Nidia Morales

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Evolution of The Polyclinic System in Cuba
Nidia Morales
President of the Government Commission of
Integrated Primary Health and Advisor on
Polyclinics to the Health Minister
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Health in Cuba
2007
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Cuban Health System
FREE OF CHARGE
UNIVERSAL
ACCESIBLE
REGIONALISED

• At the reach of everyone
• In rural and urban areas
• No matter the political affiliation
• No matter the race
• No matter the gender
• No matter the religion or atheism
• With communitarian and intersectoral
  participation.

COMPREHENSIVE
With a internationalist conception
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Cuban Health System
National Assembly Council of State Council of
Ministers
Ministry of Public Health
Institutes
Provincial Assembly
Health Provincial Level
Hospitals
Municipal Assembly
Health Municipal Level
Hospitals
Polyclinics
Polyclinics
Basic Group of Work
Basic Group of Work
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Institutions at the National Health System

• 498 polyclinics
• 14 078 family doctors offices
• 165 dental clinics
• 213 hospitals
• 289 maternal homes
• 143 elderly homes
• 38 disabled homes
• 27 blood banks
• 13 research institutes

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Indicators of Human Resources in Health
447 023 workers 70,2 are women

• 1 nurse x 79,5 inhabitants
• 1 physician x 159 inhabitants
• 1 dentist x 1 066 inhabitants

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Polyclinic structure (Integrated network
clinics/Health and social centres)
Polyclinic 30 family doctors Plus Specialists
Health area C30,000 patients
Hospital
Pharmacy
General practices 20-25