CAMAGÜEY.- The Maternal and Child Care Program (PAMI) is one of the best performances of the Cuban Public Health. In the recently concluded 2017 the country achieved the lowest infant mortality rate in its history, a feat that was also achieved in Camagüey, with a record of 3 deaths per 1,000 live births.

This province, the eastern center of Cuba, is also proud to have welcomed in the last year to more than eight thousand newborns, a figure higher than that of 2016.

Such indicators, reported Dr. Ivet Prince, Chief of Maternal and Child Care Program at the provincial Directorate of Public Health, located to the city of Camagüey in the third place, after Pinar del Rio, and Sancti Spiritus.

"The figures were stable throughout the year, always below four. In addition, decreased in ten deaths from zero to one year, with respect to 2016.

"Overall, the mortality by groups of age - pre-school, school and adolescents-, were lower in comparison with the preceding calendar year; and diseases in these groups are related to chronic diseases of childhood and the accidents".

Photo:Orlando Durán Hernández/ Adelante/Archive Photo:Orlando Durán Hernández/ Adelante/Archive

But… there is always a but

Even if the results are favorable, other reproductive health indicators light up a light bulb red.

According to the head of the PAMI in Camagüey "Abortion in adolescence and the catchments of pregnancies in this age group, are on the rise. This year were captured more girls in this age group than last year, when the figures were alarming. And in the case of abortions, there are around 120 per 100 deliveries in adolescence, which demonstrates that even fail the mechanisms of family planning."

The statistics also reflected a lower amount of children with low birth weight, although the specialists emphasize to reduce it further, with measures aimed at resolving the risk factors, such as the vaginal sepsis, and to increase the occupancy of beds in the maternity waiting homes.

Photo:Leandro Pérez Pérez/Adelante/Archive  Photo:Leandro Pérez Pérez/Adelante/Archive

That everything is to improve

Dr. Reynaldo Pons, provincial director of Public Health, evaluated the results as an achievement that must be expressed in the improvement of the quality of medical care.

"In health indicators that more remains the world, this province has imposed a record. With this we are also the national indicator of four per thousand live births. This indicator has no precedent in the province, and is due to the fact that there were 258 more births, but also to the ten deaths occurred less than in 2016".

It is worth noting that the Ginecobstetric Hospital Ana Betancourt de Mora in Camagüey, is the second of its kind in the country, about the number of births. Its director, Dr. Siegfried Valdés, explains how they behaved there PAMI indicators.

"This year we reported more than five thousand 400 births, with a mortality rate of 1.1 per thousand live births, and an index of survival of the child ventilated above 93 %. In all these indicators we have better figures than in the previous year, despite the rise of deliveries and the intensity of work.

"The implementation of the primitive cesarean section fell from a 28 to a 20 % during 2017, without an increase in indicators such as the perinatal asphyxia".

Maternity waiting homes as households own

The rapprochement of the pregnant women who live in rural communities to areas where there is greater access to hospitals and care to those with a risky pregnancy, are priorities of the Maternal Children Program in Camagüey.

The maternity waiting homes have developed an important work on the basis of this strategy.

The poor nutritional status of pregnant women, families with social problems, risk for multiple pregnancy or teen, and the need for regular medical surveillance, are some of the causes that justify the income in these health institutions.

Photos: Leandro Pérez Pérez/Adelante/ ArchivePhotos: Leandro Pérez Pérez/Adelante/ Archive

In the city of Camagüey there are four units of that type.

In search of testimonials, we got to the home "August 23", in the provincial capital, where the doctor Alfredo Garcia is responsible for the care for pregnant women.

"This is a maternal home of group II, because it has less than 50 beds. Here we enter to patients across the province, whose pregnancies are normal, but with some risk, i.e., diabetic, hypertensive, etc.

"We have had good results so far in the attention to pregnant women, and of course, we strive each day our patients feel here like in your own home."

Leikis Costa Gutiérrez, lives in the town of Altagracia, a rural area, and although it does not have complications in your pregnancy, is confined to expect at home, close to the maternal hospital-, the time of your birth.

Kirenia Hernández González, resides in Sibanicu and has 33 weeks of pregnancy. It takes 46 days entered by having the neck of the uterus amended, as you have been taught the doctors.

Lourdes Maya Alfonso, lives in The Larguita, is hypertensive and has 22 weeks of gestation.

All reported having been treated carefully and with love for the personnel that work in the "23 August", where at this time, there are 15 17 beds occupied.

In the maternity waiting homes is performed, in addition to the specialized care, antenatal and postnatal care of women and the family, in order to provide a physical and emotional support to the pregnant woman.

These institutions have a major influence on the reduction of maternal morbidity and mortality and, consequently, in the indicators of maternal and children's program, a program priority in Cuba, whose indicators equate to our country with first world nations, at the same time that reflect the concern of the Cuban State for the health of the people.