Health in conflict and post-conflict settings: reproductive, maternal and child health in Colombia

Ramos Jaraba, Sara Milena; Quiceno Toro, Natalia; Ochoa Sierra, María; Ruiz Sánchez, Laura; García Jiménez, Marlly Andrea; Salazar Barrientos, Mary Y.; Bedoya Bedoya, Edison; Vélez Álvarez, Gladis Adriana; Langer, Ana; Gausman, Jewel; Garcés Palacio, Isabel C.

DSpace Principal
→
Colección de los Centros Asociados
→
Colombia
→
Instituto de Estudios Regionales - INER/UdeA - Cosecha
→
Ver ítem

dc.contributor	Cultura, Violencia y Territorio
dc.contributor	Epidemiología
dc.creator	Ramos Jaraba, Sara Milena
dc.creator	Quiceno Toro, Natalia
dc.creator	Ochoa Sierra, María
dc.creator	Ruiz Sánchez, Laura
dc.creator	García Jiménez, Marlly Andrea
dc.creator	Salazar Barrientos, Mary Y.
dc.creator	Bedoya Bedoya, Edison
dc.creator	Vélez Álvarez, Gladis Adriana
dc.creator	Langer, Ana
dc.creator	Gausman, Jewel
dc.creator	Garcés Palacio, Isabel C.
dc.date	2020-06-01T20:45:56Z
dc.date	2020-06-01T20:45:56Z
dc.date	2020
dc.date.accessioned	2025-09-21T20:04:10Z
dc.date.available	2025-09-21T20:04:10Z
dc.identifier	1752-1505
dc.identifier	http://hdl.handle.net/10495/14733
dc.identifier	10.1186/s13031-020-00273-1
dc.identifier.uri	https://biblioteca-repositorio.clacso.edu.ar/handle/CLACSO/258636
dc.description	BASTRACT: ABSTRACT: 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.
dc.format	20
dc.format	application/pdf
dc.format	application/pdf
dc.language	eng
dc.publisher	BioMed Central
dc.publisher	Reino Unido
dc.relation	21
dc.relation	33
dc.relation	1
dc.relation	14
dc.relation	Conflict and Health
dc.rights	http://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.rights	https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights	Atribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	http://purl.org/coar/access_right/c_abf2
dc.subject	Salud materno-infantil
dc.subject	Maternal and child health
dc.subject	Conflicto armado - Colombia
dc.subject	Servicios de salud materno infantil
dc.subject	Postconflicto - Colombia
dc.subject	Mortalidad materna
dc.subject	Mortalidad infantil
dc.subject	Infantil Mortality
dc.subject	Maternal Mortality
dc.subject	http://skos.um.es/unescothes/C02431
dc.title	Health in conflict and post-conflict settings: reproductive, maternal and child health in Colombia
dc.type	Artículo de investigación
dc.type	http://purl.org/coar/resource_type/c_2df8fbb1
dc.type	https://purl.org/redcol/resource_type/ART
dc.type	http://purl.org/coar/version/c_970fb48d4fbd8a86
dc.type	info:eu-repo/semantics/article
dc.type	info:eu-repo/semantics/publishedVersion