Masterclass: Clinical Working Group Part 1 Staying Healthy

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Master-class Clinical Working Group (Part
1)Staying Healthy
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Welcome

• Nidia Morales
• Ben OBrien
• Kalee Talvitie-Brown

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Objectives

• Identify best practices and creative approaches
  from speaker ideas and experiences
• Determine how to apply new ideas/approaches,
  including identifying barriers and steps to
  overcome.

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Table Introductions

• Your name, organisation
• Role in Pathway
• Agree scribe, reporter time keeper role

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Table Plenary Discussion 1

• What is your current provision of services for
  this Pathway and how does delivery compare with
  national and international quality indicators?

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Master-class Speaker Presentation
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Health in Cuba
2007
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Indicators of the Mother and Child Program
INDICATORS 1970 1980 1990 1995 2000 2002
2003 2004 2006 INFANT MORTALITY (X 1000 NV)
38.7 19.6 10.7 9.4 7.2 6.5 6.3 5.8
5.3 UNDER 5 YEARS X 1000 BA 43.7 24.2 13.2 1
2.5 9.1 8.1 8.0 7.7 7.1 LOW WEIGHT
AT BIRTH (IN ) 10.3 9.7 7.6 7.9 6.1
5.9 5.5 5.5 5.4 MATERNAL MORTALITY
TOTAL - - - 4.8 4.0 4.1
4.0 3.9 4.9 (X 10 000 NV)
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Mother and Child Care

• As minimun 12 check-ups during the pregnancy
• Diagnosis ultrasound
• Alpha-Feto Protein
• Frequent studies of Hemoglobin and Urine
• Serology and HIV
• Cytogenetic studies of elderly primigravida
• Hypothiroidism research an phenylketonuria in
  new borns.
• Puericulture

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Diseases Erradicated
MALARIA 1967
NEONATAL TETANUS 1972
POLIOMYELITIS 1962
PERTUSSIS 1997
DIPHTERIA 1979
MENINGOENCEPHALITIS POST PAROTITIS 1989
RUBELLA 1995
CONGENITAL RUBEOLLA SYNDROME 1989
MEASLES 1993
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Diseases which are not a Health Problem

• INFECTIONS DUE TO
• TYPE B H. INFLUENZAE
• IN 2005 RATElt 0.05 X 100 000 hab
• M. MENINGOCOCCAL
• Between 1987-2005
• the mortality dropped a 93
• Between 1989-2005
• the mortality dropped a 95

TETANOS In 2005 0 cases
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Elderly Care

• 15 of the population is above 60 years old.
• 21,5 years of life expectancy at 60 years
• 8 years of life expectancy at 80 years.
• 710 892 elderly at elderly clubs
• 110 093 elderly living alone with communitary
  care.

• 434 multidisciplinary team of Gerontology care.
• 178 elderly homes
• 33 geriatric services, 11 having teaching
  category
• 255 geriatricians
• More than 900 professionals having Diplomas
• 170 Elderly clubs.

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Cuban Strategy Againt AIDS
ANTIRETROVIRAL Therapy
PROMOTION
Face to face
100 , 2 098 pacients
PREVALENCE 0.1 hab. 15 49 years
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Battle of Ideas a new revolution of the
Cuban Society
Learning Universalization
Education up-dating
Battle of Ideas, perfecting of the Cuban
society
Mass culture
Sport
Staged computing of the society
Social Workers Program
Revolution Programs in Health
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2002 A deep revolution being carried out in
Heath Services
Health Institution Remodeling Program
Improved human resources program
Genetics Program (disabled)
Optics Program
Computing Program
Revolution Programs at Health Area
Increased and improved sanitary
transportation program
Nephrology Program (Hemodialisis)
Municipal Intensive Care Program
Cardiology Program
Technical Orthopedic Program
Hospital Program
Polyclinic Program
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• ... We are a small country, but we have been
  able to show how much can be done when it is
  wanted to if human resources from any place
  can be well used.
• Fidel Castro Ruz.

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Table Discussion Plenary II

• Question
• What one suggestion from the Speaker, Discussion
  Contributors colleagues can be implemented to
  improve health outcomes for your Pathway?

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Wrap-up Close