Atención a la salud maternoinfantil en Cuba

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Bibliographic Data

ID14967792
AuthorsMaría Cecilia Santana Espinosa (Ministerio de Salud Pública, corresponding author), Mercedes Esquivel Lauzurique (Pan American Health Organization (Cuba)), Violeta Regla Herrera Alcázar (Ministerio de Salud Pública), Berta Lidia Castro Pacheco (0000-0002-8595-1379, Hospital Oncológico Docente "Conrado Benítez García"), María del Carmen Machado Lubián (Instituto Nacional de Higiene, Epidemiología y Microbiología), Duniesky Cintra Cala (0000-0002-2644-0157, Pan American Health Organization (Cuba)), Roberto Tomás Álvarez Fumero, R Fumero (0009-0007-2521-7539, Pan American Health Organization (Cuba))
Year2018
Volume42
Pages1-9
Publication date2018-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2018.27
PMID31093056
OpenAlexW2795020309
LanguageES
Citations received6
References cited1

In Cuba, maternal and child health care is based on the priority granted by the State, the implementation of the National Maternal and Child Health Program and the guarantee of equitable access to health services. This article describes the Cuban experience in this field, as well as its main achievements, challenges, and lessons learned. Among the most relevant results up to 2015 are the reduction of infant mortality rate and under-five mortality rate to 4.3 and 5.7 deaths per 1 000 live births, respectively; 5-year survival of 99.4%; more than 10 prenatal check-ups per delivery; 5.3% of low birth weight; 99.9% of institutional births; and being the first country to validate the elimination of mother-to-child transmission of HIV/AIDS and congenital syphilis. The main challenges are to increase the rate of exclusive breastfeeding; to reduce anemia due to iron deficiency in children and pregnant women; to reduce overweight in children; to prevent accidents; and to reduce maternal mortality, adolescent fertility rate, and voluntary abortion. Among the lessons learned are the priority given by the State to health, the programmatic management of maternal and child care, the guarantee of universal coverage, the systematic collection of information for decision-making, the integration of sectors and social participation in health. Sustaining and improving the results achieved will contribute to the fulfillment of the Sustainable Development Agenda for 2030

Abortion · Breastfeeding · Environmental health · Infant mortality · Low birth weight · Obesity · Overweight · Population · Pregnancy · Child and Adolescent Health · Cuban History and Society · Demography · Maternal and Neonatal Healthcare · Medicine · Pediatrics

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