Introduction:
Dispersed rural communities have social determinants that hinder access to health services; therefore, it is necessary to use effective, diverse, flexible and innovative methodologies to develop transformational processes that generate positive impacts, from territorial perspectives and worldviews, with a differential approach that is maintained over time. This article aims to present the results derived from health workshops, carried out in dispersed rural territories with social innovation tools.

Methods:
Operational and descriptive study. We used participatory methodologies of scorecards developed in six (6) municipalities with high rurality located in Colombia. The workshops had a participation between 30 and 40 people in each territory. This information was collected and analyzed in three phases (empathize, define and devise) which correspond to the method of problem/challenge solving with a creative base, called desing thinking.

Results:
The results obtained in the territories show that people have a concept of health that is related to: well-being, absence of disease, fundamental right and living in harmony. On the other hand, the community actors recognize as health resources the health institutions and western health resources, ancestral knowledge. The rain of problems in the territories reflected: the loss of ancestral knowledge, lack of access to quality health services, lack of a primary health care model, environmental problems and poor use of free time, which were analyzed through a problem tree. In the visioning exercises, attendees recognized the importance of empowering processes, intersectoral work and collective actions. Workshop attendees were able to propose achievable and measurable challenges to reach the future vision.

Conclusions:
It is necessary to develop projects with innovation methodologies to involve communities in a timely manner and generate social transformation processes that truly embrace the worldviews, concepts and perceptions of all types of actors