Such progress has allowed Colombia to become a regional leader in key activities. Its health technology assessment agency, lnstituto de Evaluacion Tecnologica en Salud, is one of the most advanced in Latin America, for example. The conflict has led to displacement and forced possession of land, forced recruitment and kidnapping, homicides, injuries and sexual violence. In total, 7.1 million are estimated to have been victims of the armed conflict between 1985 and 2015 - mostly rural, impoverished Colombians.