In 1969 the Ministry of Public Health (MINSAP) of Cuba initiated a program to reduce infant mortality, one measure of the quality of life, in 1969. The program developed during the 1970s and while infant mortality was reduced, it became desirable to add other measures directly related to the health of the population to the program. Sampled periodically, characteristics of growth and the development, were selected as additional indicators of the health of the population.

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