia km 6
La Lisa
Havana
Cuba
Tel: + 53 7 215 957
Fax: + 53 7 336 051

Juan Manuel Marquez Pediatric Hospital
Ave 31 y 76
Marianao
Ciudad de la Habana
Havana
Cuba
Tel: + 53 7 202 860/209 650
Fax: + 53 7 338 212/338 213

La Pradera International Health Center
Calle 230 y 15
Reparto Siboney
Playa
Havana
Cuba
Tel: + 53 7 337 200/467
Fax: + 53 7 337 198/199
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