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Growing Older Cuban Style
Dr Una Lynchuna@sonrisa-solutions.com
GATE meeting Belfast30th October 2012
1.Critical junctures in history2.Health statistics 3.Cuba’s approach to ageing
Independence
“Only death can liberate one from so much misery. In this however, early death,
the State is most helpful. 90% 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 is 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]
… Condemn me. It does not matter. History will absolve me”
http://www.gapminder.org
1990s - Collapse of the socialist block
“Castro looked like an isolated dinosaur, left stranded by the tide
of history. Most outside observers
expected his end to come in months
rather than years.”(Coltman, 2003:267)
“by the late 80s
all the Western European
countries had higher life
expectancy than every
Eastern European country.”
(Wilkinson, 2005:114)
Infant Mortality Rate
Source WHO, 2012; *NISRA, 2010
Life expectancy & percentage of population aged 60yrs+
Country Total Population
(000) % Population
aged 60yrs+ *
Life expectancy**
Male Female
Austria 8,394,000 18 78 83
Cuba 11,205,000 16 76 80
Spain 46,077,000 17 78 85
N. Ireland*** 1,799 14 78 82
Italy 60,551,000 20 79 84
Uganda 33,425 4 48 57
UK 62,036 22 78 82
USA 310,384 18 76 81Source: World Health Report, (WHO, 2010); ***NI data (>65yrs) Source NISRA 2010
Expenditure on Health Country Total expenditure on
health as percentage of
GDP
Cuba 11.8Austria 11.0Italy 9.5Spain 9.5Republic of Ireland 9.7United Kingdom 9.0USA 16.2
Source: World Health Statistics, (WHO, 2012)
Expenditure on Health Country Total expenditure on
health as percentage of
GDP
Per capita total expenditureon health at average exchange rate (US$)
Cuba 11.8 503Austria 11.0 4,388Italy 9.5 3,022Spain 9.5 3,027Republic of Ireland 9.7 4,005United Kingdom 9.0 3,399USA 16.2 7,410
Source: World Health Statistics, (WHO, 2012)
Cuban National School of Public Health [ENSAP]
“Umbrellas Repaired”
“Umbrellas Recovered”
Public Heath: Why the Cubans are so successful
“Public Health has to 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. 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]
Family Doctor / Nurse
“The extent of real inequality of opportunities that people face
cannot be readily deduced from the magnitude of inequality of incomes, since what we can or
cannot do, can or cannot achieve, do not depend just on our
incomes but also on the variety of physical and social characteristics that affect our lives and make us
what we are.”
Equity
(Sen, A 1995:28)
Needs Assessment
El Camello
Polyclinics
Rights and Responsibilities
The 120 year club
Community support
Residential Care
“How long this present order, based on an absurd
idea of caste, will last I can’t say, but it’s time
governments spent less time publicizing their
own virtues and more money, much more
money, funding socially useful projects.”Dr Ernesto (Che)Guevara, 1952: Motorcycle diaries 51-52
Sláinte agus Easláinte
• http://www.belowtheradar.tv/SainteAgusEaslainteProg01.html
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