The burden of hypertension in Cuba

Campbell, Norm R.C.; González, Yamilé Valdés; Ordúñez, Pedro

doi:10.1016/s2468-2667(18)30234-2

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…If they do not own one, they do not hesitate to knock at the door of a neighbour to get their pulse measured at the first sign of abnormal symptoms. Cuba has been successful in preventing hypertension thanks to its preventive medicine in primary care, although the prevalence of tobacco and high consumption of salt has not been targeted by public health programs (Campbell et al., 2019; Rojas et al., 2019).…”

Section: Blood: Body Pressurementioning

confidence: 99%

Under pressure: Catching the pulse of a Cuban crisis

Boudreault‐Fournier

2023

Environ Plan D

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Pressure refers to a force exerted on humans, objects, and ecosystems that prevents or facilitates the flow and growth of things, movements, bodies, and ideas. Cuba has to cope with a lot of pressure due to the collapse of the tourist industry in the aftermath of the COVID-19 pandemic, an aging infrastructure, a malfunctioning system, and the long-lasting U.S. embargo. I propose to think through pressure in order to highlight some of the strategies adopted by people and other organisms to deal with or lower the pressure felt in their daily life. In reflecting on the current Cuban economic, social and humanitarian crisis, I aim at catching the pulse of the moment to shift the crisis-based discourse to one based on pressure. I focus on two types of pressure – air and blood – to think through the pulse of the post-COVID Cuban crisis. Pressure allows for a cross-sectorial and multi-scalar understanding of the connections between how people live and how they strive to develop coping mechanisms to face pressure.

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Section: Blood: Body Pressurementioning

confidence: 99%

Under pressure: Catching the pulse of a Cuban crisis

Boudreault‐Fournier

2023

Environ Plan D

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“…In recent decades, the Cuban health system has shown remarkable hypertension control figures at the population level, similar to those reported by the United States and Canada [ 47 ]. It was signaled as an early example of significant success in controlling hypertension [ 48 ] and, at the same time, put forward as an appropriate setting to study the potential of resource-constrained health systems in improving hypertension treatment and control [ 49 ]. Indeed, the Cuban health system still faces significant challenges in comprehensively addressing non-communicable disease prevention and control.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a provider and patient-focused intervention to improve hypertension management and control in the primary health care setting in Cuba: a controlled before-after study

et al. 2023

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Background Implementation research to improve hypertension control is scarce in Latin America. We assessed the effectiveness of an intervention aimed at primary care practitioners and hypertensive patients in a setting that provides integrated care through an accessible network of family practices. Methods We conducted in Cardenas and Santiago, Cuba, a controlled before-after study in 122 family practices, which are staffed with a doctor and a nurse. The intervention comprised a control arm (usual care), an arm with a component targeting providers (hypertension management workshops), and an arm with, on top of the latter, a component targeting patients (hypertension schools). To evaluate the effect, we undertook a baseline survey before the intervention and an endline survey sixteen months after its start. In each survey, we randomly included 1400 hypertensive patients. Controlled hypertension, defined as a mean systolic and diastolic blood pressure below 140 and 90 mmHg, respectively, was the primary endpoint assessed. We performed linear and logistic regression with a Generalized Estimating Equations approach to determine if the proportion of patients with controlled hypertension changed following the intervention. Results Seventy-three doctors, including substitutes, and 54 nurses from the 61 intervention family practices attended the provider workshops, and 3308 patients −51.6% of the eligible ones- participated in the hypertension schools. Adherence to anti-hypertensive medication improved from 42% at baseline to 63% at the endline in the intervention arms. Under the provider intervention, the proportion of patients with controlled hypertension increased by 18.9%, from 48.7% at baseline to 67.6% at endline. However, adding the component that targeted hypertensive patients did not augment the effect. Compared to patients in the control arm, the adjusted OR of having controlled hypertension was 2.36 (95% CI, 1.73–3.22) in the provider and 2.00 (95% CI, 1.68–2.37) in the provider plus patient intervention arm. Conclusions The intervention’s patient component remains to be fine-tuned. Still, we demonstrate that it is feasible to substantially improve hypertension outcomes by intervention at the primary care level, despite an already relatively high control rate.

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“…It is the most populated country in the Caribbean having African and American community dominating in the eastern provinces more than the rest. The population is well educated with strong primary healthcare system which is accessible to everyone, sustaining at international standards [5]. The health strategies developed in Cuba have concluded in continuous improvement in the health status of their population which is evident by certain health indicators such as IMR(Infant Mortality Rate), MMR (Maternal Mortality Rate), etc., high physician density, strong primary health care etc.…”

Section: Introductionmentioning

confidence: 99%

The Cuban Healthcare System: An Insight

Zahid

Ahmed

Israr

et al. 2021

AJMAH

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All the countries in the world are struggling to improve their healthcare systems regardless of being rich or poor. Talking about Cuba, it represents an example of well-developed healthcare system and policies which is comparable to developed countries of the world. The success of Cuban healthcare system largely depends upon its strong primary health care system, proper immunization, robust public health policies, treating all the population classes equally providing them with free healthcare services. The control of infection spread and non-communicable diseases also contributes to the success of Cuban Healthcare system. We have discussed the Cuban health care system from start till the current situation and also, we performed SWOT analysis to bring the clearer depiction of the Cuban Healthcare System as it highlights the key internal and external issues which are further discussed in detail.

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The burden of hypertension in Cuba

Cited by 7 publications

References 7 publications

Under pressure: Catching the pulse of a Cuban crisis

Under pressure: Catching the pulse of a Cuban crisis

Effectiveness of a provider and patient-focused intervention to improve hypertension management and control in the primary health care setting in Cuba: a controlled before-after study

The Cuban Healthcare System: An Insight

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