A sociodemographic view and a look at health conditions prior to the implementation of peace agreements in the municipalities of Leiva, Policarpa and Los Andes in Nariño

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In A.M. Castillo Burbano & C. A. Guerrero Martínez (Comp.)Challenges and alternatives towards peacebuilding: A rural development perspective. (Philipe White Transl.)(pp 67 - 118) Bogotá: Ediciones UCC & Centro Editorial Uniminuto (Original Title published in 2019). Https://dx.doi.org/10.16925/9789587602388

Knowledge of the factors that influence the health status of a population and their casuistry is important when directing prevention strategies at the local level, as well as when guiding the actions of the provision of health services by the corresponding entities. In this chapter, the epidemiological profiles of three municipalities in the department ofNariño (Leiva,Policarpa andLosAndes),beneficiaries ofthe “Alternativas de desarrollo rural para la construcción de paz” or “Rural development alternatives for peacebuilding” program, will be addressed. The construction of the profile of each municipality was done by reviewing key documents such as: the analysis of the health situation of the department of Nariño with the model of social determinants, ASIS, epidemiological bulletins with the basic health indicators of the department of Nariño, municipal development plans, territorial planning schemes, population projections of the DepartamentoAdministrativo Nacional deEstadísticas (DANE) or NationalAdministrative Department of Statistics, and administrative management reports for the aforementioned municipalities for 2017 and 2018. A sociodemographic analysis is presented for each location, emphasizing the morbidity and mortality indicators in the population. According to the analysis of health indicators, problems are being evidenced that affect the physical, mental and social well-being of the inhabitants of the three municipalities at different life stages such as early childhood, childhood, adolescence, adulthood and the elderly. They are problems that intervene in a significant and unfavorable way in the development and progress of a municipality and its inhabitants, since health is vital and fundamental for work and school performance, in both the family and social environment. It was possible to identify health problems that require greater attention when planning intersectoral, cross-sectoral, community and individual actions of promotion and prevention, since these are the instances directly involvedinthedevelopment ofanewperspective ofhealth,as it is the promotion of integral self-care that improves the quality of life of the affected communities.