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One of the basic presuppositions of the anti-Cuban campaign over human rights has been to place a false and artificial division in the human rights the Cuban people enjoy. Taking as their basic premise a refusal to admit that all categories of human rights enshrined in the Declaration of Vienna are indivisible and interdependent, the anti-Cuba campaign ideologues admit what the statistics do not allow them to hide, the undeniable achievements of the Cuban Revolution in the enjoyment of social and cultural rights of Cubans. Nevertheless, and as if it were possible to make progress in education, culture without the existence of civil and political right, they try to fabricate the false thesis that the Cuban political system is incompatible with the enjoyment of civil and political rights and fundamental liberties.
In a previous chapter the untruth of the charges of alleged violations of civil and political rights and fundamental freedoms in Cuba was established. A synopsis was given of some of the questions having to do with the Cuban people’s enjoyment of economic, social and cultural rights.
The triumph of the Cuban Revolution in January 1959 made it possible to put an end to the neo-colonial domination that the United States had over the Cuban people’s natural and human resources, and laid the foundations for a fairer society in which all the human rights of each and every Cuban are protected.
Even though this new situation can be seen in the successes achieved in all areas of the country’s life, also visible are the disastrous consequences of the United States’ policy of hostility, blockade, and aggression against the Cuban people.
A.- One of humankind’s essential rights: work
In spite of the severe international recession in recent years and the measures for flexibilising, deregulating and making work less secure which have become entrenched in the area of labour relations in many parts of the world, in Cuba the right to work is guaranteed as an inalienable human right.
Before the triumph of the Revolution, 24% of the workforce were unemployed and around 200,000 people were visibly underemployed, a figure that rose considerably when the sugar harvest was not in process. Approximately 60% of wage earners and self employed people received less than the existing minimum wage. Social security, besides being inadequate only covered 50% of the workers.
The unemployment rate for women and young people was double or triple that for adult men and the use of child labour was a common practice. In 1958, 133,000 children under employment age were working. When the Revolution triumphed there were only 194,000 women employed; 70% of them were domestic workers. During this period 100,000 young people attained employment age but for them there was no real hope of finding a job.
When the means of production
became social property, it was possible to make the essential changes which
resulted in the creation of new sources of employment, A million and a half
permanent new jobs were created between 1959 and 1975 with a annual average
growth rate of employment of 4%. Women’s employment rose from 12.6%
in 1959 to 28% in 1976, in other words more than 700,000 joined the workforce.
In the last few years, as the country recovers from the heavy blow dealt by
special period in the first half of the 90s, new employment programmes were
initiated; these have created 800,000 new jobs.
The sources of permanent new jobs are mostly in the social programmes recently set in motion. These include jobs for teachers who have graduated from intensive training courses, for computer science teachers, social workers, nurses, video and television room operators, and urban agriculture workers.
The revolutionary idea
of making training upgrading, or studying something new as a form of work
has been developed and implemented in Cuba. This has allowed tens of thousands
of young people between 17 and 29 years of age, who were not studying or working
—most of them women— to obtain secondary school graduation or
even go on to post secondary education and be paid while doing so. 107,302
young people are currently registered. There are 8,000 instructors teaching
them in 508 centres throughout the country. At the end of 2003,
30,000 of these young people were already studying at post secondary level.
The idea of study as work is being extended to workers who have been made redundant and where there is no possibly for them to find new jobs straight away. Thus the best way to find new jobs for them is to give them the necessary training. This is now being done with sugar workers.
The restructuration of the sugar industry was implemented while preserving and developing the human capital there. These process has involved 219,594 workers of whom 59% have found work in other parts of the sugar industry, 10% on farms, 20% work studying and 7% have found employment with other enterprises. There are around 122,000 workers studying in the retraining programme, 65,310 of them work studying.
The battle for full employment has a strategy and a well worked out programme which guarantees each citizen useful and productive employment. The principles behind this plan are:
A permanent employment
plan agreed to with the provinces
Placement is guaranteed for all of those completing one of the Revolution’s
social programmes
Completing and stabilising the labour force in urban agriculture
Consolidating the Overall Upgrading Course for Young People.
Job placement for all university, graduates from technical and professional
education and from trades schools
Retraining so as to find new jobs for those made redundant by the elimination
of their jobs
Filling necessary vacancies
Full employment for the disabled if they so desire
Giving priority in employment to woman and young people
Special attention given to the municipalities with the highest unemployment
rate and reducing the unemployment rate to less than 5%.
As a result of employment programmes, more than 100,000 new jobs were created in 2003 which allowed us to lower the unemployment rate to less than 3%.
Cuba is a signatory to 88 of the International Labour Organisation’s (ILO) agreements. It is in second place among Latin American countries for the highest number of agreements ratified and is one of top ten nations in terms of number of agreements ratified. The United States, for example, has only ratified 13 of the more than 184 agreements in existence.
B.- Guaranteeing existence: Social security and assistance
Social security in Cuba is a right with that makes no distinction based on race, sex, religious faith, or political ideology of the person.
Until 1959 the overwhelming majority of the Cuban people lived in a precarious situation, with a total lack of social protection or access to health, education, pension and retirement services.
The social insurance system in 1958 was in dire straits, their funds were in deficit because of the corruption and thieving of the ruling regime. The financial situation of most of the insurance funds was depressing. Social assistance was limited to the efforts of private charity institutions and some state institutions which only benefited a small strata of the population, mostly in Havana.
From 1959 on the Revolutionary state began to transform social insurance, designing a package of measures whose immediate aims included financial help to existing institutions in order to guarantee they met their obligations.
Today social security is a comprehensive system which includes security at work, on the job, of salaries and wages, in working conditions and training, and of nutrition, physical activity, individual development and the active participation of all citizens, including senior citizens. The main indication of this is the coverage given to 100% of the workers, their families and the population who need assistance.
Social Security covers the risks of illness and common accidents, occupational accidents, occupational disease, maternity, disability, old age and death. Social assistance provides protection to families and individuals in need in the form of subsidies. The benefits are given in money, service and kind.
In addition to the aforementioned benefits there are also social programmes for vulnerable groups of the population such as the differently abled, elderly people living alone and others and the aim of these programmes is to meet the social and economic needs these people have.
The Cuban Social Security System protects 1,438,295 people through Social Security and 331, 681 through Social Assistance; 2,739 million pesos was allotted from the State expenditure budget to the system in 2004 to cover its costs.
More than 15,000 social workers throughout the country are employed in this noble task. Their responsibility is to look after elderly people living alone, differently abled people, etc.
1. Care for elderly people
Cuba is not exempt from the demographic process of an aging population which is affecting the world. The total Cuban population is more than 11.2 million. It is one of the oldest populations in Latin America having more than one and a half million inhabitants over the age of 60, a figure destined to increase in the coming years. It is expected that the number of people in Cuba over 60 will increase to two and half million by the year 2005, that is, 25% of the population.
Health care for the elderly in Cuba complies with the basic principles of universality, being free of charge and accessibility.
The Ministry of Health runs the Programme of Care for the Elderly which work with the Multidisciplinary Gerontological Care Teams which is a component of the Family Doctor Programme. Similarly the geriatrics and gerontology speciality was started and a process of geriatrization of all the hospital and community based services is underway.
2. Care for the disabled
The Cuban government guarantees the human rights of those who are otherly abled based on the principle that every one has the same rights.
In Cuba, from 1959 on, concrete measure began to be implemented for disabled. More recently (1995) the Action Plan for Care for Disabled Persons was initiated, to ensure more coordination in matters concerning, employment, accessibility, health, education, training and use of information and communication technologies.
Cuba has developed new social services, such as the Home Care Worker, the Food Service and grants to mothers of children with severe disability, the use of computers and other audio-visual programmes, the progressive elimination of barriers to access, the programme for technical prosthetic aid, the system of close caption in the most important television programmes, (the Braille system in libraries and specialised finger telephone services for those who are deaf and blind, etc.
In 2002 the Cuba government carried out a nationwide clinical, psychological pedagogic and social survey of the disabled which allowed us to know more about their living conditions and health status, to assess the policies in place up to that time and to get new programmes and studies underway with the aim of improving the quality of life and full social integration of these Cubans.
There is an employment programme for the disabled (PROEMDIS), which has made it easier to integrate them into social life. Currently there is a fast track programme underway to find work for 75,113 disabled persons, identified in the genetic study we carried out, who are interested in and able to work.
As for new legislation, we should mention the 2003 Decree Law No. 234 dealing with maternity leave for female workers. This law increases the scope of the rights and benefits of this maternity leave which has been extended until the child reaches the age of three in the case of mothers with disabled children; the mother has the right to return to her job when her leave expires.
C.- The priority given to health in the Cuban system
Before the Revolution, health and hospital care were mainly privately or provided to members of mutual societies. Medical facilities and personnel were mostly to be found in Havana where 65% of doctors and 62% of hospital beds were concentrated. There were virtually no medical services in rural areas, where nearly half of Cuba's population lived, and there was only one rural hospital that had only 10 beds and no doctors.
The percentage of people suffering from parasites was high (36.10%) as was that of those suffering from tuberculosis (13.99%), typhus (13.25%) and malaria (30.03%). Infant mortality was over sixty deaths per one thousand live births and life expectancy was only about 58 years. State health service was less than adequate and only 8% of the population obtained free medical attention.
After the triumph of the Revolution, public health services in Cuba showed an impressive level of development in successive stages.
1960. Creation of the National Health System. Creation of rural medical services. Creation of health areas and polyclinics. Vaccination with the involvement of the population.
1970. Decentralisation of teaching and of the health sector, delegation of responsibility to the provinces. Initiation of Mother and Child Programme
1980. Creation of the Family Doctor Programme. Introduction of advanced technologies. Fast track development of the medico-pharmaceutical industry.
1990 Introduction and development of science and technology’s achievements. Withstanding the double whammy of the U.S. blockade and the collapse of socialism in eastern Europe and the USSR.
2000 The stage when the system was consolidated, reformed and modernised. Increased participation by the community in health measures and actions.
2002 to date. New programmes to put advances in medical care into practice. Development of polyclinics as centres of the highest quality primary medical care. Repairs to doctors offices and to polyclinics. Fast track training course for nurses.
Cuba’s achievement in the field of health mean that ever since 1983 it has more than met the requirements of Health for Everyone agreed to in the context of the World Health Organisation (WHO).
However, currently far reaching transformations to health services are underway in order to go beyond what we have already achieved. One of the most important of these is a programme to bring services closer to the population, the extensive retraining programmes for medical personnel —at the beginning of 2003 there were 34,451 people registered in this— and the continued development of pharmaceutical drug production.
In order to be able to execute these transformations and to continue improving the quality of medical services, the state budget allocated 2,270 million pesos for this key area.
Some of the Cuban public health’s achievements in the last ten years can be summarised as follows:
67% of the medicines the
country need are domestically produced
Programme for pre-natal diagnosis of congenital diseases. This has helped
to prevent the birth of more than four thousand children with congenital deformities
Medical genetics programme to reduce Down Syndrome and other diseases
Improvement of intensive pre-natal, paediatric and adults therapies
Increase in the number of organ transplants performed
Discovery of the group B anti-meningococcus vaccine, the only one of its kind
in the world
Production of Hepatitis B Vaccine
Discovery of PPG (atheromix), first choice therapy for treating high cholesterol,
the major contributing factor to coronary risk
Decrease in the number of cases of cancer in the advanced stage and an increase
in the survival rate. Production of monoclonal antibodies for cancer treatment.
Manufacture of vaccines against the disease.
More exact classification of leukaemia and its treatment
Cure or control of retinitis pigmentosa
Production of melagenina, a pharmaceutical obtained for human placenta and
used for treating vitiligo.
Production of high-quality, low-cost medicines.
Manufacture of equipment such as Neuronica (used for monitoring during operations),
the Medicid (digital electroencephalogram), the Ozomed (for ozone therapy
treatment) and SUMA (Unilateral Micro-Analytic System)
MAIN STRATEGIES USED IN HEALTH CARE FIELD
1. Reorienting the health system towards primary health care and the cornerstone of this, the family doctor and nurse
Cuba today has 381 health areas which are fully covered by the family doctor programme, of whom there are more than 30,000 spread throughout the country. More than 97% of the Cuban population is covered by a family doctor and a nurse and it is expected that this will increase to 100% in the next few years. Continuing to give priority status to care for the population’s health has been a strategic challenge and goal for the state and society as a whole.
There are also the polyclinic, the first link the Cuban public health chain, which since 1997 is considered to be among the 28 most complete health services in the world, according to an assessment done by the World Health Organisation (WHO).
2. Revitalisation of hospital care
During the 80s the country made a huge effort to extend and modernise its hospital services network, which meant improving coverage, accessibility, capacity and comfort and incorporating the most up-to-date technology into the services offered. Although substantial progress was made, the programme was interrupted by the special period but it is today once again underway with new enthusiasm and more ambitious goals. In 2002, the country had 265 hospitals and 55,864 beds.
3. Cutting-edge technology programmes and research institutes
Cuba has developed a series of top class medical care programmes to protect the population’s health. Some of the most noteworthy of these are the programmes for preventing diagnosing and treating cancer, treatment for those with renal insufficiency, the cardiocentres, the early diagnosis of congenital complaints, comprehensive pre-natal services, blood donor programmes and the production of blood products.
4. Medical education and internationalist aid
Compared to 1959 when
there was only one medical faculty in Cuba and one dentistry faculty, Cuba
today has four higher institutions of medical science,
24 faculties of medicine and four of dentistry and more than 50 health and
nursing polytechnics. Most of the hospitals are also teaching institutions
or medical science faculties. As a result of the development of this educational
structure, in 2002 there were 67,079 doctors in the country compared to the
3000 that the Revolution had when it emerged victorious —another 3000
emigrated in the first few years after the Revolution in response to the incentives
offered for this very purpose by the United States government whose aim was
to dismantle the Cuban health service.
By 2005 the Latin American School of Medical Sciences (ELAM) expects registration to rise to 10,000 with Latin American students whose numbers include representatives of 66 ethnic groups and indigenous peoples from very isolated places where there is no health care. That same year the first doctors will graduate from ELAM; they are committed to return to their own countries once they have completed their studies. Hundreds mores young people from the Caribbean and Africa are also studying medicine in Cuba.
Cuba’s solidarity in the health field is not limited to education foreign students here. Currently, 14 thousand 732 Cubans collaborate in areas of health in 65 different countries. Cuba has implemented the Comprehensive Health Programme (PIS) which is welcomed by Governments and by the populations that benefit directly from it alike. Under the programme 3117 Cuban cooperators are serving in 22 countries, of whom 2412 are doctors. Another 10,000 Cuban doctors have recently joined these numbers. They are carrying out important medical services in the Plan Barrio Adentro (Into the Neighbourhoods Plan) all over Venezuela.
Under the Comprehensive Health Programme tripartite cooperation projects have been developed with several countries. The programme is supported by 95 non-governmental organisations from various parts of the world and by international bodies such as the WHO/PHO, the UNDP and UNICEF whose financial contributions, medical equipment and supplies are sent directly to the countries or places where the Cuban health cooperants are working.
Based on Cuba’s experience in the epidemiological control of HIV/AIDS and on the fact that our country has the human resources necessary to deal with this pandemic, Cuba, in the special period of sessions of the UN Assembly General on HIV/AIDS held in New York from 25 to 27 June 2001 proposed :
Providing 4,000 doctors and health professionals to create an infrastructure to supply the population in countries in need with the medicines prescribed and the necessary follow-up. These same doctors, etc. could educate and train very many specialists, nurses and health technicians.
Providing the professors needed to set up 20 medical faculties in several of the world’s countries, many of whom could be selected from among the doctors who are already working as part of the Comprehensive Health Programme. 1000 doctors could be trained every year in the countries that most need them.
Sending the doctors, educators, psychologists and other experts needed to advise and collaborate with the AIDS and other disease prevention campaigns.
Supplying the equipment and kits needed for the basic prevention programmes
Anti-retrovirus treatment for 30,000 patients.
All that would be needed is that the international community contribute the raw materials for the medicines, equipment and material resources for these goods and services. Cuba would make no profit and would contribute the salaries of the Cubans in its domestic currency, salaries being the most expensive component for international health cooperation bodies. Cuba would also supply what is most difficult to find, trained people willing to carry out this mission in the most isolated areas.
Subsequently, in the Summit
of Caribbean Heads of State held in Havana on 8 December 2002 to commemorate
the 30th anniversary of the re-establishment of diplomatic relations between
Cuba and the CARICOM countries, Cuba offered a programme supporting the regional
strategy designed for fighting the HIV/AIDS epidemic in the Caribbean area.
The programme proposed:
Sending 1000 health workers whose salaries would be paid by the Cuban State.
Sending the instructors and technicians needed to set up, in a country designated
by CARICOM, a Technical Education Centre to teach nursing and other medical
sciences at that level. Every year this institution could turn out up to two
hundred young people from CARICOM countries who would be especially trained
to treat patients with HIV/AIDS.
To provide free of charge no less than 30% of the value of the equipment and
diagnostic kits produced in our country so that SUMA laboratories could be
set up since this would it easier to carry out mass testing of the population.
The cooperation offered would include installing, starting-up and technical
assistance for the equipment and training local staff to use the aforementioned
technology.
Cuba would be willing to share with other donors up to 40% of the value of
these diagnostic kits and equipment in the case of Haiti.
Since its inception to date a total of 7,506 cooperators have served and are serving under the Comprehensive Health Programme.
Other aspects of the development of the Cuban Health System.
a) Mother and Child Programme. One of the most noteworthy aspects is the infant mortality rate which at the close of 2003 was 6.3 per 1000 live births.
b) The National Vaccination Programme. Cuba’s vaccination programme is one of those with the widest coverage in the world. Today all Cuban children are vaccinated against 13 infectious diseases and there is a broad range of projects to use other kinds of preventative and therapeutic vaccines for adults.
In 2004 the health service began to use the first Cuban tetravalent vaccine to protect children against four diseases (diphtheria, tetanus, whooping cough and hepatitis). Encouraging results have been obtained in the search for a pentavalent compound which would include antigens against haemophilus Influenzae type B. If the outcome is successful, this would be the first vaccine in the world against those five illnesses.
Also heartening are the advances in a therapeutic test vaccine against the human immunodeficiency virus (HIV) and in four therapeutic anti-cancer vaccines which are in the clinical trial stage in Cuba and other countries.
b) Chronic non-communicable diseases. Cuba’s epidemiological profile is characterised by the preponderance of death due to chronic non-communicable diseases. Heart diseases, malignant tumours, cerebrovascular illnesses and accidents cause almost two thirds of the deaths in the country. Diabetes mellitus, hepatic cirrhosis, asthma and high blood pressure should also be mentioned as significant causes of death.
c) Communicable diseases.
This programme’s main objective is to control communicable diseases
to continue reducing morbidity and to control risk factors to prevent outbreaks
and epidemics. Infectious disease are the main cause of death in the world:
many of these diseases can be controlled with vaccines. In Cuba, a significant
number of such dieses has been eliminated.
d) Care for the elderly. There is a National Programme for Care for the Elderly.
Major causes of death
When the Revolution emerged victorious, 14.2% of deaths was caused by infectious diseases. Today the proportion of deaths from infectious diseases and parasites has fallen so greatly it has all but disappeared. The major causes of death are heart and cerebrovascular diseases, malignant tumours, etc.
Although HIV/AIDS is a veritable threat to the continuing existence of the human race in other parts of the world, Cuba, thanks to the early adoption of strategies and to a government group for coordinating the national response to the epidemic, has managed to keep slow the spread of the disease.
To date 4,979 people infected with the virus have been detected, of these 2,221 have become ill and 1084 of the latter have died from AIDS.
The epidemic is considered to be at a low level, there being a prevalence of 0.05 of people between the ages of 15 and 49 infected with the disease; this is the lowest in the Americas and one of the lowest in the world.
Under the National Programme for the Prevention and Control of Sexually Transmitted Diseases and AIDS people living with HIV and AIDS are provided with training, social and job security, specialised medical attention, which includes free anti-retroviral treatment and treatment for opportunistic diseases for 100% of those infected. An educational programme is being developed, which plans to offer sex education in schools, educational programmes specially designed for vulnerable groups, adolescents and the population in general. The programme’s main focus is on prevention.
Cuba has managed to contain this pandemic in spite of having limited access to 50% of the new drugs which are produced by U.S. companies or subsidiaries because of the severe economic, trade and financial blockade imposed on our country by the United States.
D.- Education: A Revolution within the Revolution.
The Government of the
Republic of Cuba places the greatest importance on its citizens full enjoyment
of the human right to education. Quality education which totally respects
cultural identity and which includes values and principles that foster solidarity,
social justice, mutual respect, patriotism and a profound knowledge of humanity’s
historic, cultural and artist heritage and of its peoples’ customs have
been the clear guidelines followed in developing Cuba’s educational
system, from the triumph of the Revolution on.
In 1953 Cuba had only about 6.5 million inhabitants; more than half a million
children had no school and more than 2 million people were completely or functionally
illiterate. Only half of the school population went on to secondary school;
there were 10,000 unemployed teachers; about 550,000 children aged between
6 and 14, almost half the total number, did not go to school. The population
over the age of 15 had an average educational level of less than three years
of primary school.
One of the first measures taken by the Revolutionary government was the eradication of illiteracy and the creation of the conditions to ensure free, good quality universal education at all levels, the results of which are clearly seen in Cuba’s achievements in this field.
If one takes the advances in the educational field into account, the goals set out by UNESCO for 2015 have already been met.
These results notwithstanding, and in order to continue improving the Cuban educational system, new educational strategies have been developed which have further empowered administrators, teachers and students to act as the protagonists of educational changes.
In order to continue developing education and implementing these new strategies, the Cuban State has allocated 3,825 million pesos to education in the 2004 budget.
As far as it has been able, the Cuban people has collaborated with other developing countries in the educational field. More than 17,000 young people from more than 110 countries are studying various subjects in Cuba, most of them at the higher level.
Cuba proposed a project to provide UNESCO with 20 scholarships a year which has been approved and is now in the revision and implementation phase. The project should begin in 2004 and is for countries in Africa but could possibly be extended to other regions.
Cuba has also offered its support for a universal literacy programme. Cuba would contribute a large part of the technology and specialist human resources needed. All that would have to be done is to mobilise an infinitesimal portion of the financial resources which float about the world every year and which would not exceed 0.01% of the GDP of OECD countries. If the programme proposed were put into practice, 1,500 million illiterate and semi-illiterate people all over the world could learn to read and write and study up to the sixth year of primary school.
1.-.The basic principles of Cuban education
a) The principle of mass education with equal access for all: Education is a right and a duty of all Cuban citizens. We have an educational system which covers all educational levels without distinction on the grounds of age, sex, race religious or place of residence. Special benefits exist so that children from low income families have equal opportunities to study and to education; these include boarding schools.
b) The principle of establishing links between work and study: This is the unity of theory and practice, with the aim of creating an awareness of being a producer, a creator in children and young people, by eliminating the prejudices that derive from the division between manual and intellectual labour.
c) The principle of the democratic participation of society in the task of education: This recognises that society is a huge school and education is a process that lasts a lifetime. It ensures that all grassroot, social and other non-governmental organisations participate in education, in designing educational strategies, in supervising education and in taking decisions about it, and that this participation is by all levels of society.
d) The principle of coeducation and of schools open to diversity: Guarantees that men and women have access to educational centres in any of the subject areas and professions which the aforementioned system offers. There are no distinctions made nor discrimination practiced on the grounds of skin colour, family income, the political ideas or opinion of the person being educated or of his or her relatives, etc.
e) Gender approach This ensures the elementary right of girls and women to have access to the educational system, given that the mother’s educational level is important for the education of her children.
f) The Principle of Differentiated Education and Assimilation into Public Schools: The attention given is tailored to the needs and potentialities of each person.
g) The Principle of Free Education: Education at all levels is free.
2.- The New Educational Revolution.
Even though Cuba has made enormous progress in making possible the human right to education, everything that we are planning and doing today will imply radical changes, the results of which will be seen in 10 years time. Moreover, given that these changes are all part of the revolutionary process, they will bear the solidarity-filled, altruistic, internationalist seal stamped on them by a society that engenders high values and a humanist ethics.
a) The Universalisation
of Higher Education
Higher education in Cuba has undergone transformations so that it may serve
the population’s interests. At this level the results of scientific
research have increased as have post graduate studies.
In the last few months,
there has been a far-reaching revolution at this level of education, bringing
the universities ever closer to each and every Cuban. Every municipality in
the country now has university classrooms, in which a growing number of subjects
is taught. The municipalisation of higher education has allowed us to increase
registration to 300,000 students who study on
732 campuses. This has provided new opportunities for any young person or
adult to take university courses.
b) The University of the Future: The Digital City.
The University of Information Sciences, a new university which brings the number of institutions of higher education in the country to 46, has been given the task of educating professional to have a high level of scientific and technological knowledge. It is thought of as providing support for increasing the use of computers in the country, for producing software and for industrial services.
Currently there are 4,000 scholarship students registered. The new university has a faculty of more than 300 highly qualified instructors, who were recruited from 27 of the other universities.
The projected capacity of this Digital City is 10,000, with 2,000 students registering every year.
c) A Qualitative Leap in Primary Education
A programme has been put in place in Cuba to ensure than there are no more than 20 pupils per classroom. This is so we may be able to offer differentiated education, the foundation for the qualitative leap we envisage for Cuban schools.
This goal has been made possible through the repair of existing schools and building of new ones; the prioritization of university training of primary and early childhood education teachers; the creation of 30 pre-university vocational colleges for teacher training around the country; intensive training of new teachers; the introduction of audiovisual technology in all classrooms; and the introduction of computer instruction beginning at the early childhood education level. All of the country's schools are now equipped with one television per classroom and a VCR for every 100 students, while there are 24,000 computers distributed among the primary schools.
d) The challenge of secondary education
Major steps have been taken in secondary education to foster a closer link between teachers and students, promoting more individualized attention for students during the difficult period of adolescence.
A significant advance has been made in this direction through the concept of a comprehensive teacher for the seventh, eighth and ninth grades, able to teach all of the subjects corresponding to these grade levels —except for languages and physical education— and moving up with the same group of students through these three years of study, with a student/teacher ratio of 15 to one.
Other steps taken include the introduction of a full day of classes for junior secondary students (who formerly attended class for only half the day), the training of new teachers, and the use of audiovisual technology.
As a means of
supporting this program, 567 new classrooms have been built in
98 schools, 4,000 new teachers have graduated from the Schools for the Intensive
Training of General Comprehensive Junior Secondary Teachers, and
33,281 teachers have been retrained under this new concept of junior secondary
education throughout the country.
As for senior secondary education —grades 10, 11 and 12— in both academic and vocational programs, new ideas are being developed that will inevitably include a combination of specialized teachers, incorporating the principle of individualized attention.
e) Special Education
Special education was initiated in Cuba 40 years ago, through the creation in 1962 of the Department of Special Education, aimed at attending to children with special educational needs, to the greatest extent possible and in accordance with their individual capacities. The goal of this program is not only to help these children to grow into self-sufficient adults, but to allow them to play an active part in society. No program of this kind existed previously.
Since 1962, special education in Cuba has developed into a whole system guaranteeing integrated educational, psychological, physical and medical attention for 100% of Cuban children with special educational needs, who currently number over 55,000.
Cuba has made significant progress in the study and research of genetically transmitted disorders, with the goal of diagnosing them from an early age, providing support for carriers and victims, and seeking ways to halt the transmission of some of the 80 disorders of this kind.
Cuba has produced a wide range of equipment, including Video-Voice, Medicid, Neuronica, and more recently Audic, which constitute an important means of support for special education. The effectiveness of the Audic technology has been demonstrated in Colombia, Mexico and China, where laboratories have been set up for the early detection of empaired hearing.
The audiovisual and computer programs have also been incorporated into this field of education, and have proven to be excellent tools to enhance learning.
The Latin American Special Education Reference Center was established in Cuba in 1990. The country's universities also offer a degree program in special education, from which over 10,000 professionals have graduated. There are over 400 special education schools, at which the principle of 20 or less students per teacher is also applied, in addition to daycare centers, special classrooms and classrooms in hospitals. More than 1000 students receive classes in their homes, provided by visiting teachers.
E.- Culture: the nation's heritage and a guarantee of its sovereignty in a globalized world
The cultural work undertaken in Cuba since 1959 represents one of the most eloquent expressions of the humanistic, universal and democratic spirit of the Cuban Revolution.
The Constitution of the Republic of Cuba establishes that the state "orients, foments and promotes education, culture and science in all their manifestations," and specifically espouses the freedom of artistic creation, the defense of Cuban cultural identity, and the conservation of the nation's cultural heritage and artistic and historic wealth.
In Cuba, culture is the domain of the masses, with equal opportunity for the development of the potential of every citizen. For the Cuban government, culture is an essential foundation of development, in light of its spiritual, creative, affective, moral and ethical contribution to society and the tangible and intangible heritage of the nation.
Based on this conviction, the Cuban state promotes the most varied expressions of artistic, cultural and intellectual activity, and this sector has been given particular priority over recent years through the development of programs aimed at fostering a higher degree of general, comprehensive culture and learning in every Cuban citizen.
After the National Literacy Campaign, in the earliest years of the Revolution, the foundations were laid for profound cultural development, through the establishment of important institutions with this goal. These included, among others, a national publishing system, bringing books and reading to the masses; an art education system of the highest standards yet accessible to all; a system of local cultural institutions; and national institutes and other agencies responsible for promoting the various fields of the arts.
The progressive growth in state funding of culture reflects the priority placed on the development of this sector, with an increase from 102 million pesos in 1997 to 552 million pesos in 2004.
The Ministry of Culture and its provincial and municipal departments are currently concentrating on the following priorities:
The creation
and promotion of art and literature throughout the country and the active
participation of artists in the nation's cultural institutions.
The development and implementation of multifaceted, high-quality cultural
programming, with close coordination among national, provincial and municipal
institutions, aimed at meeting the growing public demand.
The enrichment, preservation and dissemination of cultural heritage.
Community work on the part of cultural institutions, with the participation
of the different social forces that support community cultural work.
Increased emphasis on the art education system, and the development of human
resources in general.
The introduction and application of new information and communication technologies
for the development and dissemination of culture.
Closer ties with the media, as one of the fundamental means of informing the
public and influencing tastes.
The international promotion of Cuban culture.
Fostering the production and marketing of cultural goods and services.
1.- Municipal cultural institutions
Cuba has developed
a wide network of local community cultural institutions, spread throughout
the country and numbering 2050 in all, including
368 bookstores, 21 traditional music clubs, 178 video theaters and two circus
tents.
The amateur artist movement, promoted through community cultural centers, has grown significantly in recent years, with a current membership of 98,762.
There are over 2,200 professional cultural promoters currently working in local people's councils, districts and settlements. Between 1995 and 2002, 410 new cultural promoters were trained in courses specially designed for this purpose. The enrollment for the 2003-2004 course is 3654 students, of whom 1874 were participants in the comprehensive upgrading courses for unemployed youth.
In conjunction with the Ministry of Education, special priority has been placed on the new schools for art instructors, which are staffed by instructors recruited from cultural institutions and groups throughout the country. There are 15 of these schools in all, one in each of the 14 provinces and one on the Isle of Youth. There are currently 15,482 students enrolled, specializing in various artistic fields. The first group of graduates, numbering 3,353 in all, will complete their studies in 2004.
2.-Art education
The founding of the National School of Art in 1962 marked the initiation of one of the most transcendental and beautiful works of the Revolution: the creation of an art education system. This system has earned considerable international recognition and prestige, owing to the quality of its graduates and to its design, curricula, faculty and high technical and artistic standards.
There are currently 20 basic art education schools and 29 junior college level professional art schools throughout the country, a reflection of the emphasis placed on this field of education. The successes achieved in Cuban culture are undoubtedly the fruit of this art education system, crowned by the prestigious Higher Institute of Arts (ISA).
During the year 2003, work continued in the training of the 16,000 students enrolled in the country's schools for art instructors. The annual Book Fair was expanded to encompass 30 venues throughout the country, and was attended by 3.5 million people; millions of books were sold.
3.-The use of information technologies for sociocultural development
Cuba, whose cultural development efforts are founded on the pillars of people’s participation and equity, has begun to implement strategies that will help convert information and communication technologies into instruments serving sociocultural transformation.
In all of the country's school, including those in remote rural areas, audiovisual technology and computers are used as part of the teaching and learning process. A total of 30,000 students are currently enrolled in programs for training as programmers and in other fields of computer sciences at the junior college level. The use of the Internet and new information and communication technologies is being handled creatively so as to ensure the greatest possible social benefit.
The late arrival of the Internet to Cuba owes to the fact that up until May of 1994, Cuban access to Internet websites was blocked by the United States. The Torricelli Act, adopted in 1992 to reinforce the blockade, identified communications with Cuba as a means of weakening the Cuban Revolution.22
In a world where access to the Internet is for only a small minority,23 where millions of people have never even seen a telephone, and have no hope of ever being able to use the Internet, because many of them cannot read or write, the only possible path for the underdeveloped countries, the most democratic and wide-reaching under the conditions of the blockade and the limited resources faced by Cuba, is the path that we are following. Through social, educational, cultural, academic, artistic and other centers, in specialized fields or in the community in general, access to the Internet is provided for artists, intellectuals, writers and other creators.
Despite the efforts made, Cuba's connection to the so-called worldwide web does not offer the sufficient bandwidth to meet the country's demand. The U.S. blockade obliges Cuba to use a bandwidth and satellite connection that is costly and slow. The problem could be solved by a fiber optic cable connecting Cuba and the state of Florida, but the U.S. authorities prohibit this.
Cuba's ability to connect to the Internet with the speed it would like, or with as many channels or independent providers as it may choose, does not depend on Cuba. Every time that Cuba attempts to add a new channel to the Internet, the U.S. counterpart must obtain the corresponding license from the U.S. Treasury Department. Likewise, if a U.S. company wants to open a new channel to Cuba or decides to increase the speed of connection, a license must be issued.
F.- Sports: the people's right
The guarantee of the enjoyment of sports as a right of all Cuban citizens is one of the Cuban Revolution's most significant achievements in the field of human rights.
Sports and physical education have been made widely available to the entire population, largely through the work of 36,775 specialized instructors. This breaks down to one physical education instructor for every 83 inhabitants, as compared to one for every 10,000 in 1959.
The concept of sports as the people's right has been made a reality in the country's 169 municipalities, where all citizens have the opportunity to participate in sports activities at no cost. Cuba is the only country in the world with specialized physical education instructors for grades one to four.
The sports and physical education system includes a university-level School of Physical Education in every province, a national Institute of Physical Education, numerous junior college-level schools for physical education instructors, and the International School of Physical Education and Sports.
The International School of Physical Education and Sports, a concrete reflection of Cuba's selfless solidarity with the peoples of the Third World, was founded in 2001. There are currently 1,372 young people from 72 countries in Africa, Asia, Latin America and the Caribbean enrolled in this center of higher learning.
Over the last 10 years, more than 10,000 Cuban sports specialists have provided their services in 97 countries. At the Sydney Olympic Games, to offer just one example, there were 36 Cuban trainers working with teams from other countries.
Cuba has come to occupy a high standing internationally, with outstanding performances at the Olympics and in international and regional championships. It is worth mentioning that during the 1990s, Cuba maintained a spot among the top ten countries in the Olympic Games. These results have placed Cuba among the 30 countries that have won the most Olympic medals per inhabitant in the entire history of the Olympics.
G.- Cuban women: a leading role in the Revolutionary project
Cuba was the first country to sign and the second country to ratify the Convention on the Elimination of all Forms of Discrimination against Women (on March 6, 1980 and July 17, 1980, respectively). From the very moment of the triumph of the Revolution, policies have been developed and programs implemented not only to eliminate discrimination on the basis of gender, but also to make women direct participants, on an equal footing, in the project to transform Cuban society.
The Republic of Cuba's National Action Plan for Follow-Up to the Fourth World Conference on Women, adopted by the Council of State in April of 1997, has effectively and increasingly contributed to fostering government policies aimed at the support and promotion of women, guaranteeing their participation in the development process under the same conditions and with the same opportunities as men.
Cuban legislation includes a number of provisions that guarantee the rights of women, such as the right to health care, particularly with regard to sexual and reproductive rights; to education, social security and assistance, housing, employment, equal pay for work of equal value, and access and promotion to management positions, without discrimination.
Some indicators reflecting the results achieved:
The maternal mortality rate in Cuba has decreased from 70.4 per 100,000 live births in 1970 to 34.3 per 100,000 in October of 2003.
In the year 2003, women made up 44.9% of the workforce in the civilian public sector. They represent 66.4% of all junior college and university graduates, 72% of the workforce in the educational sector, 67% in the health care sector and 44.6% in the scientific sector.
Women currently occupy 31% of management positions, which is double the figure registered in 1975.
The participation of women in the bodies of the People’s Power and in successive electoral processes has gradually increased. There are currently 219 women deputies in the Cuban National Assembly. Cuba is one of the top ten countries in the world in terms of the percentage of women in Parliament, with a rate of 35.94%
H.- Children and adolescents
In Cuba, children and adolescents are given special priority by the family, community, civil society and the state, including essential legal protection and the guarantee of the necessary conditions for the exercise of their rights.
The state regulates the rights of children and adolescents through the Constitution of the Republic and various codes, laws and decree-laws, including the Child and Youth Code, the Family Code, the Civil Code and the Penal Code.
The rights of Cuban children and adolescents are also protected through a system of social policies, programs and projects in the areas of health care, education, social security, the environment, and others. 24
Cuba was one of the first countries to ratify the Convention on the Rights of the Child (on August 21, 1991) and submitted its initial report to the Committee in May of 1997.
The Optional Protocol to the Convention on the Rights of the Child on the sale of children, child prostitution and child pornography was signed by our country in October of 2000 and ratified in September of 2001. Cuba has also signed the Optional Protocol to this Convention on involvement of children in armed conflicts (October 13, 2000).
In Cuba, the implementation and monitoring of the Convention and its Protocols are integrated in a multisectoral and multidisciplinary system, which involves government agencies, non-governmental organizations and the general public, including children and adolescents themselves.
The Constitution
of the Republic grants all Cuban citizens the right to study until
16 years of age. The national education system is universal and free of charge
for all levels of education, including university education. Child labor has
been eliminated throughout the country since the 1960s.
In response to the agreements adopted at the World Summit for Children in 1990, Cuba formulated its National Action Plan that very year. Every year Cuba compiles a report on its fulfillment of the goals of the World Summit for Children, at both the provincial and national level. Reports are regularly submitted to UNICEF on the fulfillment of the National Action Plan; all of the goals set have been surpassed by Cuba.
Following the UN General Assembly Special Session on Children, held as a follow-up 10 years after the Summit itself, a new revised National Action plan was drafted in 2003.
Some of the results achieved:
Cuba’s infant mortality rate is the lowest in Latin America (6.3 per 1000 live births).
Children are vaccinated against 13 diseases, through a vaccination program that covers 99.5% of the country’s children.
In Cuba there
are no differences in levels of literacy within the country. A full 100% of
children complete primary education.