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This article aims to promote reflection on the human right to health of cancer patients and the violation of this right by the current management system. It presents as a problem the following question: to what extent cancer patients have access to palliative care, so that their human dignity can be guaranteed, taking into account the model of free and egalitarian state provision of health for citizens, constitutionally guaranteed? Following this ideal, the research method used was hypothetical-deductive, through the technique of bibliographic and documental research. Based on the data collected, there is evidence of a lack of supply in the Brazilian public health system in relation to palliative care, especially from a biopolitical perspective. Therefore, it is concluded that the neoliberal government model tends not to invest public budget in the demands of patients who do not have the value of human capital that repays the State, causing cancer patients to have their human dignity violated. [ABSTRACT FROM AUTHOR]

Copyright of TraHs - Trayectorias Humanas Trascontinentales is the property of Universite de Limoges and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of TraHs - Trayectorias Humanas Trascontinentales is the property of Universite de Limoges and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of TraHs - Trayectorias Humanas Trascontinentales is the property of Universite de Limoges and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of TraHs - Trayectorias Humanas Trascontinentales is the property of Universite de Limoges and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Dixi is the property of Universidad Cooperativa de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To describe the beliefs and practices for health care of deaf people in Antioquia, in order to identify health education needs of this population. Methods: qualitative study with ethnographic techniques framed in a participatory action research; 22 semi-structured interviews and 4 focus groups were conducted with deaf people, in meetings mediated by an official interpreter of the Colombian Sign Language, of which video and audio were recorded for later transcription and analysis. Results: Complaints related to the language barrier that prevents them from knowing about health care emerged; beliefs and practices acquired at home and with peers about sexual and reproductive health, mental health, and lifestyles. The participants expressed concerns about care, health and illness that have not been addressed clearly and in their own language. Conclusions: Deaf people demand quality health care education under a differential approach, which will contribute to their autonomy, self-determination and the effective enjoyment of the right to health. [ABSTRACT FROM AUTHOR]

Copyright of Revista Jurídica (0103-3506) is the property of Revista Juridica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

in the healthcare activity carried out by health professionals, informed consent (IC) instrumentalizes the acquiescence of the patient concerning the procedure and/or surgical intervention. There is a scattered regulation in the Peruvian legal system about IC. In the Inter-American system, essential precedents establish the minimum content the patient should be informed of before consent. Compliance with 22 necessary elements and nine desirable elements in the IC forms was evaluated under the current legal system and the supranational provisions of the Inter-American Court of Human Rights (IACHR Court). These categories were validated through the judgment of expert lawyers and health professionals. The target population consisted of 456 consent forms applied in public health facilities in Metropolitan Lima from 2019-2021. In all the formats, the necessary elements associated with patient data, the health professional, and the name of the procedure or surgical intervention are fulfilled. There is no desirable element that is fulfilled in all of these formats. In this sense, there are gaps in the content of these forms in Peruvian health facilities, so the informative aspect should be vindicated to achieve fully effective acts of consent. [ABSTRACT FROM AUTHOR]

Humanitarian crises can occur in places affected by chemical, physical, biological, and social threats, especially when these threats interact with each other and cause a syndemic. In order to avoid crises in these places, it is necessary to introduce mitigation measures that we have framed as "humanitarian scenarios". Due to their nature, implementation of these interventions requires the creation of multidisciplinary operational groups with a work strategy that integrates them into the affected community. In the case of the child population, the operational group was called the 'childhood risks in contaminated places' (CRCP) unit; contaminated places meaning localities impacted by chemical, physical, or biological threats. The strategy has six phases: (i) planning the survey and site visit; (ii) community involvement in identifying threats, vulnerabilities, and routes of exposure (the path of pollutants from their source to the receiving population), and in preparing joint work for the subsequent phases; iii) prioritization of risks identified through environmental monitoring and use of biomarkers of exposure and effects; iv) risk prevention through the creation of various 'capacities and alternatives for the prevention of syndemic threats'; (v) advocacy to implement these capacities and alternatives through risk communication and local training; and (vi) protection through measures that include telehealth, social progress, and innovation to improve health coverage. The strategy has been implemented in different contexts, and in some of them it has been enriched by analysis of respect for human rights. [ABSTRACT FROM AUTHOR]

Objective: To communicate the results of the systematization carried out between 2017 and 2021 around the experiences of community participation of the Mesa en Salud de Moravia, a community organization in the city of Medellín. Method: A systematization of community experiences was carried out, a qualitative research modality, under the historical-hermeneutic paradigm, carried out in Medellín with men and women from the Health Roundtable, neighborhood collaborators and external allies, based on 2 group interviews, 28 individual interviews, observation, documentary review and a results validation workshop. Results: The contexts and achievements of the historical development of the Moravian Health Board are described, identifying the main lines of action and work fronts, the network of institutions and the public and private organizations with which they have built their social practice. Likewise, the motivations and demotivations regarding participation in the Roundtable and the reflections of criticism and self-criticism regarding the context, the role of the State, community dynamics, leadership and transformation alternatives based on the resignification of the community are presented. Lived experience. Conclusions: The Moravian Health Table constitutes an experience of social participation in health from subalternity. Its dynamics account for community, social and sectoral contextual changes. Their struggles have claimed, along with other actors, the possibility of dignifying life and inhabiting a highly complex territory in the city. The vision of the right to health, as the right to care and decent living conditions, is the platform from which the Board projects its vision of citizenship, community, participation and state responsibility. [ABSTRACT FROM AUTHOR]

The objective of this essay is to contribute elements for the debate on the crisis of the General System of Social Security in Health of Colombia, the fundamental right to health and its implications, and thus to propose other elements for the new health system required by this country, without this essay constituting a reform project. The result of the analysis shows that Law 100 of 1993 not only deepened inequities, but also generated new avoidable and regressive inequalities, such as the lack of comprehensive care, the deterioration of public health, placing financial profitability above the rights of the people, the denial of services, the inadequate Government regulation and the corruption of the majority of its actors. The amendments to said law (Laws 1122 of 2007 and 1438 of 2011) and the promulgation of the fundamental right to health in Law 1751 of 2015, have not achieved significant changes in the health system, despite the issuance of hopeful new regulatory norms, given that the current system is based on neoliberalism. Health is a product of social action and not a mere result of medical care. Consequently, the right to health must go beyond illness to well-being, as a guarantee provided by the Government. The foundation of a new health system will undoubtedly be human dignity in its objective and subjective elements, as the highest expression of compliance with human rights. [ABSTRACT FROM AUTHOR]

Introduction : Deaf individuals in Colombia possess the distinctive trait of communicating with others through Colombian Sign Language (LSC) and encounter communication challenges when accessing health services due to their affiliation with a linguistic and cultural minority. Objectives : To describe the experiences of Deaf individuals in communicative processes during dental care. Methodology: A qualitative study was conducted involving 32 Deaf individuals, both male and female, of legal age, who participated in individual and group interviews. Throughout these interviews, participants shared instances of their experiences in dental consultations. Data were coded, categorized, and relationship maps were developed for analysis. Results were communicated to participants through educational material in sign language. Results : Participants narrate the challenges faced in autonomously accessing health services, as well as their experience of being uninformed during care. They also highlight opportunities for receiving dignified and quality care, necessitating transformations in services, healthcare professionals, and higher education institutions within the context of Deaf culture. Conclusions : Communicative processes in the interaction between dentists and Deaf individuals present an opportunity to better comprehend the Deaf experience in healthcare, question the normalcy in healthcare provision, and recognize the importance of addressing differences. [ABSTRACT FROM AUTHOR]

Copyright of Revista Colombiana de Sociologia is the property of Universidad Nacional de Colombia, Facultad de Ciencias Humanas, Departamento de Sociologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Prolegómenos Derechos y Valores is the property of Prolegomenos Derechos y Valores and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This work analyzes the development of the intercultural perspective in the protection and guarantee of the right to health in indigenous peoples and migrant population in Chile from the legal point of view. It reviews the prevalent practices and experiences in the field of public health in Chile, to establish the shape and scope of interculturality in the protection of the right to health, and the way in which it contributes to interculturality. The intercultural perspective on access to justice in Chile is weak, formal, these are incipient initiatives in the case of indigenous peoples while in the case of migrants, they hardly address language barriers. [ABSTRACT FROM AUTHOR]

The study shows the disputes around the right to health. It begins in 2008, year in which health was declared an autonomous fundamental right by the Constitutional Court. It ends in 2015, the moment in which the Statutory Health Law is enacted. The research was carried out through the documentary analysis of sources from the archives of Congress, the Constitutional Court, the press and academic texts. Likewise, semi-structured interviews with key actors in the conflict and categories of analysis related to the conception of the right to health were conducted and implemented. From this, advances in the jurisprudence of law were evidenced; the dichotomy of a State that guarantees health as a fundamental right and at the same time defender of the market; positions of the actors that transit between the defense of a cost-effective system and groups inclined to defend health as a fundamental right in charge of the State. [ABSTRACT FROM AUTHOR]

Copyright of Revista Colombiana de Sociologia is the property of Universidad Nacional de Colombia, Facultad de Ciencias Humanas, Departamento de Sociologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Dixi is the property of Universidad Cooperativa de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira de Políticas Públicas is the property of Revista Brasileira de Politicas Publicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction. Numerous studies address the oral health situation and access to dental care for pregnant women, however few maintain postpartum observation, much less the situation of the children during their first years of life. Objective. To identify and understand the general, particular and singular processes that limit or favor the exercise of the right to oral health of postpartum women and their children during the first year of life. Method. The study utilizes the Social Determinants of Health approach in two Colombian cities, Medellín and Bucaramanga, and in Santiago de Chile. In each city, 26 pairs participated, with prior informed consent. Qualitative techniques (interviews and discussion groups) and quantitative techniques (survey and oral exams) were used for data collection. Results. General economic, political, and gender processes, together with labor, consumer, and sociocultural dynamics of the families' lifestyles, determine, positively or negatively, the opportunities of access to oral health care for both subjects and for their objective condition. Conclusion. Processes at a general level, with some differences between the two countries, limit the exercise of the right to health, recognized as fundamental by both political constitutions. Those processes at the general level subsume the particular and singular processes that also behave as limitations in most cases. [ABSTRACT FROM AUTHOR]

Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of A&C - Administrative & Constitutional Law Review - Revista de Direito Administrativo e Constitucional is the property of A&C - Revista de Direito Administrativo & Constitucional (Instituto Bacellar) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Colombiana de Bioetica is the property of Universidad El Bosque and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of IUSTA is the property of Universidad Santo Tomas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medica Review is the property of Eagora Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Direito da Cidade is the property of Editora da Universidade do Estado do Rio de Janeiro (EdUERJ) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objetivo: describir la problemática de hombres y mujeres trabajadores que al percibir vulnerado su derecho a la salud en el trabajo por sufrir presuntos o declarados ATEL, buscaron apoyo e interpusieron uno o más recursos constitucionales para lograr su restablecimiento efectivo. Materiales y métodos: estudio mixto. Se aplicó encuesta a 189 trabajadores que sufrieron un presunto o reconocido evento de ATEL y que buscaron apoyo en los servicios de extensión solidaria de la Universidad de Antioquia o en organizaciones de derechos humanos en Medellín. La encuesta captó datos sociodemográficos, de seguridad social, laborales, del SGSST, de los antecedentes, ocurrencia y consecuencias de los ATEL y los recursos interpuestos. Para el abordaje cualitativo se realizó: i) una entrevista en profundidad con un médico laboral y abogado independiente y ii) cuatro grupos focales con trabajadores que sufrieron ATEL, sindicalistas, abogados y médicos representantes de ARL, académicos. Resultados: los trabajadores más vulnerables fueron los más afectados en su derecho. Los agentes que integran el SGRL hacen un abordaje fragmentado de la salud y el trabajo que facilita la vulneración del derecho. Los trabajadores que sufren ATEL deben enfrentar barreras económicas, administrativas y de acceso a salud para restituir su derecho. Conclusiones: el trabajo decente y digno es un horizonte hacia el cual se deben apuntar los esfuerzos para que los trabajadores más vulnerados históricamente conquisten y sostengan una vida plena, digna y saludable. Los recursos como la acción de tutela contribuyen a lograr el cumplimiento del derecho a la salud en el trabajo. [ABSTRACT FROM AUTHOR]

Objective: To analyze the disability public policy in Colombia in relation to caregivers. Method: this study consisted of a retrospective and descriptive public policy analysis. All official documents of a national nature, in the period between 2013 and 2017, were taken as sources of information. An inventory of norms was carried out: policies, laws, and regulatory administrative acts or concordant with the disability policy. A systematic reading was carried out organizing the contents in three a priori categories: norms related to the disability policy and the right to health, gaps related to the caregivers regarding actions directed to them, and dynamics of familiarization of the care of people with disabilities. Results: the findings showed a total of 16 norms that express the relationship between disability and right to health. A 64% refer to actions aimed at caregivers, 53% have content related to the dynamics of familiarization of care, and 36% show gaps regarding caregivers of people with disabilities. Conclusions: From the perspective of the right to health, care is conceived as an assistance service, without recognition and participation of the caregiver. Although in some of the reviewed norms the role of the caregiver is taken into account, in most of them the role of care is familiarized, limiting it to the private sphere, in addition to making the importance of the caregiver invisible in the process of social and political participation of the caregivers of people with disabilities. [ABSTRACT FROM AUTHOR]

People deprived of liberty (PDL) are subject to adverse conditions to the health and structural problems in the different prisons and penitentiary institutions (PPI). This make difficult to find a solution. Objective: To analyze the scientific evidence required to understand the health situation among the IP in our country. Method: A systematic review of health research carried out in the Colombian prisons was developed using some databases and grey literature compilations based on the following keywords: "prisoners"/"prisons", "health", "health situation", "life conditions", "health problems". This work addressed topics concerning the infrastructure, the main health problems (both in general and special populations), and the determining factors wherever described. Results: Scientific literature allowing understanding the health situation of PDL. Most of the studies were related to mental health problems and infectious disease (TB and STDs). Official reports showed that the PDL underwent unfavorable conditions that compromise their health. Conclusions: In our country the scant scientific research limits the evidence required to implement public policies appropriate to improve the IP health situation. On the other hand, the official reports have not meant a positive impact on their health. [ABSTRACT FROM AUTHOR]

Objective: This article explores the representations that some social actors participating in collective actions for health in Santiago de Chile have with respect to the fight for the right to health. Methodology: The phenomenon is explored from a post-positivist paradigm with a qualitative approach. The information was gathered from nine focused interviews and their analysis was based on grounded theory. Results: The fight for the right to health refers to the defense of life in a holistic way, understanding it as an effort towards the transformation of society through the collective construction of a new economic-political model. Conclusion: This approach shows that social actors that are part of collective actions do not form a structured or cohesive movement. Also, fights for the right to health constitute an emerging phenomenon that may be seen as part of a repolitization of the Chilean society, in which representations of the fights for the right to health in the investigated actors would be of an emancipatory in nature, based on their counter-hegemonic profile. [ABSTRACT FROM AUTHOR]

Copyright of Academia & Derecho is the property of Universidad Libre - Seccional Cucuta and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. The objective of this study is to prepare a "Concept Map on Health and Intellectual Property in Central America and the Dominican Republic" in order to help identify the main access barriers to health, especially medicines, and to guide state authorities toward actions to improve the efficiency and effectiveness of policies. Methods. The report "Concept Map on Public Health and Intellectual Property, Regional Perspective: Central America and the Dominican Republic" was analyzed. Then the knowledge generation and management methodology was applied and a search strategy was identified to recover the information for preparation of the concept maps. Results. The legal framework and institutional structure, as well as policies, programs, plans, and strategies for health and intellectual property, were identified. A set of barriers that hinder access to medicines was also identified, as well as solutions to overcome them. Conclusions. In Central America and the Dominican Republic, health strategies, policies, programs, and plans are in place, but unfortunately their scope and degree of dissemination is uneven. This, together with social and economic factors, explains why health inequity persists between and within countries. The identified barriers to access to medicines included the expansion and strengthening of the rights of pharmaceutical patent-holders, problems with implementing the flexibilities of the Agreement on Trade-related Aspects of Intellectual Property Rights, pricing policies, and strict regulatory standards. [ABSTRACT FROM AUTHOR]

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Copyright of Brazilian Journal of Occupational Therapy / Cadernos Brasileiros de Terapia Ocupacional is the property of Cadernos de Terapia Ocupacional da UFSCar and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article aims to disclose the response capacity of the Health Information Systems (HIS) in Colombia to support an inspection, surveillance and control model (ISC) driven towards the monitoring of the risks undermining the access, use and quality of the health services. This paper is based on a descriptive cross-sectional study under a risk management approach including a review of the regulations framework dealing with the threats to the effective enjoyment of the right to health (EERH) and the characteristics of the information reported by the actors in the system, which is required to carry out the said monitoring. The data supporting the monitoring to the health care processes and its impact on the population health are not enough to appropriately oversee the risks involved. Advantage should be taken from the changes currently taking place in the health system in order to rethink how the system performance is taken as monitored object. [ABSTRACT FROM AUTHOR]

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An examination of the World Oral Health Report, adopted by the Global Oral Health Program of the World Health Organization, was executed out to determine if this document constitutes a theoretical-political tool to achieve the realization of the right to Oral health. The applied methodology was the analysis of discursive practices as production of the sense. The analysis found that the World Oral Health Report does not constitute a political-theoretical instrument for the satisfaction of the right to oral health because it does not incorporate the human rights approach. Thereby, the perspective of this document is limited to oral health care and does not establish mechanisms for the effective confrontation of social determinants and the state's obligations to ensure the right to oral health are not emphasized. Also, moving away from the referential of human rights, it also distances itself from bioethics, because the patient is not considered in its multiple contexts, which permeate the health-disease process; thus, it is contrary to the promotion of conditions of just and equal lives for individuals. [ABSTRACT FROM AUTHOR]

The objective was to determine the perceptions of different actors of the Colombian health system regarding the problems of the system behind the crisis. A qualitative study was carried out on the basis of semi-structured and in-depth interviews with forty health sector agents in Bogotá, Cali, Ibagué, Espinal, and Calima-Darién. The results showed that corruption, breach of regulations, and conflicts of interests between various actors in the system weaken the legitimacy of the system, shatter the cooperation and cohesion of the actors, and strengthen private interests. Regulatory pollution, a temporary inconsistency of regulations, and incomplete information generate uncertainty, confusion, and disintegration within the system. This, in turn, contributes to the development of a regulatory crisis regarding which it is urgent to recover collective and concerted decision-making spaces to promote dialogue and the overcoming of rentier individualistic interests. [ABSTRACT FROM AUTHOR]

The health policy of Bogotá (2004 - 2011) proposed a management which aimed to guarantee the right to health through a primary health care strategy. This policy was implemented under open controversy with the national policy, which was based on assurance and focalization mechanisms. Some public hospitals of Bogotá underwent institutional transformation processes in order to adopt the new sectoral policy. A case study was thus conducted to show the particular experience of one of these hospitals. This project made it possible to identify the processes involved in the management of the Primary Health Care Model of the Hospital del Sur Hospital in Bogotá between 2008 and 2011. The study showed the factors that made it feasible as well as the hindrances, tensions and contradictions that arose during the process. The methodology included a literature review, the creation of narratives and semi-structured interviews with key actors. This paper describes the model's construction process, the devices that facilitated its development and the contradictions that emerged during the attempt to transform the management of a public hospital from the perspective of the right to health. [ABSTRACT FROM AUTHOR]

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Investigium IRE: Ciencias Sociales y Humanas is the property of Editorial Institucion Universitaria Centros de Estudios Superiores Maria Goretti and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article approaches the issue of philosophical perspectives of social justice and its relationship with some of the implications for health systems in Latin America and the world. Three philosophical perspectives of social justice from the radical liberal approach, egalitarian and redistributive liberal, and Marxist egalitarianism or reviewed. Society, their conceptions of health and public health approach. From the theoretical support these approaches, the relationship State are identified. Based on these concepts identify some implications for health systems in each of its representative aspects. The paper concludes with some reflections about the need to discuss the fundamental right to health as a fundamental element of universal health systems and assume a perspective as input for the design and analysis of health systems from the right to health. [ABSTRACT FROM AUTHOR]

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Objective: To understand the strategies used by some pregnant women to obtain quality prenatal care. Materials and Methods: Qualitative study with theoretical support in Symbolic Interactionism and use of Grounded Theory methods. In-depth interviews with 18 pregnant women, and observation of interactions among pregnant women and with the health care personnel in prenatal care settings were conducted. The information was analyzed in parallel with its collection, coding and categorization by applying the constant comparison and theoretical sampling, to achieve saturation of the emerging categories. Results: Two categories emerged: satisfactory healthy services and resignation. The first one was present in the speeches of the pregnant women who, empowered by their rights, used strategies such as going to the emergency room, arguing and highlight their needs, consulting with family or professional acquaintances, bringing complaints, calling attention, searching for additional information, praying and even weeping in order to have their right to be attended become effective. Meanwhile, another group of pregnant women are resigned to the care they receive and they sometimes justify the low quality of health services and are thankful. Conclusions: These categories give an account on the one hand, of the empowerment of some pregnant women have been able to build around their right to health but on the other hand of the deep inequity in obtaining comprehensive prenatal care. [ABSTRACT FROM AUTHOR]

This is a theoretical research that proposes the convergence of three strands for the study of struggles for health in Colombia starting from the analysis of sociopolitical structure and the actors. This goal involves a question on the existence, if any, of collective action for health, framed by the Reform and in a sociopolitical violence context. The method used was documentary analysis of two kinds of sources: 1) examination of academic works on collective action and social movements, and 2) papers on social struggles in Colombia. The results show that struggles for health are immerse in other struggles, even if the reform promotes the creation of new actors and protest forms and the path to the claim of the right. As a consequence, complementary theoretical approaches that show the structure while showing the actors are needed. [ABSTRACT FROM AUTHOR]