Dr Una Lynch Institute of Governance School of Law [email protected]

16
Dr Una Lynch Institute of Governance School of Law [email protected]

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Dr Una Lynch Institute of Governance School of Law [email protected]. 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 - PowerPoint PPT Presentation

Transcript of Dr Una Lynch Institute of Governance School of Law [email protected]

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

Dr Una LynchInstitute of Governance

School of [email protected]

Page 2: 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

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

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“… 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

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http://www.gapminder.org/

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Expenditure on Health

Country Total expenditure on health as

percentage of GDP

Total expenditure on health Per Capita average exchange rate US$

Bolivia 5.0 69

Cuba 10.4 585

Ghana 8.3 54

Haiti 5.3 35

Republic of Ireland 7.6 4556

United Kingdom 8.4 3867

United Stares of America 15.7 7285

Zambia 6.2 57

Source: World Health Report, (WHO, 2010)

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Infant Mortality Rate

0

20

40

60

80

100

120

140

160

180

Deat

hs p

er 1

000

live

birt

hs

CountrySource WHO, 2010; *NISRA, 2007

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Methods

Public health why are the Cubans so

successful?

LiteratureUnstructured

interviews

Observations(participant & non-

participant)Semi-structured

interviews

Focus Group Interviews

Documents

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Public Heath: Why are the Cubans so successful?

1. Political will 2. Ministry of Public Health 3. Health promotion & prevention of ill health

4. Primary Care5. Active citizenship 6. Equity7. Public system8. Integration9. Education10. Socialism

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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]

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Family Doctor / Family Nurse

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Needs Assessment

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Education and Participation

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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)

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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