This is consistent with data on the identity of lute la litigants, which shows that people from higher socio-economic status tend to be make more frequent use of the litigation mechanism in health care (Bernal et al., Continuous improvement in the timeliness with which people obtain access to care and in the general quality of care provided would serve as a force to push the litigation trend down. Rural departments such as Guainia, Vichada, Choco, Amazonas and San Andres had for example infant mortality rates above 20 per 1 000 live bom in 2010.