Publications by authors named "Anai Garcia-Farinas"
Corrigendum to "Cost-effectiveness of introducing a domestic pneumococcal conjugate vaccine (PCV7-TT) into the Cuban national immunization programme" [Int. J. Infect. Dis. 97 (2020) 182-189].
Int J Infect Dis
February 2021
Background Hypertension requires life-long medical care, which may cause economic burden and even lead to catastrophic health expenditure. Objective To estimate the extent of out-of-pocket expenditure for hypertension care at a population level and its impact on households' budgets in a low-income urban setting in Colombia. Methods We conducted a cross-sectional survey in Santa Cruz, a commune in the city of Medellin.
View Article and Find Full Text PDFObjectives: To evaluate the cost-effectiveness of introducing a domestic pneumococcal conjugate vaccine (PCV7-TT) into the Cuban National Immunization Program (NIP).
Methods: We compared PCV7-TT given at two, four and six months of age to a scenario without PCV7-TT, over a ten-year period (2020-2029). We calculated the cost (Cuban pesos - CUP) per Disability Adjusted Life Year (DALY) averted from a Government perspective.
A new pneumococcal conjugate vaccine is currently undergoing advanced clinical evaluation prior to its planned introduction in Cuba. The implementation of the pneumococcal vaccination strategy has been designed with consideration of the need to maximize both its direct and indirect effects. A novel approach is suggested, which addresses preschool children as the first-line target group to generate herd immunity in infants and to have an impact on transmission at the community level.
View Article and Find Full Text PDFArticle Synopsis
- Cuba successfully navigated a severe economic crisis in the 1990s, maintaining positive health outcomes despite a GDP decline of nearly 35% and increased public health spending.
- The country implemented a robust healthcare strategy, significantly increasing the number of family doctors and improving health indicators like infant mortality rate and life expectancy, while only a few areas, such as low birth weight and tuberculosis, showed negative trends.
- The study highlights the correlation between health investments and positive health outcomes, suggesting that effective public health policies can sustain population well-being even in challenging socio-economic contexts.
Article Synopsis
- The study assessed the efficiency of 40 outpatient clinics in Matanzas, Cuba, during the first trimester of 2006, aiming to identify the best performers and potential improvements.
- Using data envelopment analysis, the clinics had a high overall efficiency rate of 0.95, but about 27.5% were deemed inefficient, highlighting areas such as tuberculosis detection, preventable infant mortality, and immunization coverage needing attention.
- The findings suggest that sharing best practices from successful clinics could enhance the performance of less efficient ones, while also recommending a review of resource distribution to prevent unnecessary allocation.
Objective: To analyze home care services in Cuba and determine how length of stay, per-day cost, and per-patient cost vary by diagnosis and by the area of the country in which the services are rendered.
Methods: Patient information was analyzed for 837 individuals who were enrolled in home care services between July 2001 and June 2002 in the following four municipalities: (1) Playa municipality (a metropolitan urban area) in the province of the City of Havana; Cruces municipality (an urban, but not metropolitan, area) in the province of Cienfuegos; Unión de Reyes municipality (a rural area) in the province of Matanzas; and Fomento municipality (a mountainous rural area) in the province of Sancti Spiritus Analysis of the mean length of stay for home care services was conducted using the Kaplan-Meier survival curve method. The impact of the following criteria on the probability and timing of discharge was also assessed: diagnosis at time of enrollment (respiratory, gastrointestinal, obstetrical/gynecological, hospital discharge follow-up, and other causes), area in which services were rendered, and patient gender and age.