Judicialization and Health Policy in Colombia: The Implications for Evidence‐Informed Policymaking

The existence of the tutela mechanism and the endemic weaknesses of the legislative and executive branches of the Colombian state have led to a de facto judicialization of health policymaking. The objective of evidence‐informed policy is to identify effective policy approaches and legitimize policy decisions. Questions arise about the basis on which judges take decisions with significant policy and budgetary consequences, and the forms of evidence they use to inform these. This article focuses on the extent to which courts take account of research evidence in judgements and assesses the implications for health policy in Colombia. We place these discussions in the context of a broader analysis of the ongoing reforms to the Colombian health system and the most recent literature on evidence‐informed policymaking. The judicialization of health policymaking offers a suboptimal means to achieve the objective of evidence‐informed policymaking. The emergence of a range of evidence advisory bodies in recent years is an attempt to address the issue of judicialization alongside the other constitutional and political weaknesses Colombia faces.     

Course books for environmental perception and related geographical studies

This paper encourages readers to experiment with inquiry-based learning (IBL) in their courses in the interest of identifying more diverse styles of instruction, and developing a wider understanding of the advantages and disadvantages of the methodology. The aims of the paper are to unpack the meanings of IBL, describe some uses of IBL in geography, and discuss their benefits and challenges for students and teachers. IBL is essentially a question-driven, philosophical approach to teaching that involves active, student-centred learning. The teacher acts principally as a facilitator or mentor, guiding and encouraging students through the inquiry process. Examples of IBL are presented, ranging from questioning exercises embedded in the class, through to entire courses or degrees using an inquiry-based approach. Students can benefit greatly from IBL since they are active in the learning process, can have improved understanding, more enjoyable learning, develop valuable research skills, achieve higher-order learning outcomes and perform better academically. Teachers can also benefit through a strengthening of teaching–research links and the clear gains in student engagement and learning. However, in order for IBL to be effective, teachers must be encouraged and supported to take on this facilitating role. When IBL elements are embedded in a more traditional curriculum, particular care needs to be taken so that students and teachers are carefully oriented to the expectations regarding the outcome of learning and teaching in this mode.     

‘The largest volunteer life saving corps in the world’: centering child caregiving in histories of U.S. human security through the Little Mothers’ League

Abstract

In this article, I explore the relationship between youth, security, and caregiving through a study of the U.S. Little Mothers’ Leagues, an initiative which began in New York City in 1910 with the aim of reducing infant mortality by training young girls to properly care for their infant siblings. Critical approaches to caregiving view security and insecurity as relational, drawing attention to contemporary power arrangements in the global caregiving industry and the contemporary crisis of care. However, in treating children as perpetual care recipients, it fails to provide a robust framework for understanding youth and children in historical and contemporary concerns related to human security. The history of the Little Mothers, largely children of European ‘non-native white’ immigrant families, illustrates the importance of children in securing population-wide well-being and the nation’s status in the global competition to reduce infant mortality. When set in contrast to the eugenics-inspired Mothercraft movement, the case reveals how children and youth become enlisted into projects of national human security, and how their ambiguity as caregivers – too young according to modern childhood, yet effective lifesavers – intersects with race and gender to further obscure their status as caregiving agents     

Alongside Violence: Everyday Survival in Chocó, Colombia

The naturalization of violence in Colombia has made gory testimonies a common yet counterproductive product when creating narratives that reproduce some of the violence they attempt to scrutinize. This article explores women’s activism as an everyday survival practice, as well as the ethics of researching and writing about survival in Chocó. I focus specifically on two groups of Chocoan women activists and their counternarratives of violence: (1) the group Vamos Mujeres founded by women from the rural community of San Francisco de Ichó and (2) the members of the Gender Commission of a farmworker’s organization, both groups belong to Consejo Comunitario Mayor de la Asociación Campesina Integral del Atrato (COCOMACIA), the Main Community Council of the Integral Peasant Association of the Atrato River. Based on my ongoing collaboration with COCOMACIA’s Gender Commission since 2010, I argue that everyday practices reflect an ‘alongside’ (which is neither oppositional nor resistant) narrative of violence that challenges linear explanations of survival within the Colombian armed conflict. Centering survival narratives allows us to move from gory memories that reproduce violence, to an ethical rehearsal that recognizes the utopian potential of moving beyond victimhood.     

The study of collector variability in the transition to sedentary food producers in northern Colombia

Human adaptation to the tropics by populations of collectors has been a longtanding issue of debate, especially with regard to the role that collectors may have played in pathways toward sedentism and food production. In this essay, I examine significant differences in strategies developed for estuarine environments versus the inland environments of the transitional savannas of northern Colombia to analyze how these two adaptations articulate with the processes which led toward sedentism and food production in neotropical northern Colombia. Contrary to the received wisdom, I argue that the exploitation of rich estuarine environments is not necessarily a prelude to food production; seed exploitation early in the sixth millennium B.P. in the northern Colombian transitional savanna zone provides a second and arguably more probable model.     

Orinoquia: The Archaeology of the Orinoco River Basin

Orinoquia is one of the most important riverine ecosystems complexes of the world. However, it has been seldom recognized as an ecological or historical entity in general accounts of South American archaeology. This essay reviews systematically and comparatively the archaeology of Orinoquia, by discussing research done from the 1940s onwards in all the areas of the Orinoco Basin: the Andes, the plains or llanos, the Orinoco river proper, the highlands of Guayana, and the Delta. It is proposed that, in the last 20 years, there has been a sustained movement away from a traditional archaeology, concerned mostly with environmental determinism and cultural history, to new and pluralistic models that share, in spite of their diversity, a regional, long-term, and multidisciplinary approach.     

‘La doble condición’: landmine victims,forced displacement,and disability in Colombia’s Magdalena Medio

The small body of scholarship that examines the intersection between forced displacement and physical disability draws important attention to the material difficulties simultaneously disabled and displaced people experience. Instead of focusing on disability as a condition lived against the spatial backdrop of forced displacement, this paper approaches disability and displacement as mutually referential spatial conditions. Based on fieldwork with internally displaced landmine victims in Colombia’s Magdalena Medio region, this research highlights how the intersection between physical impairment and forced displacement produces both disabling spatial imaginaries of fear as well as painfully embodied rhythms of daily life. Nonetheless, this paper draws attention to urban agricultural projects’ enabling potential to produce grounding rhythms of labor for landmine victims. Finally, this paper suggests that contexts of forced displacement require close consideration of spatial imaginaries of fear as well as experiences of direct structural violence as key factors underpinning the social production of disability.     

The Emergence of Social Complexity in the Chibchan World of Southern Central America and Northern Colombia,AD 300–600

The societies of southern Central America and northern South America, a region historically occupied by Chibchan-speaking peoples, have long been acknowledged as valuable sources of information on chiefdoms and other forms of prestate social organization. Most studies, however, have focused on chiefdoms that are known ethnographically or ethnohistorically with an emphasis on the sixteenth century and the immediate precontact period. This paper reviews archaeological evidence from an earlier period in an attempt to elucidate general patterns associated with the earliest appearance of social inequality. The centuries between AD 300 and 600 are characterized by the first widespread use of prestige goods manufactured from gold and jade, special cemeteries for the interment of elites, and a rich iconography. Detailed consideration of recent research relevant to the events of this period highlights some of the problems inherent in the archaeological identification of hierarchy, chiefdoms, leadership, and other features of prestate complex societies.     

Can direct democracy deliver an alternative to extractivism? An essay on popular consultations

Between 2013 and 2018, ten different municipalities in Colombia held popular consultations in which people were asked to decide whether they wanted or not extractive industries in their territory. Promoted and articulated by environmental movements for the defence of water resources and local livelihoods, popular consultations led to surprising alliances of traditionally opposed actors, that found their interests temporarily aligned in opposition to resource extraction. In all of the ten popular consultations people voted massively against allowing the industry to enter. Through the defunding of the popular consultations and through a series of legal challenges, the government rushed to stop an additional 54 votes from happening that threatened to derail its finances and model of development. In this essay, I identify three main boundaries in the literature concerning popular consultations: between what counts as legal and legitimate, between the centre and the periphery as loci of political power, and between people and nature as bearers of rights. By providing an analysis of the absent elements of the political and academic discourse, I argue that popular consultations as spaces of experimental autonomous activity have the potential to engender alternatives to extractivist development. Hence, building on the notion of ‘resource sovereignty’ and contemporary discussions on autonomy as a prefigurative force, I reconfigure the three boundaries into a theoretical framework to guide research and political action for alternative post-extractivist futures.