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Colombia

Access to health care for indigenous and Afro-colombian populations.

Reaching out to vulnerable communities -Meta department

The isolation of communities,and the displacement of populations in a heavily militarised zone, results in many difficulties in accessing healthcare. MdM mobile health brigades offered medical consultations.

Access to healthcare for victims of armed conflict -Choco department, Medio Atrato river region

To tackle the diseases that are common in this area, MdMhas organised mobile river teams (brigades) to provide medical care and has trained community health workers.

Victime indirecte du conflit armé opposant depuis les années 1960 les groupes armées, tels que les FARC ou l'ELN à l'armée nationale, la population indigène et rurale colombienne vit au-dessous du seuil de pauvreté. MdM travaille dans ce pays depuis 2003, afin de pallier un manque d'accès aux services de santé qui affecte ces populations touchées de plein fouet par le conflit.

 


En Colombie, l’association a lancé une mission exploratoire dans la région de Nariño, située entre l’océan Pacifique et la forêt amazonienne.


L’objectif de ce nouveau programme est d’apporter un accès aux soins aux populations en prise avec le conflit armé qui se déplace dans le sud du pays. Une mission de ce type se poursuit dans le département fortement militarisé de Meta et sera étendue dans le Guaviare au cours de l’année 2010. Enfin, dans la région du fleuve Medio Atrato, une mission soutient sur le long terme l’accès aux soins des populations vulnérables.



Juin 2010


Since 2003, MdM has been supporting rural indigenous populations and Afro-Colombians, isolated because of the armed conflict. The objective is to facilitate their access to healthcare and to advocate their inclusion into the national health system. The organisation concentrates its efforts in the areas of intensified conflict, where there are clashes between illegal groups, cocaine eradication campaigns and military operations.


Access to health care for indigenous and Afro-colombian populations.

Medio Atrato region - Long term


ACTIVITIES

MdM carries out prevention activities, as well as providing medical consultations, for groups who are isolated by the local geography or by armed conflict. Mobile clinics, which are organised in close collaboration with Colombian health services, use dug-out canoes to reach the communities. By training community volunteers we can develop health promotion projects, carry out activities to tackle malnutrition and monitor pregnant women and young children.
Looking ahead to the closure of the project in mid-2011, MdM has strengthened the prevention and health education approaches, improved training for key players in the community and redoubled efforts to encourage the health authorities to take responsibility.


RESULTS

18 mobile clinics and 18 health promotion and prevention sessions have taken place in 18
communities.


OUTLOOK

The closure of the project and MdM’s withdrawal from Atrato region is planned for the end of June 2011. Communication activities are planned to highlight the problem of lack of access to health care for marginal populations caught up in the armed conflict, such as the Embera population, that MdM has been working with since 2004.

  Life expectancy : 73,4 yrs
IDH : 0.689 ; rang : 79/169 *

Population 
Beneficiaries : 5 000

Target : 16,000

Personnel

Local : 10

Expatriate : 4

Co-ordinators :
Programme : Christian Raggioli, Karina Morales
Field : Vicente Gavidia
HQ : Yves Le Corgne

Budget 2010 : €359,336

Funding : AECID, MdM



Access to health care for populations affected by armed conflict.

Meta - Long term


ACTIVITIES

MdM has set up mobile clinics offering medical and psychological consultations to the communities particularly affected by the conflict, in collaboration with the state-run health services. Particular attention is given to women of reproductive age and children under five, as well as the victims of violence and their families. In addition, the programme looks at increasing the active involvement of the communities, their organisations and their leaders, through training focused on psychological support and on sexual and reproductive health. This practice of strengthening the communities, as well as lobbying the health authorities, promotes the establishment of health services in areas where they have been lacking.


RESULTS

87 mobile clinics took place and, of these, 17 were organised in collaboration with the health authorities, helping 8,450 beneficiaries.


OUTLOOK

MdM cannot withdraw from certain areas without an improvement in security conditions and more effective support from the health authorities. As part of a strategy of supporting the populations worst affected by the conflict, MdM will step up its activities in the municipalities of Meta, and Guaviare in the north.

  Life expectancy : 73,4 yrs
IDH : 0.689 ; rang : 79/169 *

Population 
Beneficiaries : 8,450

Target : 10,700

Personnel

Local : 16

Expatriate : 4

Co-ordinators :
Programme : Christian Raggioli, Karina Morales
Field : Vicente Gavidia
HQ : Yves Le Corgne

 Budget 2010 : €583,131

Funding : ECHO, CIDA, MdM


Access to health care for rural populations and indigenous victims of armed conflict

Nariño - Long term


ACTIVITIES

MdM brings a programme of mobile clinics to the heart of the indigenous Awas reserve, in close co-operation with the health centre managed by the indigenous UNIPA organisation. The joint teams dispense medical care focusing on monitoring pregnant women and children, vaccinations, nutritional monitoring, family planning, and the detection of cases of malaria and tuberculosis.

At the same time MdM’s intervention includes health promotion, prevention and training activities, supporting community leaders and indigenous health promoters


RESULTS

21 mobile clinics were set up in collaboration with the indigenous organisation UNIPA, helping 4,000 beneficiaries.


OUTLOOK

In 2011, the focus will be on advocacy for culturally appropriate healthcare for the Awa population. MdM will conduct a study on the relevant health needs, which will help UNIPA in its advocacy efforts for official recognition of a specific health plan and financial cover.

  Life expectancy : 73,4 yrs
IDH : 0.689 ; rang : 79/169 *

Population 
Beneficiaries : 4,000

Target : 8,200

Personnel

Local : 5

Expatriate : 4

Co-ordinators :
Programme : Christian Raggioli, Karina Morales
Field : Vicente Gavidia
HQ : Yves Le Corgne

 Budget 2010 : €284,308

Funding : ECHO, MdM

November 2011


* Source : unpd 2007