Promotion and prevention

The focus of our care model is based on the management of health risks, and in this management your self-care is essential, therefore, in the Promotion and Prevention programs you will find those actions and comprehensive 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 shared responsibility among individuals, families, companies, EPS Health Promoting Entities and IPS health providers.

We invite you to use the programs listed below, which you and your family can access directly without a referral or payment of modest fees. If you require information about the programs, you can request it through the health services telephone exchange.

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 exchange (57 + 2) 4853530
  • Go to the appointment on the date and time indicated by presenting: Identity document and / or membership card of the patient.
  • 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 old
  • Youth (10 to 29 years old)
  • Adults (Over 30 years old)
  • Women
  • Men
  • Visual acuity
  • Vaccination
  • Oral health
  • For the entire family
  • Delivery care
  • Newborn care
  • Family planning care

Under 10 years old

Health self-care for children

Eat 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:

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

ACT. 06022014

Youths

Promotion and prevention programs for young people

Early detection of developmental disorders in young people aged 10 to 29 years

This program allows the youth:

  • Receive guidance on issues related to: sexuality, violence, depression, suicide, eating disorders, addictions and physical activity.
  • Encourage self-care, in accordance with the detection of individual risks, taking into account the assessment of family and medical history.
  • Perform 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 10 and 13 years, prescription of laboratory test (hemoglobin and hematocrit).
  • Cervical cancer detection in women with an active sexual life, it is recommended to take cytology one year after the start of relationships. For more information see here

For our affiliates over 18 years of age we recommend using the Body Mass Index tool found at the link Body Mass Index (BMI) Calculator; This calculator allows you to know if the relationship between weight and height is adequate or if we are underweight, overweight or obese.

ACT. 13022014

Adults over 30 years old

Promotion and prevention programs for adults
 
Detection of adult disorders (adults from 45 years)
 
This is a query that is part of a program as a National standard for adults over 45 years of age; However, we recommend that our members read this information from the age of 30 and use the body mass index calculator so that when we reach 45 years of age we already have adopted healthy lifestyle habits that maintain health and protect us from certain diseases, the focus One of these interventions is based on the early detection of disorders and diseases in adults, they are carried out in people from 45 years of age 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 for comprehensive management in accordance with health guidelines.

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

  • Cardiovascular diseases: arterial hypertension, cerebrovascular disease, coronary disease and peripheral vascular disease.
  • Metabolism diseases: obesity, dyslipidemias, 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 osteoarthrosis.
  • Neurological diseases: cerebrovascular accidents, transient cerebral ischemia.

The doctor explores these changes by asking the patient 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 on an empty stomach

The lipid profile is a group of blood tests that show how your body uses, changes, and stores lipids. Lipids are fats that cannot dissolve in the blood. Lipids stick to proteins in the blood thus receiving the name of 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, can 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 you to check for metabolic and cardiovascular diseases, which include hypoglycemia, diabetes mellitus, and metabolic syndrome.
The aforementioned laboratory tests are requested routinely in this consultation since the patient may not have signs or symptoms of any disease, and in the consultation with the doctor, he may not find alterations; however the patient may be suffering from cholesterol problems, diabetes, etc. If the doctor identifies any other alteration during his consultation, he will request additional tests.

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

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

Reference material on what to do if you are overweight

Cardiovascular disease is one of the most important causes of disability and premature death worldwide. These diseases progress silently over the years, so that when symptoms appear, usually in middle age, they are usually in an advanced stage. Acute coronary (myocardial infarction) and cerebrovascular events occur suddenly and often lead to death before the required medical attention can be provided. Modifying risk factors can reduce cardiovascular events and premature death in both people with established cardiovascular disease and 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 45 years of age; However, from the age of 30 it is important to take these risk factors into account, guide our habits to healthy lifestyles and especially guide our children so that they begin to pay for good adult health from childhood.

Diabetes risk screening

Click here

ACT. 21012014

Women

Promotion and prevention programs for women

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

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

It is important to be accurate in the information provided about the contact details (address and telephone number) as well as to claim the results on the established dates.

Ovarian cancer program

This disease begins when the cells of the ovaries begin to grow out of control.
 
Every year in Colombia:

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

Risk factors are:

  • Be over 50 years old.
  • Infertility or not having had children.
  • Family history of breast or ovarian cancer.
  • Beginning 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 eating or feeling full when eating.
  • Tiredness.
  • 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 as much as 30% to 60%.
  • Preventive surgery to remove the ovaries and fallopian tubes may be considered
  • Maintaining a healthy body weight can also lower your risk.
  • If you have any questions or symptoms, consult your personal doctor.

Breast cancer prevention and detection
Information on the prevention and detection of breast cancer… [+]

Cervical Cancer Early Detection Program

Cervical uterine cytology should be taken in the 1-1-3 scheme; This means that if the result of the first cytology is normal, a second cytology is performed a year to reduce the number of cases that were not detected with the first, if this second cytology is normal, another cytology 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:

Cervical Cancer Detection and Prevention Information ...[+]

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.

ACT. 17032014

Visual acuity

Visual acuity detection program

The purpose of this program is to detect alterations in visual acuity early, for which the measurement of visual acuity is carried out in people aged 4, 11, 16 and 45 years and visual health consultation for the elderly, to affiliates aged 55 and over regularly every 5 years.

ACT. 27012014

Newborn care

Newborn Care Program

It is the set of activities and procedures aimed at girls and boys in the process of birth and immediately after birth, with the purpose of reducing the risk of disease in the newborn, supporting the process of adaptation to extra-uterine life, by detecting, preventing and controlling problems early, in order to achieve a healthy newborn and thus reduce multiple consequences on children's health.

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

The activities to be carried out in the newborn are:

  • Collection of umbilical cord blood for screening for congenital hypothyroidism (neonatal thyroid stimulating hormone TSH).
  • Intramuscular administration of vitamin K.
  • Carrying out hemoclassification test (blood group and HR).
  • Performing ophthalmic prophylaxis to prevent infections.
  • Accommodation together with the mother and support for exclusive breastfeeding on demand.
  • Start of the vaccination scheme with the application of the following vaccines: BCG (single dose, protects against tuberculosis) and anti-hepatitis B (requires continuing with the scheme to protect against hepatitis B).
  • Education for the mother on: nutrition, detection of warning signs or complications for which she should consult a health and care institution with the newborn.
  • Newborn check-up consultation: this consultation is intended to consolidate the immediate neonatal adaptation, it must be performed by a doctor within 72 hours of birth and includes activities such as: a complete physical examination and evaluation of behaviors and maternal care of the newborn and give the pertinent indications.

Remember to claim 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, request an appointment with her personal doctor within of the 8 days following the birth. Keep in mind that to request any service the newborn's affiliation to the EPS is necessary.

ACT .: 1202201

Delivery care

In relation to technical standards, all promotion and prevention procedures, except for delivery care in the Contributory Regime, are exempt from co-payments and moderating 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 [+].

ACT .: 12022014

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 implantation, as well as the application of an 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 what is established in 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 14 and 18 years old, in the exercise of their autonomy in development, will be able to make decisions about non-definitive family planning methods in accordance with the provisions of current regulations.

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

Choose to prevent HIV

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Decide without pressure

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ACT .: 05032014

Men

In this section we will include information of special interest to men; However, reading this section is not exclusive with other sections of How do I take care of myself? to know its content and recommend reading it to friends and family. The activities related to this section may not be free of copays and moderating fees; however we include them here to warn our members about red flags. 

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 slightly larger with age. It surrounds the first part of the tube (urethra) that carries urine from the bladder along of the penis.

The prostate produces a thick white fluid that mixes with 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 works is dependent on the male sex hormone testosterone, which is produced in the testes.

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, as 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 over 50 Years, the prostate gland often becomes larger 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. 

ACT. 27012014

For the entire family

Self-care in health 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 the consumption of tobacco and other harmful substances. Also in this section we will present information on the diseases that afflict us according to a specific time of year, for example those respiratory infections that increase in the rainy season or dengue fever.

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 in depth everything related to this virus.

Preventing and being attentive is detecting in time.

 

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

Healthy nutrition

Eating the food your 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 is 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 lower the risk of diseases such as hypertension, 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 has important benefits in physical and mental health: it reduces the risk of diabetes, cardiovascular and cerebrovascular diseases, and some types of cancer.
Physical activity helps build strength, endurance, and muscle flexibility, builds self-confidence, reduces anxiety and depression, and improves stress tolerance.

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

Protective measures to prevent the spread of respiratory viruses

Promotion and prevention program against tuberculosis

Prevention of acute respiratory disease

Watch the ALARM SIGNS:

  • Abnormal breathing (rapid breathing, shortness of breath, sinking ribs when breathing or making strange noises when breathing).
  • He cannot eat, drink and vomits everything.
  • Fever greater than 38.5 degrees for more than two days (for children older than 2 months).
  • If you are less than 2 months old, have a fever greater than 38 degrees or a low temperature (less than 36.2 degrees).
  • Abnormally sleepy or does not wake up easily.
  • You have seizures.
  • For children over 5 years of age, adolescents and adults the warning signs are related to the presence of asphyxia or difficulty in breathing, chest pain when breathing or coughing, weakness or excessive fatigue, fever greater than 38.5 degrees for more than three days of evolution and present expectoration with yellow material or blood stains.

Maintain POWER:

  • 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 them frequently by offering small portions.

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

Follow the RECOMMENDATIONS of Comfenalco Valle EPS:

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

Respiratory disease is not a game

The remedy: wash your hands

           Yellow fever primer

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

Dengue challenge Symptoms

Dengue challenge at home

Dengue challenge at school

Get vaccinated against seasonal flu and protect yourself from respiratory illnesses.

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 take preventive measures and be alert to warning signs.

Priority Population:
The vaccine against seasonal influenza should be applied to the general population, having the highest priority:
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 immunocompromised user, pneumothorax, pulmonary actinomycosis, pulmonary alveolar proteinosis, pulmonary carbuncosis, pulmonary arteriovenous malformation, pulmonary edema, pulmonary embolus, pulmonary histiocytosis, (eosinophilic granuloma), pulmonary hypertension, pulmonary nocardiosis , pulmonary veno-occlusive disease, rheumatoid lung disease.
Morbid obesity.
Immunocompromised: is one who, due to its underlying disease (HIV, cancer, chronic kidney or liver diseases) or due to the prolonged use of immunosuppressive drugs (steroids, chemotherapy, transplants) has one or some immune mechanisms altered, a phenomenon that makes it susceptible opportunistic infections. Any user whose doctor confirms the diagnosis will be vaccinated.
Diabetes Mellitus, insulin dependent, cardiopathic, nephropathic, neuropathic, etc.
Congenital, rheumatic and ischemic heart disease.

Be aware of the following red flags:

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

It is very important that parents, caregivers and caregivers of children and older adults recognize the warning signs that indicate when a common cold stops being a mild illness and turns into a disease that can have complications. Before 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, hypertension, the flu, and more illnesses.

ACT. 02022016

Oral health

Preventive oral health care 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 2 times a year and in adults over 20 years of age once a year.
  • Fluoride application: population 5 to 19 years of age.
  • Sealant application: population 3 to 15 years old.
  • Supragingival detachment (mechanical plaque control): population older than 12 years.
  • Preventive activities aimed at pregnant mothers.
  • Preventive activity in children under 15 years of age includes scaling (removal of stones, in those over 12 years old according to risk), prophylaxis, application of sealants (in children between 3 and 15 years old according to need) and application of fluoride (in children from 5 to 19 years old 2 times a year).

ACT .: 12022014

Vaccination

At the vaccination points of each of our service units, we have at your disposal the application of the vaccines contemplated in the PAI Expanded Immunization Program 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 get caught up in vaccines

Vaccination for life

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