La Salud para las Comunidades Negras en Colombia: del Reconocimiento a la Transformación.

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Bibliographic Details
Title:	La Salud para las Comunidades Negras en Colombia: del Reconocimiento a la Transformación.
Alternate Title:	Health for Black Communities in Colombia: From Recognition to Transformation.
Authors:	Duque Quintero, Sandra Patricia¹ spatricia.duque@udea.edu.co
Source:	Revista EIA. ene-jun2026, Vol. 23 Issue 45, p1-31. 31p.
Abstract (English):	This article examines the Colombian State’s obligation to shift from affirmative action policies to transformative health policies for Black, Afro-Colombian, Raizal, and Palenquera communities to improve their social and health conditions. This qualitative study, adopting a socio-legal approach, relies on a review of current regulations, jurisprudence, and specialized literature on social determinants of health and traditional practices. It is clear that, despite a comprehensive regulatory framework, social, economic, cultural, and geographic barriers continue to hinder Black communities from accessing health services in a timely and quality manner, while also undermining and risking their traditional systems of care and healing. Affirmative action policies have shown limited impact, as they fail to address the root causes of inequality. A transition toward transformative policies with an intercultural approach is proposed, linking the traditional health system with the formal system through therapeutic complementarity, reciprocal training of health personnel, community participation, and an ethnic-territorial perspective. It concludes that it is the obligation of the State, through the General Social Security System in Health, to design and implement a unified and intercultural health system for Black, Afro-Colombian, Raizal, and Palenquera communities that recognizes their worldviews, guarantees equitable access to care, and ensures the effective exercise of the fundamental right to health. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Este artículo analiza la obligación del Estado colombiano de transitar de políticas afirmativas a políticas transformativas en salud para las comunidades negras, afrocolombianas, raizales y palenqueras, con el propósito de mejorar sus condiciones sociales y sanitarias. El estudio es cualitativo, con un enfoque sociojurídico, basado en una revisión documental de la normatividad y la jurisprudencia vigentes, así como de la literatura especializada sobre los determinantes sociales de la salud y las prácticas tradicionales. Se evidencia que, pese a un amplio andamiaje normativo, persisten barreras sociales, económicas, culturales y geográficas que restringen el acceso oportuno y de calidad a los servicios de salud de las comunidades negras, a la vez que se deslegitiman y ponen en riesgo sus sistemas tradicionales de cuidado y sanación. Las políticas afirmativas han tenido un alcance limitado al no modificar las causas estructurales de la inequidad; se propone un viraje hacia políticas transformativas, con un enfoque intercultural, que articulen el sistema tradicional de salud con el sistema formal mediante complementariedad terapéutica, formación bidireccional del talento humano, participación vinculante de las comunidades y un enfoque étnico-territorial. Se concluye que corresponde al Estado, a través del Sistema General de Seguridad Social en Salud, diseñar e implementar un sistema de salud propio e intercultural para las comunidades negras, afrocolombianas, raizales y palenqueras que reconozca sus cosmovisiones y garantice un acceso equitativo a los servicios, asegurando un ejercicio efectivo del derecho fundamental a la salud. [ABSTRACT FROM AUTHOR]
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Database:	Engineering Source

Description
Abstract:	This article examines the Colombian State’s obligation to shift from affirmative action policies to transformative health policies for Black, Afro-Colombian, Raizal, and Palenquera communities to improve their social and health conditions. This qualitative study, adopting a socio-legal approach, relies on a review of current regulations, jurisprudence, and specialized literature on social determinants of health and traditional practices. It is clear that, despite a comprehensive regulatory framework, social, economic, cultural, and geographic barriers continue to hinder Black communities from accessing health services in a timely and quality manner, while also undermining and risking their traditional systems of care and healing. Affirmative action policies have shown limited impact, as they fail to address the root causes of inequality. A transition toward transformative policies with an intercultural approach is proposed, linking the traditional health system with the formal system through therapeutic complementarity, reciprocal training of health personnel, community participation, and an ethnic-territorial perspective. It concludes that it is the obligation of the State, through the General Social Security System in Health, to design and implement a unified and intercultural health system for Black, Afro-Colombian, Raizal, and Palenquera communities that recognizes their worldviews, guarantees equitable access to care, and ensures the effective exercise of the fundamental right to health. [ABSTRACT FROM AUTHOR]
ISSN:	17941237
DOI:	10.24050/reia.v23i45.1944