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1/1/1993 - The Role of the Mass Organizations in Primary Health Care by Bacete Othwonh Bwogo

NoT FOR PUBLICATION WITHOUTWRITER SCONSENT BOB INSTITUTEOFCURRENTWORLDAFFAIRS Residenca Victoria Giron Alberue No Habltacion Calle No Cubanacan Playa Zona postal La Habana CUBA January Peter Bird Martin Institute Current World Affairs West Whelock Street Hanover N H 03755 Dear Peter TMM ROr R OF THK A S ORC4 NIT ATIONS IN PRIMARY W LTRC It impoz health workers world ordinary people themselves And health achieved there opportunities participate In developed world sickness diagnosed treated visit chemist medicine cupboard In developing countries proportion medical nursing attention given children suppl their mothers Self community health basis health system countries resources I The promotion Primary health PHC dependent individual collective responsibility health The first Bacete Bwugo ICWA fellow studying prmar health delivery Cuba Costa Rca Kerala state India USA Since InstituteofCurrentWorldAffairs theCrane Rogers Foundation hasprovidedlong termfellowships enable outstanding young adults outside United States write about international areas issues Endowed bythelateCharlesR Crane theInstituteisalsosupportedbycontributionsfromlike mindedindividualsand foundations facilitate community involvement decslon making This political issue The second inform people their potential acquiring better health through their efforts This involves changing behavior styles identifying tackling local health problems building system organization decison makSng Implementation PHC needs active community Involvement To really effective involvement should permanent feature community should include people possible sustained health activities The community usually participate through leaders decision makers They according dominant culture religious political forces community country whole Whereas traditional leaders could v11age headmen certain powers selected members whole Village poltcized societies leadership vested group people elected community overall national government PARTICIPATION IN Perhaps demonstrate extent people participation primary Cuba state article socialist constituti rgDubllc Cba Everyone right protection their The guarantees right By offering hospital medical services By offering dental tLdtmnt Dy developing plarts anitarz efforts health education periodic medical exams vaccination other preventive means In these plans other activities entire population participates through social organizations The orqanzati0ns permeate whole health service system They concerned social tasks which health The mportant these Comites Defensa Revolucion Committees Defense revolution CDR Fedracion mujeres Cubanas Federation Cuban Women FMC Union Joventud comunista Unon Young Communists UJC workers unions Central Trabajadores Cuba Confederation Cuban Workers CTC Asociation Naconal Agricultores Pequenas National association Small Farmers ANAP We shall consider organization below The Poder Popular Peoples Power represent local government administration municipal level ordnates various health activities through health directorates The Communist Party Cuba PCC committees place guides directs social organizations while recognizing independence autonomy these lizations promote broad democratic discussions these organizations respect autonomy these organizations interest sector population represent An important factor improvement health Cuba participation people battle health systematic participation organizations trade unions tasks related The mobilizing capacity organizations decisive contributionto successof revolution sphere health For example campaigns werebegun against poliO malaria tetanus The CDR FMC other organizations vaccinations every section country children immunized against using Sabine vaccine inoculations against diptheria tetanus typhoid carried month period As result there polio Cuba since Malaria which struck persons eliminated Diphtheria eradicated Gastroenteritis major children underdeveloped countries killing Cuban children under curbed causing deaths ROLES OFTPLY8 ORI ITION The organizations Cuba which almost every Cuban bedrock puDIic Wtout tllem tlere would revolution They People organizations through which major sector population workers peasants women bours rereset interests makes feelings Problems opinions known Joining organization matter individual choice FMC The federation founded August It organization national hierarchy commlt1 local national level The leading bodies FMC organized municipal provincial level according political administrative divisions Cuba Th FMC orgai throuhou country urban areas It delegations Each delegation voluntary health brigade worker adequately trained works mothers trying educate cooperate programs campaigns rlatd Pap tesLs early detection cervical cancer To become member young woman usually chooses federation about years In there 11ion mmbrs representingabout81 ofwomenofover14yearsold The federation primary include health education activities attention children child development X otller nutrition The ncozporating women workforce development ltxhel planm ionowm_n creation organizaton chfldcare centers provide service working women development children years CD these organized neighborhood block level guard against counter revolution sabotage aitinthoran tionOfThet organization broadened activities especially voluntary public health tasks After CDR given virtually complete responsibility polio lmmunization record other immunizations schedules special persons local neighborhood With estimated membership third population CDR easily important organization Cuba The CDRs involved health related tasks example actvte involving blood donations I es_imsted about million people donate blood every The number donations permit fresh blood transfusions enough produce plasma other medications derived blood KN created small farmers owning their It perhaps first organization assst early rural health centers ANAP collaborate control animal brucellosis tuberculosis revQ1utionary acommunist leadership After revolution CTC gradually taken critical partnership revolutionary management socialized production It through CTC safety committees first stations organized factories state farms The CTC secures regular mdcal minationm workers 8ervoe ndustr health centers hospitalo assist preparation enforcement sanitary norms UJC Vanguard organization young communists It structure PCC itself It focuses matters relate young people under years It active among various federations secondary university students The UJC assist CDR health related activity blood donation The Cuban involving DeOp pimary through organizations interesting The order level organization Cuban society reflects poltical reality country itself For example outset health given priority since early years revolution object extending health services throughout country This required mobilization involvement large sector opulation health activities specil mphass disees vaccination campaigns already explained above The death rates infectious seases declined remarkably within decade diseases eliminate others eradicated Another aspect organizations their ability mobilize rapidly emergency situations threatening health large sections population An example would rapid control sudden outbreak heamorrhagic dengue fever airport vicinity Havana May The disease unknown country before there previous experience dealng Within diseas spread country June cases being reported every provnce By June about cases reported There organizations entire population mobilized detect actual potential vector focal point eradicate Dy pusslble Includin OUt homes factories social facilities Althouh cases disease report durins whole epidemic rtality whole country children adults people Putting together organizations render important support health promotion activities The infant mortality births anDmy_ whole Cuba could achieved without participation organizations various health campaigns throughout country It realized health activities organlzatius occur community level beyond polyclinic family doctor clinic where people For example health promotion tasks individual family children nurseries schools grandparents clubs factories WHY THE HIGH PRIORITY FOR HEALTH There important reasons importance attached health Cuban Revolution One leadership recognizes importance health national rength efficiency production industry agriculture Another health important everyone their provision helps hearts minds people government power A third reason basic humanitarianism socialist ideal A fourth reason health priority Cuban context relates relatively strong doctors revolution itself The revolution background first Mnisters Health documented LESSONS LEARNT In Cuba protection people health obligation socialist state Participation entire population health supported socialist constitution Republic Cuba Participation through established permanent structures social organizations which their charters defined duties supervised supported government The large membership organizations poentlal resource promote primary health activities community In conclusion community participation CP essential primary PC water flowers Unlike relationship which flowers there benefit Primary feeds community participatlon feeds Mathematicians might write PC CP Hasta siempre muchas gracias Bacete Othwonh Bwogo M D The hospitals prima health report conference sponsored Aga Khan Foundation World Health organization November Karachl Pakistan World Health Organization organsation primary health communities SHS IAH 0RIGINAL ENGLISH World Health Organfzation organization primary health communities SHS IAH ORIGINAL ENGLISH Terence C_nnon Revolutionary Cuba Jose Mart PublSshing House Foreign Languages M21ton I Roemer M D Cuban Health Services Resources P HO WHO Ross Dan elson Cuban Medlcne Transaction Books New Brunswick New Jersey Statutes Communist Party Cuba Dec Poltical Publishing House Havana Fidel Castro speeCh November Pediatric Congress Da EditoriQ Politica La wbana Congress Communist Part Cuba Main report Pnlitical Publishers Havana Terence Cannon Rev olutlonary Cuba Jose Marti Publlshing house foreign languagss V Im Three Decades after Revolution Cuban Women Confront Fture Ocean Press Ross Daniel Cuban Medicine Transaction Books New Bzluwck New Jersex Fide1 Castro speech November Pediatric Congresses Cuba Edtoria Politica La Habana Granma International Januar Milton I Roemer M D Cub Health Services Resources PAHO WHO The Role Hospitals primar health Report conference sponsored Aga Khan Foundation World Health Organizaton November Karachi Pakistan Received Hanover March