By Gualterio Nunez Estrada, Sarasota, Florida.
Marcelo, a patient from Santiago de Cuba suspected of prostate cancer was given a prescription of antibiotics to prepare it before his admission, he never found the antibiotic in the pharmacy, after several days he was finally admitted for a cystoscopy and a few hours later he was indicated to leave the room due to an increase in coronavirus cases. Weeks later, today he is scheduled for a cystoscopy. We hope he is lucky because he is the husband of a niece of my wife. The report that we present today will illustrate the situation in a province.
Marcelo, un patient de Santiago de Cuba suspecté de cancer de la prostate a reçu une prescription d'antibiotiques pour le préparer avant son admission, il n'a jamais trouvé l'antibiotique en pharmacie, après plusieurs jours il a finalement été admis pour une cystoscopie et quelques heures plus tard il a été indiqué de quitter la salle en raison d'une augmentation des cas de coronavirus. Des semaines plus tard, aujourd'hui, il doit subir une cystoscopie. Nous espérons qu'il aura de la chance car il est le mari d'une nièce de ma femme. Le rapport que nous présentons aujourd'hui illustrera la situation dans une province.
Periódico Invasor - Diario online de Ciego de Ávila - Parir o no parir, la cuestión de la pandemia
Giving birth or not giving birth, the question of the pandemic
On the day of World Sexual Health, Invasor approaches the impact of the pandemic on family planning in Ciego de Ávila.
It is a curious paradox to monitor searches for pregnancy tests in Ciego de Ávila just on Sexual Health Day. It was the fourth of the current month, and scrutinizing the sales groups on Facebook was necessary for this comment for two reasons. The first is that, in order to estimate pandemic fertility, the United Nations Population Fund (UNFPA) takes these searches into account. The second, because if contraceptive methods and similar products are quoted so high in the informal market, it must be a symptom of the blow that the pandemic has given to family planning in the country.
The National Council of Scientific Societies is no stranger to the subject. A few days ago he pointed out that "sexual health and rights are an important public health problem that require specific attention in times of pandemic."
Some time ago, UNFPA itself warned that almost 12 million women in 115 countries had lost access to family planning services because of the pandemic, even in countries like Cuba, with a public system that has not stopped working in the midst of a suffocating panorama with daily reports of thousands of cases. Regarding access to modern contraceptive methods, the number exceeded 13 million.
In January of this year, a donation of 20,000 bulbs of injectable contraceptives and 22,500 emergency contraceptive tablets, among other supplies, arrived in the country and had to be distributed among hospitals and Family Planning consultations in all provinces.
The note published at the time explained: "In this context, when production and distribution chains around the world have suffered significant disruptions, UNFPA has redoubled its efforts at the global, regional and local levels to ensure that modern contraceptives, as well as health supplies for pregnant women, mothers and newborns, are available."
The donation responded to the shortage of these prophylactics in the country, which with a monthly average of 120 medicines in short supply must prioritize the protocol of attention to COVID-19, hemodialysis, care for the serious and those controlled by card.
That is why, while a girl who does not pass 30 years old publishes on Facebook that she urgently needs a pregnancy test, and generates laughter or gossipy opinions, in a Moronense pharmacy a clerk responds to me: "Condoms have been about one and a half a month, but pills have not entered for a long time. I think almost a year."
Dr. Reinerio Rubio Rojas, deputy director of the Maternal and Child Program at the Roberto Rodríguez Provincial Hospital, explains that right now PAMI services are focused on caring for suspicious or confirmed children and mothers. "The Curettage Department is closed. That for now is attended at the Provincial Hospital Doctor Antonio Luaces Iraola, until we can return to normal. Family Planning consultations are maintained in the health areas."
Medical care has not stopped at any point in the pandemic, and it is tested by surgical interventions to remove ectopic pregnancies, procedures that are life and death. But put in practical terms, we must think about this: if a woman from Chambas decides to end her pregnancy, she would have to overcome restrictions on movement, remoteness and transport problems to reach the consultation of the capital of Avila to face a more than delicate procedure.
This is how a reader thought before the restitution of the consultations to Roberto Rodríguez in May 2020.
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