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Revista de la Universidad Industrial de Santander. Salud

Print version ISSN 0121-0807On-line version ISSN 2145-8464

Abstract

BETANCURTH-LOAIZA, Diana Paola; VELEZ-ALVAREZ, Consuelo; SANCHEZ-PALACIO, Natalia  and  JARAMILLO-ANGEL, Claudia Patricia. Social primary care in Colombia: A look from a successful experience. Rev. Univ. Ind. Santander. Salud [online]. 2022, vol.54, e332.  Epub Oct 21, 2022. ISSN 0121-0807.  https://doi.org/10.18273/saluduis.54.e:22016.

Introduction:

The Social Primary Care strategy has been evaluated by the Pan American Health Organization as a successful experience.

Objective:

To analyze the experience of Primary Social Care in the department of Caldas within the framework of a systematization process.

Methods:

Systematization study of experiences, the units of analysis and work were municipal and departmental documents, information from the Social Observatory of Caldas and accounts of different actors. Techniques: 71 in-depth interviews with key informants, 27 focus groups, 11 field diaries and documentary review, the information was collected in 6 phases and then analyzed in ATLAS. ti 8.0 software.

Results:

The strategy had a historical trajectory under national and international guidelines from the 1980s to the present, it was modified in 2013 by articulating actors and public-private sectors to turn it into "Social Primary Care". The operational model is based on trans-sectoriality and interdisciplinary education, family wellbeing and health, and social and community participation, whose central axis are the actors, families, and communities. Activities include family characterization, interventions for prioritized families and units of analysis for support, monitoring and follow-up.

Conclusions:

Different actors have participated in the understanding of the "social" approach to health, a relevant actor has been the community accompanied by its leaders and academia. The political will of the national, departmental and municipal governments is relevant for the success of the strategy. Health indicators have been impacted by the progress in the implementation of the Social Primary Health Care strategy.

Keywords : Primary health care; Interdisciplinary placement; Social learning; Public health; Community participation; Social determinants of health.

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