This work is the result of a Master's thesis in Human Rights and Democratisation at the Universidad Externado-Carlos III de Madrid. In this work, first of all, a legal analysis of the Indigenous Health System as of the Colombian Constitution of 1991 is carried out. Subsequently, I reflect on the legal, social and political context in which a new legal framework emerged in which the country's indigenous peoples have been able to realise their demands for territorial autonomy since the beginning of the 1990s. I then go on to review Decree 1953 of 2014, which attempts to fulfil the historical debt owed to the indigenous peoples and as a first step towards the configuration of the ETIs (Indigenous Territorial Entities). Finally, I make an assessment of the Decree, mentioning its strengths, weaknesses and the challenges that various ethnic communities have begun to generate from the aforementioned norm.