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

Abstract

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.

Authors+Show Affiliations

Escuela Nacional de Salud Pública, La Habana, Cuba.Facultad de Ciencias Médicas Julio Trigo López, Universidad de Ciencias Médicas de La Habana, Cuba.Escuela Nacional de Salud Pública, La Habana, Cuba.Hospital Pediátrico Universitario Juan Manuel Márquez, La Habana, Cuba.Instituto Nacional de Higiene, Epidemiología y Microbiología, La Habana, Cuba.Organización Panamericana de la Salud, representación en Cuba, La Habana, Cuba.Departamento de Atención Materno Infantil, Ministerio de Salud Pública, La Habana, Cuba.Centro Nacional de Genética Médica, La Habana, Cuba.

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

31093056

Citation

Espinosa, María Cecilia Santana, et al. "[Maternal and Child Health Care in Cuba: Achievements and challengesCuidados De Saúde Materno-infantil Em Cuba: Conquistas E Desafios]." Revista Panamericana De Salud Publica = Pan American Journal of Public Health, vol. 42, 2018, pp. e27.
Espinosa MCS, Lauzurique ME, Alcázar VRH, et al. [Maternal and child health care in Cuba: achievements and challengesCuidados de saúde materno-infantil em Cuba: conquistas e desafios]. Rev Panam Salud Publica. 2018;42:e27.
Espinosa, M. C. S., Lauzurique, M. E., Alcázar, V. R. H., Pacheco, B. L. C., Lubián, M. D. C. M., Cala, D. C., ... Teruel, B. M. (2018). [Maternal and child health care in Cuba: achievements and challengesCuidados de saúde materno-infantil em Cuba: conquistas e desafios]. Revista Panamericana De Salud Publica = Pan American Journal of Public Health, 42, pp. e27. doi:10.26633/RPSP.2018.27.
Espinosa MCS, et al. [Maternal and Child Health Care in Cuba: Achievements and challengesCuidados De Saúde Materno-infantil Em Cuba: Conquistas E Desafios]. Rev Panam Salud Publica. 2018;42:e27. PubMed PMID: 31093056.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Maternal and child health care in Cuba: achievements and challengesCuidados de saúde materno-infantil em Cuba: conquistas e desafios]. AU - Espinosa,María Cecilia Santana, AU - Lauzurique,Mercedes Esquivel, AU - Alcázar,Violeta Regla Herrera, AU - Pacheco,Berta Lidia Castro, AU - Lubián,María Del Carmen Machado, AU - Cala,Duniesky Cintra, AU - Fumero,Roberto Tomás Álvarez, AU - Teruel,Beatriz Marcheco, Y1 - 2018/04/24/ PY - 2017/04/27/received PY - 2017/11/09/accepted PY - 2019/5/17/entrez PY - 2019/5/17/pubmed PY - 2019/5/17/medline KW - Cuba KW - Maternal health KW - Millennium Development Goals KW - Sustainable Development Goals KW - child health KW - infant mortality KW - maternal mortality SP - e27 EP - e27 JF - Revista panamericana de salud publica = Pan American journal of public health JO - Rev. Panam. Salud Publica VL - 42 N2 - 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. SN - 1680-5348 UR - https://www.unboundmedicine.com/medline/citation/31093056/[Maternal_and_child_health_care_in_Cuba:_achievements_and_challengesCuidados_de_saúde_materno-infantil_em_Cuba:_conquistas_e_desafios] L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31093056/ DB - PRIME DP - Unbound Medicine ER -