Implementability of the intervention model: microbiota-gut-brain axis in Colombia

Abstract

According to the World Health Organization (WHO), worldwide, the most prevalent pathologies that urgently need intervention are cardiovascular diseases (CVD), mental disease and, due to their health burden, neoplasms. These pathologies share a common origin associated with dysfunction of the gut-brain-nutrients-microbiota-metabolism (GBNM2) axis. Therefore, it is necessary to develop effective health care models that prevent GBNM2 axis dysfunction based on strategies such as primary health care (PHC), to promote and maintain health, intervene in risk factors that limit capital in health and prevent the appearance of chronic non-communicable diseases, which lead to these outcomes. However, countries have social determinants of health that limit its implementation, such as globalization, cultural conditions, low income, low coverage in public health policies and human talent. In this sense, the model of the GBNM2 axis and the intervention of the 7 zones proposed by Camacho is a reference to address some risk factors that lead to this problem and an alternative to encourage its applicability. This article explores the facilitators, barriers, and implementation of the model based on the theory of social determinants in the Colombian health system, led by specialties such as family medicine.