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Marc saint-jour
Haiti & Healthcare:
Cuba was able to successfully developed an extensive & world class health system under an embargo & within an austere system.
After studying & reviewing the Cuban model in details for the past months, I'm convinced this model can work well for Haiti (although it is not as simple to just pick up the model because this model is idiosyncratically Cuban but we can learn important lessons from it).
1- Our model should be designed to reduce & perhaps eliminate healthcare disparities among individuals & within departments/regions in the country -- the 50th legislature can be pivotal in allocating resources to departments and regions based on needs in structural ways. (Parameters , budget etc )
2- Focus on Community-based, preventive medicine & allocating more resources to Public Health innovations
(Brick-less model of community based clinics which is extremely cost effective -- (anyone interested in details I can tell more about this model)
3- long term approach in increasing the number of Doctors with focus on primary care and Public health & very importantly to start investing in allied health, nurse practitioners, physician assistants
4- professionalize "femme sages" by teaching our "femme sages" more advanced sterile techniques and fully integrate them in our system
5- Strict regulations of the healthcare related NGOs, relocations of NGOs to ensure equality of services within regions, integration of NGOs in the overall system (ex: PIH etc..), and send back Home the unnecessary ones.
The lingering question how to revamp the system from an economic perspective, how to fund it, payment model and coverage.
Currently our system: in state hospitals patients pay a sort of tax for service, & pay for all the utilization of resources (the needles, the X-Rays etc .. ) ??
How do we change this model?
MJ
Let's have a constructive debate, let me know what do you think !!
August 13, 2015
