Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-26T14:11:10.110Z Has data issue: false hasContentIssue false

17 - Inequalities in Healthcare for Children and Adolescents in Colombia

from Part III - Regional and Country Case Studies on Social Justice for Youth

Published online by Cambridge University Press:  18 September 2020

By
Erwin H. Hernandez-Rincon  and
Yahira Rossini Guzmán-Sabogal
Edited by
Caroline S. Clauss-Ehlers ,
Aradhana Bela Sood  and
Mark D. Weist
Caroline S. Clauss-Ehlers
Affiliation:
Rutgers University, New Jersey
Aradhana Bela Sood
Affiliation:
Virginia Commonwealth University
Mark D. Weist
Affiliation:
University of South Carolina
Get access

Summary

Children and adolescents experience multiple risks and vulnerabilities, and progress in this area must be recognized as a fundamental objective for advancing the welfare and development of any society or country. The healthcare sector is among the sectors that should consider how it approaches children and adolescents since health is a complex dimension that depends upon multiple factors.The Colombian healthcare system favors a free market model based on illness and treatment, is centered on the hospital, and is based on specialists. Colombia has marked differences between social conditions and individual health outcomes. This is due in part to poverty, especially in rural and remote areas of the country in which, for example, there is a greater proportion of childhood malnutrition compared to the rest of the country. These social differences affect Colombia’s main health indicators. To guarantee comprehensive and equal healthcare for children and adolescents, a variety of authors recommend a primary health care strategy. Colombia must be able to address new challenges, such as those related to mental health issues and to healthcare for children and adolescents, to guarantee stable and lasting peace and contribute to health equality in the country; must reorient its approach to the needs of the country in the post-conflict era, and be a bridge between the healthcare system and vulnerable communities that have suffered the effects of war.

Keywords

Colombiachildadolescentprimary healthcarehealth equitywarfaresocial justice
Type
Chapter
Information
Social Justice for Children and Young People
International Perspectives
 , pp. 273 - 284
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Agudelo, C., Cardona, J., Ortega, J., & Robledo, R. (2011). Sistema de salud en Colombia: 20 años de logros y problemas. Ciência & Saúde Coletiva, 16(6), 2817–2828.Google Scholar
Alcantará, G. (2008). La definición de salud de la Organización Mundial de la Salud y la interdisciplinariedad. Sapiens, 9(1), 93–107.Google Scholar
Alto Comisionado para la Paz (2016). Acuerdo final para la terminación del conflicto y la construcción de una paz estable y duradera. Bogotá: Retrieved from www.altocomisionadoparalapaz.gov.co/procesos-y-conversaciones/Documentos%20compartidos/24–11-2016NuevoAcuerdoFinal.pdf.Google Scholar
Banco Mundial. (2018). Índice de Gini. World Bank: Washington, DC: Retrieved from https://datos.bancomundial.org/indicador/SI.POV.GINI?view=map.Google Scholar
Bernal, O., Forero, J., Villamil, M., & Pino, R. (2012). Disponibilidad de datos y perfil de morbilidad en Colombia. Revista Panamericana Salud Pública, 31(3), 181–187.CrossRefGoogle Scholar
Bolduc, N., & Grand, P. (2007). Towards unity for health: Lessons for health development in Canada. Education for Health, 20(1), 1–12.Google Scholar
Braveman, P., & Gruskin, S. (2003). Defining equity in health. Journal of Epidemiology and Community Health, 57, 254–258.CrossRefGoogle ScholarPubMed
Cardona, S., Acosta, L., & Bertone, C. (2013). Inequidades en salud entre países de Latinoamércia y el Caribe (2005–2010). Gaceta Sanitaria, 27(4), 292–297.Google Scholar
Cardona-Arango, D., Medina-Pérez, O., & Cardona-Duque, D. (2016). Caracterización del suicidio en Colombia, 2000–2010. Revista Colombiana de Psiquiatría, 45(3), 170–177.CrossRefGoogle Scholar
Cassiani, S. H. B. (2014). Estrategia para el acceso universal a la salud y la cobertura universal de salud y la contribución de las Redes Internacionales de Enfermería. Revista Latino-Americano Enfermagem, 22(6), 891–892.CrossRefGoogle Scholar
Centro Nacional de Memoria Histórica (2017). Una guerra sin edad. Informe nacional de reclutamiento y utilización de niños, niñas y adolescentes en el conflicto armado colombiano. Bogotá. Retrieved from www.centrodememoriahistorica.gov.co/descargas/informes-accesibles/una-guerra-sin-edad_accesible.pdf.Google Scholar
Departamento Administrativo Nacional de Estadística (DANE) de Colombia (2018). Población de Colombia a hoy. Retrieved from www.dane.gov.co/.Google Scholar
Díaz, M. (2012). Introducción del Manual de enfermedades prevalentes de la infancia en la enseñanza de enfermería. Revista Cubana Enfermería, 28(2), 118–124.Google Scholar
Duque, L., Montoya, N., & Restrepo, A. (2013). Aggressors and resilient youths in Medellin, Colombia: The need for the paradigm shift in order to overcome violence. Cad Saíúe Pública, 29(11), 2208–2216.Google Scholar
Eslava, J. (1993). Climatología y diversidad climática de Colombia. Revista de la Academia Colombiana de Ciencias Exactas, 18(71), 507–538.Google Scholar
Franco, S. (2003). A social-medical approach to violence in Colombia. American Journal of Public Health, 93(12), 2032–2036.Google Scholar
Gaitán, H. (2016). La paz en Colombia: Una oportunidad para la construcción de un país más justo. Revista Colombiana de Obstetricia y Ginecología, 67(3), 181–183.Google Scholar
Hernandez, E., Lamus, F., Carratala, C., et al. (2017). Building community capacity in leadership for primary health care in Colombia. MEDICC Review, 19(2–3), 65–70.Google Scholar
Insuasty, A., & Borja, E. (2016). El papel de la comunidad universitaria en el pos-acuerdo o pos-conflicto en Colombia. Agora Universidad de San Buenaventura, 16(2), 373–376.Google Scholar
Jaramillo, M. (2016). Encuesta nacional de demografía y salud. Bogotá: ENDS – Profamilia Retrieved from https://hera.ugr.es/tesisugr/26329748.pdf.Google Scholar
Lalonde, M. (1981). A new perspective on the health of Canadians: A working document. Ottawa: Public Health Agency of Canada. Retrieved from www.phac-aspc.gc.ca/ph-sp/pdf/perspect-eng.pdf.Google Scholar
Lalonde, M. (2002). New perspective on the health of Canadians: 28 years later. Revista Panamericana de Salud Pública, 12(3), 149–152.Google Scholar
Linares, N., & López, O. (2008). La equidad en salud: Propuestas conceptuales, aspectos críticos y perspectivas desde el campo de la salud colectiva. Medicina Social, 3(3), 247–259.Google Scholar
Lissbrant, S. (2015). Food and nutritional security in the Caribbean region: Consequences of malnutrition and good practices as solutions. Investigación y Desarrollo, 23(29), 117–138.CrossRefGoogle Scholar
López, E. (2005). Hacia una nueva salud pública en Latinoamérica. Atención Primaria, 36(6), 336–338.Google Scholar
MacDougall, H. (2007). Reinventing public health: A new perspective on the health of Canadians and its international impact. Journal of Epidemiology and Community Health, 61(11), 955–959.Google Scholar
Marca País Colombia (2013). Un país pluriétnico y multicultural. Bogotá: Marca País Colombia Retrieved from www.colombia.co/asi-es-colombia/colombia-un-pais-plurietnico-y-multicultural.html.Google Scholar
Marmot, M., Pellegrini, A., Vega, J., Solar, O., & Fortune, K. (2013). Acción con respecto a los determinantes social de la salud en las Américas. Revista Panamericana Salud Pública, 34(6), 382–384.Google Scholar
Martínez, S. (2007). Equidad y situación de salud. Revista Cubana Salud Pública, 33(3), 1–8.Google Scholar
Ministerio de Salud y Protección Social (2011). Ley 1438. Bogotá. Retrieved from www.minsalud.gov.co/Normatividad/LEY%201438%20DE%202011.pdf.Google Scholar
Ministerio de Salud y Protección Social (2012). Plan Decenal de Salud Pública, 2012–2021. Bogotá. Retrieved from www.minsalud.gov.co/Documentos%20y%20Publicaciones/Plan%20Decenal%20-%20Documento%20en%20consulta%20para%20aprobaci%C3%B3n.pdf.Google Scholar
Ministerio de Salud y Protección Social (2015). Ley 1751. Bogotá. Retrieved from www.minsalud.gov.co/Normatividad_Nuevo/Ley%201751%20de%202015.pdf.Google Scholar
Ministerio de Salud y Protección Social (2016). Resolución 429 de 2016. Bogotá. Retrieved from www.minsalud.gov.co/Normatividad_Nuevo/Resoluci%c3%b3n%200429%20de%202016.pdf.Google Scholar
Ministerio de Salud y Protección Social (2018a). Análisis de Situación de Salud (ASIS) Colombia, 2017. Bogotá. Retrieved from www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/asis-nacional-2017.pdf.Google Scholar
Ministerio de Salud y Protección Social (2018b). Infecciones respitaratorias agudas (IRA). Bogotá. Retrieved from www.minsalud.gov.co/salud/Paginas/Infecciones-Respiratorias-Agudas-(IRA).aspx.Google Scholar
Montes, C. (2008). La violencia en Colombia: Análisis histórico del homicidio en la segunda mitad del Siglo XX. Revista Criminalidad, 50(1), 73–84.Google Scholar
Neves, E., Cabral, I., & Silveira, A. (2013). La red familiar de niños con necesidades especialies de salud: Implicaciones para la enfermería. Revista Latino-Americana de Enfermagem, 21(2), 562–570.CrossRefGoogle Scholar
Organisation for Economic Co-operation and Development (OECD) (2017). OECD Economic Surveys: Colombia. Paris. Retrieved from www.oecd.org/eco/surveys/Colombia-2017-OECD-economic-survey-overview.pdf.Google Scholar
Organización Mundial de la Salud (OMS) (2008a). Informe sobre la salud en el mundo 2008: La atención primaria de salud, más necesaria que nunca. Geneva. Retrieved from www1.paho.org/hq/dmdocuments/2010/APS_Informe_sobre_Salud_en_el_mundo-2008_resumen.pdf.Google Scholar
Organización Mundial de la Salud (OMS) (2008b). Subsanar las desigualdades en una generación. Alcanzar la equidad sanitaria actuando sobre los determinantes sociales. Geneva. Retrieved from http://apps.who.int/iris/bitstream/10665/44084/1/9789243563701_spa.pdf.Google Scholar
Organización Mundial de la Salud (OMS) (2011a). Guía de intervención mhGAP. Geneva. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/44498/9789243548067_spa.pdf?sequence=1.Google Scholar
Organización Mundial de la Salud (OMS) (2011b). Guía de intervención para los trastornos mentales, neurológicos y por uso de sustancias. Geneva: Organización Mundial de la Salud.Google Scholar
Organización Mundial de la Salud (OMS) (2014). Documentos básicos: Organización Mundial de la Salud. 48th ed. Retrieved from http://apps.who.int/gb/bd/PDF/bd48/basic-documents-48th-edition-sp.pdf#page=7.Google Scholar
Organización Panamericana de la Salud (OPS) (2014). Estrategia para el acceso universal a la salud y la cobertura universal de salud. Washington, DC: Organización Panamericana de la Salud.Google Scholar
Osorio, A., Bolancé, C., & Madise, N. (2014). Community socioeconomic context and its influence on intermediary determinants of child health: Evidence from Colombia. Journal of Biosocial Science, 47(2015), 1–27.Google Scholar
Osorio, A., Romero, G., Bonilla, H., & Aguado, L. (2018). Contexto socioeconómico de la comunidad y desnutrición crónica infantil en Colombia. Revista de Saúde Pública, 52(73), 1–12.Google Scholar
Presidencia de la República de Colombia (2013). Estrategia de atención integral a la primera infancia. Fundamentos políticos, técnicos y de gestión. Bogotá. Retrieved from www.deceroasiempre.gov.co/QuienesSomos/Documents/Fundamientos-politicos-tecnicos-gestion-de-cero-a-siempre.pdf.Google Scholar
Public Health Agency of Canada (PHAC) (2011). What determines health? Ottawa: Public Health Agency of Canada. Retrieved from www.phac-aspc.gc.ca/ph-sp/determinants/index-eng.php.Google Scholar
Ramos, E. (2012). Transición epidemiológica en Colombia: De las enfermedades infecciosas a las no trasmisibles. Revista Ciencias Biomédicas, 3(2), 282–290.Google Scholar
Rodríguez Navarrete, J. (2016). Comportamiento del suicidio. Colombia 2016. In Forenses, I. N (ed.), Datos para la vida (pp. 402–436). Bogotá: Instituto Nacional de Medicina Legal y Ciencias Forenses.Google Scholar
Save the Children (2018a). Migración y desplazamiento de niños y niñas en América Latina y el Caribe. London: Save the Children. Retrieved from www.savethechildren.org.co/sites/savethechildren.org.co/files/resources/Migracion.pdf.Google Scholar
Save the Children (2018b). Violencia contra adolescentes en América Latina y el Caribe. London: Save the Children. Retrieved from www.savethechildren.org.co/sites/savethechildren.org.co/files/resources/Violencia%20en%20adolescentes.pdf.Google Scholar
Save the Children (2019). Alto a la guerra contra la niñez. London: Save the Children. Retrieved from www.savethechildren.org.co/sites/savethechildren.org.co/files/resources/Alto%20a%20la%20guerra%20contra%20la%20ninez%20compreso.pdf.Google Scholar
Shultz, J., Rose, D., Espinel, Z., et al. (2014). Internally displaced “victims of armed conflict” in Colombia: The trajectory and trauma signature of forced migration. Current Psychiatry Reports, 16(10), 475–501.Google Scholar
Somocurcio, J. (2013). La atención primaria de la salud. Revista Peruana de Medicina Experimental y Salud Pública, 30(2), 171–172.Google Scholar
Sousa, F., & Erdmann, A. (2012). Qualifying child care in primary health care. Revista Brasileira de Enfermagem, 65(5), 795–802.Google Scholar
Starfield, B. (2011). Politics, primary healthcare and health: Was Virchow right? Journal of Epidemiology and Community Health, 65, 653–655.CrossRefGoogle ScholarPubMed
Tapia, J. (2013). Crecimiento económico e inequidades en salud. Revista Peruana de Medicina Experimental y Salud Pública, 30(4), 657–664.Google Scholar
Torres, N., & Orozco, C. (2013). Colombia y sus compromisos con la primera infancia. Revista PALOBRA, 12(12), 236–249.Google Scholar
Urrego, D. (2015). Conflicto armado en Colombia y misión médica: Narrativas médicas como memorias de supervivencia. Revista de la Facultad de Medicina, 63(3), 377–388.Google Scholar
Villar, M. (2011). Factores determinantes de la salud: Importancia de la prevención. Acta médica peruana, 28(4), 237–341.Google Scholar
World Health Organization (WHO) (1978). Declaration of Alma-Ata. Adopted at the International Conference on Primary Health Care. World Health Organization (WHO), Alma Ata. Retrieved from www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=19004&Itemid=2518.Google Scholar
World Health Organization (WHO) (2000). Towards unity for Health: Challenges and opportunities for partnership in health development. A working paper. Geneva: World Health Organization.Google Scholar
World Health Organization (WHO) (2008). Social determinants of health. Geneva: World Health Organization. Retrieved from www.who.int/social_determinants/en/.Google Scholar
World Health Organization (WHO) (2011). Guía de intervención mhGAP para los trastornos mentales, neurológicos y por uso de sustancias en el nivel de atención de la salud no especializada. Geneva: Organización Mundial de la Salud. https://apps.who.int/iris/handle/10665/44498Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×