[Maternal and child health care in Cuba: achievements and challengesCuidados de saúde materno-infantil em Cuba: conquistas e desafios].

Autor:	Espinosa MCS; Escuela Nacional de Salud Pública, La Habana, Cuba., Lauzurique ME; Facultad de Ciencias Médicas Julio Trigo López, Universidad de Ciencias Médicas de La Habana, Cuba., Alcázar VRH; Escuela Nacional de Salud Pública, La Habana, Cuba., Pacheco BLC; Hospital Pediátrico Universitario Juan Manuel Márquez, La Habana, Cuba., Lubián MDCM; Instituto Nacional de Higiene, Epidemiología y Microbiología, La Habana, Cuba., Cala DC; Organización Panamericana de la Salud, representación en Cuba, La Habana, Cuba., Fumero RTÁ; Departamento de Atención Materno Infantil, Ministerio de Salud Pública, La Habana, Cuba., Teruel BM; Centro Nacional de Genética Médica, La Habana, Cuba.
Jazyk:	Spanish; Castilian
Zdroj:	Revista panamericana de salud publica = Pan American journal of public health [Rev Panam Salud Publica] 2018 Apr 24; Vol. 42, pp. e27. Date of Electronic Publication: 2018 Apr 24 (Print Publication: 2018).
DOI:	10.26633/RPSP.2018.27
Abstrakt:	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. Competing Interests: Conflicto de intereses. Ninguno.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu