• Improving Disability Care in Countries of the Bolivarian Alliance for the Peoples of Our America Lessons from the Field

    Portuondo-Sao, Miriam; Cobas-Ruiz, Marcia; Zacca-Peña, Eduardo; Lantigua-Cruz, Araceli; López-García, Josefina; Boligán-Jomarrón, Yosnel; Leyva-Serrano, Martiza; Herrera-Armenteros, Anorys; Morales-Suárez, Ileana R.

    Resumo em Inglês:

    ABSTRACT Persons with disabilities constitute one of the most vulnerable groups in every society; their identification, assessment and care present a major challenge. In 2001–2003, Cuba conducted the first comprehensive national study of persons with disabilities in the Americas. In 2007–2010, the study was replicated in Bolivia, Ecuador, Nicaragua, Saint Vincent and the Grenadines, and Venezuela, at their governments’ request. Study results have enabled implementation of strategies with substancial impact on human health in these countries. In response to it, more than a million medical consultations were provided by professionals whose specialties are lacking in the participating countries, including 139,772 clinical genetic consultations. Once each country’s needs were identified, Cuba provided technical assistance with equipment supplied by Venezuela. The study led to development of public policies and programs for disability prevention and care of disabled persons in Bolivia, Ecuador, Nicaragua and Venezuela, and the opening of the National Medical Genetics Center and orthotic and prosthetic laboratories in Venezuela, and rehabilitation centers in Bolivia.
  • An Intersectoral Intervention to Prevent Early Alcohol Use in Cuban Adolescents Lessons from the Field

    Fabelo-Roche, Justo R.; Iglesias-Moré, Serguei; Gómez-García, Ana Maria; Hernández-Domínguez, Heydi; García-Enríquez, Iovanny

    Resumo em Inglês:

    ABSTRACT To encourage development of negative attitudes toward alcohol use and thus prevent early onset of alcohol use, an intersectoral intervention was conducted from 2014 to 2015 among Cuban adolescents in 14 schools in Havana. The intervention included 312 students (189 girls and 123 boys) aged 14 to 15 years in 10th grade of high school or vocational school. Workshops were conducted using participatory techniques and group dynamics. Qualitative methods were applied, including narrative, desiderative and projective techniques. Indicators included attitudes, motivation, interests and perception of risk. Following the intervention, 82.7% (258/312) of participants reported healthy cultural and recreational interests and 61.9% (193/312) reinforced negative attitudes toward drinking. Such interventions can help prevent early onset of alcohol use in school settings. Given the positive results, the intervention is slated to be reproduced in other Cuban provinces.
Medical Education Cooperation with Cuba Oakland - California - United States
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