Latin America
Colombia is facing significant challenges due to ongoing armed conflicts involving non-state armed groups and the state, climate disasters, massive migration from Venezuela and limited institutional capacity. In Norte de Santander and Arauca, humanitarian access has deteriorated due to the strong presence of non-state armed groups, leading to increased violence and people’s displacement. Healthcare services in conflict-affected regions are severely strained, while the demand has increased with the migrant population settling. Norte de Santander and Arauca have 1.2 and 1.4 doctors per 1,000 inhabitants, respectively, compared to the national average of 2.4 and the WHO recommendation of 3.5. Health centers face deficiencies in infrastructure, personnel shortages, and inadequate supplies, impacting physical and mental healthcare services, prenatal care, and basic healthcare for children and adolescents.
Premiere Urgence Internationale’s extensive expertise in physical and mental health, including nutrition, sexual and reproductive health, and protection contributes to mitigate the needs in the departments targeted, namely in Arauca and Norte de Santander. Our interventions aims to address the complex challenges faced by the local and migrant populations in accessing healthcare by implementing a proven strategy of direct health attention combined with a robust referral system with an established network of institutional and humanitarian actors:
Premiere Urgence Internationale provides direct health services with professional doctors, nurses, psychologists, social workers and nurse assistants, and ensures quality healthcare, making it a trusted presence in the area. Premiere Urgence Internationale’s prudent methodology for extramural intervention enables it to operate effectively in hard-to-reach regions.
Anthropometric measurement of a child during an extramural activity in Catatumbo, November 2023 ©Première Urgence Internationale
Primary health care for a family living in a conflict-affected area, Catatumbo, January 2024 ©Première Urgence Internationale
Distribution of mosquito nets for the prevention of vector-borne diseases among pregnant and breastfeeding women, as part of the response to the El Niño phenomenon in Catatumbo, November 2023 ©Première Urgence Internationale
Première Urgence Internationale staff set up stands to take part in the extra-mural day organized in the center of Pamplona / ©Première Urgence Internationale / Nadège Mazars
A social worker leads a workshop with children whose families are staying at the Bucaramanga shelter. ©Première Urgence Internationale / Nadège Mazars