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Colombia

Programme de santé sexuelle et reproductive pour les personnes isolées et exclues des soin

Colombia

53

years of armed conflict

200,000

displaced people every year

30%

of civilians psychologically affected

Background

In the remote rural areas of the Nariño, Meta et Guaviare regions, where the first health centre is often several hours away on foot or by dugout canoe, access to the most basic health services in these conditions is extremely high risk. The inhabitants of these regions are victims of isolation, which further leads to malnutrition and diseases linked to poor water quality.

These circumstances are worsened by the rape and violence suffered by the women at the hands of the armed groups. Furthermore, the psychological impact of the conflict on the population is particularly strong: 30% of patients in Doctors of the World’s mobile health services suffer from anxiety, behavioural disorders, depression, and post-traumatic and/or sexual violence related stress, among others.

The armed conflict has also added to an ongoing climate of mistrust and fear (disappearances, killings of community leaders, threats, arbitrary detentions, etc.), which has slowed down the organization of communities in order to claim their rights and to develop.

MdM helps victims of conflict between the FARC and the Colombian government ©Andréa Lamount
MdM helps victims of conflict between the FARC and the Colombian government ©Andréa Lamount

What we do

DEPRIVED OF HEALTHCARE

PROVIDING HEALTHCARE in CONFLICT zones

Doctors of the World provides mobile health services in some of the remote rural areas most affected by the conflict, with medical equipment and medicines needed for basic care. Emphasis is placed on sexual and reproductive health: distribution of contraceptive products, screening for STDs, cervical and breast cancers, pregnancy monitoring or monitoring of malnutrition in pregnant and breastfeeding women as well as in young children. Women wishing to abort are advised and directed, according to the Colombian legal framework.

 

 

In order to help those threatened with or victims of violence, particularly women, and the association's teams offer medical services and psychological support. If necessary, victims are referred to facilities that can follow their progress in the long term, particularly from a legal perspective.

 

Following the signing of the peace agreements at the end of 2016, Doctors of the World is strengthening its collaboration with public health services so that access to care for the population is guaranteed.

 

Moreover, in order to ensure that as many people as possible have access to drinking water, Doctors of the World distributes filters and offers awareness-raising workshops for schoolchildren and families. The same type of action is carried out with regards to waste management, to give everyone access to the healthiest possible living environment and thus limit the development of diseases.

Did you know?

On the 24th November 2016, after 52 years of armed conflict, a peace agreement was signed between the Colombian government and the FARCinfo-icon. While overall the situation now shows signs of significant improvement, “the greatest humanitarian disaster in the western hemisphere” has led to 220,000 fatalities, 40,000 disappearances and 6 million displaced persons. Much remains to be done to restore access to healthcare in rural areas affected by the conflict and to reintegrate the guerrillas into civilian society. The implementation of the peace process remains uncertain as the killings of human rights leaders multiply in areas formerly dominated by the FARCinfo-icon.

Doctors of the World organises awareness-raising workshops for schoolchildren and families. © Andréa Lamount

 

Awareness-raising workshop on health for schoolchildren. @André Lamount
Awareness-raising workshop on health for schoolchildren. @André Lamount
Meta, Guaviare and Nariño departments
Meta, Guaviare and Nariño departments

In 2016

We helped:

  • 12,054 people who received a medical consultation

  • 3,832 nutritional assessments of children under the age of 10 years old.

  • 720 psychological consultations

  • 1,735 consultations on contraception                         

 

MdM consultation in Nariño @André Lamount
MdM consultation in Nariño @André Lamount
History
1987
Doctors of the World starts working with the Apaporis Indians.
1994
Launch of a programme for street children which ended in 2000.
1997
Intervention in the region of Chocó affected by the armed conflict. Closed in 2011.
2003
End of the intervention in the region of Meta affected by the armed conflict.
2010
Beginning of the intervention in the region of Nariño.
2016
Peace agreement signed with the FARC and beginning of the adaptation of activities.

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