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The novel transformations of reorganization, compaction and regionalization of the public health system in Cuba are extending, showing remarkable progress. The measures taken in the context of updating the Cuban economic model have much significance for public health sector, especially in raising the quality of services to the people and the country's sustained development.

The organization, compaction and regionalization of health services, bases its essence on the rescue of the Family Doctor and Nurse Program started in 1983, whose direct care to the communities promotes more efficient and rational use of the technological resources available and a greater number of visits planned.

Colombia, the smallest municipality, located in the south of Las Tunas, bases its primary health care on the restoration of the 34 clinics. It now has a polyclinic and a hospital service whose flow of personnel has been reduced with the support of the family doctors in each community.

Medical assistance from the communities, has led to an increase of more than 1,500 consultations in the municipality at the end of last year. They are refining services such as comprehensive rehabilitation, nutritional care, optics, trauma treatment, natural, traditional and alternative medicine with 38 local products, electro-acupuncture, alcohol, tobacco and tuberculosis treatments which were put into operation.

The transformations have enabled variation in the assistance to the people as part of the new challenges of work objectives and comply with the Guideline 154, adopted at the Sixth Party Congress: "Raising the quality of services provided and achieving the satisfaction of the people and improving working conditions for health care staff and using resources efficiently."