أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: Health in conflict and post-conflict settings: reproductive, maternal and child health in Colombia
المؤلفون: Isabel C. Garcés-Palacio, Ana Langer, María Ochoa Sierra, Laura Estefany Ruiz Sánchez, Natalia Quiceno Toro, Mary Salazar-Barrientos, Jewel Gausman, Gladis Adriana Vélez Álvarez, Sara Milena Ramos Jaraba, Marlly Andrea García Jiménez, Edison Bedoya Bedoya
المصدر: Conflict and Health, Vol 14, Iss 1, Pp 1-21 (2020)
Repositorio UdeA
Universidad de Antioquia
instacron:Universidad de Antioquia
Conflict and Health
بيانات النشر: BMC, 2020.
سنة النشر: 2020
مصطلحات موضوعية: medicine.medical_specialty, Health (social science), Maternal and child health, Total fertility rate, lcsh:Special situations and conditions, Psychological intervention, Poison control, Mortalidad infantil, Context (language use), Suicide prevention, Occupational safety and health, Infantil Mortality, Environmental health, medicine, Servicios de salud materno infantil, Public health, Research, lcsh:RC952-1245, Public Health, Environmental and Occupational Health, Health services research, skos.um.es/unescothes/C02431 [http], lcsh:Medical emergencies. Critical care. Intensive care. First aid, lcsh:RC86-88.9, Conflicto armado - Colombia, Mortalidad materna, Postconflicto - Colombia, Salud materno-infantil, Geography, Maternal Mortality
الوصف: 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 post-conflict 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.
وصف الملف: application/pdf
اللغة: English
تدمد: 1752-1505
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d8de5a6f12a84e4e93237408410324db
http://link.springer.com/article/10.1186/s13031-020-00273-1
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....d8de5a6f12a84e4e93237408410324db
قاعدة البيانات: OpenAIRE
الوصف
تدمد:17521505