Template-Type: ReDIF-Article 1.0
Title: Inclusion of the variable “skin color” in the Complementary Statistical Information Health Subsystem of Cuba
Author-Name: Cabal Armas, Ana Janet
Author-Name: Roche Madrigal, María del Carmen
Author-Name: Pérez Leyva, María Elena
Author-Name: Araujo Inastrilla, Carlos Rafael
Abstract: Introduction: The inclusion of skin color as a sociodemographic variable in health information systems represents a challenge to strengthening health equity in Cuba. Despite having a universal and free healthcare system, the omission of this variable hinders analytical capabilities and the design of inclusive public policies.Objective: To characterize the status of the inclusion process of the “skin color” variable in Cuba’s Complementary Statistical Information Health Subsystem in 2024.Method: A cross-sectional descriptive study was conducted, combining document review, a focus group with specialists, and surveys of healthcare professionals. A total of 67 SIEC systems were analyzed, assessing primary and secondary records, the categories used, and staff perceptions regarding the inclusion of the variable.Results: The variable is present in only 25% of primary records and absent in all flow forms, preventing its consolidation at higher levels. A lack of standardization in the categories used was identified. Strategic systems were prioritized for initial inclusion, such as Classified patients in primary health care, Notifiable Diseases, and Outpatient Consultations.Conclusions: The study characterized the status of the inclusion of the skin color variable in Cuba’s SIEC health information systems in 2024, revealing limited and non-standardized integration. Effective incorporation requires a gradual and structured process that includes technical redesign, staff training, regulatory adjustments, and continuous monitoring.
Journal: SAP Health and Policy
Year: 2025
DOI: 10.56294/shp2025409
File-URL: https://southam.pub/journals/files/shp/shp2025409en.pdf
File-Format: application/pdf
Handle: RePEc:cwf:shpart:shp2025409