Social determination of health in access to vaccination: a qualitative study in Colombian migrants
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Abstract
Introduction: Vaccination represent a cost-effective strategy in public health, however, access in migrant population continues to be a persistent problem and limitedly understood from its social nature. Objective: To understand from the social determinants of health (SDH) the dynamics of access to vaccination in migrant children under five years of age in Popayán, Colombia. Method: Qualitative, ethnographic study. It used semi-structured interviews, focus groups and field diaries in 19 caregivers of children susceptible to vaccination. The SDH approach was used to understand the phenomenon as a social process from singular, particular and general domains. Results: Where children live, there are precarious conditions that limit access to vaccination. Lifestyles are determined by sociocultural, political, economic and health system dynamics. From the point of view of lifestyles, vaccination is considered a protective activity for health. Good care, free of charge, proximity to hospitals, good information, affiliation to the health system and the absence of queues favor vaccination. Conclusions: Access to vaccination in children with migratory status is determined by sociocultural, political and economic aspects. The SDH approach broadens the understanding of public health phenomena from their reality.
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