Abstract
Vichada is located in the southeastern corner of the county and it occupies more than 100,000 square kilometers though it only contains 0.15% of the country’s population. Most inhabitants are indigenous and do not speak the official language. The population is scattered in rural areas which cannot be accessed by road and most lack aqueducts. For this reason, a model of comprehensive health care proposed for the rest of the country is often dysfunctional in these territories; additionally, sufficient statistics to understand the health situation of this population are unavailable. We propose adapting the existing model with participation of the communities taking into account interculturality, which implies the equitable interaction between culturally different groups, and gender equality, equal rights, responsibilities, and people´s opportunities. A qualitative study was carried out with participation action for the adaptation of the model in dispersed territories. The implementation of the primary care model and an comprehensive network of services are key elements of the model. The strengthening of the information systems is a key component since it allows for the definition of epidemiological profiles, costs of attention, and priorities in the services. Our ultimate goal is for these considerations and adjustments is to improve and make accessible health care for dispersed, indigenous, and rural populations more equitable.
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