Inability to access healthcare health illiteracy

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- Inability to access healthcare - Health illiteracy - Malnutrition Top ten causes of death in L-I countries - Lower respiratory infections – 91 - HIV/AIDS – 65 - Diarrhoeal diseases – 53 - Stroke – 52 - Ischaemic heart disease – 39 - Malaria – 35 - Preterm birth complic. – 33 - Tuberculosis – 31 - Birth Asphyxia – 29 Geographic accessibility is influence by: - Lack of infrastructure and communication in remote areas - Travel time to health services Key factors in the success of the Cuban Healthcare System 1. Integration of public health a. There appears to be little evidence of a divide between the prevention/proactive response and the disease management/reactive response b. Differs dramatically from other countries – focus on prevention c. Allows Cuba to save a huge amount of money through prevention and early intervention 2. Doctor-Patient Ratio a. 1 doc per 175 in Cuba vs 1 per 500 in Canada b. spread through the population, allowing them to give strong, uniform health care to all citizens of the country c. distribution in rural areas is a major problem for Canada 3. Community Health Networks a. Recognizing that each community has its own social and physical determinants of health, policy makers created a system of primary care clinics that brought the doctors directly to the communities, providing them with housing and salaries. b. These doctors became integral members of underserved communities, providing early diagnosis and prevention tailored to the unique environmental factors influencing their assigned population. 4. Central Government Support a. The significant government commitment to healthcare ensures the universal access to healthcare and a true commitment to health as a human right. Weaknesses of the Cuban healthcare system - Drug and equipment storages o Often conspicuously absent. o Substantial black market for drugs or medical services that aren’t otherwise accessible - Lack of freedom for doctors and patients
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o There is no right to privacy in the physician-patient relationship, no right to informed consent, no right to refuse treatment and no right to protest or sure for malpractice in Cuba. o Doctors do not get to choose where they will practice and are sometimes placed in places that are not ideal for their lives and families. South-south cooperation: a model of successful programs in one low-resource country to model in another low-resource country by attempting to use guidance from the systems of countries that are resource-rich. (CUBA AND GAMBIA) 2 obstacles to applying a Cuban model of healthcare in low-resource countries - Lack of willingness on the part of doctors to make sacrifices to meet the needs of the community; this includes loss of talent to urban centers and private clinics - Lack of government support for universal access to public healthcare, sometimes resulting from structural adjustments imposed by international funding agencies such as the International Monetary Fund and World Bank o Private care is unaffordable to most people in poor countries and serving sparsely populated areas is often unprofitable. The government is the best agent for providing universal healthcare.
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