Two pregnant women in Havana illustrate the growing healthcare divide emerging from Cuba’s deepening energy crisis, as fuel shortages force expectant mothers to navigate vastly different medical realities based on their economic circumstances.
Maria Santos, a 28-year-old teacher in Old Havana, has missed three prenatal appointments in the past month due to transportation difficulties. “The buses don’t come regularly anymore, and when they do, they’re packed,” Santos told BBC correspondent Will Grant. Her situation contrasts sharply with Carmen Rodriguez, who lives in the affluent Miramar district and maintains private transportation access.
Cuba’s energy infrastructure has deteriorated significantly since 2021, with rolling blackouts affecting up to 14 hours daily in some regions. The crisis stems from aging power plants, reduced Venezuelan oil shipments, and longstanding U.S. economic sanctions that restrict fuel imports and spare parts procurement.
Healthcare analysts report that maternal mortality rates could increase as transportation barriers limit access to prenatal care and emergency obstetric services. “We’re seeing pregnant women walk for hours to reach hospitals, which creates additional health risks,” said Dr. Elena Vasquez, a public health specialist at the University of Havana.
The Cuban government has implemented fuel rationing measures and prioritized electricity for hospitals, but rural and lower-income urban areas continue experiencing severe shortages. Officials acknowledge the crisis while maintaining that essential medical services remain operational.
International observers warn that prolonged energy instability could undermine Cuba’s historically strong maternal health outcomes, potentially reversing decades of progress in reducing infant and maternal mortality rates across the island nation.