Supporting healthcare workers caring for excombatants: incentives among Colombian providers with FARC ex-combatants
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Date
2022-02-08Authors
Reynolds, Christopher W.Duarte Osorio, Andres
Fricke, Adrienne
Gomez-Restrepo, Carlos
Patiño, Andres
Arbelaez, Christian
Moretti, Katelyn
Aguiar Martinez, Leonar G.
Corporate Author(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Preventiva y Social
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina de Urgencias. Grupo de Investigación en Urgencias y Emergencias en Salud
Type
Artículo de revista
ISSN
1744-1692 / 1744-1706 (Electrónico)
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Abstract
With the Peace Agreement between Fuerzas Armadas Revolucionarias de
Colombia (FARC), Colombia promised healthcare to 13,000
‘reincorporating’ FARC ex-combatants. Shortages of healthcare workers
in reincorporation camps means this promise is in danger of going
unfulfilled. More information is needed to determine incentives,
disincentives, and recruitment of healthcare providers to address this
shortage. Semi-structured interviews were conducted with healthcare
providers across FARC reincorporation camps, and a multidisciplinary
team conducted analysis in NVivo12 using a team-based coding
method. Twenty-four healthcare professionals from 15 camps
participated, of which 75% were female. Incentives to work with FARC
included improved clinical skills, professional advancement, increased
comfort with FARC, and contributing to the peace process.
Disincentives included poor living conditions, lack of support, biases,
familial commitments, and sacrificing career opportunities. Threefourths of the sample recommended working with FARC, and 92%
reported a shortage of healthcare workers. Recruitment strategies
included improved resources and specialised career development for
healthcare workers, facilitating interactions between FARC and
healthcare professionals outside clinical scenarios, and integrating
medicine for vulnerable populations into health education. This study
shows the impact that working with FARC ex-combatants can have on
healthcare providers and tangible suggestions for increasing provider
participation to address the healthcare worker shortage.
Keywords
Rural healthcareMedical education
Global health
FARC ex-combatants
Postconflict healthcare
Spatial coverage
ColombiaTemporary coverage
2019Link to the resource
https://www.tandfonline.com/doi/full/10.1080/17441692.2022.2037150Source
Global Public Health; Volumen 17 Número 11 , Páginas 1 - 17 (2022)
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