Health as a right in Colombia's post-conflict period

Health as a right in Colombia's post-conflict period
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DOI:
10.15446/rsap.v20n6.67777
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发表时间:
2018-12-01
期刊:
Revista de Salud Pública
影响因子:
--
通讯作者:
García-Balaguera, César
García-Balaguera, César
中科院分区:
其他
文献类型:
--
作者:
García-Balaguera, César

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目的:探讨在冲突后地区保障前战斗人员集中地附近居民健康权应考虑的因素。材料与方法:采用回顾性研究方法,检索数据库,获得相关文献26篇。文献审查表明,不仅法律的或规范框架很重要,而且社区人民的需要和利益也很重要,平民和战争受害者的权利。这些领域的健康权还涉及行使权力、知识对话、宽恕、不重犯和尊重。此外,还应提供基于初级保健战略的健康促进和疾病预防服务、治疗和康复,即它们应适应文化现实、环境和社区利益。结论:挑战在于如何在财政、行政和技术方面薄弱的卫生系统背景下实现这些目标。为应对哥伦比亚公共卫生面临的这一挑战,建议在初级保健领域采取多方面的基本措施。
OBJECTIVE: To explore the elements that should be considered in post-conflict zones to guarantee the right to health of populations immersed or living in areas near the concentrations of former combatants.MATERIALS AND METHODS: A retrospective study was carried out by searching databases, obtaining 26 relevant articles.RESULTS: The literature review made evident that not only the legal or normative framework is important, but also the needs and interests of the people of the community, of both the civilian population and the victims of war. The right to health in these areas also involves the exercise of power, of dialogue of knowledge, forgiveness, non-repetition and respect. In addition, health promotion and disease prevention services, treatment and rehabilitation based on the primary care strategy should be offered, that is, they should be adapted to the cultural realities, the environments and the interests of the communities.CONCLUSIONS: The challenge lies in the way how these goals can be achieved within a context of a weak health system, in financial, administrative and technical terms. Basic multidimensional elements in the field of primary health care are proposed to face this challenge for the Colombian public health.