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Social Determinants of Health

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"Muntaner, Carles B." <[log in to unmask]>
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Thu, 17 Feb 2005 22:11:27 -0500
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Dear all 
 
Here is an abstract for an upcoming presentation on Barrio Adentro
that I wrote in Caracas last week in collboaration with the current minister of health
of  the Bolivarian government and members of Barrio Adentro.
 
Back in TO, I am looking for researchers in the area that might be 
interested in joining us in the evaluation of Barrio Adentro.
 
Cordially
 
Carles Muntaner MD, PhD
Professor
416-9796905 
416 929 5454
 

An Evaluation of Barrio Adentro: The Bolivarian Revolution Alternative in Primary Care 

In spite of a network of 4500 ambulatories, the great majority of Venezuelans lacked access to care. Lack of access to care in poor urban and rural areas of the country was compounded by corruption. In addition young medical graduates avoided practice in poor areas due to lower pay and dangerous working conditions. In that dramatic context, the mayor of one of the Caracas boroughs arranged for fifty four foreign doctors to immigrate to Venezuela in order to fill the primary care needs of his neighborhood by living with community dwellers while practicing medicine. Between April and June, the popularity of the program "Barrio Adentro" had already generated the migration of 500 more doctors. In one year the program had been disseminated to virtually all municipalities across de country, totaling close to 15,000 Cuban doctors each one attending 250 familes or 12500 residents. The program targeted areas that had never seen a MD residing among them such as the Amazonas. In this presentation we detail the history of how "Barrio Adentro" came about, its achievements and challenges, and conduct an evaluation of the porgram in collaboration with the ministry of health. We also determine whether "Barrio Adentro" constitutes an important model of collaboration between middle income countries with egalitarian approaches to health care that bypasses the recommendations of core governments and international financial institutions.


 

	-----Original Message----- 
	From: Robb Travers [mailto:[log in to unmask]] 
	Sent: Thu 2/17/2005 6:19 PM 
	To: [log in to unmask] 
	Cc: 
	Subject: FW: Barrio Adentro
	
	

	-----Original Message-----
	From: Maria Paez Victor [mailto:[log in to unmask]]
	Sent: February 17, 2005 6:03 PM
	To: [log in to unmask]
	Subject: Barrio Adentro
	
	>> York University
	>> Centre for Research on Latin America & the Caribbean (CERLAC) and
	>> The York Centre for Health Studies present:
	>>
	>> Venezuela: Providing Health Services to the Poor: Misión Barrio
	>> Adentro
	>>
	>> Thursday, March 31st
	>> 2:30pm
	>> 390 York Lanes
	>>
	>> Misión Barrio Adentro
	>> Venezuelan success story on bringing health care to the marginalized
	>> María Páez Victor, MA, Ph.D
	>>
	>> For decades the Venezuelan people suffered compounded neglect of its
	>> health needs, both in terms of medical care as well as in terms of the
	>> social and economic determinants of health. The democratic government
	>> of Hugo Chávez, recognizing the immediate health needs of the
	>> Venezuelan people, bypassed ineffective governmental ministries and,
	>> with the help of Cuba and the active participation of the very people
	>> who needed services, created one of the most spectacularly successful
	>> health care initiatives today. In this presentation we will examine
	>> the
	>> dynamics, achievements and challenges of this innovative health care
	>> delivery initiative.
	>>
	>> Dr. María Páez Victor is a Venezuelan-born sociologist and consultant
	>> who teaches Sociology of Health and Medicine at the University of
	>> Toronto.
	>>
	>> More information: [log in to unmask], (416)736-2100 ext.88705,
	>> http://www.yorku.ca/cerlac/EVENTS.html#Maria
	>>
	>>
	
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