This work addresses access to health for the inhabitants of San Antero, municipality of the department of Córdoba, Colombia, on the basis of the presence of a second level departmental system and a local system based on the first level. The focus is on 2018 and 2019, prior to the pandemic, and then to address how this system is coping with the flagele of Covid-19.Colombia faces the situation as a state that invests little in health, decentralised, with high involvement of the private sector which tends to move towards more profitable fields, making it clear that the state offer cannot accompany so many people at the same time. The objective of this investigation is to know the capacities prior to the COVID-19 pandemic and the way in which the Department of Córdoba and the municipality of San Antero operate during the pandemic compared to the primary care approach. The hypothesis suggests that the shortcomings in the trajectory of the municipality being studied, especially in SBS, have not enabled the strategy to be followed in the face of the pandemic to be properly developed. Faculty of Humanities and Education Sciences