CE36 - Santé publique, santé et sociétés

Primary care facing the COVID-19 pandemic in Cuba: Spatial differences, social vulnerabilities, experiences, and lessons at a global lLevel – PrimaCoba

Submission summary

Primary healthcare (PHC) in Cuba are considered as a model, notably by the WHO. During the COVID-19 pandemic, PHC have played a key role in health policies in Cuba. While the country was largely preserved from the pandemic until early 2021, a severe epidemic episode occurred between June and August 2021, leading to the saturation of the health system. At a global level, the role and impact of has been overlooked. This project relies on the hypothesis that the activities of PHC and its availability represents a key factor modulating the distribution of the epidemic. However, this impact is heterogeneous because we suppose that the offer and availability of PHC has been highly differentiated on the territory. Furthermore, the augmentation of social vulnerabilities (aging, chronic disease, poverty, etc.) on the different territories may have limited the impact of PHC. Then, this project aims to: 1) analyze the impact of offer and availability of PHC to mitigate social vulnerabilities; 2) understand the territorial differentiation of the impact of PHC on epidemic indicators according to local priorities defined to conciliate the control of COVID-19 with maintaining other public health activities; 3) describe local experiences at the PHC level and communities to deal with the pandemic; 4) situate the Cuban experience at a global level to highlight possible lessons for future preparedness, in particular for the countries in the Caribbean region. Intersecting public health and social sciences, this project relies on both quantitative and qualitative methods undertaken in three provinces presenting contrasted socioeconomic characteristics. The consortium associates two French teams, one focusing more on geographical analysis and integrating Cuban colleagues who are member of the national group for the control of the pandemic; the second specialized in public health, sociology and anthropology.

Project coordination

Erik-A SAULEAU (Laboratoire des sciences de l'Ingénieur, de l'Informatique et de l'Imagerie)

The author of this summary is the project coordinator, who is responsible for the content of this summary. The ANR declines any responsibility as for its contents.


CEPED Université de Paris
ICube Laboratoire des sciences de l'Ingénieur, de l'Informatique et de l'Imagerie

Help of the ANR 475,764 euros
Beginning and duration of the scientific project: - 36 Months

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