Sexual and reproductive health in former Colombian ex-guerrillas before and after the peace agreement ; Salud sexual y reproductiva en exguerrilleras colombianas antes y después del acuerdo de paz ; Saúde sexual e reprodutiva em ex-guerrilheiras colombianas antes e depois do acordo de paz

The objective of this paper is to describe the experiences in sexual and reproductive health of former guerrillas of the Revolutionary Armed Forces of Colombia - People's Army (Farc-Ep) during the armed conflict and after the signing of the peace agreement. During 2018, an interpretive case study was carried out through participant observation, 11 interviews and two focus groups. In the Farc-Ep there was no comprehensive approach to sexual and reproductive health or with a gender perspective; Pregnancy prevention with methods and sanctions for women was privileged. Due to its character as a clandestine army, decisions were not made individually, and the authority of the superior involved erotic-affective relationships, although expedited attention was guaranteed for emergency cases. After the signing of the agreement, with its consequent insertion into the Colombian health system, the possibilities of care for non-urgent cases are expanded, but the barriers to health care are emphasized. Keywords: sexual and reproductive health, contraception, armed conflict, peace process, Colombia ; El objetivo de este artículo es describir las experiencias en salud sexual y reproductiva de exguerrilleras de las Fuerzas Armadas Revolucionarias de Colombia - Ejército del Pueblo (Farc-Ep) durante el conflicto armado y después de la firma del acuerdo de paz. Durante el 2018 se realizó un estudio de caso interpretativo a través de observación participante, 11 entrevistas y dos grupos focales. En las Farc-Ep no hubo un enfoque de salud sexual y reproductiva integral ni con perspectiva de género; se privilegió la prevención del embarazo con métodos y sanciones para las mujeres. Debido a su carácter de ejército clandestino las decisiones no eran tomadas de manera individual, y la autoridad del superior implicaba las relaciones erótico-afectivas, aunque se arantizaba una atención expedita para casos de urgencias. Posterior a la firma del acuerdo, con su consiguiente inserción en el sistema de salud colombiano, se amplían las ...