Colima it will be the next entity that will receive up to 60 Cuban doctors to fill vacancies in obstetrics and gynecology; internists, anesthesiologists, pediatricians and general surgeons to fill the 21% shortage of specialists.
The recruitment strategy foreign doctors It will be accompanied by the regularization of 870 temporary workers, including approximately 559 already based or in the process of being hired to obtain their formal factory.
Colima It has 731,391 inhabitants and has five hospitals, one medical specialty unit and 131 health units that are operating at 100%.
The reports of the IMSS report that there are 253 specialists out of the 319 required, i.e. 66 additional specialists are needed.
In the diagnosis of the health system in Colima, The federal authorities have also detected that, of the 731,391 inhabitants, approximately 430,000 benefit from social security and the rest have no affiliation to a health system.
Health care coverage is 79% of the population because a large percentage lives in rural areas, which are difficult to access.
90 percent of its inhabitants live in 21 urban areas and 10 percent are located in 1,205 rural localities.
This entity, one of the smallest in the country, has 130 inhabitants per square kilometer and concentrates 0.6% of the total national population.
In the entity, under the Health Plan for Well-being since May 28, 50.4 million pesos have been invested. There is 90% progress in infrastructure maintenance, expansion and operation actions.
They have also invested in hardware, at least 94 have been activated and replaced the obsolete ones.
In health facilities, the supply of prescriptions is 87%, below the national level which is, on average, 90%.
Progress has been made to ensure free hemodialysis service in the state unit, which means users have stopped paying 638 pesos every three days per session.
Neither Colima or Nayarit -the first state to receive Cuban doctors- are among the eight entities with a deficit of doctors similar to the levels of countries with high levels of poverty such as Sri Lanka Nigeria, according to the analysis of the Ministry of Health.
In this situation, they are Campeche, Chiapas, Guerrero, Oaxaca, Quintana Roo, Tabasco, Veracruz and Yucatan. There, a total of 64 thousand 796 doctors are needed (43 thousand 198 general practitioners and 21 thousand 598 specialists) to meet the needs of the 19 million 635 thousand 261 inhabitants of these eight states.
In these entities there are only 25 thousand 885 general practitioners and specialists, that is, they need 38 thousand 911 additional doctors to reach the optimal number of 64 thousand 796 doctors, which according to the international criteria is calculated at 3.3 doctors per thousand inhabitants.
In Nayarit, Cuban doctors at IMSS- Bien-être
In Nayarit, Cuban doctors will be distributed in 12 hospitals, three specialized medical units and 245 health centers integrated into the program. IMSS Wellbeing.
To serve the very marginalized communities living in remote areas, some of the Cuban doctors will participate in caravans carried out through equipped mobile units.
In these mobile units, basic laboratory, radiological, pregnancy prevention and monitoring studies are carried out, as well as vaccination, monitoring of conditions such as malnutrition, anemia, obesity, detection of cancer by analysis of the cervico-uterine culture and the image with mastographs.
Cuban doctors will stay in the medical residences set up for interns.
Nayarit was the first state to launch the comprehensive model of federalization of health services.
In a recent federal report, it was reported that Nayarit has 99% of staff i.e. 896 out of 999 workers, in addition to the fact that all second level workers have been trained and 75% who are at the first level. .
142 doctors, 473 nurses, 69 paramedics and 212 general services working among other things in medical care, with a seniority of two to 13 years, had been regularized.
The idea is for Cuban doctors to join the 49 newly hired specialists to work in the entity’s hospitals.
And although there are about 120 medical residents, due to conflicts arising from the murder of interns and the withdrawal of students from UNAM, the government will make up the shortfall with foreigners.
“There are 120 trainees, which is clearly insufficient, so the complementary strategy will be to employ professionals from abroad so that these positions can be filled,” said Health Secretary Jorge Alcocer.
According to the federal authorities, Cuban doctors will strengthen the network of first, second and third level medical care for the benefit of 273,039 inhabitants of the Nayarit entity, which lacks social security.
The federal government has invested 51 million 384 thousand 624 pesos to rehabilitate and preserve the infrastructures at the different levels of care. These are currently working.
However, according to the federal diagnosis, more doctors are needed to streamline and improve the quality of care both in the diagnosis and treatment of oncological diseases, in the field of hemodialysis, and free up the schedule of surgeries postponed due to lack of personnel. .
A health system assessment was also carried out and obsolete equipment was removed. The pharmacy has been expanded to meet all the needs of outpatients and inpatients.
Two thousand 626 pieces of equipment were removed, from tomographs, x-rays, to fetal heartbeat detectors, especially hospital beds.
In addition, operating rooms in hospitals have been activated. Some have gone up to 3 years without performing surgeries.
The time depends on the location, eight months in Rosamorada; 1 year and three months in Tecuala; three years in Ixtlán del Río, 24 months in San Francisco, 48 months in Jesús María, six months in Acaponeta, eight months in Las Varas and 12 months in Tondoroque, 14 in Puente de Camotlán. The only advantage is the operating theater in Santiago Ixcuintla.
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