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Análisis De La Situación De Salud Del Cusco 2008

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Análisis De La Situación De Salud Del Cusco 2008 1 Análisis de Situación de Salud Cusco 2008 2 Análisis de Situación de Salud Cusco 2008 ANÁLISIS DE LA SITUACIÓN DE SALUD DEL CUSCO 2008 CUSCO – PERÚ 3 Análisis de Situación de Salud Cusco 2008 Documento de Investigación Operativa de Análisis de Situación de Salud, al mes de Diciembre del año 2007, dirigido a quienes están encargados de Tomar Decisiones. Primera Edición Julio 2008 MINSA Av. de la Cultura S/N Cusco – Perú Impreso y hecho en Perú Se autoriza su reproducción total o parcial, siempre y cuando se cite la fuente 4 Análisis de Situación de Salud Cusco 2008 MINISTERIO DE SALUD Santiago Máximo Saco Méndez M.D Director Regional de Salud Cusco Pablo Fidel Grajeda Ancca M.D, M.S.P Sub Director Regional de Salud Cusco Fernando Perez Fasabi M.D Director de Inteligencia Sanitaria Luis Armando Gonzales Castilla M.D Director de Epidemiologia 5 Análisis de Situación de Salud Cusco 2008 6 Análisis de Situación de Salud Cusco 2008 EQUIPO DE INVESTIGACIÓN OPERATIVA Investigadores Principales Grajeda Ancca Pablo Fidel M.D, M.S.P Gonzales Castilla Luis Armando M.D. Investigadores Asociados Pérez Fasabi Fernando M.D. Rojas Pariona Carmen Rosa Lic. Enf. Equipo de Apoyo Técnico Capcha Salcedo Edgar Waldo Quispe Peralta Santiago Valderrama Álvarez Ray Milton Solís Silva Freddy Rimasca Chacón Abel Atayupanqui Rondon Ivan Campana Alarcón Miguel Ángel Baca Mendoza Ruth Marina Alarcón Orellana Carmen Bertha 7 Análisis de Situación de Salud Cusco 2008 8 Análisis de Situación de Salud Cusco 2008 INDICE EQUIPO DE INVESTIGACIÓN OPERATIVA ......................................................................................... OBJETIVOS DE LA INVESTIGACIÓN OPERATIVA ......................................................................... 15 OBJETIVO GENERAL: .................................................................................................................... 15 OBJETIVOS ESPECIFICOS: .......................................................................................................... 15 MATERIAL Y METODOS ............................................................................................................. 17 CAPITULO I ...................................................................................................................................................19 CONDICIONANTES Y DETERMINANTES DE LA SITUACION DE SALUD ...................................19 CAPITULO I .......................................................................................................................................................... 21 CONDICIONANTES Y DETERMINANTES DE LA SITUACIÓN DE SALUD .................. 21 1.1. CARACTERÍSTICAS POLITICAS, GEOGRÁFICAS, MEDIOAMBIENTALES Y SOCIOANTROPOLOGICOS. ............................................................................................................ 21 1.1.1. DIVISIÓN POLÍTICA Y ADMINISTRATIVA. .............................................................................. 21 1.1.2. OROGRAFÍA. .............................................................................................................................. 25 1.1.3. HIDROGRAFIA. .......................................................................................................................... 27 1.1.4. CLIMA Y TEMPERATURA ......................................................................................................... 29 1.1.6 ECOLOGÍA. ................................................................................................................................ 30 1.1.7 AREAS PROTEGIDAS POR EL ESTADO. ................................................................................... 30 1.1.8 VIAS DE COMUNICACION. ....................................................................................................... 33 1.1.9 ESTIMACION DE VULNERABILIDAD DE LA REGION CUSCO. ............................................... 36 1.1.9. PRINCIPALES ETNIAS, COMUNIDADES INDÍGENAS Y IALECTOS. ....................................... 48 1.1.10. ASPECTOS HISTORICOS Y SOCIOANTROPLOGICOS .............................................................. 50 1.1.11. CALENDARIO DE FESTIVIDADES ........................................................................................... 67 1.1.12. TURISMO Y ZONAS ARQUEOLOGICAS ................................................................................... 83 1.1.13. PLATOS TIPICOS DE LA REGION ............................................................................................ 87 1.2. ESTRUCTURA POBLACIONAL. .......................................................................................................... 87 1.2.9. POBLACIÓN TOTAL. ............................................................................................................................. 87 1.2.10. POBLACIÓN POR ETAPAS DEL CICLO DE VIDA ............................................................................. 89 1.2.11. POBLACIÓN POR PROVINCIAS. ............................................................................................................ 90 1.2.12. POBLACIÓN POR DISTRITOS. ............................................................................................................. 90 1.2.14. PIRÁMIDE POBLACIONAL. .................................................................................................................... 95 1.2.15. CRECIMIENTO DE LA POBLACIÓN URBANA Y RURAL. ................................................................ 96 1.3. DINAMICA POBLACIONAL. ................................................................................................................ 97 1.3.1 CRECIMIENTO INTERCENSAL ........................................................................................................... 97 1.3.2. TASA GLOBAL DE FECUNDIDAD. ........................................................................................................ 98 1.3.3. TASA DE NATALIDAD. .......................................................................................................................... 99 1.3.4. TASA DE MORTALIDAD. .................................................................................................................... 101 1.3.5. TASA DE MORTALIDAD INFANTIL. ................................................................................................. 102 1.3.6. TASA DE MORTALIDAD PERINATAL. .............................................................................................. 103 1.3.7. RAZON DE MORTALIDAD MATERNA. ............................................................................................. 104 1.3.8. ESPERANZA DE VIDA AL NACER. .................................................................................................... 106 1.3.9. TASA DE MIGRACIÓN INTERNA. ..................................................................................................... 106 1.4. CARACTERÍSTICAS SOCIALES Y ECONOMICAS ...................................................................... 107 1.4.1 TASA DE ALFABETISMO .................................................................................................................... 107 1.4.2. ACCESO A LOS SERVICIOS BASICOS. ................................................................................................. 108 1.4.3. HOGARES EN SITUACIÓN DE POBREZA. ....................................................................................... 110 1.4.4. INDICE DE DESARROLLO HUMANO. .............................................................................................. 113 1.4.5. ESTRATIFICACION DE POBREZA A NIVEL DISTRITAL SEGÚN QUINTILES .......................... 114 CAPITULO II ..............................................................................................................................................117 ANÁLISIS DEL PROCESO .....................................................................................................................117 SALUD – ENFERMEDAD .......................................................................................................................117 9 Análisis de Situación de Salud Cusco 2008 CAPITULO II ....................................................................................................................................................... 119 ANÁLISIS DEL PROCESO SALUD ENFERMEDAD ........................................................................ 119 2.1. ANÁLISIS DE LA ESTRUCTURA DE LA MORTALIDAD GENERAL Y POR ETAPAS DEL CICLO DE VIDA A NIVEL REGIONAL ............................................................. 119 2.1.1. CAUSAS Y TASAS DE MORTALIDAD GENERAL EN LA REGION CUSCO, Y SEGÚN GRUPO ETAREO Y SEXO ................................................................................................................................................ 119 2.1.2. MORTALIDAD EN LA ETAPA NEONATAL (De 0 a 28 días) ........................................................... 123 2.1.3. MORTALIDAD EN LA ETAPA INFANTIL (< 1 año) .......................................................................... 125 2.1.4. MORTALIDAD EN LA ETAPA POST INFANTIL (De 1 a 4 años) ..................................................... 127 2.1.5. MORTALIDAD EN LA POBLACION ESCOLAR PRIMARIA (De 5 a 9 años) ................................... 129 2.1.6. MORTALIDAD EN LA ETAPA ADOLESCENTE (De 10 a 19 años) .................................................. 131 2.1.7. MORTALIDAD EN LA ETAPA ADULTO (De 20 a 59 años) .............................................................. 133 2.1.8. MORTALIDAD
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