This is a systemic review to identify the essentials of health care marketing. The objective of this study is to critically analyze, assess, and document the literature [1,2,3] (Balogun and Ogunnaike, 2017; Awaand Eze, 2013) on elements of health care marketing, to establish its scope and to identify its gaps in various studies literature and to make further recommendations related to this field. Practitioners and researchers are slowly and gradually recognizing and identifying the importance of health care marketing for the growth of this industry. However, all have not yet embraced the methodical application of marketing theories. The data, which is available on diversity of service providers, different care services that are available and their comparative and respective impact on health care marketing have limitations.

Introduction: According to WHO latest by March 19th 2021, it has now become a global threat with globally 122,665,852 confirmed cases and 2,707,206 deaths involving 220 countries.. NIH Pakistan has reported the national tally of COVID 19 cases in Pakistan to 543,214 and total deaths 11,683, making it an extremely serious issue in Pakistan like in the rest of the world. Physicians, consultants, paramedics and other staff working in hospitals are at risk due to the emergence of COVID-19 which also is responsible for severe burnout in the specialties who are working at the frontline. Burnout affects job performance, job satisfaction, interpersonal relationships, and vulnerability to illnesses [1]. This research aims at finding the burnout in healthcare professionals of Karachi, Pakistan due to the current situation of COVID-19 pandemic. Materials and Methods: It is a cross-sectional study carried out in the tertiary care hospitals of Karachi, Pakistan from Feb’2020 – Apr’ 2020 in which the questionnaire based on Malsch burnout inventory were distributed amongst the healthcare professionals including doctors and paramedics, working at the front in departments of emergency, covid special units and other areas. A scoring system of 1-4 was applied (strongly disagree-strongly agree). Results: The results of this study showed that highest burnout was faced by healthcare professionals in the category of depersonalization and personal accomplishment amid COVID-19 while the association between the burnout and the demographic factors mentioned was also found to be significant. Moreover, the challenges faced by the healthcare professionals to the maximum owing to this pandemic were found to be lack of presence of personal protective equipment and fear to spread the infection to family. Conclusion: The study concluded that the current pandemic situation of COVID-19 has been significantly associated with the burnout and stress amongst the health care professionals in tertiary hospitals of Karachi, Pakistan, particularly those who are working on the frontline.

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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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