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Health Policy and Planning Advance Access published online on May 2, 2008
Health Policy and Planning, doi:10.1093/heapol/czn010
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Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2008; all rights reserved.

Commentary: Cuba's health system: challenges ahead

Pol De Vos1,*, Wim De Ceukelaire2, Mariano Bonet3 and Patrick Van der Stuyft1

1Institute of Tropical Medicine, Antwerp, Belgium.
2Intal, Brussels, Belgium.
3National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba.

* Corresponding author. Public Health Department, Institute of Tropical Medicine, Nationalestraat 155, Antwerp 2000, Belgium. E-mail: pdevos{at}itg.be

Cuba's exclusively public health system has been quite unique in pairing limited resources with excellent results. It continued to perform well during the economic crisis of the 1990s, and now that the hardships are being overcome, new opportunities are developing—as well as threats: (1) economic recovery should permit reinforcing of the system's effectiveness; (2) Cuba's increasing international solidarity in health also poses it corresponding challenges at home; (3) the ageing of the population necessitates adjustments to the health care system. However, the original principles of the health care system are not under question. Cuba can be considered a unique laboratory, and deserves more attention from the international public health community.

Key Words: Health services, ageing, national health policy, international cooperation

Accepted for publication 18 March 2008.


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