These are times when health personnel is exhausted, the population is exhausted too, and there are great challenges in adapting to the protocols. This happens in a particular way in health institutions that work with prevention and health promotion since there are certain activities of contact with the community that cannot be carried out.

In this scenario, the relationship between health centers and neighborhoods is compromised. In addition, there is another factor that occurs in times of COVID since many patients stopped getting the necessary check-ups during the stricter quarantine and many still do not attend health centers for fear of contagion. We spoke with Fernando, the director of the health center we work within the network, so he could tell us a little bit about how they are doing:

"We are working a lot on this new reality that is complicated, doing a lot of follow-up of COVID cases but also, after so much isolation, people start coming for other diseases to get checked. We are also with reduced staff because many are at risk and can not work so we are adapting to this new reality"