Introduction:

Infertility affects up to 15% of couples of reproductive age in the world and is one of the factors affecting the low birth rate in Cuba. Before 2016, infertility consultations did not exist in all municipalities and the number of pregnancies achieved was low, which motivated the decision to extend them to all municipalities in the country.

Aim:

To describe the results of municipal infertility consultations in the first four years of their implementation (2017-2020).

Methods:

Cross-sectional observational study of cases, attended in the 82 municipal infertility consultations existing before 2016 and after their generalization to all municipalities in the country.

Results:

81.3% of the infertile couples requesting treatment were attended in the municipal consultations. The number of consultations offered increased from 24 215 in 2016 to 140 183 in 2020. In that period, pregnancies obtained increased by 10 %, 63.5 % of those achieved at all levels of care.

Conclusions:

Municipal consultations increased their results from 2017 to 2020 and the births obtained can be considered as a contribution of the health sector to reduce the low birth rate experienced by the country.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )