Realidades y retos del acceso a la salud de la población víctima del conflicto armado beneficiaria del “Programa tejiendo esperanzas del centro dignificar de chapinero”, narrativa de las víctimas
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Lozano Gómez, María del Pilar
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Trabajo de grado - Maestría
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EspañolFecha de publicación
2019-05-24
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En el marco del Programa de atención psicosocial y salud integral a víctimas del conflicto armado interno en Colombia (PAPSIVI) liderado por el Ministerio de Salud y Protección Social y normado por la Ley 1448 de 2011, está contemplado intervenir en el restablecimiento de las condiciones físicas, mentales y psicosociales de la población como consecuencia de los hechos ocurridos a causa del conflicto. Dentro de sus principales objetivos se encuentra garantizar la atención psicosocial y la atención integral en salud física y mental con enfoque psicosocial a las víctimas del conflicto armado colombiano y, establecer los mecanismos que permitan la asistencia integral en salud con enfoque psicosocial, dentro del marco del Sistema General de Seguridad Social en Salud. Con base en lo anterior, y teniendo en cuenta la experiencia directa adquirida durante el primer año de implementación del PAPSIVI en el Distrito Capital (2013), se ha tenido conocimiento de diversas situaciones que no permiten el cumplimiento de dichos objetivos a cabalidad; partiendo de la realidad de las personas víctimas del conflicto armado y sus vivencias y experiencias en el Sistema General de Seguridad Social en Salud. Como principal objetivo, este estudio pretende conocer las barreras de acceso a la salud vivenciadas en su cotidianidad por la población víctima del conflicto armado beneficiaria del programa de atención primaria en salud con enfoque psicosocial Tejiendo Esperanzas del centro Dignificar Chapinero durante el año 2016, a través de una metodología cualitativa de corte fenomenológico que permita adentrarse en la percepción que tiene esta población que vive en Bogotá acerca del acceso a los servicios de salud. Al analizar las barreras de acceso a los servicios de salud de las personas víctimas de conflicto armado, se identificó la persistencia de las barreras geográficas, económicas y culturales; siendo las barreras administrativas las más frecuentes, no solo por los trámites internos, o la disponibilidad de atención, sino que, con gran preocupación, se evidencia la falta de atención en el marco del respeto y de la dignidad humana percibidas por la población participante en el estudio.
Abstract: Within the framework of the Program of psychosocial and comprehensive health care for victims of the internal armed conflict in Colombia (PAPSIVI) led by the Ministry of Health and Social Protection and regulated by Law 1448 of 2011, intervention in the restoration of physical conditions is envisaged , mental and psychosocial of the population as a result of the events that occurred because of the conflict. Among its main objectives is to ensure psychosocial care and comprehensive physical and mental health care with a psychosocial approach to the victims of the Colombian armed conflict and to establish mechanisms that allow comprehensive health assistance with a psychosocial approach, within the framework of the General System of Social Security in Health. Based on the foregoing, and taking into account the direct experience acquired during the first year of implementation of the PAPSIVI in the Capital District, we have been aware of various situations that do not allow the fulfillment of said objectives fully; starting from the reality of the victims of the armed conflict and their experiences and experiences in the General System of Social Security in Health. As the main objective, this study aims to understand the barriers to access to health experienced in their daily lives by the population victim of the armed conflict benefiting from the program of primary health care with a psychosocial approach. Tejiendo Esperanzas from the Dignificar Chapinero center during 2016, through of a qualitative methodology of phenomenological cut that allows to penetrate in the perception that this population that lives in Bogota has about access to health services. When analyzing the barriers to access to health services for people victims of armed conflict, the persistence of geographical, economic and cultural barriers was identified; administrative barriers being the most frequent, not only due to internal procedures, or the availability of care, but also, with great concern, the lack of attention within the framework of respect and human dignity perceived by the population participating in the study
Abstract: Within the framework of the Program of psychosocial and comprehensive health care for victims of the internal armed conflict in Colombia (PAPSIVI) led by the Ministry of Health and Social Protection and regulated by Law 1448 of 2011, intervention in the restoration of physical conditions is envisaged , mental and psychosocial of the population as a result of the events that occurred because of the conflict. Among its main objectives is to ensure psychosocial care and comprehensive physical and mental health care with a psychosocial approach to the victims of the Colombian armed conflict and to establish mechanisms that allow comprehensive health assistance with a psychosocial approach, within the framework of the General System of Social Security in Health. Based on the foregoing, and taking into account the direct experience acquired during the first year of implementation of the PAPSIVI in the Capital District, we have been aware of various situations that do not allow the fulfillment of said objectives fully; starting from the reality of the victims of the armed conflict and their experiences and experiences in the General System of Social Security in Health. As the main objective, this study aims to understand the barriers to access to health experienced in their daily lives by the population victim of the armed conflict benefiting from the program of primary health care with a psychosocial approach. Tejiendo Esperanzas from the Dignificar Chapinero center during 2016, through of a qualitative methodology of phenomenological cut that allows to penetrate in the perception that this population that lives in Bogota has about access to health services. When analyzing the barriers to access to health services for people victims of armed conflict, the persistence of geographical, economic and cultural barriers was identified; administrative barriers being the most frequent, not only due to internal procedures, or the availability of care, but also, with great concern, the lack of attention within the framework of respect and human dignity perceived by the population participating in the study