Abstract
ABSTRACTOBJECTIVE To analyze the impacts of the care to the population displaced by violence on the health system and the challenges that this entails.METHODS This is a narrative review of the national and international literature in PubMed, SciELO, WHO/PAHO, and Bireme. Inclusion criteria were date of publication (from 2000), relation with the subject, and language (Spanish or English). We found 292 documents, of which 91 met the inclusion criteria.RESULTS The main challenges are the intersectoral, participatory, and integral approach (with emphasis on mental health and sexual and reproductive health), ensured accessibility to health services, the need for a reliable registration and information system of the population displaced by violence and its characteristics, and the addressing of the biopsychosocial problems of the different groups, especially women, persons with disabilities or infectious diseases, adolescents, children, ethnic minorities, older adults and the lesbian, gay, bisexual, transsexual, and intersexual population.CONCLUSIONS The lack of political will to accept and see the internal displacement by violence and its importance as a humanitarian and public health problem is an obstacle to the adequate and timely care of the population displaced by violence in Mexico.
Highlights
A displaced population is defined as “individuals or groups of people who have been forced to flee their homes to escape armed conflict, generalized violence, and human rights abuses”[1]
We carried out a narrative review of the literature on forced migration associated with violence and the response of health systems in documents published from 1995 to 2016
We found scarce specific literature on the effect of forced displacement on health services (HS)
Summary
A displaced population is defined as “individuals or groups of people who have been forced to flee their homes to escape armed conflict, generalized violence, and human rights abuses”[1]. It includes refugees – persons who crossed an international border – and internally displaced persons. A displaced population faces a forced and abrupt transition that involves individual and family changes, both in their roles or relationships and in their material living conditions This usually means shortages of resources, family conflicts, health risk behaviors, sexual abuse, physical and mental health problems, and human rights violations[7]. This sometimes leads to rejection and discrimination and the need to mobilize new resources at the state and city level[3,12,13]
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