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Nearly a month after the Cuban government announced the decision to withdraw 8,332 doctors from the Medicis program, care is "essential" in some of the most remote areas of the country, while most cities did not feel the impact of the crisis. your exit.
On November 14, Cuba ordered the removal of doctors who were serving in Brazil in response to statements by President-elect Jair Bolsonaro, who called the professionals "slaves" of a "dictatorship".
This decision prompted the sudden departure of Cuban doctors from the country's health posts and, in response, Michel Temer's government launched a competition to help other doctors remedy these absences.
Virtually all places were selected by a physician, but less than half of the professionals have already appeared in the selected municipalities and there are still a hundred or so positions on which no one has enrolled, all in very vulnerable areas, particularly in the north. from the country.
This is a reality very different from that of large urban centers like São Paulo, where doctors were enrolled for almost all of the vacant positions, while other professionals were recruited from within. urgency through agreements with private hospitals.
However, this possibility does not exist in the Amazonian regions, which corresponds to 77% of vacancies that nobody wants and who are currently living in a "very critical" situation, said Jnna Andrade, a volunteer from Council of Indian Missionaries working with communities in the east of the state.
"There is no doctor, no Brazilian, no Cuban.There is no type of medical care," Andrade said during a phone interview with Agencia Efe.
"Before the arrival of the Cuban doctors, there were problems and, now that they left, the same problems came back," he lamented.
To benefit from the most basic badistance, the inhabitants of these regions must now travel up to 80 kilometers to be served in large cities by Brazilian doctors, "who are also few", said Andrade.
In the case of emergency services, the distances reach 400 kilometers, he added.
- According to the missionary's testimony, the indigenous population of the eastern Amazon did not have any health coverage of "medium or high complexity", which explains why its options are very small: "They receive care temporary palliative and sometimes risk life because they are still sick or can die. "
Januário Neto, President of the Council of Municipal Secretaries of Health of Amazonas, considers the situation of the region as "urgent".
"Nobody wants to come here," said Neto, state secretary for health of the Municipality of Manaquiri, referring to the one hundred vacant positions that no doctor wanted to occupy.
Nearly 3,000 kilometers to the south, São Paulo, lives a very different reality, in which the exit of Cuban doctors who worked there had "no impact" on health care, according to L & # 39; one of the health officials of the city, Wagner Gonçalves.
According to the technician, the town hall made emergency contractions with the private hospitals with which she normally cooperates and the new doctors were immediately integrated into their posts.
The sanitary base unit Jardim Vitória, located in the district of Tiradentes, dismissed on November 21 its only two doctors, Cubans, but the management and the staff badured Efe that everything worked in the same way way the following days. with the new doctors of Santa Marcelina private hospital.
The Minister of Health, Gilberto Occhi, recognizing that indigenous territories were a priority, still had a hundred vacant places and, as "Plan B", the government was planning to open a new competition for attract more doctors.
- More and more doctors will receive applications from graduates abroad without CRM to fill vacancies
This time, the requirements will be expanded so that Brazilian graduates can be registered at the university. Overseas and abroad, and Occhi pointed out that these and other alternatives would be forwarded transition team of the future government.
CUBA LEAVES THE BEST DOCTORS
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