Official statistics reveal a 77% drop in preventive detection of cervical cancer.

14ymedio, Havana, October 30, 2026 / In a country where fewer and fewer children are being born, abortions are nearing the number of live births. Cuba registered 64,850 abortions in 2025, compared to 68,064 live births. The ratio is 94.8 abortions per 100 live births, the highest since 1986, according to the new Statistical Yearbook of Health from the Ministry of Public Health. The official figures come amid a prolonged shortage of contraceptives, forcing many women to resort to the informal market or products sent by relatives from abroad.
The situation exacerbates a demographic crisis of exceptional proportions in Latin America. Cuba lost 313,414 inhabitants during 2025, around 3.2% of its population, ending the year with just 9.4 million residents. Although emigration remains the primary cause of this loss, deaths (136,214 people) are nearly twice the number of births. The country is emptying not only because of those who leave, but also because far more Cubans are dying than are being born.
In 2025, 3,294 fewer children were born than the previous year, which is why the government has insisted on the need to stimulate the birth rate. Furthermore, condoms, birth control pills, and other family planning methods have been in short supply at state-run pharmacies for years, but this has not stopped the decline in births: abortions remain practically at the same levels as in 2024, while their proportion relative to live births continues to rise. continue reading
In March 2026, the official press warned of an increase in sexually transmitted infections in Sancti Spíritus, especially among young people.
The shortage is not a recent complaint. Back in 2023, Dr. Deglis Luciano, head of the Sexually Transmitted Infections Program in Guantánamo, acknowledged that the lack of condoms, pills, and injections was contributing to unwanted pregnancies and an increase in sexually transmitted infections. At that time, an emergency contraceptive pill could cost between 700 and 900 pesos on the black market. Currently, on buy-and-sell websites like Revolico, it is advertised for up to 1,800 pesos.
In March 2026, the official press reported an increase in sexually transmitted infections in Sancti Spíritus, especially among young people, and pointed to the lack of condoms in the healthcare system as one of the factors exacerbating the situation. This shortage thus affects both the prevention of unwanted pregnancies and protection against HIV and other diseases.
The government is attempting to respond with new measures. In May of this year, Resolution 174/2025 of the Ministry of Health came into effect, ordering that the distribution of contraceptives to adolescents be prioritized, especially in areas with higher birth rates among that age group. However, a regulation on paper alone does not guarantee that the products will reach pharmacies and clinics. The authorities themselves have acknowledged the need to rely on international organizations to bolster the supply.
The lack of options to prevent pregnancy is therefore a problem that transcends the economic difficulties of each family.
The crisis has also exposed the existence of clandestine abortions, despite the fact that the procedure is legal and free in Cuban hospitals. In April 2024, the director of the Hijas de Galicia Hospital in Havana reported that four women had arrived at the emergency room with severe hemorrhaging after terminating their pregnancies outside of healthcare facilities. The doctor denounced the irregular use of misoprostol, a drug used to induce abortions, and the existence of individuals charging for these procedures. There are no publicly available figures to determine the current extent of these practices.
The United Nations Population Fund (UNFPA), which has supplied contraceptives to Cuba through cooperation programs, also recognizes the persistence of unwanted pregnancies and high abortion rates, particularly among younger women. The lack of options for preventing pregnancy is therefore a problem that transcends the economic difficulties faced by each family.
Despite this, the new health yearbook continues to use 2019 data to report on contraceptive use by province. It does not offer updated figures on how many women use each method, which ones have stopped receiving them, or how their availability has changed during the worst years of the economic crisis. This omission is striking in a publication that does accurately record abortions.
Far from recovering after the pandemic, the program continues to decline and has reached its lowest figure since 1971
The deteriorationin the attention to reproductive healthcare is also reflected in the plummeting number of Pap smears, used to detect lesions that can develop into cervical cancer. According to the same yearbook, the number of women with up-to-date Pap smears fell from 871,196 in 2018 to just 197,457 in 2025, a drop of 77.3%. Far from recovering after the pandemic, the program continues to decline and has reached its lowest level since 1971.
The situation is particularly worrying among women aged 40 and over, a group for whom the Ministry records only 40.4 updated Pap smears per 1,000 women. At the same time, deaths from cervical cancer increased from 479 in 2024 to 506 in 2025. Both trends highlight the need to examine what is happening with prevention and early diagnosis.
In 2025, with international support, Cuba began vaccinating girls against the human papillomavirus (HPV), the leading cause of cervical cancer. This measure represents progress, but it does not replace screening tests for adult women. Ensuring reproductive health involves more than simply asking Cuban women to have more children; it also means empowering them to decide when to have children and avoiding that preventable or treatable diseases cost them their lives.
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