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# Comprehensive health care pathways (RIAS)

- System and programme

The pathways set what care each person should receive according to their stage of life and their risk. Resolution 3280 of 2018 defines two key pathways.

Updated Nov 5, 2026

## Key points

- Three types of pathway: health promotion and maintenance, risk groups, and specific events.
- Resolution 3280 of 2018 adopts the promotion and maintenance pathway and the maternal and perinatal pathway (a risk group).
- It replaced the technical standards for early detection and specific protection (Resolution 412 of 2000).
- Stages of the life course: early childhood, childhood, adolescence, youth, adulthood and old age.
- Each stage has set care: comprehensive assessment, screening, vaccination, health education.
- Maternal and perinatal pathway: preconception care, antenatal care, birth, puerperium and newborn.

On this page

- The basics Key points
- What it is
- How it is organised
- Worked example
- Markers
- In practice
- Reference norms
- Memory aid
- Elsewhere in DurgiPedia

- Study Test yourself

- Connections The two pathways of Resolution 3280 of 2018
- Connections

## What it is

The Comprehensive Health Care Pathways (RIAS) are mandatory tools for EPS, territorial entities and providers that order the individual, collective and population interventions needed for comprehensive care. Resolution 3280 of 2018 adopts the guidelines of the Health Promotion and Maintenance Pathway and of the Maternal and Perinatal Pathway, and replaces the technical standards for early detection and specific protection of Resolution 412 of 2000. It was amended by Resolution 276 of 2019.

## How it is organised

- Early childhood: from 7 days to 5 years, 11 months and 29 days.
- Childhood: 6 to 11 years. Adolescence: 12 to 17 years.
- Youth: 18 to 28 years. Adulthood: 29 to 59 years. Old age: from 60 years.
- Population interventions (policies), collective interventions (collective interventions plan) and individual ones (consultation, screening, vaccination).

## Worked example

- A made-up 26-year-old woman, in the youth stage, attends the comprehensive assessment due to her under the promotion and maintenance pathway.
- She receives screening and education for her age; she says she wants to become pregnant in the next year.
- She is offered preconception care under the maternal and perinatal pathway.
- Once the pregnancy is confirmed, she enters antenatal care, and then care during birth, the puerperium and for the newborn.
- The newborn in turn enters the promotion and maintenance pathway from early childhood.

## The two pathways of Resolution 3280 of 2018

| Pathway | For whom | What it includes |
| --- | --- | --- |
| Health promotion and maintenance | The whole population, by stage of the life course | Comprehensive assessment, early detection, specific protection (such as vaccination) and health education |
| Maternal and perinatal | Women of reproductive age planning a pregnancy, pregnant and postpartum women, and newborns | Preconception care, antenatal care, birth, puerperium and newborn care |

## Markers

- RIAS
- RPMS
- Maternal and perinatal pathway
- Life course
- Res. 3280

## In practice

- Each pathway visit is a chance to detect risks and refer the patient to the risk-group pathway that applies.
- Care in the promotion and maintenance pathway should not depend on the person coming in sick.

## Reference norms

- Resolution 3280 of 2018 of the Ministry of Health and Social Protection.
- Resolution 276 of 2019: amends Resolution 3280 of 2018.
- Resolution 429 of 2016 (Comprehensive Health Care Policy) and Resolution 3202 of 2016 (RIAS manual).

## Memory aid

Six stages, two pathways: early childhood, childhood, adolescence, youth, adulthood and old age, plus the maternal and perinatal pathway.

## Test yourself

Think of the answer, then tap the question to see it.

## Which pathways does Resolution 3280 of 2018 adopt?

The Comprehensive Care Pathway for Health Promotion and Maintenance and the Comprehensive Health Care Pathway for the Maternal and Perinatal Population.

## Which technical standards did Resolution 3280 replace?

The technical standards for early detection and specific protection of Resolution 412 of 2000.

## What are the stages of the life course in the promotion and maintenance pathway?

Early childhood, childhood, adolescence, youth, adulthood and old age.

## Which ages does adulthood cover in the pathway?

From 29 to 59 years.

[Add to my cards (4)](https://durgical.app/estudiar/?add=/en/epidemiology/comprehensive-health-care-pathways/)

## Elsewhere in DurgiPedia

- [Colombia's PAI schedule (which vaccines, at what age)](https://durgical.com/en/immunology/colombia-s-pai-schedule/)

## Connections

## Related 5

- [Levels of prevention](https://durgical.com/en/epidemiology/levels-of-prevention/)
- [Principles of screening](https://durgical.com/en/epidemiology/principles-of-screening/)
- [The PAI as a public health programme](https://durgical.com/en/epidemiology/the-pai-as-a-public-health-programme/)
- [Maternal mortality ratio](https://durgical.com/en/epidemiology/maternal-mortality-ratio/)
- [EPS and IPS (insurers and providers)](https://durgical.com/en/epidemiology/eps-and-ips/)

## Related conditions 3

- [Cervical cancer](https://durgical.com/en/conditions/cervical-cancer/)
- [Breast cancer](https://durgical.com/en/conditions/breast-cancer/)
- [Preeclampsia](https://durgical.com/en/conditions/preeclampsia/)

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Educational content on epidemiological and statistical methods; the examples use made-up numbers to teach the calculation. Not a clinical or legal guide: current Colombian rules are in the official sources.

Sources: [Resolución 3280 de 2018](https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/resolucion-3280-de-2018.pdf) (Ministerio de Salud y Protección Social, Colombia, 2018); [Ley 1438 de 2011](https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=41355) (Departamento Administrativo de la Función Pública, Colombia (Gestor Normativo), 2011).

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Representative model, for educational purposes only.

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License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/epidemiology/comprehensive-health-care-pathways/