<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-3347</journal-id>
<journal-title><![CDATA[Colombian Journal of Anestesiology]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. anestesiol.]]></abbrev-journal-title>
<issn>0120-3347</issn>
<publisher>
<publisher-name><![CDATA[SCARE-Sociedad Colombiana de Anestesiología y Reanimación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-33472023000200060</article-id>
<article-id pub-id-type="doi">10.5554/22562087.e1063</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Social determinants for health and neonatal anesthesia in Colombia]]></article-title>
<article-title xml:lang="es"><![CDATA[Determinantes sociales de salud y anestesia neonatal en Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trujillo]]></surname>
<given-names><![CDATA[Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Caldas School for Health Sciences Department of Surgery]]></institution>
<addr-line><![CDATA[Manizales ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Manizales School of Health Sciences ]]></institution>
<addr-line><![CDATA[Manizales ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Caldas School for Health Sciences ]]></institution>
<addr-line><![CDATA[Manizales ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>51</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-33472023000200060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-33472023000200060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-33472023000200060&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The social determinants of health are the social characteristics in which people's lives and work develop, giving them the capacity to act in specific contexts and are responsible for the health conditions of individuals and populations. Recent World Bank data show that Colombia has made modest progress in terms of social equity. These data reveal that neonatal mortality in remote areas of the country is similar to that found in Sub-Saharan Africa. In these regions, there is no access to specialized neonatal health services. As for anesthesia services, this age group has the highest mortality and perioperative complication rates related to prematurity, the quality of health services and, especially, the expertise of the anesthesiologist. In Colombia, efforts to implement formal university programs for sub-specialization in pediatric anesthesiology have not received governmental support. Meanwhile, the Colombian Society of Anesthesiology and Resuscitation (S.C.A.R.E.), through its Committee of Pediatric Anesthesiology, has created ongoing education opportunities, which, although important, are insufficient to meet the needs of the country. For this reason, a State policy is required, aimed at meeting its social debt and that considers the specialized training of human resources as a pillar for the promotion of equity in health, so that the surgical neonate does not have to travel in the procurement of services, but rather have the State bring those services to them.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Los determinantes sociales de la salud son las características sociales en las que se desarrollan la vida y el trabajo de las personas, que otorgan capacidad de actuación en contextos específicos y son responsables de las condiciones de salud del individuo y las poblaciones. Datos recientes del Banco Mundial evidencian el poco progreso que tiene Colombia en materia de equidad social. Esos datos revelan cómo la mortalidad neonatal en zonas apartadas del país es similar a la encontrada en el África Subsahariana. En estas regiones es nulo el acceso a servicios de salud especializados en neonatología. En cuanto al servicio de anestesia, este grupo de edad presenta las tasas de mortalidad y complicaciones perioperatorias más altas, relacionadas con la prematurez, la calidad de los servicios de salud y, especialmente, con la experticia del anestesiólogo. En Colombia, los esfuerzos por implementar programas universitarios formales de subespecialización en Anestesiología Pediátrica no han recibido apoyo gubernamental. Entre tanto, la Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.), a través de su Comité de Anestesiología Pediátrica, ha creado espacios de capacitación y entrenamiento permanentes, que, aunque importantes, resultan insuficientes para las necesidades del país. Por ello, se requiere una política de Estado orientada a sanar la deuda social y que considere la formación especializada del talento humano como un pilar para construir equidad en salud, de tal manera que el neonato quirúrgico no deba desplazarse en búsqueda de los servicios, sino que el Estado llegue a suplirlos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Social determinants of health]]></kwd>
<kwd lng="en"><![CDATA[Anesthesia]]></kwd>
<kwd lng="en"><![CDATA[Neonate]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="en"><![CDATA[Education]]></kwd>
<kwd lng="en"><![CDATA[Anesthesiology]]></kwd>
<kwd lng="es"><![CDATA[Determinantes sociales de salud]]></kwd>
<kwd lng="es"><![CDATA[Anestesia]]></kwd>
<kwd lng="es"><![CDATA[Neonato]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="es"><![CDATA[Educación]]></kwd>
<kwd lng="es"><![CDATA[Anestesiología]]></kwd>
</kwd-group>
</article-meta>
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