Factores asociados a la salud renal en las comunidades indígenas en la Región Caribe Colombiana
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Fecha
2019
Autores
Cano Paternina, Enoc
Merchán León, Juan
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
En La Guajira, Colombia, habita la población wayuu, constituida por aproximadamente 402.279 personas, representa el 19,98% de la población indígena del país y 45% del departamento de La guajira, siendo este el asentamiento indígena más grande de Colombia 13.
Este departamento muestra deficiencias en la capacidad de sus municipios para cumplir con sus competencias en cuanto a cobertura en salud justificado en altas cifras de pobreza, problemas financieros y de corrupción, esto a su vez reflejado en: incapacidad de atención a la totalidad de la población por insuficiencia de centros de salud, ausencia de planes de protección de la salud dirigidos a la población de riesgo laboral por explotación minera y de identificación de consecuencias sobre los habitantes por la condición geográfica y climática 14.
Algunos factores determinantes de la salud de la población Wayuu son: falta de agua potable, escasez de alimentos, pobreza, acceso limitado y fragmentado a servicios de salud por causas geográficas y funcionales, falta de educación intercultural y los cambios culturales como consecuencia de la migración, de la presencia de grupos armados, de la explotación minera y de los programas asistenciales del Estado 15.
Por lo tanto, es fundamental intervenir estas poblaciones vulnerables con el fin de identificar los factores de riesgo asociados al deterioro de la salud renal, no solo para conocer datos reales de incidencia y prevalencia de enfermedad renal en estas comunidades, sino, también para posteriormente instaurar planes de prevención y diagnostico temprano de enfermedad renal.
In La Guajira, Colombia, inhabits the Wayuu population, consisting of approximately 402,279 people, representing 19.98% of the country's indigenous population and 45% of the department of La Guajira, this being the largest indigenous settlement in Colombia. East department shows deficiencies in the capacity of its municipalities to fulfill their competences in terms of justified health coverage in high levels of poverty, financial problems and corruption, this in turn reflected in: inability to attend to the entire population due to insufficiency of health centers, absence of health protection plans aimed at the population at work due to mining exploitation and identification of consequences on the inhabitants due to geographical and climatic conditions. Some determinants of the health of the Wayuu population they are: lack of drinking water, food shortages, poverty, limited and fragmented access to salt services you due to geographical and functional causes, lack of intercultural education and cultural changes as a result of migration, the presence of armed groups, mining and state welfare programs. Therefore, it is essential to intervene these vulnerable populations in order to identify the risk factors associated with the deterioration of renal health, not only to know real data of incidence and prevalence of kidney disease in these communities, but also to subsequently establish prevention plans and early diagnosis of kidney disease
In La Guajira, Colombia, inhabits the Wayuu population, consisting of approximately 402,279 people, representing 19.98% of the country's indigenous population and 45% of the department of La Guajira, this being the largest indigenous settlement in Colombia. East department shows deficiencies in the capacity of its municipalities to fulfill their competences in terms of justified health coverage in high levels of poverty, financial problems and corruption, this in turn reflected in: inability to attend to the entire population due to insufficiency of health centers, absence of health protection plans aimed at the population at work due to mining exploitation and identification of consequences on the inhabitants due to geographical and climatic conditions. Some determinants of the health of the Wayuu population they are: lack of drinking water, food shortages, poverty, limited and fragmented access to salt services you due to geographical and functional causes, lack of intercultural education and cultural changes as a result of migration, the presence of armed groups, mining and state welfare programs. Therefore, it is essential to intervene these vulnerable populations in order to identify the risk factors associated with the deterioration of renal health, not only to know real data of incidence and prevalence of kidney disease in these communities, but also to subsequently establish prevention plans and early diagnosis of kidney disease
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Palabras clave
Indígenas, Salud renal, Pueblo indígena, Factores de riesgo, Variables de salud renal, Enfermedades crónicas no transmisibles, Caribe colombiano, Hipertensión, Diabetes mellitus, Dislipidemia, Hipercolesterolemia, Enfermedad renal crónica, Indigenous, Renal health, Indigenous people, Risk factors, Renal health variables, Chronic noncommunicable diseases, Colombian Caribbean, Hypertension, Diabetes mellitus, Dyslipidemia, Hypercholesterolemia, Chronic kidney disease