2012, Number 1
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MEDICC Review 2012; 14 (1)
Over the hills & far away: Rural health in Cuba
Gorry C
Language: Spanish
References: 20
Page: 1-10
PDF size: 2531.02 Kb.
Text Extraction
“I had ten brothers and sisters. We were so poor,” relates Algimiro Ortíz in the honeyed afternoon light flooding the Seniors’ Center in Cruce de los Baños. “School wasn’t an option—there wasn’t a school here—only work; I began picking coffee when I was 11. When somebody got sick, we had to carry them on our shoulders to the hospital in Contramaestre, 16 miles away,” Ortíz, now in his
70s, told
MEDICC Review.
REFERENCES
De la Torre E, López C, Márquez M, Gutiérrez JA, Rojas Ochoa F. Salud para todos: Sí es posible. Havana: Sociedad Cubana de Salud Pública (CU); 2004. Spanish.
International Bank for Reconstruction and Development. Report on Cuba. Findings and recommendations of a technical mission (“Informe Truslow”). Baltimore: The John Hopkins Press; 1951.
Interview with Dorisbel Ramos, Lead Specialist, Tercer Frente Historical Complex, 12 Dec 2011.
Agrupación Católica Universitaria. Encuesta de los trabajadores rurales 1956- 1957. In: Economía y Desarrollo. 1972 Jul-Aug;12:198.
Jeffries C. Illiteracy: A World Problem. London: Pall Mall Press; 1967.
Delgado García G. El Servicio Médico Rural en Cuba: Antecedentes y Desarrollo Histórico. In: Cuadernos de la Historia de la Salud Pública No. 72. Havana: Ministry of Public Health (CU); 1987.
Labrada E. Reforma Agraria en Cuba: la otra historia. Periódico Adelante (Camagüey). 2011 May 17. Spanish.
Cuba’s Literacy Campaign was led by more than 160,000 (mostly) young people and teachers who volunteered to go into the countryside to teach the illiterate rural peasantry to read and write. As a result of these efforts, Cuba was declared illiteracy-free by UNESCO in 1962 (the fi rst country in Latin America to be thus recognized). It is interesting to note that the Cuban approach emphasizing the effects education, land use, housing, road access, and other factors have on health predates the global understanding of social and environmental infl uences on health fi rst described in the 1974 Lalonde Report in Canada.
Navarro V. Health, health services and health planning in Cuba. Int J of Health Services. 1972 Aug;2(3):413.
Rodríguez Rivera A. En el hocico del caimán. Havana: Ediciones Unión; 2007. Spanish.
Roemer MI. Cuban Health Services and Resources. Washington, DC: Pan American Health Organization; 1976.
In 1959, there was one medical university in Cuba; today there are 14 (13 provincial and the Latin American Medical School).
Declaration of Alma-Ata. International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978. Geneva: World Health Organization; 1978 [cited 2011 Jan 15]. 3 p. Available from: http://www.who.int/hpr/NPH/ docs/declaration_almaata.pdf
FAO. Plan Turquino: Strengthening the Programme for Comprehensive Development of Cuban Mountains. c 2003 [cited 2011 Dec 22]. Available from: www. fao.org/forestry/forestsandwater/59080/en/
Castell-Florit P. La intersectorialidad en la práctica social. Havana: Editorial Ciencias Médicas; 2007. Spanish.
Gandul L, Luna EC, Sierra DC. Programa de desarrollo integral de la montaña. Plan Turquino Manatí, 17 años de avances [Internet]. Rev Cubana Med Gen Integr. 2008 Jun [cited 2011 Dec 22];25(2). Available from: http://scielo.sld.cu/ pdf/mgi/v25n2/mgi12209.pdf. Spanish.
Interview with Dr Pablo Reyes, Municipal Health Director, Tercer Frente, 2011 Dec 12.
Interview with Dr Julio César Luis Félix, Director, Cruce de los Baños Polyclinic, 2011 Dec 12.
For a full discussion of Cuba’s maternity home program, see Cuban Maternity Homes: A Model to Address At-Risk Pregnancy in MEDICC Review. 2011 July;13(3):12–5.
Iñiguez L. Aproximación a la evolución de los cambios en los servicios de salud en Cuba. Rev Cub de Salud Pública. 2012 Ene–Mar;38(1). Spanish.