International Medical Collaboration: Lessons from Cuba

Abstract

Over 50,000 Cuban health professionals are currently working overseas in 67 different countries. They work in conjunction with local health professionals. The majority work in primary care in deprived areas. The aim is to reduce morbidity and mortality but also improve health in the long term by training local health professionals, and building both institutions and a structure to deliver health care alongside educating the local population. Cuba is a small, middle-income country. It has, however, made a significant international contribution in relation to medical collaboration. Cuba’s international collaboration is based on the principles of social justice and equity for all. It has set an example for other countries to emulate.

Lessons from Building a Sustainable Healthcare Exchange between the Netherlands and Cuba

“…There was research on the role of carbohydrates in cooperation with the Finlay Institute, which did lead to a joint publication in 2020 [ 10 ]. Only one joint publication must be seen as a weakness, taking into account the fact that collaboration between the UK and Cuba has resulted in several publications highlighting the positive aspects of Cuba [ 11 , 12 ]. The other goal, i.e., awareness of the Cuban healthcare system in Holland, was successful, however.…”

Cuba: Solidarity, Ebola and COVID-19

“…After an earthquake in Chile in 1960, Cuba sent doctors to help. 5 Since then, Cuban health professionals, teachers and engineers have volunteered to work in over 70 different countries. Cuba initially only offered support following natural disasters.…”

“…It was through PAHO that Cuba responded to Brazil’s request for health professionals for the most deprived areas of Brazil. 5 The name the Henry Reeve International Medical Brigade (HRIMB) was used from 2005 for Cubans responding to emergencies. 11 Cuba’s response to the outbreaks of Ebola and COVID-19 illustrates its attitude towards solidarity between countries and is described in more detail below.…”

“Enticing case study” or “celebrated anomaly”? Policy learning from the Cuban health system

“…Finally, Cuba's health aid, collaboration, and support have an impact beyond the immediate delivery of medical assistance. 5,6,69 Most interviewees acknowledged that Cuba was proactive in portraying the strength of its health system, and its international activities are a way of demonstrating this. Increasingly Cuba collaborates with other countries and agencies in providing health aid, which further strengthens its profile.…”

“…In 2015, over 50,000 were working in 67 different countries, greater than UNICEF, Medecins sans Frontieres, and the Red Cross combined. 5 Thirty-five countries in Africa have Cuban doctors working there. 52 This degree of involvement can have a lasting influence.…”