Collective health and regional integration in Latin America: An opportunity for building a new international health agenda

Herrero, Marı́a Belén; Loza, Jorgelina; Belardo, Marcela Beatriz

doi:10.1080/17441692.2019.1572207

Cited by 7 publications

(10 citation statements)

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“…It is, therefore, critical that we adopt the Latin American Social Medicine and Collective Health (LASM-CH) approach [50,51,52,53,54,55,56,57] to interpret our findings and to conceptualize how the phenomenon of generalized violence itself must be analyzed and addressed in relation to the root factors that produce and sustain the violence. Based on this approach, we need both a broader conceptualization of health and solutions from and for the Global South [57,60]. Specifically, we must not simply address the social determinants of health as conceptualized by the World Health Organization [58], but also transform the unequal power relations that drive the social determinants of health [59] in the first place.…”

Section: Discussionmentioning

confidence: 99%

“…It is a radical call to explicitly address the unequal power relations that drive the social determinants of health [59]. Furthermore, this approach conceptualizes health as a human right and is committed to the living conditions of the majority population [60].…”

Section: Introductionmentioning

confidence: 99%

“…From this perspective, the LASM-CH approach is a broader political, social, and cultural movement that prioritizes a broader conceptualization of health and solutions from and for the Global South [57,60]. This approach is particularly useful in conceptualizing the epidemic of generalized violence in the “northern triangle” of Central America as rooted in a larger socio-political context characterized by prolonged civil wars (in El Salvador and Guatemala), adverse colonial legacies, poverty among the majority population, unequal power relations, and wide social and health inequities.…”

Section: Introductionmentioning

confidence: 99%

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Generalized Violence as a Threat to Health and Well-Being: A Qualitative Study of Youth Living in Urban Settings in Central America’s “Northern Triangle”

Jesús

Hernandes

2019

IJERPH

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El Salvador, Guatemala, and Honduras rank among the top 10 countries experiencing violence in the world, despite not being at war. Although there is abundant literature on generalized violence in this “northern triangle” of Central America as a driver of out-migration to the United States, very little is known about the perspectives and experiences of youth who do not migrate. This study aimed to elicit the emic perspectives of youth residing in the region on how the day-to-day generalized violence produces a pervasive threat to the overall health and human security of youth as well as the key protective factors and resiliencies at work. We conducted two separate waves of qualitative research in 2015 and 2018 over a 6-month period, which included 60 in-depth interviews and six focus groups among Salvadoran, Guatemalan and Honduran youth living in urban areas. Qualitative thematic analysis revealed two meta-themes: (1) ‘Lack of health,’ defined as not experiencing peace within the family, the community, and the country’ and (2) ‘Resilience.’ Thematic clusters that reflect the first meta-theme are: (1) violence as a common occurrence; (2) living in fear and insecurity; (3) victimization; and (4) lack of state protection and services. Thematic clusters for the second meta-theme are: (1) a positive future outlook and a commitment to education; (2) transnational and local family network support; and (3) engagement in community-based youth groups. To interpret the findings, we adopt the Latin American Social Medicine and Collective Health (LASM-CH) approach that prioritizes perspectives from the region. Generalized violence is conceptualized as a systemic phenomenon that is generated and reproduced through the complex interactions of structural inequities and unequal power relations. The findings of this study provide new insights into the implementation of a different approach to address the generalized violence, insights that may guide multi-sectoral health policies and interventions both in the region and transnationally.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Generalized Violence as a Threat to Health and Well-Being: A Qualitative Study of Youth Living in Urban Settings in Central America’s “Northern Triangle”

Jesús

Hernandes

2019

IJERPH

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“…Las políticas sociales, particularmente las políticas de salud, se convirtieron en estrategias esenciales para combatir la pobreza y reducir las desigualdades. En este proceso, la salud jugó un papel muy dinámico, en parte por la larga trayectoria del campo en nuestra región, dando lugar a una agenda sanitaria alternativa y un nuevo marco de integración y diplomacia regional en salud (Herrero et al, 2019).…”

Section: La Salud Internacional/salud Global En América Latinaunclassified

“…Ese enfoque se impuso de la mano de actores que provenían de las corrientes de la Medicina Social Latinoamericana y la Salud Colectiva (Herrero et al, 2019). De hecho, es posible observar una confluencia entre los principios y valores de estas trayectorias y las principales bases constituyentes de UNASUR Salud (Herrero et al, 2019).…”

Section: La Salud Internacional/salud Global En América Latinaunclassified

International Health and Global Health: Reconfigurations of a Disputed Field

Herrero

2022

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La salud internacional es un campo interdisciplinario de conocimiento, investigación y acción que se ocupa de la salud de las poblaciones más allá de sus fronteras nacionales. América Latina se constituyó como pionera desde el siglo XX, otorgándole al campo un dinamismo inusitado. En tal sentido requiere de un proceso de análisis, reflexión e interpretación desde una perspectiva propia de nuestra región, para dejar de considerarlo mera réplica del desarrollo sanitario europeo. Este artículo tiene el doble objetivo de analizar el devenir histórico del campo de la Salud Internacional y, en segundo lugar, reflexionar en torno a los conceptos de Salud Internacional y de Salud Global, en la nueva geopolítica regional y global. A través de un recorrido histórico que inicia en 1851, este análisis da cuenta de las disputas, tensiones y rivalidades de las que ha sido objeto el campo de la salud internacional y algunos de sus principales organismos, entre ellos la Organización Mundial de la Salud que -con la supremacía del neoliberalismo- pasó a estar supeditada a los intereses mercantilistas de nuevos actores extra sanitarios, como el Banco Mundial, la industria farmacéutica y organismos filantrópicos. En este contexto, el pasaje del campo de la Salud Internacional a la denominación de Salud Global representa -mucho más que un simple giro lingüístico- un giro políticoideológico. En América Latina, en cambio, la influencia de trayectorias críticas de pensamiento latinoamericanas ha actuado en el campo de la Salud Internacional desde una perspectiva basada en los derechos humanos y la soberanía sanitaria regional, a través de una cooperación más horizontal y de políticas emancipadoras. El advenimiento de la pandemia ha demostrado que la salud es un asunto internacional incuestionable, demandando políticas coordinadas e integrales. Sin embargo, sobreviene en un mundo fragmentado por disputas e intereses y, en particular en América Latina -con la disolución de UNASUR- llega en un contexto de reformas salvajes de sus sistemas sanitarios y en un momento de marcada debilidad en algunos de sus procesos de integración. Se impone, en consecuencia, la urgencia de discutir la arquitectura de la salud global y regional, su agenda y de repensar la cooperación internacional como política epidemiológica que permita fectivamente abordar las inequidades globales y dar respuesta a las necesidades urgentes y persistentes de nuestros pueblos.

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Misrecognised, misfit and misperceived: why not a Latin American school of IPE?

Tussie

Chagas-Bastos

2022

Review of International Political Economy

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Collective health and regional integration in Latin America: An opportunity for building a new international health agenda

Cited by 7 publications

References 11 publications

Generalized Violence as a Threat to Health and Well-Being: A Qualitative Study of Youth Living in Urban Settings in Central America’s “Northern Triangle”

Generalized Violence as a Threat to Health and Well-Being: A Qualitative Study of Youth Living in Urban Settings in Central America’s “Northern Triangle”

International Health and Global Health: Reconfigurations of a Disputed Field

Misrecognised, misfit and misperceived: why not a Latin American school of IPE?

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