http://www.abc.net.au/cgi-bin/common/printfriendly.pl?http://www.abc.net.au/worldtoday/content/2006/s1678441.htm


ABC Online 

The World Today - Cuba steps in to aid East Timor health system 

[This is the print version of story 
http://www.abc.net.au/worldtoday/content/2006/s1678441.htm] 


The World Today - Tuesday, 4 July , 2006  12:30:00
Reporter: Anne Barker
ELEANOR HALL: While East Timor's leaders still struggle to deal with the 
country's political crisis, the violence of recent weeks has exposed the poor 
state of health care in the fledgling nation.

There's a serious shortage of doctors, hospitals are rudimentary, and some 
towns have never had a local doctor.

But a bilateral agreement with Cuba has begun to turn that around, as Anne 
Barker reports. 

(Sound of people speaking in emergency department)

ANNE BARKER: This is the emergency department at Dili's Guido Valadares 
National Hospital. The sick and injured are wheeled past on trolleys.

(Sound of trolley)

Among them, some of the victims of the many weeks of violence in Dili, many 
with machete or gunshot wounds. Other patients who are well enough sit outside 
in the sun.

(Sound of birds chirping)

Guido Valadares is East Timor's biggest hospital, but conditions here couldn't 
be more basic.

There's little in the way of modern medical technology. Even doctors are in 
desperately short supply.

(Sound of Karen Torres Roses speaking)

Karen Torres Roses (phonetic) is one doctor who specialises in women's health 
and gynaecology. 

"I work with pregnant women in the national hospital," she says, "and I assist 
their labour. I do ultrasounds."

At first glance she might be East Timorese, but Dr Torres is from Cuba.

"East Timor has one of the world's highest mortality rates for children," she 
says. "60 in every 1,000 babies die before they're one."

Dr Torres is one of several hundred Cuban doctors in East Timor. 286 Cubans 
have come across the world to help build East Timor's health system from 
scratch.

When the Indonesians pulled out in 1999, there were barely 20 practicing 
doctors left in the country. Entire communities had never had a single doctor, 
under Indonesian rule or the Portuguese.

In the last year it's Cuba that has stepped in to help. 

The man in charge is Dr Francisco Medina.

"There's a lot of solidarity between Cuba and East Timor," he says. "We feel 
for the East Timorese and their suffering."

Since 2004, Cuban doctors have spread to every district and sub-district in 
East Timor, staffing clinics and field hospitals, often for a pittance in pay.

Cuban flags have become a familiar sight outside their homes. Many are now here 
for the long haul. Dr Medina plans to stay for at least six years.

"We are just some of the 27,000 Cuban doctors," he says, "working in 69 
countries - in Africa, America, countries that need help, like East Timor."

"The problems in East Timor are very similar to all the poor nations throughout 
the world," he says. "Malaria, tuberculosis, infant mortality."

In return, more than 300 East Timorese students are now in the Cuban capital, 
Havana, studying medicine. And in Dili, Cuba has funded a new medical faculty 
at Dili's National University.

East Timor's Health Minister, Rui De Araujo, says eventually he hopes his 
country will produce its own doctors.

RUI DE ARAUJO: We're now in the process of recruiting more students, and 
hopefully the end target would be to train doctors so that by 2015 we would 
have at least one doctor for 1,000 people in this country.

ANNE BARKER: So is there a political connection, some sort of solidarity 
between the Fretilin-led Government in East Timor and the Communist Government 
of Cuba?

RUI DE ARAUJO: Well, I don't see that as the main reason for establishing this 
bilateral work, even though it might give the impression that that would be 
because some political affinities. All the Cuban health professionals are doing 
purely health work.

ELEANOR HALL: That's East Timor's Health Minister, Rui de Araujo, speaking to 
Anne Barker in Dili.



© 2006 Australian Broadcasting Corporati

[Non-text portions of this message have been removed]



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