Cuba's Focus on Preventive Medicine Pays Off

Baltimore's infant mortality rate has dropped by 24 percent, and health officials there as well as independent research groups have credited the city's B'More for Healthy Babies initiative, launched in 2009.

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Despite its small student body population, Xavier University, a historically black college in Louisiana, graduates more African American students who eventually become doctors than any other college in the United States. Xavier’s leaders cite its culture of “competitive collaboration,” community of shared experiences and challenges based on race, and free upperclass tutoring services as some of the characteristics that make its students stand out.

Rural areas of Maine were being underserved when it came to dental hygiene, so the state opened a dental college and a loan repayment program in order to increase the amount of industry professionals. Since opening, the amount of dentists serving these areas has increased and now the university is looking to scale even further by increasing the amount offered in the loan repayment program.

The simple addition of adding handles to bathroom stalls in the Rohingya refugee camps in Bangladesh has helped the camps' pregnant women regain a sense of empowerment and dignity. Providing support and balance, the design of these latrines have benefited the elderly in the camps as well.

Vermont has opened its first donor milk center which acts as a breast milk bank for mothers that are in need of milk for their newborn babies. The Vermont Donor Milk Center aims to be a "one-stop shop," and also offers lactation consultation, maternal education, and supports for non-lactating partners.

In 2004, the Media Initiative set out to develop a trauma-informed curriculum for preschoolers in Northern Ireland. Using puppets, cartoons, and professional development, the social-emotional lessons have empowered students to better address conflict and communicate more effectively with each other. A Boston-based teacher education program is one of many who travel to Ireland to observe the program in action each year.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.

Anambra State’s telemedicine program is closing the healthcare access gap in rural communities, making universal health coverage more possible. The program began in 2022 and has since hired and trained 42 doctors in providing remote healthcare. As more people use the telemedicine program, public trust in primary healthcare across the region is increasing.