La salud como derecho en el postconflicto colombiano

García-Balaguera, César

doi:10.15446/rsap.v20n6.67777

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Beyond mortality, millions of children in Colombia have been harmed by the armed conflict through displacement, kidnappings, sexual violence, recruitment into armed groups, and other means. 12 The indirect associations of conflict with health tend to be long lasting, 23 so mortality may be the most measurable outcome by official records but likely belies other negative health outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…9 , 10 Despite the long-lasting armed conflict, Colombia has made substantial progress reducing mortality rates for children younger than 5 years from 36 per 1000 live births in 1990 to 13 per 1000 live births in 2021. 11 However, the national rate masks significant subnational disparities 12 ; the mortality rate for children younger than 5 years in rural areas is almost double the national average. 13…”

Section: Introductionmentioning

confidence: 99%

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Excess Child Mortality Associated With Colombia’s Armed Conflict, 1998-2019

Moe,

Villaveces,

Montoya

et al. 2024

JAMA Netw Open

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ImportanceArmed conflicts are directly and indirectly associated with morbidity and mortality due to destruction of health infrastructure and diversion of resources, forced displacement, environmental damage, and erosion of social and economic security. Colombia’s conflict began in the 1940s and has been uniquely long-lasting and geographically dynamic.ObjectiveTo estimate the proportion of infant and child mortality associated with armed conflict exposure from 1998 to 2019 in Colombia.Design, Setting, and ParticipantsThis ecological cohort study includes data from all 1122 municipalities in Colombia from 1998 to 2019. Statistical analysis was conducted from February 2022 to June 2023.ExposureArmed conflict exposure was measured dichotomously by the occurrence of conflict-related events in each municipality-year, enumerated and reported by the Colombian National Center for Historic Memory.Main Outcomes and MeasuresDeaths among children younger than 5 years and deaths among infants younger than 1 year, offset by the number of births in that municipality-year, enumerated by Colombia’s national vital statistics.ResultsThe analytical sample included 24 157 municipality-years and 223 101 conflict events covering the period from 1998 to 2019. Overall, the presence of armed conflict in a municipality was associated with a 52% increased risk of death for children younger than 5 years of age (relative risk, 1.52 [95% CI, 1.34-1.72]), with similar results for 1- and 5-year lagged analyses. Armed conflict was associated with a 61% increased risk in infant (aged &lt;1 year) death (relative risk, 1.61 [95% CI, 1.43-1.82]). On the absolute scale, this translates to a risk difference of 3.7 excess child deaths per 1000 births (95% CI, 2.7-4.7 per 1000 births) and 3.0 excess infant deaths per 1000 births (95% CI, 2.3-3.6 per 1000 births) per year, beyond what would be expected in the absence of armed conflict. Across the 22-year study period, the population attributable risk was 31.7% (95% CI, 23.5%-39.1%) for child deaths and 35.3% (95% CI, 27.8%-42.0%) for infant deaths.Conclusions and RelevanceThis ecological cohort study of Colombia’s spatiotemporally dynamic armed conflict suggests that municipal exposure to armed conflict was associated with excess child and infant deaths. With a record number of children living near active conflict zones in 2020, policy makers and health professionals should understand the magnitude of and manner in which armed conflicts directly and indirectly undermine child health.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Excess Child Mortality Associated With Colombia’s Armed Conflict, 1998-2019

Moe,

Villaveces,

Montoya

et al. 2024

JAMA Netw Open

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Health perceptions among victims in post-accord Colombia: Focus groups in a province affected by the armed conflict

et al. 2022

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The peace agreement with the Colombian guerrilla group Fuerzas Armadas Revolucionarias de Colombia—Ejército del Pueblo represented an opportunity for peacebuilding and victims’ reparation, rather than the end of the internal armed conflict. In this context, this study aimed to uncover the consequences of conflict on victims’ health and on health service provision, and their perceived health status during the post-accord stage in the Meta region, located in the country’s eastern plains. Historically, this region has been one of the territories most affected by the presence of conflict-related groups and armed confrontations. Through focus groups, this research explored the health perceptions and experiences of victims of armed conflict. Ten focus groups were conducted with men and women, victims of the armed-conflict, in four municipalities with different degrees of armed conflict intensity. The focus group transcripts were coded using NVivo. The results show that the way women have experienced conflict and the effects of conflict on mental health in general for men, women, and children were recurrent themes in the dialogue of victims. Likewise, it highlights the need to understand the barriers that the current health model imposes on the right to health itself. From the victim’s perspective, they experience stigmatization, discrimination, and revictimization when accessing health services. These barriers co-occur along with structural limitations of the health system that affect the general population.

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Rurality as an analytic category: implications for public health

Montoya-Sanabria¹

2020

Rev. salud pública

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Rurality as a concept was originated within the framework of the migration phenomena of the nineteenth century. During the post-war period, a dichotomic approach was established for this concept, along with the emerging notion of growth, which influenced the economic models of multiple countries worldwide. However, during the last 50 years, the rurality concept acquired a polysemic nature. Thus, the main objective of this article is analyzing several definitions of rurality from the perspective of some subdisciplines of the social sciences and their lines of thought to evaluate their implications for public health within different contexts.

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La salud como derecho en el postconflicto colombiano

Cited by 4 publications

References 15 publications

Excess Child Mortality Associated With Colombia’s Armed Conflict, 1998-2019

Excess Child Mortality Associated With Colombia’s Armed Conflict, 1998-2019

Health perceptions among victims in post-accord Colombia: Focus groups in a province affected by the armed conflict

Rurality as an analytic category: implications for public health

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