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Revista Cubana de Salud Pública

versión On-line ISSN 1561-3127

Resumen

LEON CABRERA, Pablo; PRIA BARRO, María del Carmen  y  PERDOMO VICTORIA, Irene. Coverage and access to health services for addressing Tuberculosis. Rev Cubana Salud Pública [online]. 2018, vol.44, n.4, pp. 186-199. ISSN 1561-3127.

Introduction:

The universal coverage strategy could contribute to eliminate tuberculosis as a health problem.

Objective:

To update the theoretical elements on universal coverage and access to health services for addressing Tuberculosis.

Methodology:

It was carried out a bibliographic and documentary review in digital databases of health sciences. The descriptors used were: “access”, “health services”, “tuberculosis”. The experts selected and ordered the articles by topics to perform the content analysis.

Results:

Different perspectives and reviews were presented from the notion of equitable access to health services. This could help to have an integrative approach to tuberculosis from the logic of social justice and the right to health. Emphasis is placed on the activation of the principle of moral responsibility at all levels of the system and from the ethical point of view of equal real and effective access to health, preventive and curative care, through its differentiated redistribution. These elements are a substrate to strengthen health policies and their effectiveness.

Conclusions:

The theoretical aspects of universal access to address Tuberculosis were updated. It was evidenced that the equity approach of the logic of social justice and the right to health constitutes the starting point to act with a sociocultural approach on inequitable and avoidable inequalities that influence the social determination of this disease. The creation of policies for their elimination requires changes in the state of mind and acting of all sectors of the community.

Palabras clave : equitable access; health services; Tuberculosis..

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