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

Health perceptions among victims in post-accord Colombia: Focus groups in a province affected by the armed conflict.
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DOI:
10.1371/journal.pone.0264684
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发表时间:
2022
期刊:
影响因子:
3.7
通讯作者:
Moreno-Serra R
Moreno-Serra R
中科院分区:
综合性期刊3区
文献类型:
--
作者:
González-Uribe C;Olmos-Pinzón A;León-Giraldo S;Bernal O;Moreno-Serra R

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与哥伦比亚游击队Fuerzas Armadas Revolucionarias de Colombia-Ejército del Pueblo达成的和平协议是建设和平和受害者赔偿的机会,而不是结束国内武装冲突。在这种情况下,本研究旨在揭示冲突对受害者的健康和保健服务的提供,以及他们在协议后阶段在Meta地区,位于该国东部平原的感知健康状况的后果。从历史上看,这一地区是受与冲突有关的团体和武装对抗影响最严重的地区之一。通过重点小组,这项研究探讨了武装冲突受害者的健康观念和经历。在武装冲突激烈程度不同的四个城市,与武装冲突的男女受害者进行了10次重点小组讨论。使用NVivo对焦点小组记录进行编码。结果表明,妇女经历冲突的方式以及冲突对男子、妇女和儿童心理健康的影响是受害者对话中反复出现的主题。同样,它强调需要了解目前的健康模式对健康权本身造成的障碍。从受害者的角度来看,他们在获得保健服务时会遭受污名化、歧视和再次受害。这些障碍沿着影响到一般民众的卫生系统的结构性限制。
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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