Resumen

GONZALEZ ISLA, Fernando. Improvement of the International Health Program in Holguín province. Rev Cubana Salud Pública [online]. 2011, vol.37, n.3, pp.259-275. ISSN 0864-3466.

The Guideline No. 1 of the President of the National Council of Defense for Reduction of Disasters in 2010 states that the organization and the fulfilment of the measures included in the International Health Control program are unsatisfactory. The objective of this study is to identify the weaknesses of this program in Holguín province and to draw up an action plan to increase effectiveness. Methods Documentary review, structured survey administered to 102 people working in the program implementation, group discussions, interviews and expert advice were the methos used. It was detected that all the ports lacked burners for the final disposal of solid wastes; provincial, municipal and local Hygiene, Epidemiology and Microbiology centers showed poor knowledge about the percentage of samples to be sent to the reference laboratory for the control and surveillance of dengue and malaria, and about the allowable vector indexes; additionally, the primary health care staff was not duly trained in this program. The action plan was therefore prepared. The implementation of the action program contributes to reducing epidemic risks and eliminating the weaknesses that restrict the effectiveness of the International Health Control at present in Holguín province.

Palabras clave : International Health Control; Holguín province; Cuba.

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