Impact of the Peace Agreement on the social determinants of health in Colombia

Mondragón-Sánchez, Edna Johana; Barreiro, Reinaldo Gutiérrez; Lopes, Marcos Venícios de Oliveira; Pinheiro, Ana Karina Bezerra; Aquino, Priscila de Souza; Pinheiro, Patrícia Neyva da Costa

doi:10.1590/0034-7167-2020-0892

Cited by 4 publications

(4 citation statements)

References 11 publications

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Section: Interventions For Peace and Healthmentioning

confidence: 98%

“…The impact of the Colombian Peace Agreement on social determinants of health using documentary data over 10 years showed a strong positive correlation with the peace process; the analysis documented a reduction of ‘economic, educational, health, and social inequalities and inequities’. 54 Another study showed that reduced exposure to societal violence during pregnancy was associated with reducing the risk of stillbirths and perinatal deaths and suggested that the Colombian peace process may have contributed to better population health at that time. 55 A study also showed that mental health inequalities were reduced over a 4-year time frame through reductions in the influence of variables, such as residence in conflict-affected territories, working in the informal sector or experiencing internal displacement after the peace agreement.…”

Section: Interventions For Peace and Healthmentioning

confidence: 99%

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Peace and health: exploring the nexus in the Americas

et al. 2022

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The relationship between peace and health is complex, multifactorial and fraught with challenges of definitions, measurements and outcomes. This exploratory commentary on this nexus within a focus on the Americas posits this challenge clearly and calls for more scholarship and empirical work on this issue from an interdisciplinary perspective. The overall goal of this paper is to try and explore the elements that impact the relationship between peace and health with a focus on the Americas (defined as countries spanning from Canada to Argentina) in the post-Cold war period. Focusing on the 1990s and onwards, we seek to underscore why violence continues to permeate these societies despite a third and lasting wave of democratisation in the hemisphere. We hope this will allow a more robust dialogue on peace and health in the regional and global health literature.

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Section: Interventions For Peace and Healthmentioning

confidence: 98%

Section: Interventions For Peace and Healthmentioning

confidence: 99%

Peace and health: exploring the nexus in the Americas

et al. 2022

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“…They have also prioritized the 170 municipalities most affected by violence during the armed con ict to promote a comprehensive transformation of rural areas over ten years through the Territorial-based Approach Development Programs (PDET, by its acronym in Spanish) [9]. In Colombia, some analyses have shown a signi cant reduction in social and health inequalities because of the Peace Agreement, pointing to a positive effect of the deescalation of the internal armed con ict since the beginning of the process [10]. There is a link between these outcomes and the social determinants of health.…”

Section: Introductionmentioning

confidence: 99%

The Close Relationship between Health Actions and Peacebuilding for the “Bien-Vivir” of Communities Affected by Armed Conflict in Colombia

González¹,

Duarte

Muñoz³

et al. 2023

Preprint

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Background: This study aims to present the design of a proposal for implementing the Comprehensive Health Care Routes in the municipality of Vista Hermosa (Meta, Colombia). We are trying to obtain an accurate and broad view of the health context in the municipality; identify the health assets, problems, and needs, as well as the enablers and barriers for implementing RIAS; and draft a series of recommendations for the implementation of the RIAS. We developed the fieldwork with people living in the urban area of Vista Hermosa and the rural settlement of Santo Domingo. Methods: We developed this quasiexperimental study with quantitative and qualitative methods in four phases. First, we identified the area and worked on the bases. Second, we conducted community-based research to characterize the population; identify health beliefs, values, and needs, as well as enablers and barriers to accessing the health system; and evaluate the implementation of the RIAS for Health Promotion and Maintenance and the RIAS for Maternal-Perinatal Health in the municipality. Third, we designed a methodology for implementing the RIAS and developed six health interventions with their respective deliverables. Fourth, we transferred the constructed knowledge to the local community, the Health Care Talent, and the government authorities in Vista Hermosa. Results: We made a diagnosis of the health of the residents of Vista Hermosa and specifically of the study participants based on the RIAS for Health Promotion and Maintenance and the RIAS for Maternal-Perinatal Health. We also developed a compendium of their values and beliefs about health, grouped into five categories: health and disease processes; health, body, and territory; health care; care networks; and barriers to access. Finally, we mapped the municipality's capacity to implement the RIAS and divided it into three categories: key actors, resources, and facilitators. Discussion: This study made essential contributions in three areas: a) the communities in the urban areas of Vista Hermosa and Santo Domingo; b) the ongoing implementation of the RIAS in Vista Hermosa; and c) the field of research on peacebuilding health interventions. Finally, we identified challenges and limitations that may affect the implementation of the RIAS, as well as some recommendations to address the latter.

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“…They have also prioritized the 170 municipalities most affected by violence during the armed conflict to promote a comprehensive transformation of rural areas over ten years through the Territorial-based Approach Development Programs (PDET, by its acronym in Spanish) [9]. In Colombia, some analyses have shown a significant reduction in social and health inequalities because of the Peace Agreement, pointing to a positive effect of the de-escalation of the internal armed conflict since the beginning of the process [10]. There is a link between these outcomes and the social determinants of health.…”

Section: Introductionmentioning

confidence: 99%

The Close Relationship between Health Actions and Peacebuilding for «Bien-Vivir» of Communities Affected by Armed Conflict in Colombia

2023

J Edu Psyc Res

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Background: The aim of this study is to present the design of a proposal for the implementation of the Comprehensive Health Care Routes (RIAS, by its Spanish acronym) in the municipality of Vista Hermosa (Meta, Colombia). We are trying to get a real and broad view of the health context in the municipality; identify the health assets, problems, and needs, as well as the enablers and barriers for the implementation of the RIAS; and draft a series of recommendations for the implementation of the RIAS. The fieldwork was developed with people living in the urban area of Vista Hermosa and in the rural settlement of Santo Domingo. Methods: This is a quasi-experimental with quantitative and qualitative methods developed in four phases. In the first, we identified the area and worked on the bases. In the second, we conducted community-based research to characterize the population; identify health beliefs, values, and needs, as well as enablers and barriers to accessing the health system; and evaluate the implementation of the RIAS for Health Promotion and Maintenance and the RIAS for Maternal-Perinatal Health in the municipality. In the third, we designed a methodology for implementing the RIAS, and developed six health interventions with their respective deliverables. In the fourth, we transferred the constructed knowledge to the local community, the Health Care Talent (HCT) and the government authorities in Vista Hermosa. Results: We made a diagnosis of the health of the residents of Vista Hermosa and specifically, of the study participants, based on the RIAS for Health Promotion and Maintenance, and the RIAS for Maternal-Perinatal Health. We also developed a compendium of their values and beliefs about health, grouped into five categories: health and disease processes; health, body, and territory; health care; care networks; and barriers to access. Finally, we mapped the municipality's capacity to implement the RIAS. We divided it into three categories: key actors, resources, and facilitators. Discussion: This study made important contributions in three areas: a) the communities located in the urban areas of Vista Hermosa and Santo Domingo; b) the ongoing implementation of the RIAS in Vista Hermosa; and c) the field of research on peacebuilding health interventions. Finally, we identified challenges and limitations that may affect the implementation of the RIAS, as well as some recommendations to address the latter

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Impact of the Peace Agreement on the social determinants of health in Colombia

Cited by 4 publications

References 11 publications

Peace and health: exploring the nexus in the Americas

Peace and health: exploring the nexus in the Americas

The Close Relationship between Health Actions and Peacebuilding for the “Bien-Vivir” of Communities Affected by Armed Conflict in Colombia

The Close Relationship between Health Actions and Peacebuilding for «Bien-Vivir» of Communities Affected by Armed Conflict in Colombia

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