{"id":954,"date":"2026-07-28T16:10:24","date_gmt":"2026-07-28T21:10:24","guid":{"rendered":"https:\/\/medecins-du-monde.test.aleia.io\/action\/colombie-en\/"},"modified":"2026-10-01T05:48:04","modified_gmt":"2026-10-01T10:48:04","slug":"colombie","status":"publish","type":"action_intl","link":"https:\/\/medecinsdumonde.ca\/en\/action\/colombie\/","title":{"rendered":"Colombia"},"excerpt":{"rendered":"","protected":false},"featured_media":1590,"menu_order":7,"template":"","action_combat":[36],"action_region":[52],"mdm_pays":[],"class_list":["post-954","action_intl","type-action_intl","status-publish","has-post-thumbnail","hentry","action_combat-migration-en","action_region-americas-asia-europe"],"acf":{"statut":"active","feature":false,"description":"Care for populations displaced by the armed conflict and Venezuelan migrants. Mental health and rehabilitation programs for communities affected by violence.","presence":"Present since 2003","photo_pays":1590,"image_caption":"Photo \u00b7 Colombia \u2014 displaced people","badges":[{"badge_label":"Displacement","badge_style":"default"},{"badge_label":"Mental health","badge_style":"sante-rep"},{"badge_label":"Mental health","badge_style":"sante-rep"}],"details":[{"detail_label":"Programs","detail_value":"Mental health, internal displacement"},{"detail_label":"Areas","detail_value":"Venezuelan border, Choc\u00f3, Tumaco"}],"actu_date":"","actu_texte":"","eyebrow":"International actions","lead":"Health and protection project aimed at saving lives for migrants and host communities in the Dari\u00e9n region","hero_don_lien":[""],"hero_petition_lien":[""],"stats":[{"stat_value":"9","stat_decimals":0,"stat_suffix":"M","stat_is_red":true,"stat_label":"people in need of humanitarian aid.","stat_sub":""},{"stat_value":"5","stat_decimals":0,"stat_suffix":"M","stat_is_red":false,"stat_label":"internally displaced persons.","stat_sub":""},{"stat_value":"1.6","stat_decimals":1,"stat_suffix":"M","stat_is_red":false,"stat_label":"people affected by violence and armed conflict.","stat_sub":""}],"content":[{"acf_fc_layout":"texte","texte":"<h2>THE HUMANITARIAN SITUATION <span class=\"highlighting\">IN <\/span><span class=\"highlighting\">COLOMBIA<\/span><\/h2>\r\nIn Colombia, after decades of conflict between the State and various armed groups and despite the signing of the peace agreements in 2016, internal conflicts persist. <strong>The rights of civilian populations, particularly in rural areas, continue to be threatened and violated by different armed groups.<\/strong> In recent years, <strong>natural and climate-related disasters and mixed migration flows<\/strong> have only amplified these difficulties, particularly in remote geographical areas where the State is barely or not present at all, and where humanitarian access remains a challenge.\r\n<h3>CONFLICTS WITH TOO MANY VICTIMS<\/h3>\r\n<span data-contrast=\"auto\"><strong>In 2025, the humanitarian situation in Colombia has significantly worsened.<\/strong> Clashes between armed groups have intensified in the departments of Cauca, Nari\u00f1o, Choc\u00f3, Valle del Cauca, and Catatumbo. Violence against civilians has increased: at least 85,550 people have been affected by threats, disappearances, and targeted violence between January and August 2025.<\/span>\r\n\r\n<span data-contrast=\"auto\">Furthermore, forced displacements are on the rise. Confinements, the use of anti-personnel mines and explosives, and attacks on civilian infrastructure have reached worrying levels, making 2025 one of the most critical years of the last decade.<\/span>\r\n\r\n<span data-contrast=\"auto\">To this panorama is added the reduction of humanitarian space, due both to restrictions imposed by illegal armed groups and to the decrease in funding from international cooperation.<\/span>\r\n<h3>THE PRECARIOUSNESS OF REMOTE POPULATIONS<\/h3>\r\n<span data-contrast=\"auto\">Although over 95% of the population is affiliated with Colombia\u2019s social security health system, health services are often inaccessible due to complex geographical conditions, lack of adequate infrastructure, shortage of health personnel, and the presence of armed groups in the territories.<\/span>\r\n\r\n<span data-contrast=\"auto\">Thus, in the isolated rural areas of the departments of Putumayo, Amazonas, Nari\u00f1o, Cauca, Valle del Cauca, and Choc\u00f3, the nearest health center is sometimes several hours away on foot or by canoe.<\/span>\r\n\r\n<span data-contrast=\"auto\"><strong>In March 2025, the Colombian government adopted a national rural health plan, officially recognizing the significant health access inequalities in rural and remote areas.<\/strong> Incorporating an intercultural approach, this plan aims to reduce these territorial inequalities, and both its implementation and continuity represent a major challenge ahead of the 2026 presidential elections.<\/span>\r\n<h3 class=\"expand-top\"><span class=\"label\">WOMEN AND SEXUAL MINORITIES, PRIMARY VICTIMS OF THE CONFLICT<\/span><\/h3>\r\n<div class=\"expand-handler open\">\r\n\r\n<span data-contrast=\"auto\">According to the Colombian organization Codhes (Committee for Human Rights and Displacement), <strong>97% of cases of sexual violence in the context of armed conflicts and forced displacements remain unpunished.<\/strong> Armed actors use sexual violence to intimidate the population and members of other groups with whom they are in conflict, and filing a formal complaint in this context is often very difficult. Women and girls, particularly those of Afro-descendant and Indigenous backgrounds, are the primary victims.<\/span>\r\n\r\n<span data-contrast=\"auto\">Furthermore, the lack of recognition and legal protection of the rights of LGBTQ2S+ persons can constitute an obstacle to the open and free expression of their gender identity and sexual orientation, making it more difficult to adequately respond to their health needs.<\/span>\r\n<h3>VENEZUELAN MIGRATION CRISIS<\/h3>\r\n<strong>In 2025, Colombia remains the primary host country for the Venezuelan migrant population, with over 1.9 million Venezuelans<\/strong> holding a temporary protection permit, but their protection needs and access to health are hindered by the precariousness of the Colombian system.\r\n\r\n<span data-contrast=\"auto\">The tightening of migration policies in the region has profoundly transformed existing dynamics. <strong>While over 400,000 people had crossed the northern border into Panama via the Dari\u00e9n in 2024, flows have nearly stopped in 2025,<\/strong> leading to a phenomenon of reverse migration from north to south and constant changes in routes, sometimes even more dangerous.<\/span>\r\n\r\n<span data-contrast=\"auto\">The closure of Panama\u2019s borders in July 2024 and the withdrawal of international organizations from Bajo Chiquito have further complicated the situation. It is estimated that by mid-2025, only 13,200 people had crossed the country, a 94% decrease compared to 2024.<\/span>\r\n\r\n<\/div>"},{"acf_fc_layout":"media","media_image":4509,"media_placeholder":"","media_legende":"Photo: M\u00e9decins du Monde - Las Tecas Camps"},{"acf_fc_layout":"texte","texte":"<h2>Doctors of the World provides care for migrants and host communities in the Dari\u00e9n region<\/h2>\r\nThe <strong>Doctors of the World teams quickly adapted their intervention to follow the evolution of migration routes<\/strong>, particularly along the Atlantic coast where an increasing number of people in reverse exodus are now transiting.\r\n\r\nTwo permanent care points have been established in Capurgan\u00e1: the first at the dock, where <strong>the team provides primary health care \u2014 including sexual and reproductive health and psychosocial support<\/strong> \u2014 in coordination with the Colombian health authorities; the second in a shelter where migrants spend the night before continuing their journey to Necocl\u00ed or Turbo.\r\n\r\nIn addition, <strong>mobile clinics<\/strong> <strong>deployed in the most hard-to-reach areas<\/strong> of Acand\u00ed and Capurgan\u00e1 offer primary health care, sexual and reproductive health services, and mental health support \u2014 for both migrants and host communities. This approach helps expand health coverage, prevent disease outbreaks, and reach a population otherwise left behind by institutional health services.\r\n\r\nThis response is also part of a logic of complementarity: <strong>while other international organizations focus on protection, Doctors of the World prioritizes primary health care and prevention<\/strong>, ensuring comprehensive coverage of needs throughout the migration journey."},{"acf_fc_layout":"citation","citation_texte":"\u201cThis experience shows how, in a humanitarian context, a space for dialogue and attentive listening can become a turning point.\u201d","citation_surligne":"","citation_auteur":"Lesly Abuchar and Andrea Aguilar, members of the Doctors of the World team"},{"acf_fc_layout":"texte","texte":"<h2>OUR INTERVENTION ZONES<\/h2>"},{"acf_fc_layout":"zones","zones":[{"zone_label":"Main zone","zone_val":"Choc\u00f3 Department","zone_is_red":false,"zone_sub":""},{"zone_label":"","zone_val":"Dari\u00e9n region","zone_is_red":false,"zone_sub":""},{"zone_label":"","zone_val":"Acand\u00ed","zone_is_red":false,"zone_sub":""},{"zone_label":"","zone_val":"Las Tecas Camps","zone_is_red":false,"zone_sub":""}]}],"side_don_titre":"Support our field missions","side_don_texte":"Your donations enable our teams to maintain emergency care in conflict and crisis zones around the world.","side_don_lien":[""],"presence_rows":null,"actu_sujet":null,"actus_pinned":"","partners_tag":"","partners_titre":"Our partners","partners_titre_hl":"in the field","partners_desc":"","partners":[{"partner_logo":5441,"partner_name":"Global Affairs Canada","partner_type":"Funding agency"},{"partner_logo":1415,"partner_name":"Colombian health authorities","partner_type":"Institutional partner"}]},"_links":{"self":[{"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/action_intl\/954","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/action_intl"}],"about":[{"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/types\/action_intl"}],"version-history":[{"count":2,"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/action_intl\/954\/revisions"}],"predecessor-version":[{"id":4510,"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/action_intl\/954\/revisions\/4510"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/media\/1590"}],"wp:attachment":[{"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/media?parent=954"}],"wp:term":[{"taxonomy":"action_combat","embeddable":true,"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/action_combat?post=954"},{"taxonomy":"action_region","embeddable":true,"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/action_region?post=954"},{"taxonomy":"mdm_pays","embeddable":true,"href":"https:\/\/medecinsdumonde.ca\/en\/wp-json\/wp\/v2\/mdm_pays?post=954"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}