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# Health Situation Analysis (ASIS)

- System and programme

The ASIS is a territory's health diagnosis: who lives there, what they fall ill and die of, why, and which problems to tackle first.

Updated Nov 13, 2026

## Key points

- The ASIS is the basis of planning: priorities and the Territorial Health Plan come from it.
- Contents (Resolution 100 of 2024): territorial setting; social, economic and quality-of-life conditions; health status, morbidity and mortality; actors' responses; prioritisation; proposed responses.
- It is produced every year; EPSs, providers, ARLs and the community take part, with active participation of ethnic peoples and conflict victims.
- Prioritisation criteria: magnitude, social and intercultural relevance, transcendence and capacity to intervene.
- It combines quantitative analysis (vital statistics, notification, service use) and qualitative work (for example, social mapping with the community).
- To compare territories with different age structures, age-adjusted rates are used, not crude rates.

On this page

- The basics Key points
- What it is
- How it is organised
- Worked example
- From data to decision
- Markers
- In practice
- Reference norms
- Memory aid

- Study Test yourself

- Connections Connections

## What it is

The Health Situation Analysis (Análisis de Situación de Salud) is a participatory, systematic exercise that describes a territory, identifies its health problems and needs and shows inequities, in order to set shared priorities. The Ministry of Health produces the national ASIS and every department, district and municipality produces its own; it is the first mandatory component of the Territorial Health Plan. It is now governed by Resolution 100 of 2024 on integrated health planning, which replaced Resolution 1536 of 2015.

## How it is organised

- Territory and demography: population by age and sex, urban and rural areas, population pyramid.
- Determinants: education, income, water, housing, armed conflict and the differential approach.
- Health status: mortality (adjusted rates, broad causes, years of potential life lost) and morbidity (service use and notifiable events).
- Actors' responses: what each actor does about each problem.
- Prioritisation and proposals: ranked problems and recommendations for the Territorial Health Plan.

## Worked example

- A made-up municipality has 40 000 inhabitants; in one year it records 18 road traffic deaths.
- Crude rate = 18 / 40 000 × 100 000 = 45 per 100 000 inhabitants.
- The department (made-up figure) has 20 per 100 000: ratio = 45 / 20 = 2.25; the municipality has more than double the departmental rate.
- Before concluding, the age structure is checked; since the municipality is younger, age-adjusted rates are also compared.
- In prioritisation, the group scores magnitude, relevance, transcendence and capacity to intervene; road traffic injuries rank in the top three.
- Reading: the problem enters the Territorial Health Plan with a target and an indicator (the same rate), recalculated at the yearly ASIS update.

## From data to decision

| Part of the ASIS | Question | Typical source |
| --- | --- | --- |
| Territory and demography | Who lives here? | DANE population projections |
| Determinants | What conditions do they live in? | Surveys and social registers |
| Mortality | What do they die of? | Vital statistics (death certificates) |
| Morbidity | What do they fall ill with? | RIPS and SIVIGILA |
| Prioritisation | What comes first? | Consensus with the territory's actors |

## Markers

- ASIS
- Territorial Health Plan
- Prioritisation
- Adjusted rates

## In practice

- The diagnoses a doctor codes and the death certificates a doctor signs are the raw material of the ASIS: a wrong code distorts the municipality's profile.
- The participatory component captures what data do not show, such as access barriers or problems the community perceives.
- EPSs give the territorial entity an analysis of their enrolled population's health as input for the ASIS.

## Reference norms

- Resolution 100 of 2024 of the Ministry of Health: integrated health planning; defines the ASIS, its contents, its yearly production and prioritisation.
- Resolution 1536 of 2015: previous integrated planning norm, repealed by Resolution 100 of 2024.
- Resolution 1597 of 2025: the Collective Interventions Plan is built from the results of the ASIS.

## Memory aid

No diagnosis, no treatment: the ASIS is the municipality's medical record.

## Test yourself

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

## What is the ASIS used for in territorial planning?

It is the first component of the Territorial Health Plan: it describes the territory, identifies problems and inequities, and allows priorities to be set.

## Which norm governs the ASIS today?

Resolution 100 of 2024 of the Ministry of Health on integrated health planning, which repealed Resolution 1536 of 2015.

## Which criteria are used to prioritise ASIS problems?

Magnitude, social and intercultural relevance, transcendence and capacity to intervene.

## Why is comparing crude mortality rates between two municipalities not enough?

Because their age structures may differ; age-adjusted rates remove that effect and allow a fair comparison.

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## Connections

## Related 6

- [The Ten-Year Public Health Plan](https://durgical.com/en/epidemiology/the-ten-year-public-health-plan/)
- [The Collective Interventions Plan (PIC)](https://durgical.com/en/epidemiology/the-collective-interventions-plan/)
- [Standardisation of rates](https://durgical.com/en/epidemiology/standardisation-of-rates/)
- [Years of potential life lost](https://durgical.com/en/epidemiology/years-of-potential-life-lost/)
- [Health information systems in Colombia: SISPRO, RIPS, RUAF](https://durgical.com/en/epidemiology/health-information-systems-in-colombia-sispro-rips-ruaf/)
- [Social determinants of health](https://durgical.com/en/epidemiology/social-determinants-of-health/)

[← All of epidemiology](https://durgical.com/en/epidemiology/)

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: [Compilación Jurídica SuperSalud - Resolución 100 de 2024 MSPS](https://normograma.supersalud.gov.co/compilacion/docs/resolucion_minsaludps_0100_2024.htm) (Superintendencia Nacional de Salud, Colombia, 2024); [Compilación Jurídica SuperSalud - Resolución 1536 de 2015 MSPS](https://normograma.supersalud.gov.co/compilacion/docs/resolucion_minsaludps_1536_2015.htm) (Superintendencia Nacional de Salud, Colombia, 2015); [Actualización del Análisis de Situación de Salud participativo territorial](https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/actualizacion-analisis-situacion-salud-participativo-territorial-02092024.pdf) (Ministerio de Salud y Protección Social, Colombia, 2024).

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Representative model, for educational purposes only.

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