[Transformations in the health system in Cuba and current strategies for its consolidation and sustainabilityTransformações no sistema de saúde em Cuba e estratégias atuais para sua consolidação e sustentabilidade].

In Cuba, universal access and health coverage rest on three key principles: health as a human right, equity and solidarity. Although many of the Cuban health indicators are among the best in the Region of the Americas, in 2011 it was decided to reorganize health services, in line with the process of updating the Cuban economic and social model that occurred in all sectors. For this purpose, an action-research project was designed, including a situation diagnosis, implementation of changes and evaluation of the results, in several stages.