<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-3466</journal-id>
<journal-title><![CDATA[Revista Cubana de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Salud Pública]]></abbrev-journal-title>
<issn>0864-3466</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-34662021000100009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Priorización de distritos de Conakry para la extensión progresiva de la cobertura de la atención primaria de salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Prioritization of Conakry districts for the progressive extension of primary health care coverage]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Diallo]]></surname>
<given-names><![CDATA[Boubacar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matamoros Tuma]]></surname>
<given-names><![CDATA[Mabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mesa Ridel]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Remond Noa]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Tecnológica de La Habana &#8220;José Antonio Echeverría&#8221; (Cujae)  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escuela Nacional de Salud Pública Departamento Docente Situaciones Especiales en Salud Pública ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de La Habana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>47</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-34662021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-34662021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-34662021000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La baja accesibilidad a los servicios de la atención primaria en Conakry afecta la salud de su población. El sector sanitario ante las restricciones financieras se propone establecer prioridades para la extensión progresiva de la cobertura de instalaciones de atención primaria, como primer paso hacia la cobertura universal de salud.  Objetivo:  Establecer prioridades entre los cinco distritos de la ciudad de Conakry, República de Guinea, para la extensión progresiva de la cobertura de instalaciones de atención primaria.  Métodos: Se estableció una prioridad para cada distrito partiendo del análisis lógico-deductivo de dos variables: nivel de salud y nivel de accesibilidad a instalaciones de atención primaria. El nivel de salud se definió según dos criterios: vulnerabilidad sociodemográfica y nivel de morbimortalidad, con la combinación de sistemas de información geográfica con la evaluación multicriterio. El nivel de accesibilidad se midió con el sistema de información geográfica, evaluando la proporción de habitantes por distritos y su recorrido en intervalos, desde 1 km hasta más de 4 km, se asumió 2 km como distancia máxima permisible en transporte público.  Resultados: El distrito con la mayor prioridad correspondió a Ratoma, seguido de Matoto, Kaloum, Matam y Dixinn, en este mismo orden  Conclusiones:  La priorización de distritos en Conakry, según necesidades de atención primaria, puede apoyar al gobierno en la toma de decisiones para la implementación de políticas de salud que permitan avanzar hacia su cobertura universal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Low accessibility to primary care services in Conakry affects the health of its population. The health sector, in view of the financial constraints, aims to prioritize the progressive extension of coverage of primary care facilities, as a first step towards universal health coverage.  Objective:  Prioritize the five districts of Conakry city, in the Republic of Guinea, for the progressive extension of primary care facilities´ coverage.  Methods:  A priority was established for each district based on the logical-deductive analysis of two variables: health level and accessibility level to primary care facilities. The health level was defined according to two criteria: socio-demographic vulnerability and morbidity and mortality level, with the combination of geographic information systems with multicriteria assessment. The level of accessibility was measured with the geographic information system, assessing the proportion of inhabitants by district and their route at intervals, from 1km to more than 4km; it was assumed 2km as the maximum permissible distance by public transport.  Results:  The district with the highest priority was Ratoma, followed by Matoto, Kaloum, Matam and Dixinn, in this same order.  Conclusions:  Prioritization of districts in Conakry city, according to primary care needs, can support the government in making decisions for the implementation of health policies that allow progress towards universal health coverage.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[prioridades en salud]]></kwd>
<kwd lng="es"><![CDATA[atención primaria]]></kwd>
<kwd lng="es"><![CDATA[sistemas de información geográfica]]></kwd>
<kwd lng="es"><![CDATA[accesibilidad a los servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[necesidades de salud]]></kwd>
<kwd lng="en"><![CDATA[Health priorities]]></kwd>
<kwd lng="en"><![CDATA[primary care]]></kwd>
<kwd lng="en"><![CDATA[geographic information systems]]></kwd>
<kwd lng="en"><![CDATA[accessibility to health services]]></kwd>
<kwd lng="en"><![CDATA[health needs]]></kwd>
</kwd-group>
</article-meta>
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