Longitudinal health survey of women from Venezuela in Colombia (ELSA-VENCOL): First report

PLoS One. 2023 Mar 30;18(3):e0274157. doi: 10.1371/journal.pone.0274157. eCollection 2023.

Abstract

Background: Colombia is currently the world's main recipient country for Venezuelan migrants, and women represent a high proportion of them. This article presents the first report of a cohort of Venezuelan migrant women entering Colombia through Cúcuta and its metropolitan area. The study aimed to describe the health status and access to healthcare services among Venezuelan migrant women in Colombia with irregular migration status, and to analyze changes in those conditions at a one-month follow-up.

Methods: We carried out a longitudinal cohort study of Venezuelan migrant women, 18 to 45 years, who entered Colombia with an irregular migration status. Study participants were recruited in Cúcuta and its metropolitan area. At baseline, we administered a structured questionnaire including sociodemographic characteristics, migration history, health history, access to health services, sexual and reproductive health, practice of early detection of cervical cancer and breast cancer, food insecurity, and depressive symptoms. The women were again contacted by phone one month later, between March and July 2021, and a second questionnaire was applied.

Results: A total of 2,298 women were included in the baseline measurement and 56.4% could be contacted again at the one-month follow-up. At the baseline, 23.0% of the participants reported a self-perceived health problem or condition in the past month and 29.5% in the past 6 months, and 14.5% evaluated their health as fair or poor. A significant increase was found in the percentage of women who reported a self-perceived health problem during the past month (from 23.1% to 31.4%; p<0.01); as well as in the share who reported moderate, severe, or extreme difficulty working or performing daily chores (from 5.5% to 11.0%; p = 0.03) and who rated their health as fair (from 13.0% to 31.2%; p<0.01). Meanwhile, the percentage of women with depressive symptoms decreased from 80.5% to 71.2% (p<0.01).

Conclusion: This report presents initial information on the health status of Venezuelan migrant women in Colombia, and is a starting point for further longer longitudinal follow-ups to assess changes over time in health conditions.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Colombia / epidemiology
  • Female
  • Health Surveys
  • Humans
  • Longitudinal Studies
  • Transients and Migrants*
  • Venezuela / epidemiology

Grants and funding

This study was possible thanks to the generous support of the people of the United States through the Community Stabilization Activities (CSA) of the U.S. Agency for International Development (USAID) which funded this survey (https://www.usaid.gov/colombia). The grant was received and administered by the International Organization for Migration in Colombia. The International Organization for Migration (IOM) and the United States Agency for International Development -USAID- signed the cooperation agreement # FGM-01772051418IO00005 in 2020 in order to “Provide the Government of Colombia with (GOC) technical assistance and tools to face the serious humanitarian situation created in the communities affected by the sudden increase in population flows from Venezuela” which included the design and implementation of this survey. One of the authors (DAR) is the coordinator of the Migration and Health Program of IOM in Colombia. Subsequently, IOM signed an agreement with the Universidad del Norte: Project implement agreement 015 of 2020 FGM-017. JAFN and JAR were the principal investigators of the project from side of the University. The sponsor did not play any role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The content of the manuscript is the sole responsibility of the authors and does not necessarily reflect the opinions of USAID, the government of the United States of America or IOM.