Territorio y contextos en la salud de la población

for the last two decades, advances have been made in the documentation of social and health problems of the population in the region within the framework of increased inequalities and inequities, more decentralizing processes and progressive introduction of data processing and analysis methods and techniques. the following reflections were aimed at discussing the few advances made in the inclusion of life environment information in the population health analyses per territory, and its possible effects on the comparison among units placed at the same level. the favorable conditions in which health information had developed and the persistence of some problems such as lack of integrated data, and likely evolution of data production and analysis techniques at a pace faster than that of necessary theoretical and/or methodological reformulations were described. some assumptions related to heterogeneity of territorial divisions and of population distribution in cuba were stated. the review or clarification of existing indicators, or the creation of new ones particularly those accounting for the most recent domestic changes were suggested, with a view to updating the classification of territories by their living conditions or by type of population. also, the proposal of building alternative or supplementary territorial units characterized by more homogeneous contexts was made in order to improve the analysis of social production of health problems.