Seychelles

Executive summary

Cuba's medical mission to Seychelles began in 1980 and remains active, having evolved from a Programa Integral de Salud into the current Asistencia Técnica Compensada model, with personnel numbers fluctuating from around 502 accumulated participants historically to just 20 currently active. Reported figures show notable volatility—92 sanitarios in 2021 dropping to 20 by late 2024—suggesting inconsistent reporting rather than clear discrepancy patterns. Documented labour rights violations include passport confiscation, restricted movement, mandatory tribute from night-shift earnings, and prohibitions on private employment even after contract completion. Political obligations are confirmed, including mandatory community political agendas and surveillance by mission leadership. Behind clinical statistics lies a system of coerced loyalty. Medicine here doubles as an instrument of state control.

Mission data

Research profile