Abstract
to analyze the impact of the Colombian Peace Agreement on the structural social determinants of health. a descriptive, ecological study, based on documentary data from 2008 to 2018. The records of victims, epidemiological indicators, and structural social determinants of health in Colombia were analyzed. there was a correlation between the period in which the Peace Agreement process was developed and the indicators of structural determinants in health with p<0.05. With the Poisson regression analysis, the favorable correlations between the peace process and the determinants were confirmed, besides allowing the understanding of the changes in these indicators before the Peace Agreement. the implementation of the peace process has a positive impact on structural social determinants of health, which is observed by the beginning of the decrease of economic, educational, health, and social inequalities and inequities, a fact that offers the possibility of living in peace.
Highlights
Colombia’s armed conflict, experienced for more than five decades, is the result of disagreements in political, ideological and economic interests that have led to a lengthy sequence of military confrontations and terrorist actions between the Colombian State and different guerrilla organizations since 1960, aggravated by the outbreak and expansion of drug trafficking in the early 1970 and by paramilitary organizations that appeared in the early 1980s(2)
In the to epidemiological indicators reported in the attempt, negotia- governance layer, the violence events indicator showed a negation and implementation of the peace process and structural tive correlation, with p
The results indicated a positive impact on structural health determinants, such as governance, macroeconomic, social, and public policies
Summary
War and armed conflicts, caused by political and economic interests, engender major public health problems, because of direct deaths and disabilities, and due to the magnitude of the indirect effects on the civilian population, especially on the health and well-being of individuals, families and communities[1,2].Colombia’s armed conflict, experienced for more than five decades, is the result of disagreements in political, ideological and economic interests that have led to a lengthy sequence of military confrontations and terrorist actions between the Colombian State and different guerrilla organizations since 1960, aggravated by the outbreak and expansion of drug trafficking in the early 1970 and by paramilitary organizations that appeared in the early 1980s(2).The effect of the Colombian war conflict has negative effects on the population’s health, on the indicators of different ways of violence, such as homicides, missing persons, forced displacements and kidnappings, and affect the overall health and quality of life for Colombians, since the actions of the protagonists of the conflict range from armed confrontations to the interruption, denial or manipulation of health services, interfering, intimidating and preventing health professionals from carrying out activities[2,3]. Colombia’s armed conflict, experienced for more than five decades, is the result of disagreements in political, ideological and economic interests that have led to a lengthy sequence of military confrontations and terrorist actions between the Colombian State and different guerrilla organizations since 1960, aggravated by the outbreak and expansion of drug trafficking in the early 1970 and by paramilitary organizations that appeared in the early 1980s(2). It is evident that the Colombian population has suffered high human, economic, demographic, and social damage[4,5]. In this scenario, the Colombian State has pursued the search for peace at different times, since this is a constitutional right of all citizens and a duty of the President of the Republic of Colombia[6]. After several attempts to negotiate with the guerrillas and without achieving any success[7], in 2012, a new attempt was made to reach peace with the guerrilla named Revolutionary Armed Forces of Colombia - People’s Army (FARC- EP)
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