ABSTRACT
OBJECTIVES: To describe the mechanisms of implementation of Zika virus diagnosis, prevention, and management guidelines in Colombia, and to characterize their influence on efforts to defend sexual and reproductive rights. METHODS: A qualitative study performed between February and April 2018 in three municipalities in Colombia. We conducted 30 semistructured interviews and five focus groups with key informants who played a role during the epidemic. These included decision-makers, program coordinators, healthcare providers, pregnant women diagnosed with Zika virus, and members of affected communities. RESULTS: We identified barriers to and facilitators for the implementation of the national Zika virus response plan. Barriers included a lack of coordination between vector control efforts and in the realms of sexual and reproductive rights. Facilitators included healthcare providers' response to the epidemic, the development of technical skills, and the establishment of coordination and referral networks across different institutions. CONCLUSION: A multidimensional approach that considers healthcare services, gender issues, and the environment is crucial. We highlight the epidemic's effects on women's sexual and reproductive rights, mainly related to inequalities in sexual and reproductive health such as the increased risk of sexually transmitted infections experienced by the poorest and most vulnerable women.
Subject(s)
Reproductive Health , Reproductive Rights , Sexual Health , Zika Virus Infection , Colombia , Epidemics , Female , Focus Groups , Humans , Practice Guidelines as Topic , Pregnancy , Qualitative Research , Women's Health , Young Adult , Zika Virus Infection/diagnosis , Zika Virus Infection/prevention & control , Zika Virus Infection/therapyABSTRACT
Se presentan los resultados de la intervención que durante diez años adelantó Profamilia Social en 235 municipios de 25 departamentos de Colombia afectados por el desplazamiento forzado como consecuencia del conflicto armado interno...
Subject(s)
Female , Adolescent , Adult , Middle Aged , Armed Conflicts , Health Services Accessibility/statistics & numerical data , Sexually Transmitted Diseases/prevention & control , Program Evaluation/statistics & numerical data , Health Knowledge, Attitudes, Practice , Child Abuse/statistics & numerical data , Battered Women/statistics & numerical data , Refugees/statistics & numerical data , Reproductive Health , Colombia , Breast Neoplasms/prevention & control , Uterine Cervical Neoplasms/prevention & controlABSTRACT
Aparte de revelar aspectos poco conocidos del perfil social y político de las(os) participantes de las marchas del orgullo y, por extensión, de la población LGBT de las grandes ciudades latinoamericanas, el interés principal de esta investigación es mapear los patrones de violencia y discriminación a los que están sujetos los(as) gays, lesbianas, travestis, transexuales y bisexuales...
Subject(s)
Health Knowledge, Attitudes, Practice , Homosexuality/statistics & numerical data , Human Rights Abuses/statistics & numerical data , Human Rights Abuses/trends , ColombiaABSTRACT
El desplazamiento de población por razones de violencia en Colombia es un problema grave de derechos humanos con implicaciones socio - demográficas. Este estudio pretende hacer un diagnóstico de las condiciones y necesidades en materia de salud sexual y reproductiva de la población adolescente afectada por esta problemática en el Caribe colombiano
