Introduction:

Cuban Family Medicine faces today new challenges for its improvement; this implies strengthening the first level of care to guarantee improvement in the quality of services for which intersectorality has been consolidated as a fundamental pillar.

Objective:

To design and to evaluate an intersectoral intervention strategy to improve the program of the family doctor and nurse.

Methods:

A quasi-experimental intervention study was carried out through an intersectoral strategy to improve the family doctor and nurse program, from December 2019 to December 2022 in Las Tunas. The universe consisted of 867 workers from which a sample of 330 was selected. It was carried out in four stages: diagnostic, intervention, validation and evaluation. The percentage was used as a summary measure for qualitative variables, for the statistical validation of the changes before and after the Mc Nemar test and for the theoretical validation of the intersectoral strategy the Chanlat matrix was used.

Results:

With the application of the strategy, the level of knowledge in the basic health teams and in the social actors was improved, 93.5 % of the community and intersectoral actions were revitalized, modified the health picture in 89.4 % and the level of satisfaction of the community with the services provided by the CMF increased by 94.1 %. It was demonstrated that the application of the strategy in social practice through the results of the expected effectiveness of the strategy.

Conclusions:

The strategy made it possible to improve the family doctor and nurse program through the implementation of an intersectoral program in a comprehensive, conscious, participatory and systematic way.

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