title: [Changes in perceived health in war-displaced population, Ayacucho, Peru: 1980-2004].
abstract: The current study aims to show the individual and familiar changes in health patterns suffered by indigenous communities which were displaced from their Andean communities to Ayacucho city, Peru, for war-related political reasons, during the period of 1980 and 2004. Information about health self-perception was collected from displaced farmers living in Ayacucho city, and analyzed by using ethnographic research tools in: origin communities; during the displaced process to town, and during the integration process once the war was over in 1993. It was found out that these poor Andean communities had traditionally lived under severe social exclusion conditions, and were characterized by low access to health services and high childhood and maternal mortality rates. Vulnerability to disease, malnutrition and death reached a higher impact during the early years after the displacement, followed by a reconstructive process in order to set up a new social network. It gets consolidated once the war is over. At that time, life conditions start becoming more favorable, identification documents were regularized, and an improvement in access to health programs and services is detected. These changes also reflected the improvement on health self-perception. Nevertheless, mental health will remain causing distress in every age group of the population.
authors.affiliation: Organización Panamericana de la Salud, Organización Mundial de la Salud, Brasília, DF, 70800-400, Brazil. moyajose@bra.ops-oms.org
authors.forename: José Moya
authors.initials: JM
authors.lastname: Medina
authors.forename: Sergio
authors.initials: S
authors.lastname: López-Moreno
mesh_terms: D006304:Health Status; D006801:Humans; D007199:Indians, South American; D010568:Peru; D012036:Refugees; D012649:Self Concept; D012959:Socioeconomic Factors; D013997:Time Factors; D014857:Warfare