Promotion and prevention

The focus of our care model is based on health risk management, and in this management self-care is essential, for this reason, in the Promotion and Prevention programs you will find those comprehensive actions and procedures, aimed at strengthening and developing skills to Maintain and improve your health and that of your family.

By their nature, these programs are a responsibility shared between individuals, families, companies, EPS Health Promoting Entities and IPS health provider institutions.

We invite you to use the programs that we detail below, to which you and your family can access directly without medical referral or payment of moderator fees. If you require information about the programs, you can request it through the health services telephone center.

Requirements

  • It does not require a referral, that is, the appointment to access these services is requested directly without a medical order.
  • It has no cost.
How to access the service
  • Request an appointment by phone through our health services telephone center (57+2) 4853530
  • Go to the appointment on the date and time indicated by presenting: Identity document and/or patient affiliation card.
  • If for any reason you cannot attend your appointment, remember to call our health services telephone center (57+2) 4853530 to cancel it.
  • Under 10 years
  • Youth (10 to 29 years)
  • Adults (Over 30 years old)
  • Women
  • Men
  • Visual acuity
  • Vaccination
  • Oral health
  • For the entire family
  • childbirth care
  • newborn care
  • Family planning care

Under 10 years

Children's health self-care

Eating healthy and nutritious

Promotion and prevention programs for children

Early detection of growth and development disorders, for children from 0 to 9 years old.
Among the benefits and advantages of this program are:

  • Evaluate the state of health and risk factors that may alter the process of growth and development of the child.
  • Perform general physical examination, assessment of weight, height, perimeters and nutritional status.
  • Evaluate the process of growth and development of the child under 10 years of age in an integral way.
  • Educate the child's family or caregiver, based on the child's age, about the findings of the consultation.
  • Guidance on warning signs for which you should consult in a timely manner.
  • Assess the child's progress in behaviors: motor, auditory, language, personal and social.
  • Carry out group education activities and counseling in nutrition, childcare, stimulation according to age.
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Youths

Promotion and prevention programs for young people

Early detection of developmental disorders in young people between the ages of 10 and 29

This program allows the youth to:

  • Receive guidance on issues related to: sexuality, violence, depression, suicide, eating disorders, addictions and physical activity.
  • Promote self-care, in accordance with the detection of individual risks taking into account the assessment of family and medical history.
  • Carry out a general physical examination, height, weight, blood pressure measurement and education for self-examination of the breast and testicles.
  • Prescription of laboratory tests according to the findings and risks detected by the doctor during the consultation. For adolescent women between the ages of 10 and 13, prescription for a laboratory test (hemoglobin and hematocrit).
  • Detection of cervical cancer in women with an active sexual life, cytology is recommended one year after the start of intercourse. For more information see here
To our members over 18 years of age, we recommend using the Body Mass Index tool found in the link Body Mass Index (BMI) Calculator; This calculator allows us to know if the relationship between weight and height is adequate or if we are underweight, overweight or obese.
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Adults over 30 years

Promotion and prevention programs for adults

Detection of adult alterations (adults from 45 years of age)

This is a consultation that is part of a program as a National standard for adults over 45 years of age; however, we recommend that from the age of 30 our members read this information and use the body mass index calculator so that by the time we reach 45 years of age we already have healthy lifestyle habits that maintain health and protect us from certain diseases, the approach of these interventions is based on the early detection of alterations and adult diseases, they are carried out in people from the age of 45 with a periodicity of every 5 years. If you are 45, 50, 55, 60, 65, 70, 75 and 80 years old, do not forget to request your appointment for this purpose.
If any risk condition or disease is identified; The professional in charge of this consultation will refer you for comprehensive management in accordance with the health guidelines.

Among the pathologies that are explored in the consultation for early detection of alterations in adults over 45 years of age are:

  • Cardiovascular diseases: arterial hypertension, cerebrovascular disease, coronary disease and peripheral vascular disease.
  • Metabolic diseases: obesity, dyslipidemia, diabetes and osteoporosis.
  • Neoplastic diseases: cervical cancer, breast cancer, prostate cancer, gastric cancer, colon and rectum.
  • Chronic lung diseases: bronchitis, emphysema, asthma and tuberculosis.
  • Osteoarticular musculoskeletal diseases: arthritis and osteoarthritis.
  • Neurological diseases: cerebrovascular accidents, transient cerebral ischemia.

The doctor explores these alterations through questions that the patient is asked about signs and symptoms and complements this information with the physical examination.
The laboratories that are generally requested in these consultations are: lipid profile, creatinine, partial urine and glycemia

These tests are taken fasting

A lipid profile is a group of blood tests that shows how your body uses, changes, and stores lipids. Lipids are fats that cannot be dissolved in the blood. Lipids stick to proteins in the blood, thus receiving the name lipoproteins. The amount of lipoproteins in your blood can change depending on what you eat, disease, or heredity. Some of these lipids are cholesterol and triglycerides. A high concentration of lipids, especially LDL, may correspond to metabolic diseases and confer risk, especially for cardiovascular and neurological diseases. Therefore, it is important to check your lipid levels and in case interventions are required, arrange these with your doctor.

Creatinine is a substance normally found in the body. It can be measured by a blood test. Creatinine levels are usually measured to see how well your kidneys are working.

A urine partial is an examination of a urine sample collected in a vial. The analysis of this urine allows to check some metabolic and cardiovascular diseases. Urine is also sometimes altered when there are kidney and/or urinary tract diseases.

A fasting glycemia is a blood test that allows checking for some metabolic and cardiovascular diseases, which include hypoglycemia, diabetes mellitus and metabolic syndrome.
The aforementioned laboratory tests are routinely requested in this consultation, since the patient may not have any signs or symptoms of any disease, and in the consultation with the doctor, the latter may not find any alterations; however, the patient may be presenting with cholesterol problems, diabetes, etc. If the doctor identifies any other alteration during your consultation, he will request additional tests.

With these evaluations, 100% of the cases are not detected; However, if the majority and the pathologies mentioned, the earlier they are diagnosed and intervened, they will have a better prognosis.

This consultation also provides guidance and education on healthy lifestyle habits.

Consultation material on what to do in case of being overweight

Cardiovascular diseases are one of the most important causes of disability and premature death worldwide. These diseases progress over the years in a silent way, so that when symptoms appear, usually in middle age, it is usually in an advanced stage. Acute coronary (myocardial infarction) and cerebrovascular events occur suddenly and often lead to death before proper medical care can be provided. Risk factor modification can reduce cardiovascular events and premature death both in people with established cardiovascular disease and in those at high cardiovascular risk due to one or more risk factors. Here we guide you on how to identify and reduce your risk.

As a rule in Colombia, clinical and paraclinical evaluations must be carried out from the age of 45; However, from the age of 30 it is important to take these risk factors into account, guide our habits towards healthy lifestyles and especially guide our children so that they begin to enjoy good adult health from childhood .

Diabetes Risk Screening

Click here

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Women

Promotion and prevention programs for women

The EPS manages in its promotion and prevention program for women the strategies to reduce and detect early cervical and breast cancer. For early detection of cervical cancer in women 25 to 69 years of age or sexually active women under 25 years of age and for early detection of breast cancer in women 50 years and older. The benefits of this program are:

  • Evaluate predisposing risk factors for cervical cancer.
  • Perform manual breast examination and educate for breast self-examination.
  • Taking, reading and processing of cervical uterine cytology.
  • Inform and guide according to the result of the examination and the particular conditions of each user.
  • Make referral to the bilateral screening mammography exam for women from the age of 50 every two (2) years.


The veracity of the information provided about the contact details (address and telephone) is important, as well as claiming the results on the established dates.

ovarian cancer program

This disease originates when the cells of the ovaries begin to grow uncontrollably.

Every year in Colombia:

  • 1,438 new cases are diagnosed.
  • Around 883 women die.
  • 80% of the cases are diagnosed in late stages, thus decreasing the opportunity for treatment for thousands of women.


risk factors are:

  • Being over 50 years old.
  • Infertility or not having had children.
  • Family history of ovarian or breast cancer.
  • Onset of menstruation at an early age.
  • Alcohol consumption.
  • smoking.
  • Obesity.


The symptoms are:

  • Bloating or abdominal pain.
  • Vaginal or rectal bleeding.
  • Stomach problems.
  • Urinary discomfort (urgency or frequency).
  • Difficulty swallowing food or a quick feeling of fullness when eating.
  • Fatigue.
  • Back pain.
  • Pain during sexual intercourse.
  • Constipation.
  • Changes in menstrual periods.
  • Abdominal swelling with weight loss.


Some forms of prevention are:
There are currently two options to reduce the risk of ovarian cancer:

  • Contraceptive pills. Oral contraceptives have been shown to reduce the risk of ovarian cancer by up to 30% to 60%.
  • Preventive surgery to remove the ovaries and fallopian tubes may be considered
  • Maintaining a healthy body weight can also reduce risk.
  • If you have any questions or symptoms, consult your personal doctor.

Prevention and detection of breast cancer

Cervical Cancer Early Detection Program

The uterine cervical cytology should be taken in the 1-1-3 scheme; This means that if the result of the first Pap smear is normal, a second Pap smear is performed every year to reduce the number of cases that were not detected with the first one. If this second Pap smear is normal, another Pap smear should be scheduled in three years and maintain this periodicity, as long as the cytology result remains negative.

In cases where the last cytology was taken more than three years ago, the 1-1-3 scheme should be restarted. The most frequent intake can be recommended according to the particular conditions of each woman, her previous results or the behavior of cervical cancer in her locality. For more information we recommend reading the following document:

Cancer can be prevented: There are ways to prevent cancer, we invite you to watch this video and review the information published on this page.

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Visual acuity

Visual acuity abnormalities detection program

The purpose of this program is to detect early changes in visual acuity, for which visual acuity is measured in people ages 4, 11, 16 and 45 and visual health consultation for the elderly, through affiliates from the age of 55 every 5 years.

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newborn care

Newborn Care Program

It is the set of activities and procedures aimed at girls and boys in the birth process and immediately after birth, with the purpose of reducing the risk of newborn disease, supporting the process of adaptation to extra-uterine life, through early detection, prevention and control of problems, in order to achieve a healthy newborn and thus reduce multiple consequences on child health.

These activities and procedures must be guaranteed by the network institutions that provide delivery and/or caesarean section care and newborn care, which must have the capacity to solve problems and a trained health team that guarantees humanized care and of quality to achieve a healthy newborn.

The activities to be carried out in the newborn are:

  • Sampling of umbilical cord blood for screening for congenital hypothyroidism (neonatal TSH thyroid-stimulating hormone).
  • Intramuscular administration of vitamin K.
  • Examination for hemoclassification (blood group and RH).
  • Performing ophthalmic prophylaxis to prevent infections.
  • Lodging together with the mother and support for exclusive breastfeeding on free demand.
  • Start of the vaccination scheme with application of the following vaccines: BCG (single dose, protects against tuberculosis) and antihepatitis B (requires continuing the scheme to protect against hepatitis B).
  • Education for the mother on: nutrition, detection of alarm signs or complications for which she should consult a health and care institution with the newborn.
  • Newborn control consultation: this consultation is intended to consolidate immediate neonatal adaptation, it must be performed by a doctor 72 hours after birth and includes activities such as: complete physical examination and evaluation of behaviors and maternal care of the newborn and giving the relevant instructions.


Remember to request the result of the neonatal TSH test and the newborn's vaccination card, where the applied doses are recorded and request the control appointment where the patient is georeferenced, in case she is not there, request an appointment with her personal doctor within within 8 days of birth. Keep in mind that to request any service, the newborn's affiliation to the EPS is necessary.

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childbirth care

In relation to technical standards, all promotion and prevention procedures, except delivery care in the Contributory Regime, are exempt from co-payments and moderator fees in accordance with the provisions of Agreement 30 of the National Council of Social Security in Health - CNSSS and as described in RESOLUTION NUMBER 412 of 2000 and regulations that complement or modify it.

In the pregnant section of How do I take care of myself? You will find guidance for before, during and after pregnancy. More information [+]In relation to childbirth, we recommend that you consult in particular the booklet: “The birth is near”. More information [+].

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Family Planning Care

Family Planning Program for Men and Women

It consists of a set of activities, procedures and interventions aimed at men and women, among which is information, education and advice on contraception, including through consultation, the formulation of hormonal contraceptive methods in oral, injectable and subdermal implant, as well as the application of intrauterine device (IUD) and referral for surgery in case of choice of definitive contraceptive methods (tubal ligation or vasectomy). The prescription of contraceptive methods is governed by the provisions of the Mandatory Health Plan POS of the contributory regime. This consultation involves counseling on sexual and reproductive health, sexual rights and duties.

Adolescents and young people between the ages of 14 and 18, in the exercise of their developing autonomy, may make decisions about non-definitive family planning methods in accordance with the provisions of current regulations.

The consultation, medicines and procedures covered within the Family Planning Program do not generate any cost for our members.

Choose to prevent HIV
For me, I decide. think like a man
start without pressure
Decide without pressure
Fulfilling yourself as a woman goes beyond being a mother
As a couple, the decision is up to both of you.
HIV AIDS
ACT.: 05032014

Men

In this section we will include information of special interest to men; However, reading this section is not exclusive of other sections of How do I take care of myself? to know its content and recommend its reading to friends and family. Activities related to this section may not be free of copayments and moderator fees; however we include them here to warn our affiliates about warning signs.

The prostate and prostate cancer

The prostate is a small gland found only in men. It is about the size of a walnut and gets a little bigger with age. It surrounds the first part of the tube (urethra) that carries urine from the bladder through of the penis.

The prostate makes a thick white fluid that mixes with the sperm produced by the testicles to make semen. It also makes a protein called prostate specific antigen (PSA).

The prostate gland is surrounded by a sheet of muscle and a fibrous capsule. The growth of prostate cells and the way the prostate gland functions is dependent on the male sex hormone testosterone, which is produced in the testicles.

The back of the prostate gland is near the rectum (anus).

Prostate cancer usually affects men over the age of 50 and is rare in younger men. It is the most common type of cancer in men in much of the world.

Men with early prostate cancer probably won't have any symptoms, since they only occur when the cancer is large enough to put pressure on the urethra (the tube that drains urine from the bladder). In men older than 50 years, the prostate gland often enlarges due to a non-cancerous condition called benign prostatic hyperplasia or hypertrophy.

Symptoms of benign prostate gland hyperplasia and malignant tumors (cancer) are similar and may include any of the following:

  • Difficulty urinating
  • Urinating more often than usual, especially at night
  • pain when urinating
  • Blood in the urine (this is not common)


If you have any of these symptoms it is important to make an appointment to be examined by a doctor. But remember, most prostate growths are not cancer.

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For the entire family

Health care for the whole family

One way to protect ourselves and our entire family is to adopt healthy lifestyle habits. In this section we support affiliated families in aspects such as diet, physical activity, avoiding tobacco use and other harmful substances. Also in this section we will present information on the diseases that afflict us according to a specific time of the year, for example those respiratory infections that increase in rainy seasons or dengue.

Zika, a virus that we must prevent:

Zika is a virus transmitted by the Aedes Aegypti mosquito, which has similarities to Dengue and Chikungunya viruses. Being a global alert, we must be vigilant to know what the symptoms of this disease are and also how to prevent its spread. At EPS Comfenalco Valle we want to help our affiliates, for this reason, we invite you to consult the educational booklet that we have created for you where you will learn everything related to this virus in depth.

Preventing and being attentive is detecting in time.

Do not stop eating what you like, the key is to select the food you eat properly, but remember to include fruits and vegetables in your meals. You will find special recommendations for babies and extended recommendations for other ages by clicking on the two images below.


Healthy nutrition

Eating the foods the body needs allows it to function as it was designed to. Diseases such as constipation, gastritis, diabetes, irritated colon, and obesity are so common that we are learning to live with them, but the solution lies in a balanced diet.

In this video you will find TIPS that will help you eat healthy and some tips in your kitchen. The advice is given by a professional who knows the subject well (Nutritionist) and is accompanied by a Chef who gives us guidelines and recipes for the preparation of different types of meals.
Watch the video also on our channel 

Plan A is the best thing you can do for your health. Campaign of the Ministry of Health and Social Protection.

The health and proper functioning of our body depends on a healthy diet, which contains varied and nutritious foods at each meal every day, so that the body can perform different functions and maintain health.

The remedy: fruits and vegetables

Drink water
Drinking water (and fewer sugary drinks) helps reduce the risk of diseases such as high blood pressure, obesity, and diabetes.

With daily activities we leave the sedentary lifestyle       

Move for a healthy life   

PLAN A
Plan A is the best thing you can do for yourself every day: physical activity, healthy eating and water.

Plan A Physical Activity
Plan A. Physical activity is easier than you think. Campaign of the Ministry of Health and Social Protection

The remedy: physical activity
Regular physical activity produces important benefits in physical and mental health: it decreases the risk of diabetes, cardiovascular and cerebrovascular diseases and some types of cancer.
Physical activity helps develop muscle strength, endurance, and flexibility, builds self-confidence, reduces anxiety and depression, and improves stress tolerance.

It is important that in times of increased presence of respiratory infections, protective measures are used to reduce the transmission of microorganisms.

Protective measures to prevent the spread of respiratory viruses

Tuberculosis promotion and prevention program

Prevention of acute respiratory disease

Watch out for ALARM SIGNS:

  • Abnormal breathing (rapid breathing, shortness of breath, dipping in ribs when breathing, or making strange noises when breathing).
  • He can't eat, drink and vomits everything.
  • Fever greater than 38.5 degrees for more than two days (for children older than 2 months).
  • If he is less than 2 months old, fever greater than 38 degrees or low temperature (less than 36.2 degrees).
  • Abnormally sleepy or does not wake up easily.
  • He has seizures.
  • For children over 5 years of age, adolescents and adults, the alarm signs are related to the presence of suffocation or difficulty breathing, chest pain when breathing or coughing, weakness or excessive tiredness, fever over 38.5 degrees for more than three days of evolution and present expectoration with yellow material or pints of blood.

Keep FEEDING:

  • If it is exclusively with the mother's breast, it should be offered more frequently and avoid suspending it.
  • With other foods, encourage them to drink more fluids and feed frequently by offering small portions.

Apply HYGIENE measures:The nose should be kept as clean as possible, performing nasal lavage with physiological saline.
Perform frequent hand washing or sanitizing.
People over 5 years of age who have the flu must wear a face mask.

Follow the RECOMMENDATIONS of Comfenalco Valle EPS:

  • In case of presenting any alarm sign, you should go to the health services.
  • Administer only the medications indicated by the doctor.
  • Do not go to pharmacies in case you require attention, or request syrups to remove cough.
  • You must learn how to use the thermometer.
  • Protect yourself from sudden changes in temperature and do not overcoat indoors.
  • If there is a fever, stay in comfortable and cool clothing.
  • Keep up to date the vaccination scheme for children, the elderly and pregnant women.

Respiratory disease is not a game

The remedy: wash your hands

Smoking makes you sick, kills and slowly but permanently affects your quality of life. Find out about the benefits for your body when you don't smoke or when you quit smoking and about some aids to quit smoking.
Take care for a healthy life

Generation More: More and more of us decide not to smoke.
We are more without tobacco

We want to share with you 7 good reasons to stay away from cigarettes:

  • You breathe better.
  • You have more energy and vitality.
  • The food will have more flavor.
  • You tire less.
  • You will improve your health and that of the people around you.
  • You will reduce the risk of lung cancer and other respiratory problems.
  • Your skin regenerates better.

Decide, take a breath and enjoy your good health. For a healthy life change your style.

Dengue Prevention Program

Precautions to prevent dengue

get fly with dengue

Anti-dengue challenge Symptoms

Anti-dengue challenge at home

Anti-dengue challenge at school

Get vaccinated against seasonal influenza and protect yourself from respiratory diseases.

The influenza virus is the most frequent cause of acute respiratory disease in the population, it begins with a cold that, if not treated properly over time, can become a complex respiratory infection. So that this does not happen, we invite you to to take preventative measures and be alert to warning signs.

Priority Population:
The seasonal influenza vaccine should be applied to the general population, with the highest priority being:
Boys and girls from 6 to 23 months.
Pregnant women from week 14.
Adults 60 years and older.
Population at risk with chronic obstructive pulmonary disease-COPD, asthma, chronic bronchitis, emphysema, pulmonary fibrosis, sarcoidosis, asbestosis, aspergilloma, aspergillosis, acute invasive aspergillosis, atelectasis, eosinophilic pneumonia, lung cancer, metastatic lung cancer, necrotizing pneumonia, pleural effusion , pneumoconiosis, pneumocystosis, pneumonia, pneumonia in immunodeficient user, pneumothorax, pulmonary actinomycosis, pulmonary alveolar proteinosis, pulmonary anthrax, pulmonary arteriovenous malformation, pulmonary edema, pulmonary embolus, pulmonary histiocytosis (eosinophilic granuloma), pulmonary hypertension, pulmonary nocardiosis, pulmonary tuberculosis , pulmonary veno-occlusive disease , rheumatoid lung disease.
Morbid obesity.
Immunocompromised: is one who, due to their underlying disease (HIV, cancer, chronic kidney or liver diseases) or due to prolonged use of immunosuppressive drugs (steroids, chemotherapy; transplant recipients) has altered one or more immune mechanisms, a phenomenon that makes them susceptible to opportunistic infections. Any user whose doctor confirms the diagnosis will be vaccinated.
Diabetes Mellitus, insulin-dependent, heart disease, nephropathy, neuropathy, etc.
Congenital, rheumatic and ischemic heart disease.

Be aware of the following warning signs:

  • sudden fever
  • Sore throat.
  • Headache.
  • Muscle pains.
  • Shaking chills.
  • Anorexy.
  • Extreme fatigue accompanied by coughing for the next 24 hours.

It is very important that fathers, mothers, guardians and caregivers of children and older adults recognize the warning signs that indicate when a common cold is no longer a mild illness and becomes a disease that can have complications. Faced with these, it is necessary to act immediately and consult your Comprehensive Health Services Center

The Remedy: live longer and get sick less

Being physically active, eating more fruits and vegetables, washing your hands, and drinking more water help prevent cancer, diabetes, high blood pressure, the flu, and more diseases.

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Oral health

Preventive care in oral health constitutes a set of activities, aimed at maintaining oral health and reducing the presence of the main pathologies in the population.

Among the activities are:

  • Control and removal of bacterial plaque: in the population over two years of age twice a year and in adults over 20 years of age once a year.
  • Fluoride application: population from 5 to 19 years of age.
  • Application of sealants: population from 3 to 15 years.
  • Supragingival scaling (mechanical plaque control): population over 12 years of age.
  • Preventive activities aimed at pregnant mothers.
  • Preventive activity in children under 15 years of age includes scaling (elimination of stones, in those over 12 years of age depending on the risk), prophylaxis, application of sealants (in children from 3 to 15 years of age depending on the need) and fluoride application (in children under 15 years of age). children from 5 to 19 years 2 times a year).
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Vaccination

We have at your disposal at the vaccination points of each of our service units, the application of the vaccines contemplated in the Expanded Program of Immunization PAI for the prevention of immunopreventable diseases in children up to 5 years of age, pregnant women, women in childbearing age (15 to 49 years) and adults according to age and risk.

Do you know what Vaccination Week of the Americas is? Click here

Don't mess with vaccines

Vaccination for life
Comfenalco Valle Delagente
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