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    Displaced Colombians Living in Ciudad Bolívar, Bogotá: Perceptions of Health and Access to Health Services

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    Author
    Walsh, Janée Lorraine
    Issue Date
    2013
    Keywords
    Conflict and violence
    EQ-5D
    Health Perceptions
    Internally Displaced Persons
    Refugee
    Latin American Studies
    Access to Health Services
    Advisor
    Vasquez-Leon, Marcela
    Committee Chair
    Vasquez-Leon, Marcela
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Background: In the last two decades Bogota, Colombia has seen a massive influx of internally displaced people (IDP) settling in its periphery where residents face the worst living, social, and economic conditions despite the 2011 passing of The Victims Law entitling IDP victims access to free shelter, food, education, and healthcare. Objective: To understand the circumstances and health care needs of Colombian IDPs, determine trends of health perceptions among IDPs and assess and quality of health services among IDPs in Bogota. Methods: Semi-structured, in-depth interviews were conducted with 12 professionals who work with IDPs and 36 IDPs. Interviews explored opinions of common health conditions and barriers to access health services in IDP communities. The EQ-5D survey about perceptions of health was administered measuring mobility, self-care, daily activities, pain, and depression/anxiety. All interviews were recorded, transcribed, coded for analysis. Results: Most IDPs did not indicate suffering with mobility, self-care, and ability to conduct daily activities. Seventy-five percent of participants indicated moderate to severe pain and 86.85% expressed feeling some form of depression or anxiety. Environmental factors are common contributors to poor health conditions. Individual and societal factors surfaced as detriments to accessing health services. The process to be included in The Victims Law registry is arduous. Although the Victims Law allows IDPs to access health services, many missing links in the system thwart quality health care delivery and discourage IDPs to utilize the health care system. Conclusion: Despite efforts to mitigate the struggles IPDs suffer there remain much needed health services and organizational improvements for the IDP community in Bogota.
    Type
    text
    Electronic Thesis
    Degree Name
    M.A.
    Degree Level
    masters
    Degree Program
    Graduate College
    Latin American Studies
    Degree Grantor
    University of Arizona
    Collections
    Master's Theses

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