Access to Health Services and Health Seeking Behavior Among Former
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University of South Florida Scholar Commons Graduate Theses and Dissertations Graduate School 11-3-2016 Access to Health Services and Health Seeking Behavior Among Former Child Soldiers in Manizales, Colombia Adriana Marcella Dail University of South Florida, [email protected] Follow this and additional works at: http://scholarcommons.usf.edu/etd Part of the Latin American Studies Commons, Public Health Commons, and the Social and Cultural Anthropology Commons Scholar Commons Citation Dail, Adriana Marcella, "Access to Health Services and Health Seeking Behavior Among Former Child Soldiers in Manizales, Colombia" (2016). Graduate Theses and Dissertations. http://scholarcommons.usf.edu/etd/6489 This Thesis is brought to you for free and open access by the Graduate School at Scholar Commons. It has been accepted for inclusion in Graduate Theses and Dissertations by an authorized administrator of Scholar Commons. For more information, please contact [email protected]. Access to Health Services and Health Seeking Behavior Among Former Child Soldiers in Manizales, Colombia by Adriana Marcella Dail A thesis submitted in partial fulfillment of the requirements for the degree of Master of Arts Department of Anthropology College of Arts and Sciences University of South Florida Co-major Professor: Roberta Baer, Ph.D. Co-major Professor: Jaime Corvin, Ph.D. Linda Whiteford, Ph.D. Date of Approval: November 3, 2016 Keywords: reintegration, transitional justice, health policy, human rights Copyright © 2016, Adriana Marcella Dail ACKNOWLEDGMENTS First and foremost, I would like to thank each of the individuals who participated in this research and were kind enough to share their stories with me, as without them this would not have been possible. I wish I could thank each of you by name. I would also like to thank CEDAT and the Universidad de Caldas for allowing me to do an internship with them and for providing me the opportunity to do this research. Thank you to the many individuals from CEDAT who helped make this research possible, especially Rocío – there is no way for me to ever thank you enough. Thank you to Juan Pablo and Aleja as well, both for your help and for your friendship. Thank you to the Ruiz and Candamil families for your endless hospitality, none of this would have been possible without you and I will be eternally grateful. Additionally, thank you to my family - both in the U.S. and in Colombia - for all of your support throughout this process, especially mi abuelita and my wonderful, endlessly patient, and supportive parents. Thank you to the friends who have put up with me for the last few years. I love and appreciate you all. Finally, thank you to my committee, Roberta Baer, Jaime Corvin, and Linda Whiteford for all of your support and guidance throughout the research process and my time at USF. TABLE OF CONTENTS LIST OF TABLES......................................................................................................................... iv LIST OF FIGURES .........................................................................................................................v ABSTRACT................................................................................................................................... vi CHAPTER 1: INTRODUCTION....................................................................................................1 Chapter Overview .............................................................................................................................1 Situating This Research Within Anthropology and Public Health ...................................................1 Overview of Study............................................................................................................................2 Theoretical Orientation........................................................................................................4 Research Setting ..................................................................................................................6 Contextualizing This Research .........................................................................................................9 Summary.........................................................................................................................................10 CHAPTER 2: BACKGROUND....................................................................................................12 Introduction.....................................................................................................................................12 Child Soldiers .................................................................................................................................12 The Colombian Conflict .................................................................................................................14 Child Soldiers .................................................................................................................................13 Child Soldiers in Colombia.............................................................................................................15 Girl Soldiers....................................................................................................................................17 Health Issues for Child Soldiers .....................................................................................................18 Reintegration of Child Soldiers ......................................................................................................20 Colombian Reintegration Policy........................................................................................22 Transitional Justice and Victims’ Rights........................................................................................24 Healthcare in Colombia ..................................................................................................................26 Summary.........................................................................................................................................28 CHAPTER 3: METHODOLOGY.................................................................................................29 Chapter Overview ...........................................................................................................................29 Positionality ....................................................................................................................................29 Research Design .............................................................................................................................30 Methodology...................................................................................................................................32 Participant Observation .....................................................................................................32 Data Collection .....................................................................................................33 Data Analysis........................................................................................................34 Key Informant Interviews..................................................................................................35 Data Collection .....................................................................................................35 i Data Analysis........................................................................................................35 Archival and Literature Review.........................................................................................36 Surveys .................................................................................................................36 Interviews ..........................................................................................................................37 Participants ...........................................................................................................37 Interview Guide ....................................................................................................37 Collection..............................................................................................................38 Analysis ................................................................................................................39 Body Mapping ...................................................................................................................39 Collection..............................................................................................................41 Analysis ................................................................................................................42 Limitations......................................................................................................................................42 IRB Approval and Ethical Concerns ..............................................................................................42 Beneficence (Do No Harm) ...............................................................................................43 Justice ...................................................................................................................43 Autonomy ..........................................................................................................................43 Confidentiality ...................................................................................................................44