Background: In conflict-afflicted areas, pregnant women and newborns often have higher rates of adverse health outcomes. Objective: To describe maternal and child health indicators and interventions between 1998 and 2016 comparing high and low conflict areas in Colombia. Methods: Mixed study of convergent triangulation. In the quantitative component, 16 indicators were calculated using official, secondary data sources. The victimization rate resulting from armed conflict was calculated by municipality and grouped into quintiles. In the qualitative component, a comparative case study was carried out in two municipalities of Antioquia: one with high rates of armed conflict and another with low rates. A total of 41 interviews and 8 focus groups were held with local and national government officials, health professionals, community informants, UN agencies and NGOs. Results: All of the indicators show improvement, however, four show statistically significant differences between municipalities with high victimization rates versus low ones. The maternal mortality ratio was higher in the municipalities with greater victimization in the periods 1998-2004, 2005-2011 and 2012-2016. The percentage of cesarean births and women who received four or more antenatal visits was lower among women who experienced the highest levels of victimization for the period 1998-2000, while the fertility rate for women between 15 and 19 years was higher in these municipalities between 2012 and 2016. In the context of the armed conflict in Colombia, maternal and child health was affected by the limited availability of interventions given the lack of human resources in health, supplies, geographical access difficulties and insecurity. The national government was the one that mostly provided the programs, with difficulties in continuity and quality. UN Agencies and NGOs accessed more easily remote and intense armed conflict areas. Few specific health interventions were identified in the postconflict context. Conclusions: In Colombia, maternal and child health indicators have improved since the conflict, however a pattern of inequality is observed in the municipalities most affected by the armed conflict.
Este trabajo es producto de una etnografía realizada en la región del Medio Atrato chocoano, en el Pacífico colombiano. En esta región, mayoritariamente habitada por colectivos afro e indígenas emberá, existen prácticas de resistencia que se definen como defensa de la vida y el territorio. En las últimas décadas esa resistencia responde a las amenazas impuestas por la guerra y la militarización de los territorios. Para analizar esas prácticas privilegio los conceptos propios que están atados a las luchas cotidianas, en lugar de acudir a marcos conceptuales como los derechos humanos o la justicia transicional. La idea del vivir sabroso hace parte de esos conceptos y articula campos como los de la terapéutica, las relaciones de parentesco, la espiritualidad y el movimiento social. Este trabajo hace un recorrido por los lugares y experiencias donde es modulada la vida sabrosa, identificando como allí se ponen en juego procedimientos que procuran mantener un balance entre temperaturas, fuerzas y distancias.
En el Chocó, los grupos Artesanías Guayacán (municipio de Bojayá) y Artesanías Choibá (municipio de Quibdó) congregan a mujeres negras alrededor de oficios textiles. En estos espacios propios las mujeres narran las experiencias vividas en medio del conflicto armado y crean conocimientos colectivos que les permiten rehacer la vida. En este artículo exponemos las formas en que las prácticas cotidianas agenciadas por estas mujeres atrateñas sostienen la vida en un río disputado por diversos actores políticos, económicos y armados. También mostramos de qué modo sus estrategias y luchas generaron procesos de subjetivación que cambian los lugares usualmente asignados a las mujeres en las comunidades y los procesos organizativos locales, redefiniendo los espacios públicos y domésticos.
ResumenEste artículo muestra las prácticas creativas y políticas a las que han acudido las mujeres cantadoras de alabaos del corregimiento de Pogue, municipio de Bojayá, departamento del Chocó, para denunciar los daños causados por la guerra, sanar las heridas y tramitar las pérdidas de acuerdo a los repertorios espirituales afrochocoanos. Las Musas de Pogue proponen nuevos lenguajes políticos como escenarios de diálogo para la paz y expresan los temores e incertidumbres sobre el futuro de las comunidades afrodescendientes en Bojayá. Este artículo es resultado de un ejercicio participativo de investigación con enfoque etnográfico en el que se construyeron narrativas visuales y radiales con las voces de las alabaoras, sus hijas y parientes como protagonistas. Palabras clave
Based on ethnographic work with several women’s textile making collectives in Colombia, this article approaches their crafting practices as everyday doings of socio-ecological reparation, in the midst of social and environmental devastation caused by the armed conflict. Rather than focusing on the relevance of their activities for political activism and historical memory, an ecological perspective allows us to emphasise their work as a mundane, more than social process of communal regeneration. We discuss how women in these collectives, after painful and violent displacements, craft new ecologies of existence: relations and interdependencies within more than human worlds that cultivate new modes of care and attention, values and sensibilities in precarious living spaces. Ecological reparation is an everyday, vital, ongoing practice essential for community resurgence and for re-establishing collectivities that sustain liveable worlds.
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