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. 2022 Feb 14;21(1):23.
doi: 10.1186/s12939-022-01619-2.

A social innovation model for equitable access to quality health services for rural populations: a case from Sumpaz, a rural district of Bogota, Colombia

Martha Milena Bautista-Gómez  1   2 , Lindi van Niekerk  3
Affiliations

A social innovation model for equitable access to quality health services for rural populations: a case from Sumpaz, a rural district of Bogota, Colombia

Martha Milena Bautista-Gómez et al. Int J Equity Health. .

Erratum in

Abstract

Background: Despite efforts to extend Universal Health Coverage in Colombia, rural and remote populations still face significant challenges in accessing equitable health services. Social innovation has been growing in Colombia as a creative response to the country's social problems including access to healthcare. This paper presents the findings of a social innovation case study, which was implemented in the rural area of Sumapaz in Colombia, with the purpose of holistically addressing the health needs of the local population and enhancing health service access.

Methods: A case study methodology was used to investigate and understand the process by which the Model of Integral Health Care for Rural Areas was developed and how the various strategies were defined and implemented. Qualitative methods were used in the data collection and all data was analysed using Farmer et al. staged framework on grassroots social innovation which includes growing the idea; implementing the idea; sustainability and diffusion.

Results: The social innovation model was designed as a co-learning process based on community participation. The model was implemented adopting a holistic health approach and considerate of the conditions of a rural context. As a result of this process, access to quality health services were enhanced for the vulnerable rural community. The model has also provided outcomes that transcend health and contribute to individual and community development in different areas eg. agriculture.

Conclusion: The Model of Integral Health Care for Rural Areas is a social innovation in health that demonstrates how Universal Health Coverage can be achieved for vulnerable populations through a series of creative strategies which fill systemic voids in access and co-ordination of care, as well as in addresings upstream environmental factors responsible for ill-health.

Keywords: Community participation; Healthcare; Inclusiveness health; Low- and middle-income countries; Social innovation.

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Conflict of interest statement

None declared by the authors.

Figures

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Fig. 1
Model of Integral Health Care for Rural Areas. Source: Authors
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References

    1. Atun R, de Andrade LOM, Almeida G, Cotlear D, Dmytraczenko T, Frenz P, Garcia P, Gómez-Dantés O, Knaul FM, Muntaner C, et al. Health-system reform and universal health coverage in Latin America. Lancet. 2015;385(9974):1230–1247. doi: 10.1016/S0140-6736(14)61646-9. - DOI - PubMed
    1. World Bank Group, Pan American Health Organization. Toward Universal Health Coverage and Equity in Latin America and the Caribbean: Evidence from Selected Countries. In: Directions in Development. Edited by Dmytraczenko T, Almeida Washington, DC: World Bank; 2015. Available from: http://elibrary.worldbank.org/doi/book/10.1596/978-1-4648-0454-0 - DOI
    1. Wagstaff A, Cotlear D, Eozenou PH-V, Buisman LR. Measuring progress towards universal health coverage: with an application to 24 developing countries. Oxf Rev Econ Policy. 2016;32(1):147–189. doi: 10.1093/oxrep/grv019. - DOI
    1. Ruiz Gomez F, Zapata Jaramillo T, Garavito B. Colombian health care system: results on equity for five health dimensions. Rev Panam Salud Publica. 2013;33(2):197–115. doi: 10.1590/S1020-49892013000200005. - DOI - PubMed
    1. La A-GJ. salud en Colombia : más cobertura pero menos acceso. Colombia: Bogotá; 2014.

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