Vigilancia y análisis de zonas de frontera, puertos de entrada y de población inmigrante

Objective To draw up a proposal for strengthening the information systems of epidemiological and sanitary surveillance at the points of entry and border areas of Colombia. Materials and Methods A systematic literature review was conducted using the Prisma methodology, and MeSH and DECS terms. The PubMed and BVS databases were consulted for material published between 2000 and 2014. 52 documents were included in the study according to the inclusion-exclusion criteria, which served to discuss categories such as health services, mental health, and social determinants. Results This analysis allowed to determine that epidemiological and sanitary surveillance at borders and entry points worldwide are mainly focused on areas such as mental health, transmissible events and non-communicable conditions. In addition, emphasis is given to comprehensive care in health services and to the analysis of the health status of the immigrant population under a territorial, ethnic and cultural differential approach. However, few experiences with an intersectoral approach and social determinants were found in boarder areas and/or entry points. Conclusions Differences in context, health systems, information systems and priorities in each country pose serious challenges to cross-border exchanges and cooperation. Because of this, it is necessary to encourage instruments of cooperation between bordering countries and analyzing information based on the social determinants of health.