학술논문

Access to health services during the Colombian armed conflict: a challenge for the population with disabilities in the department of Meta
Document Type
Original Paper
Source
BMC Health Services Research. 23(1)
Subject
Disability
Colombia
Armed conflict
Access to health
Qualitative
Language
English
ISSN
1472-6963
Abstract
Background: The Colombian armed conflict has left millions of victims and has restricted access to different services provided by the government, especially for people with disabilities. This article studies the barriers faced by the victim population with disabilities when they want to access the health system in the department of Meta, Colombia, and offers a perspective from the experiences of people with disabilities who have been victims of the armed conflict in the country.Methods: To carry out this qualitative study, focus groups were conducted to capture the experiences and feelings of this population in the context of violence and high conflict.Results: The results show the barriers encountered by the victim population with disabilities, their families, and their caregivers when they want to access medical or health services.Conclusions: Many problems affect the population with disabilities and the victim population in Colombia today. The Colombian government has not been able to establish adequate policies to eliminate or even reduce access to services such as health, education, housing, and social protection.
Key message: • The population with disabilities who have been victims of the armed conflict in Colombia find more significant barriers to accessing health services than people without disabilities due to various situations of exclusion in the provision and accessibility of medical services.• In the department of Meta, the population with disabilities who have been victims of the armed conflict manifest being vulnerable and lacking protection from the Colombian government.• Colombia, to date, has not been able to fully implement national and international agreements that guarantee respect for the human rights of people with disabilities.• It is essential that both national and local governments implement policies and actions so that the victim population with disabilities can access health, education, and social protection services.