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"resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Los programas de cooperación internacional en salud dirigidos a los más pobres tienen un indudable papel constructivo al aliviar el sufrimiento humano agudo, pero resultan contraproducentes y hasta lesivos si oscurecen la necesidad de eliminar las inequidades sociales, que son la causa primaria de las inequidades en salud.</p><p class="elsevierStyleSimplePara elsevierViewall">El objetivo de este artículo es revisar la efectividad de dos programas estatales que recibieron ayuda de la cooperación, el primero en mejorar la seguridad alimentaria de los hogares rurales y los grupos vulnerables urbanos en Colombia (1996-2005), y el segundo en desarrollar un sistema local de salud en la zona Norte de San Salvador, El Salvador (1992-1997).</p><p class="elsevierStyleSimplePara elsevierViewall">La cooperación internacional apoya programas asistenciales exitosos, como los de complementación alimentaria, que podrían generar dependencias a los beneficiarios. Además, factores externos a la cooperación (contexto de intereses políticos- económicos) influyen en los programas que apoyan, y pueden generar conflictos sociales. Es el caso del apoyo a programas de los mas pobres para la promoción de su salud en El Salvador, o de mejora de las condiciones de acceso a los alimentos mediante la producción para el autoconsumo en zonas rurales de Colombia, pues benefician la producción agraria exportable, propiedad de los más ricos, pero no al pequeño agricultor.</p>"
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"resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">International aid health programs directed at the poorest play an undoubtedly constructive role in relieving acute human suffering. These programs may, however, be counterproductive and even harmful if they obscure the need to eliminate social inequities, which are the primary cause of health inequities.</p><p class="elsevierStyleSimplePara elsevierViewall">The present article reviews the effectiveness of two state programs that received support from international aid to (a) improve food security in rural households and vulnerable urban groups in Colombia (1996-2005) and (b) develop a local health system in the northern area of San Salvador, El Salvador (1992-1997).</p><p class="elsevierStyleSimplePara elsevierViewall">International aid supports successful healthcare programs, such as food programs, could generate dependency in its beneficiaries. Factors extrinsic to cooperation (political and economic factors of the context) may affect the programs and generate social conflicts. This is the case of the program to improve access to food by subsistence production in rural areas of Colombia, which failed to reach the small farmers and benefited agricultural export production owned by wealthier groups, or interventions designed to improve health among the poorest in El Salvador.</p>"
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