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Dr Una Lynch Institute of Governance School of Law u.lynch@qub.ac.uk

Dr Una Lynch Institute of Governance School of Law u.lynch@qub.ac.uk. Public Health: Why are the Cubans so successful?. IRISH FORUM FOR GLOBAL HEALTH (IFGH) BIENNIAL CONFERENCE NUI Maynooth - 29th November 2010. Comparative health statistics Research methodology

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Dr Una Lynch Institute of Governance School of Law u.lynch@qub.ac.uk

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  1. Dr Una Lynch Institute of Governance School of Law u.lynch@qub.ac.uk

  2. Public Health: Why are the Cubans so successful? IRISH FORUM FOR GLOBAL HEALTH (IFGH) BIENNIAL CONFERENCE NUI Maynooth - 29th November 2010

  3. Comparative health statistics • Research methodology • Reasons behind Cuba’s Success

  4. “… sentence me, it is not important,history will absolve me” “Only death can liberate one from so much misery. In this, however — early death — the State is most helpful. Ninety percent of rural children are consumed by parasites, which filter through their bare feet from the earth. Society is moved to compassion upon hearing of the kidnapping or murder of one child but they are criminally indifferent to the mass murder of so many thousands of children who die every year from lack of facilities, agonizing with pain.” Fidel Castro, 1953

  5. http://www.gapminder.org/

  6. Expenditure on Health Source: World Health Report, (WHO, 2010)

  7. Infant Mortality Rate Source WHO, 2010; *NISRA, 2007

  8. Literature Unstructured interviews Documents Public health why are the Cubans so successful? Observations (participant & non-participant) Focus Group Interviews Semi-structured interviews Methods

  9. Public Heath: Why are the Cubans so successful? • Political will • Ministry of Public Health • Health promotion & prevention of ill health • Primary Care • Active citizenship • Equity • Public system • Integration • Education • Socialism

  10. Why a Ministry of Public Health? “Public Health has to do with all the problems which in whatever way affect the health of the population. If we were to view it simply as the Ministry of Health it would basically be representing the curative service. And as the doctrine of the revolution is prevention or rather promotion, prevention and protection of health, if we were to call it only the Ministry of Health it would mean that most important functions would be outside of the Ministry, and for that reason it is public health, because the focus is prevention.” [Dr Edwardo Zacca Peňa, Director Statistics Ministry of Public Health Cuba]

  11. Family Doctor / Family Nurse

  12. Needs Assessment

  13. Education and Participation

  14. Social Responsibility “…to maintain infant mortality rate is a social responsibility. Responsibility like Beveridge says: responsibility. A child of one year has a right to this. I imagine that there should not be anything lacking that will guarantee its protection: if you work for this you are fulfilling your duties, nothing more.” (Dra Silvia Matínez Calvo)

  15. Sláinte agus Easláinte • TG4 three part documentary on Irish Health System. In Episode Two, Maire looks at the reforms and cutbacks being imposed on public healthcare and then compares them with a system which runs successfully for a tenth of the cost: the Cuban system. How have they managed to prevent disease and catch it early? And how can they afford so many doctors – proportionately twice as many as here? http://www.belowtheradar.tv/SainteAgusEaslainteProg02.html

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