MINSA Avanzando Maternidad Segura Peru

Ministerie de Sa|od
Pe|soaas qae ateademos pe|soaas

AVANZANDO HACA UNA
MATERNDAD SEGURA EN EL PERU.
DERECHO DE TODAS LAS MUJERES
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21
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24
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12
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11

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14
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Ministerie de Sa|od
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Ministerie de Sa|od
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ca|e|vc 1e es|a +ca es es|a+1aza a a|e+:c+ 1e a|c ve|:a, 1e a:Je1c a cs :|ecs +|e+a:c+aes ] a
a etee+:a +a:c+a, esc+1e+1c a a +e:es1a1 1e a1e:Ja :J|Jae+|e a c|e|a 1e cs sev:cs aa a
a|e+:c+ 1e a saJ1 1e as J|ees, :c+ e |+ 1e :c+|aJ a +:ee+|a a +:1e+:a 1e a|c +s||J:c+a ] e1J:
as :c:a:c+es cas|e|:as |Je c:asc+a+ a Je|e a|e+a
c c |a+|c, a a| 1e es|a c|:aza:c+, cs c|esc+aes 1e saJ1 |e+1a+ a csa1a1 1e c|e:e a c1a1a1
1e a|c ve|:a e+ cs es|aae:e+|cs 1e saJ1, aa+|za+1c a :a1a1 1e a a|e+:c+ ] esc+1e+1c a a vez a
J+a +e:es1a1 se+|1a 1e as J|ees eJa+as
Ministerie de Sa|od
4J
0AP|TJ|0 |||
MJ0RAMO0 |AA003|8|||OAO PARA
|AATM0|0M O| PART0

73
82
92
15
24
42.9
55
58
70
0
20
40
60
80
100
Area Jrbana Area Rura| Nac|ona|
1996 2000 2004 - 2005
10
83
22
73
82
92
15
24
42.9
55
58
70
0
20
40
60
80
100
Area Jrbana Area Rura| Nac|ona|
1996 2000 2004 - 2005
10
83
22
PART0 |M3T|TJ0|0MA|
.a +|e:J|Ja1a1 :a J+a ea:c+ 1e ese|c ] :ce+sc+ e+ a |ca 1e +|ee|a a ea1a1 ] e J+1c,
e+ J+ c:esc 1e +|ca:c+, e1J:a:c+ ] |ca:c+ .a a+ea e+ |Je e+|e+1ecs e J+1c, e :Jec, a saJ1 ]
a e+|ee1a1 :aaa 1e J+a :J|Ja a c|a c esc, aa c1e e+|e+1e+cs :c+ esc+as 1e c|a :J|Ja, es
+e:esac es|aae:e Je+|es 1e :ce+sc+ ] ese|c
s ese+:a e+ e ese|c a a 1ves1a1, ]a |Je ea:c+a 1e a+ea s+e:a J+a cJes|a aa e ese|c 1e cs
1ee:+cs +Ja+cs e+ saJ1, 1e+||:a+1c :a+aes 1e +|ca:c+ scae cs 1ee:+cs 1e as J|ees ] +caes ] 1e
J+ :c1c 1e e|:a aa e esc+a 1e saJ1, e+|Je:1c e+ J+a e+cva1a ea:c+ :c+ as esc+as |Je ea+, e+ e
:asc 1e cs sev:cs Ja:cs, a 1|ee+|es es|a|cs sc:aes ] e:c+c:cs
8+|:a J+a ea:c+ e+|e vaas :J|Jas 1|ee+|es |Je se eaza :c+ ese|c ] +czc+|a1a1, es 1e: |Je
++J+a se c+e aaa c 1eaa|c 1e a c|a + es|a ea:c+ +|e:J|Ja, se |Jee |avce:e |Je as esc+as 1e
:J|Jas 1|ee+|es se Je1a+ e+|e+1e J|Jae+|e, :ce+1e+1c a |ca 1e e:a a ea1a1 ] e J+1c 1e a
c|a, 1e es|a a+ea se |a:|a a ae|Ja aa a es:J:+a ] e e+|Je:e+|c J|Jc
1.!.- 0asas de spe|a
.a es|a|ea 1e as 0asas 1e sea J caes \a|e+cs se +a+ :c+s||J1c e+ J+a etee+:a et|csa aa
e+|e+|a as aaeas 1e +a::esa1a1 eca|:a a cs es|aae:e+|cs 1e saJ1, a|:Ja1c a a a1e:Ja:c+
:J|Ja, a :Ja +a s+|:a1c J+a es|a|ea J] vacsa aa 1s+J as aaeas :J|Jaes ] aJe+|a e+ |ca
scs|e+1a a +:1e+:a 1e a|c +s||J:c+a
|||. MJ0RAMO0 |AA003|8|||OAO PARA |A ATM0|0M O| PART0

.as 0asas 1e sea sc+ cs Jaes 1e ecsc ] ac|ae+|c 1e as es|a+|es |Je 1e:1e+ 1a a Jz e+ aJ+
es|aae:e+|c 1e saJ1 ] |Je vve+ e+ zc+as ae|a1as |Je c+e+ e+ esc sJ seJ1a1 e+ e :asc |Je +c eJe+ a
|ec aa a a|e+:c+ 1e sJ a|c Taae+ es|a :c+s1ea1c aa a|Jeas es|a+|es a as |Je se es +a
1e+||:a1c aJ+a :c+1:c+ 1e esc 1Ja+|e a a|e+:c+ e+a|a ] |Je 1e:1e+ ac|ase :c+ a+|:a:c+ aa
esea e a|c ]/c a :esaea e+ e es|aae:e+|c 1e saJ1
8e :c+s1ea+ etee+:as 1esaca1as e+ c|cs aa|cs +a:c+a e +|e+a:c+aj, |Je esc+1ec+ a as
ete:|a|vas 1e a caa:c+ 1e zc+as 1e 1|: a::esc eca|:c, cvza+1c e:Jscs 1e a :cJ+1a1, 8e:|c
8aJ1, ca+za:c+es +|e+a:c+aes ] c]e:|cs
s J+ c:esc |etae, |Je a1|Jee a|:Ja1a1es seJ+ a ea1a1 c:a +:ae+|e se :c+s1ec a
ee+|a:c+ 1e +caes aa J|ees :c+ |a:|ces 1e esc, s+ eaac a a| 1e +:a|vas c:aes se
e+eac+ e1es 1e :asas 1e esea a +ve 1e 1s||cs 1c+1e ac|a+ a J|ees |Je 1esea+ |Je sJ a|c sea
a|e+11c e+ J+ es|aae:e+|c 1e saJ1 ec |Je vve+ e+ Jaes J] ae|a1cs
Hoga| Mate|ao de Haaaca|aa|-0asco
41
.a ee+|a:c+ 1e +|eve+:c+es +|ea1as +a e|1c +:ee+|a sJs|a+|vae+|e a :cae|Ja 1e a|c
+s||J:c+a, |a :cc se Je1e 1ecs|a e+ cs es|cs 1e :a1a J+c 1e cs es|aae:e+|cs |Je :Je+|a+ :c+
0asas 1e sea s|a 1ecs|a1c |Je a a|e+:c+ c|esc+a e+ sev:cs :c+ :aa:1a1 escJ|va e1J:e e
esc 1e Je|e 1e a a1e ] e e:e+ +a:1c c c |a+|c, a a| 1e es|a +:a|va +a 1s+J1c e es|c 1e
1e|J+:c+es a|e+as e+ a a]ca 1e cs 1s||cs |Je :Je+|a+ :c+ es|e e:Jsc, assc es ev1e+|e a e1J::c+
1e as 1e|J+:c+es e+a|aes
.cs :|ecs aa |Je J+a es|a+|e a::e1a a cs sev:cs 1e a :asa 1e esea sc+
vv e+ J+a zc+a Ja 1e 1|: a::esc
s|a etJes|a a aac 1e a|c s+ scc|e sc:a c |aa, vJ1a, sc|ea, aaa+1c+a1a, e|:
8e v:|a 1e vce+:a c a|e 1e sJ ae|a c 1e :Ja|Je c|c eac 1e sJ |aa
A|e+:c+ c esc+a +c :a|:a1c aa a a|e+:c+ 1e a|c c 1e e:e+ +a:1c e+ sJ c:a1a1
ese+|a aJ+a :c:a:c+ cas|e|:a |Je e|Jea a+e|c c esc+a ese:aza1c
A:|Jae+|e se :Je+|a :c+ JJ :asas 1e esea |Je ve+e+ |J+:c+a+1c e+ as |Js1::c+es 1e as Je::c+es
1e 8aJ1 Ja:a1as e+ as zc+as Jaes

4
337
8
2O
5O
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8
88
4
O
8
8
2
2
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O
4
337
8
2O
5O
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8
88
4
O
8
8
2
2
O8
O
N Casas de
Espera
N Casas de
Espera
ascc
Tota|
JJ
Jacave`ca
JaJcc
AyacJcc
AdaJayàs
Acas
Aoacay
ca coetad
Amazcas
3agJa
Ccta
Ca|amaca
camoayeqJe
cma Xcte
ccetc
CJscc
AeqJpa
0lRESA
ascc
Tota|
JJ`
Jacave`ca
JJcc
AyacJcc
AdaJayàs
Acas
Aoacay
ca coetad
Amazcas
3agJa
Ccta
Ca|amaca
camoayeqJe
cma Xcte
ccetc
CJscc
AeqJpa
0lRESA

2000. 99 casas de espera
2006. 337 casas de espera
44
es|aae:e+|c 1e a 0asa 1e sea 1ee+1e ese+:ae+|e 1e a cvza:c+ ] ca+za:c+ 1e e:Jscs
c:aes 1e :ccscs +1v1Jaes, scae a aase 1e a sc1a1a1 ] esc+saa1a1 sc:a .cs e:Jscs
|+a+:ecs sc+ Jae+|e c|a+|es ec sc+ e+ e+c es:aa ] Je1e+ se +aa1cs :c+ as |a:1a1 :Ja+1c
|c1cs cs a:|ces sc:aes +a|cs 1e a :cJ+1a1 :ca|e+ esc+saa1a1es .a ca+za:c+ ] |J+:c+ae+|c
1e a 0asa 1e sea e+|aâ J+a 1e:a1a ] :ce|a esc+saa1a1 aasa1a e+ e :ccsc ] a|:a:c+
e|e:|va 1e as esc+as, ca+za:c+es e +s||J:c+es 1e+|c 1e J+ :c+|et|c caa:c+a, :c+ J+ :aa:|e |a+|c
+1v1Ja :cc +s||J:c+a
Jes1e e J+|c 1e vs|a 1e a +|e:J|Ja1a1 e+ saJ1, es|a etee+:a es J+ +|e+|c 1e es|aae:e Je+|es e+|e as
ete:|a|vas ] +e:es1a1es 1e a J|ees aa a a|e+:c+ 1e a saJ1 a|e+a ] e c1ec ace1:c e+eaza1c
1e a c|e|a 1e sev:cs 1e saJ1 Ja:a \ee:e J+ e:c+c:e+|c ese:a c +aae ca1c 1s+J e+ |ca
c|a+|e as aaeas 1e a::esa1a1 eca|:a ] :J|Ja aa a a|e+:c+ 1e a|c, c c :Ja es|a etee+:a
+a s1c ss|ea|za1a aa 1e+||:a cs ccs ] e::c+es ae+11as ] ccve sJ +s||J:c+aza:c+ a +ve
+a:c+a
0asa de spe|a Amazoaas
45
A:c+|+Ja:c+ se ese+|a cs +:aes esJ|a1cs, :c+:Jsc+es ] e:ce+1a:c+es 1e a 8s|ea|za:c+ 1e a
+|eve+:c+ 1e c]e:|c \a|e+1a1 8eJa 1e caa 1e 0ccea:c+ JM0-J ] e+ e a:c 1e
c]e:|c 0cae|Ja :c+ 0a1a1 1e J8AJ e+ e ec1c 2JJJ-2JJ+, |Je se eazc e+|e acs|c 1e 2JJJ ]Aa 1e
2JJ
+ |c1cs cs Jaes see::c+a1cs aa a ss|ea|za:c+ 1e a es|a|ea 1e 0asas 1e sea ] a1e:Ja:c+
:J|Ja 1e cs sev:cs, a +ve 1s||a ] cv+:a e+ e aa|c 1e a +|eve+:c+ 1e c]e:|c \a|e+1a1
8eJa 1e caa 1e 0ccea:c+ JM0-J 0a|aa:a, 0Js:c, AJa: ] Aazc+asj ] e+ e
a:c 1e c]e:|c 0cae|Ja :c+ 0a1a1 1e J8AJ Ja+J:c, as:c, 1J++, Ja+:ave:a, A]a:J:+c ] 8a+
\a|+ e+ e ec1c 2JJJ-2JJ+, se +a ca1c J+ +:ee+|c e+ a :cae|Ja 1e a|c +s||J:c+a ] 1e :c+|c
e+a|a, ev|a+1c Je|es a|e+as ] e +a|aes
.a es|a|ea 1e a a1e:Ja:c+ :J|Ja es es:+1ae aa aa+|za e et|c 1e |J+:c+ae+|c 1e as
0asas 1e sea, :c+ a :c+sJe+|e a:e|a:c+ 1e as J|ees |Je c|a+ c ee es|e Ja 1e ac|ae+|c
a+|es ] 1esJes 1e a|c, :c+ J+ +:ee+|c c|a+|e 1e a|c +s||J:c+a ] e ev|ae+|c 1e as Je|es
a|e+as a |e+e J+a a|e+:c+ :a|:a1a ] cc|J+a
.a etee+:a 1e a +:cca:c+ 1e a a|e+:c+ 1e a|c e+ a cs:c+ ve|:a :cc a|e 1e a es|a|ea 1e
a a1e:Ja:c+ :J|Ja, |Je a1eas svc :cc etee+:a c|c, cc|ca e+ e 1se^c ] a ee+|a:c+
1e a +ca |e:+:a aa a a|e+:c+ 1e a|c ve|:a :c+ a1e:Ja:c+ +|e:J|Ja a +ve +a:c+a, es J+c 1e cs
ccs as s+|:a|vcs 1e a +|eve+:c+ 1e c]e:|c \a|e+1a1 8eJa 1e JM0
J+c 1e cs |a:|ces |Je aa+|za e et|c ] a scs|e+a1a1 1e es|a es|a|ea es e c |Je 1eseeâ e
esc+a 1e saJ1, |a+|c e+ e ac]c cs|:c :cc e+ a a:a:c+ 1e a a1e:Ja:c+ :J|Ja ] as
+|eve+:c+es cc|J+as ] e|e:|vas e+ a a|e+:c+ 1e eaaazc, a|c ] Jeec
Assc, :c+ ea:c+ a a scs|e+a1a1 ] e:aa1a1 1e a es|a|ea 1e a 0asa 1e sea, cs 1|ee+|es
a:|ces sc:aes cc+e+ a +e:es1a1 1e :c+s1ea aJ+ +:e+|vc ]/c e:c+c:e+|c a esc+a |Je
asJe a esc+saa1a1 ] a es|c+ 1e es|a a:|v1a1
es:asc esc+a e+ cs es|aae:e+|cs 1e saJ1, as :cc sJ a|a c|a:c+ ] e :aac :c+s|a+|e 1e as
aJ|c1a1es c:aes ] :cJ+aes, esJ|a+ se 1e+||:a1cs :cc cs +:aes cas|a:Jcs a :c+s1ea e+ a
ee+|a:c+ 1e as es|a|eas ] |Je a|e+|a+ :c+|a a scs|e+a1a1 1e as sas

3a|a de Pa|to-Apa||mac.
0eat|o de 3a|ad 0o|qaepata-0asco
4
8+ eaac, a etee+:a 1esaca1a :c+ a a1e:Ja:c+ :J|Ja 1e cs es|aae:e+|cs ] as :asas 1e
esea, as :cc a se+saza:c+ 1e esc+a 1e saJ1 aa a:e|a ] :ca+a as a:|:as |a1:c+aes e+
sJ |Je+a:e c|esc+a +a e|1c es:a|a c as vacsc ] cs|vc 1e :a1a :J|Ja, s+ 1e|a 1e e:c+c:e a
1|ee+:a ] as c1a1es 1e J+as scae as c|as.
Jes1e e e+|c|Je 1e e+ec, es e:ce+1aae +:cca a vaca:c+ 1e a saJ1 +|ea ] ea+e+|e 1e a
J|e, +c scc :cc a1e ] c a saJ1 1e e:e+ +a:1c, s+c :cc sJ|e|c 1e 1ee:+cs setJaes ]
ec1J:|vcs |Je ee:e a a|e+:c+ ] ese|c c sJ :c+1:c+ ] 1+1a1 1e se +Ja+c,
+1ee+1e+|ee+|e 1e setc c c sc:a a|e+c Assc, a es|a|ea 1e as 0asas 1e sea ]
A1e:Ja:c+ 0J|Ja +c +a+ :c+s1ea1c a a|:a:c+ 1e vac+ as aa 1e a:caâe+|c e+ e a|c,
|a|a+1c sJ +vcJ:ae+|c e+ |e+cs 1e :cesc+saa1a1 e+ cs c:escs |a+|c 1e |ca 1e 1e:sc+
a+|:a:c+ |aa, a|e+1a1 ] a|e+1a1 :ca|1asj :cc e+ e e|e::c 1e sJs 1ee:+cs setJaes ]
ec1J:|vcs
.a a|:a:c+ :cJ+|aa ] |aa, :c+ a +:cca:c+ 1e a saJ1 a|e+a e+ a ae+1a 1e cae+c c:a
es J+a es|a|ea ] |a:|c :ave aa a a|:Ja:c+ 1e a a1e:Ja:c+ :J|Ja ] a a:e|a:c+, scs|e+a1a1 ]
et|c 1e as 0asas 1e sea, :cc es|a|eas 1e a:e:ae+|c eca|:c ] :J|Ja 1e cs sev:cs 1e
a|e+:c+ 1e a saJ1 a|e+a
.a se+saza:c+ ] a:|Jaza:c+ ea+e+|e 1e as aJ|c1a1es c:aes ] :cJ+aes e+ :Ja+|c a as
:a+:as 1e a s|Ja:c+ 1e a saJ1 a|e+a, ] a ev|aa1a1 1e es|e eve+|c |a|a es es:+1ae aa
aa+|za a Jes|a e+ ae+1a 1e es|e |ea ] a +vesc+ c:a aa e|ca a :aa:1a1 escJ|va 1e cs
es|aae:e+|cs 1e saJ1
+ :Ja+|c a 1acc +|e:J|Ja e+|e cvee1ces ] JsJaas |Je se +a ca1c a |aves 1e a se+saza:c+
1e esc+a 1e saJ1, es|a :cJ+:a:c+ aJ+ es J] ase|:a s|a ase|a se 1e+||:a
|J+1ae+|ae+|e 1es1e a ese:|va 1e cs e1:cs, |Je+es a+|e+e+ cs:c+es ] vsc+es |ea|J:as
:c+ ese:|c 1e a sJec1a1 1e a e1:+a c::1e+|a ] se+|e+ |Je a e| as a:|:as |a1:c+aes
es|a+ e|c:e1e+1c c e ae+ 1e as J|ees

Pad|e e a|jo |ec|ea aac|do-0asco
0eat|o de 3a|ad 0cas, Haaaaco
Pa|t|c|pac|a de |a pa|eja ea e| ca|dado de |a gestaate
.a :c+|c+|a:c+ +:a e+|e as a|eas ] e esc+a 1e saJ1, :cc :c+se:Je+:a 1e a |a|a 1e :a1a1 e+
cs ces ] e |ec 1e as a|eas e+ e1e a e|1a1 1e sJ |aaa|c a +ve 1e a :cJ+1a1 a 1s+J cs
a|cs 1c:acs, se cc |a a e| J+ 1acc ac+:c ] a evaca:c+ 1e sJ etee+:a c
e|ec e+ a a|e+:c+ 1e a|c e+ cs:c+ ve|:aj, as :cc 1e c|a+|e c 1e +|ec:J:c+ |Je
1eseeâ+ es|as J|ees aa a:caâ a a es|a+|e |Je 1e:1e 1a sJ a|c e+ e es|aae:e+|c 1e
saJ1

Pa|te|a de 3aa Ma|cos, 0ajama|ca Mad|es, a|jos y Pa|te|o ea P.3. 0aaco- 0ajama|ca
4
1es:c+c:e+|c ]/c a sJavaca:c+ 1e a es|a|ea 1e a1e:Ja:c+ :J|Ja, se |a1J:e e+ a e:e:c+ 1e
|Je es|a c1a se +:Jsc a:a1a a|e+|a+1c :c+|a cs es|a+1aes 1e :a1a1 1e a|e+:c+ e+ saJ1 1es1e e
e+|c|Je ace1:cj + e :asc 1e 1eea:c, e esc+a 1e saJ1 +a :ea1c cs c|c:ccs 1e +|e:J|Ja1a1
aa a A|e+:c+ 1e a|c, cs|a|c ] 0c+|c e+a|a a:|c 1e a a:a:c+ 1e es|cs c|c:ccs e+ e
+:ee+|c 1e a|c +s||J:c+a ] ev|ae+|c 1e a Je|e a|e+a ] e+a|a, +a ee:1c J+ ec
+a:c+a c|ca1c c a 8c:e1a1 Ma:c+a 1e +1Js|as, aa e e|Jc 1e saJ1 1e a zc+a 0ca| as
e::c+es ae+11as a a| 1e a etee+:a 1e 1eea:c e+ as zc+as e+ as |Je a ee+|a:c+ 1e es|a
es|a|ea es 1e|:e+|e, c1a |a:|a sJ :ce+sc+ ] cs|ec a:a:c+
Jes1e a vcz 1e cs 1|ee+|es a:|ces as es|a|eas +c +a+ s1c ee+|a1as e+ |ca J+|ce e+ :a1a
J+a 1e as zc+as, c c :Ja cs esJ|a1cs sc+ 1ses e+|e s, 1ee+1e+1c 1e a]c c e+c a1c 1e
se+saza:c+, c|va:c+ ]/c :ccsc 1e cs a:|ces +vcJ:a1cs c ec se e:ce+1a J+|cza cs
1.2.- P|aa de Pa|to
a+ 1e a|c es J+a +eae+|a |Je aJs:a cvza ] ca+za a a |aa ] a a :cJ+1a1 aa e |asa1c
cc|J+c 1e a es|a+|e, Jeea ]/c M a es|aae:e+|c 1e saJ1 s|e +s|Je+|c |e+e :cc ccs|c
.ca |Je a es|a+|e ] sJ |aa 1e+|||Je cs ase:|cs :|:cs |Je e+|e+|a e+ e ce+|c 1e a|c,
Jeec c a|e+:c+ 1e M
e:c+c:e cs s+cs 1e aaa
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.cs +s|Je+|cs |Je se Jsa+ aa es|e ccs|c sc+
:+a 1e a+ 1e a|c cvee1c j
\ a+ 1e a|c aa Jsc 1e a es|a+|e ] sJ |aa j
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.a |:+a :c+s+a +|ca:c+ ca|e+1a :c+ a es|a+|e, |aa J c|a esc+a |Je +|J]e e+ a 1e:sc+ 1e e:a
a|e+:c+ cc|J+a + aase a ea se c|vaa a a+|:a e a|c +s||J:c+a ] se 1e+||:aa+ as a::c+es a
seJ a+|e J+a s|Ja:c+ 1e eee+:a
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Ta+sc|e ] 0cJ+:a:c+
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1e+||:a:c+ 1e es|aae:e+|c
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4
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+|eve+:c+es
.a +|eve+:c+ +a :c+|aJ1c a e+ea J+a 1ea+1a 1e sev:cs 1e saJ1 c a|e 1e as caa:c+es
+|eve+1as c :a |Je 1es1e e s|a1c eJa+c, a :ccea:c+ ] a sc:e1a1 :v, se ea:e+ cs
es|Jezcs +e:esacs a |+ 1e sa|s|a:e es|a 1ea+1a .c :c+|ac J1ea :c+eva e esc 1e a
1esa|e+:c+ 1e a saJ1 1e a caa:c+, ] e aJe+|c c e+ea:c+ 1e :c+|:|cs e+|e cs a:|ces +vcJ:a1cs
8e ev1e+:a J+ 1es|ase e+|e a |ca:c+ J+ves|aa ] |e:+:a 1e esc+a 1e saJ1, |Je 1|:J|a a
+:cca:c+ 1e e+|c|Je 1e +|e:J|Ja1a1 e+ sJ e|e::c c|esc+a 8e e:ce+1a cc+e a
+:cca:c+ 1e e+|c|Je +|e:J|Ja1a1 ] es|a|eas 1e a1e:Ja:c+ :J|Ja 1e cs sev:cs 1e+|c 1e a
:J:Ja J+ves|aa ] |e:+:a
AJ+ +c se +a +ve|1c e+ |ca scs|e+1a aa e|ca a :aa:1a1 escJ|va 1e cs +cs|aes ] :e+|cs 1e
saJ1 e+ as zc+as 1c+1e aJ+ se es|a+ a|as :|as 1e c|a1a1 a|e+a ] e+a|a aa e :asc 1e
1ea|ae+|c 1e 8a+ \a|+ c e|ec, e+ 1c+1e a es|a|ea 1e a1e:Ja:c+ :J|Ja +a s1c ee+|a1a
e+ |ca :ea|va ] e|e:|va, se ec|a J+a a|a +:1e+:a 1e Je|e a|e+a +cs|aaa 1e c1e+ 1e J/, c
:Ja ae|a J+a e|etc+ sea scae a +e:es1a1 1e +ve| e+ e e|cae+|c 1e a :aa:1a1 escJ|va
aa a a|e+:c+ 1e as :c:a:c+es cas|e|:as, a |+ +c +:J e+ e se |asa1c 1e Ja 1e a Je|e
a|e+a 1e 1c:c a es|aae:e+|c 1e saJ1j

M| P|AM O PART0
0c+|e+e +|ca:c+ scae cs sJe+|es |eas
Ja|cs 1e a es|a+|e
a+ 1e a|c
0cc eaa a es|a+|e a 88
0Je+es a]J1aa+ a a es|a+|e
0asas 1e esea 1e a c:a1a1
4J
P|AM O PART0
1.1.- Mapeoy Rada| de 0estaates y Pae|pe|as
a1a es J+a +eae+|a 1+a:a |Je e|e a Ja:a:c+ ] seJe+|c 1e as es|a+|es ] Jeeas 8J Jsc
aca1c ] esc+saae, c :c+ve|e e+ J+ vacsc aa1c e+ a e1J::c+ 1e Je|e a|e+a, ]a |Je :c+|aJ]e a
cea|vza :c+ J+ e+|c|Je eve+|vc a |ca 1e 1e:sc+es ] a:|v1a1es ce+|a1as a a saJ1 1e a es|a+|e,
Jeea ] e:e+ +a:1c
s|e +s|Je+|c 1e va+:a e1ecc:a ] seJe+|c 1e es|a+|es ] Jeeas es|a 1seâ1c aa a1a|ase
a cs e|Jee+|cs ] +e:es1a1es c:aes 1e as Je::c+es ec+aes 1e 8aJ1 ] 1e cs es|aae:e+|cs 1e
saJ1 e+ sJs 1|ee+|es +vees 1e :ce|1a1
seJe+|c 1e es|a+|es ] Jeeas 1eae se J+a esc+saa1a1 asJ1a c |c1c e esc+a 1e saJ1 ]
1ea1a c cs |e|es 1e es|aae:e+|cs c c |a+|c, es +e:esac ca+za e |aaa|c ] as+a esc+saa1a1es
+1v1Jaes scae 1e|e+a1as aeas eca|:as, se:|cza+1c :aes, a+za+as, aacs, :cJ+1a1es, :asecs
c a+etcs
a1a 1e es|a+|es ] Jeeas 1eae :J :c+ as sJe+|es :aa:|es|:as
0c+|a :c+ J+ es|c a|:c
0c+|a :c+ J+ es|c 1e |a|e|a c :Ja1e+c 1e seJe+|c
3+1a +|ca:c+ a:|Ja ] ea+e+|e
8e 1e |a: a+e|c ] a::esae a esc+a +vcJ:a1c e+ e |Je+a:e 1e a va+:a c seJe+|c 1e as
es|a+|es
8e ca:|vc, 1a1c |Je es e J+|c 1e a|1a 1e J+a see 1e e:a+scs, a::c+es ] es|a|eas aa a|c+|a
cs escs ++e+|es :c+ cs e|ces e:Jscs 1sc+aes e+ e es|aae:e+|c ] e+ a e1
aa a 1e+||:a:c+ e+ e aa ]/c a1a 1e a es|a+|e, Jeea ] M se cc+e a sJe+|e ||:a:c+
3es|a+|e :a|a1a
3es|a+|e e+ e |e:e |es|e
3es|a+|es :c+ |a:|ces 1e esc
Jeea/ e:e+ +a:1c
0c+|ce ava+za e c:esc 1e a es|a:c+ a :c+1:c+ |Je ||:a a a es|a+|e va :aaa+1c, 1e a a
c|a+:a 1e |Je es|a +|ca:c+ sea a:|Jaza1a 1aae+|e
s|a ||:a:c+ e|e 1esaca a::c+es e1J:a|vc :cJ+:a:c+aes a a ae|a ] a e+|c+c |aa :e:a+c a
a es|a+|e
MAP0
s|e es|c se :c+s|J]e scae J+ a+c 1e a Ja:a:c+ 1e a |Js1::c+ as+a1a a es|aae:e+|c aacs,
:aes, Jaes Ja:cs ] vve+1a 1e as |aas c es|a+|es e|e vsJaza a Ja:a:c+ e:sa 1e Ja 1e
es1e+:a 1e a es|a+|e c Jeea e+ ea:c+ a esa:c eca|:c 8e 1eae J|za J+ sacc, :cc c |Ja
1e|+1cs ec+a c c:ae+|e aa 1e+||:a ] Ja:a a :a1a es|a+|e ] Jeea 1e a :cJ+1a1 seJ+
||:a:c+ es|a+|e :a|a1a, es|a+|e 1e |e:e |es|e, es|a+|e :c+ |a:|ces 1e esc, Jeeasj +ae+|e,
e+ e e:Ja1c 1e a e]e+1a se +1:aa e sacc-:cc c |Ja |Je :cesc+1e a +Jec |c|a 1e es|a+|es 1e
:a1a |c
5J

San 1oan
AvPeru

Av Central
Crrcunvalacren

C.S.

Be||av|sta

Rle
Carpes
Rie
A|te

Rie Baje
Saosa|

Siocancha

MAP0 O 03TAMT3 Y PJRPRA3
0MTR0 O 3A|JO O 3|J0AM0HA
0sttc. CaJas
rov|nc|a.
S 3e`àvsta
X CS Accta
RAOAR
s J+ es|c a|:c |Je se :c+s|J]e scae J+ :Ja1c 1e aas:sas ] c1e+a1as, |Je eese+|a+ cs :Ja|c J+|cs
:a1+aes, scae e :Ja se 1es:ae+ ::Jcs :c+:e+|:cs |Je :cesc+1e+ a 1s|a+:as +caas 1e J+|c e1c,
|Je eese+|a a es|aae:e+|c 1e saJ1 8e 1eae J|za J+ sacc, :cc c |Ja 1e|+1cs ec+a c c:ae+|e
aa 1e+||:a ] Ja:a a :a1a es|a+|e ] Jeea 1e a :cJ+1a1 seJ+ sJ :c+1:c+ + e e:Ja1c 1e a
e]e+1a se +1:aa e sacc-:cc c |Ja |Je :cesc+1e a +Jec |c|a 1e es|a+|es :a|a1as, es|a+|es 1e
|e:e |es|e, es|a+|es :c+ |a:|ces 1e esc ] Jeea s|e +s|Je+|c |e+e J+a a]c J|1a1 e+ zc+as
Jaes, aa a Ja:a:c+ 1e as es|a+|es ] Jeeas e+ caa:c+es :asecs, a+etcsj 1s|a+|es 1e
es|aae:e+|c 1e saJ1
RAOAR O 03TAMT3 Y PJRPRA3
CcmJdad Z
CcmJdad w
CcmJdad X
CcmJdad Y
4
8
2

8
N
S
E
5!
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0. 0aptada
0. 1 T||mest|e
0. coa . R|esgo
Pae|pe|a
aa e :asc 1e J+ +cs|a s+ |Js1::c+ caa:c+a, se Je1e Jsa es|e |c 1e a|:c Ja:a+1c cs
es|aae:e+|cs |Je se ea:c+a+ 1e:|ae+|e :c+ e ] a :cJ+1a1 |Je :Jae+ a caa:c+ |Je a::e1e a es|e
1e a+ea 1e:|a aa e seJe+|c, se Ja:a e +Jec |c|a 1e es|a+|es seJ+ ||:a:c+j |Je sc+ a|e+11as
c e +cs|a seJ+ e Ja 1e es1e+:a :cesc+1e a :a1a es|aae:e+|c 1e saJ1 :Ja1c e+sJa 1e
a|cs esea1cs :c+s||J]e J+ a+etc 1e es|c a|:c aec c a1aj A se es|a+ sea+ae+|e as
es|a+|es :J]cs a|cs es|a+ evs|cs e+ e es
a1a es 1+a:c ] |J+:c+a :Ja+1c es J|za1c :c+|J+|ae+|e :c+ a |a|e|a c :Ja1e+c 1e seJe+|c 1e
c1c |Je |avcez:a+ e Jsc 1e a +|ca:c+ e+ a |ca 1e 1e:sc+es e+ e es|aae:e+|c 1e saJ1 :c+
|Js1::c+ caa:c+a as+a1a c s+ ea s|a 1+a:a e+ ea:c+ :c+ a saJ1 a|e+a cc+e 1cs
e:a+scs e seJe+|c 1e es|a+|es, a|cs esea1cs, Jeeas ] e seJe+|c a |aves 1e ss|ea 1e
e|ee+:a ] :c+|ae|ee+:a
52
0AP|TJ|0 |V
MJ0RAMO0 |AA0PTA8|||OAO O |03
3RV|0|03 O 3A|JO MATRMA

|V. MJ0RAMO0 |AA0PTA8|||OAO O |03 3RV|0|03 O 3A|JO MATRMA
.a a|e+:c+ 1e a saJ1 es J+a :c+s|J::c+
sc:a ] :J|Ja 1e caa:c+es ]
cvee1ces ] +c scc 1e cs cvee1ces
8 e 1acc +|e:J|Ja se :c+v|ea e+
c|:a Ja:a, :c+ cs scs e:Jscs
1aacs J+ +e+sc sa|c +a:a 1ea+|e e+
a saJ1 1e +Jes|a caa:c+

.a +e:es1a1 1e evaca a :J|Ja :cc J+a 1e+sc+ es:+1ae 1e c:esc 1e a|e+:c+ 1e a saJ1 +a s1c
:c+s1ea1a e+ e eJ Jec 1e J+a 1e:a1a e+ |Je e es|aae:e+|c 1e ss|ea 1e a|e+:c+ ] e :e:e+|c 1e
cs es|aae:e+|cs 1e saJ1 e+ |c1cs cs +:c+es 1e as :as +a+ 1caea1c e ve|c caea 1e a
J
+a::esa1a1 eca|:a, ] |Je eva a e+|e+|a e 1esa|c 1e a +a::esa1a1 :J|Ja
.cs es|aae:e+|cs 1e saJ1 se +a+ J|:a1c c |c1c e |e|cc +a:c+a e+|e IJJ2 ] IJJ asac+ 1e J,JJ+
a J,JJ+, ] a:|Jae+|e +a] as 1e ,J 8+ eaac, :Ja+|c as et|e+sa ] +Jecsa es a +|ea::c+ e+|e
JsJacs/as ] sJs |aaes ] es 1e e1:cs, e+|eeas ] |aaa|a1ces 1e se:|c saJ1, es +e:esac e:c+c:e
1e |Je +c sea csae ava+za as e+ :Ja+|c a e|J1a1, e|:e+:a ] :a1a1 scc |ca+1c e+ :Je+|a cs ae+es ]
sev:cs vs|cs 1es1e sJ et|ec1a1, 1es1e e e+|c|Je ac e1:c ] 1es1e a c1e+1a1

.a a|a +:1e+:a 1e Je|e a|e+a e+ a
Ja1a1 |a1J:1a e+ a ess|e+:a 1e as
J|ees a a|c +s||J:c+a c e a1c 1e
ave1a1 e+ e |Je ea+ a cs sev:cs, +c
esc+1e |a+ scc a as '1s|a+:as eca|:as`
e+|e eas ] cs es|aae:e+|cs, s+c
|J+1ae+|ae+|e a 1ese+:Je+|c :J|Ja ] a
e+|e+|ae+|c 1e c1ecs a+|es e+:c+a1c
se+1c a '1s|a+:a ec:c+a` a esc+saae 1e
es|a +a::esa1a1 a cs sev:cs 1e se:|c
IJ
Ja:c
V|s|ta dom|c|||a||a de| Pe|soaa| de 3a|ad de 0cas-Haaaaco

Ac]c, 1 +|e:J|Ja1a1 e+ a a|e+:c+ 1e a saJ1 \M8A-03, .a, 2JJI
J
\M8A, 0|:+a 3e+ea 1e 1ecca, c]e:|c v3A +|e:J|Ja1a1 e+ a a|e+:c+ 1e a saJ1 s|J1c sc:c
a+|ccc:c 1e e+|ee1a1es |Je :Jsa+ :c+ s+1ce :|ec +eca:c e+ A]a:J:+c ] 0Js:c, .a, 2JJI
IJ
J|a1c, \Je|e a|e+a e+ cs es|aae:e+|cs 1e saJ1 Ja:a 1e Jea|ae+|c 1e J+c J+a acta:c+ a
a+ass 1es1e a ese:|va 1e cs 1ee:+cs +Ja+cs Tess aa c|a e a1c 1e \aes|c e+ c|:as 8c:aes :c+ \e+:c+ e+ 3e+ec,
caa:c+ ] Jesacc, 2JJ2
55
4.!.- Adecaac|a0a|ta|a| de |os 3e|v|c|os de 3a|ad
\+s|ec 1e 8aJ1 asJe+1c sJ c 1e e:|ca, e+ as 1e+sc+es 1e :c+1J::c+, eJa:c+ ] ac+za:c+ 1e
a cvsc+ 1e cs sev:cs 1e saJ1, a |aves 1e a 8M88 :c+s1ec +e:esac 1esaca +:a|vas |Je |a:|e+
a a1e:Ja:c+ 1e cs sev:cs aa a a|e+:c+ a|e+a :c+ J+ e+|c|Je 1e +|e:J|Ja1a1, e+ec, e|J1a1 ]
ese|c 1e cs 1ee:+cs 1e as caa:c+es a|c a+1+as ] aazc+:as, :c+ e |+ 1e e|ca a :a1a1, a::esa1a1,
sa|s|a::c+ 1e cs/as JsJacs/as ] cvee1ces, as :cc 1s+J |+ae+|e a c|a1a1 a|e+a a |aves 1e
cvee a|e+:c+ 1e a|c +s||J:c+a ese|a+1c as :cs|Jaes ] :J|Ja 1e +Jes|a caa:c+, ] 1e es|e c1c
a:e:a cs sev:cs 1e saJ1 ce+1c as aaeas 1e a::esa1a1
II
.a c1a1a1 1e a|c +czc+|a se e a|aJ]e a |acsc cas|e|a \aJ:eaJ, e+ e sc Xv Je e |Je+ 'a:cs|c' a as J|ees aa a, e+ J+
+:c, a ae:e, aa c1e a:a e +s|Je+|c 1e c1a c escs |ecs, e |c:es as|a ese ce+|c cs a|cs, 1es1e cs aaces 1e a
+Ja+1a1, se +aaa+ eaza1c e+ 1s|+|as vaa+|es 1e cs:c+ ve|:a :cc c Jes|a+ aaa1cs c es:J|Jas 1e a:|:ae+|e |c1as as :J|Jas
5
esJ|a1c 1e es|a es|a|ea sea e ec1eae+|c 1e a caa:c+, ese:ae+|e 1e a zc+a Ja, a e:c+c:e
sJ :J|Ja e+ J+ a:c 1e Ja1a1 ] ese|c, e+ea+1c :cc :c+se:Je+:a a eeva:c+ 1e sJ aJ|ces|a,
1+1a1 ] e:c+c:e+|c sc:a, a1eas 1e sJ :aa:1a1 1e +|ec:J:c+ ] a::esc a cs sev:cs
J+a 1e as a:|:as :J|Jaes e+ ea:c+ a a a|e+:c+ 1e a|c es a cs:c+ .a a+ a]ca 1e +Jes|as
es|a+|es 1e zc+as ae|a1as Jaes c :e+|cs caa1cs 1s|+|cs 1e a+1es :J1a1es ] Jcs aazc+:csj
e|ee+ 1a a Jz e+ |ca ve|:a, ]a sea e+ :J:as, se+|a1a, ac1a1a, e+|e c|as esc+a 1e saJ1 +a s1c
e+|e+a1c aa a|e+1e e a|c e+ cs:c+ +e:cc:a s|as 1cs a:|:as |c|ae+|e 1|ee+|es c:asc+a+ J+
1ese+:Je+|c :J|Ja e+|e e esc+a |Je a|e+1e ] as J|ees Jaes |Je J:+as ve:es e|ee+ aas|e+ese 1e
a:J1 a cs es|aae:e+|cs, c+e+1c e+ esc a saJ1 ] a v1a |a+|c 1e ea :cc a 1e/a +^c/a c +a:e e+ e
:asc |Je se ese+|e+ :c:a:c+es
e+|c|Je ace1:c ] a +|Je+:a 1e a :J|Ja Jaa+a :c+sc1a+ a :c+v::c+ 1e as J|ees e+ :Ja+|c a a
II
:c+ve+e+:a 1e a cs:c+ +czc+|a a ce+|c 1e a a 1e:sc+ vcJ+|aa 1e +|e+ase e+ J+a :+:a J
+cs|a, sJc+e cae1e:e |c1as as +1:a:c+es 1e cs e1:cs ] :cc:ase e+ 1e:Ja|c 1csa |ca a|e 1e a
|e:+cca as ava+za1a ec a +|Je+:a 1e a :e+:a 1e a :J|Ja c::1e+|a ] Jaa+a |aae+ +ca :Jaes sc+
as c1a1es ] as +e:es1a1es 1e a aa as J|ees e+ e+ea ] aa as J|ees Jaes e+ a|:Ja, |Je
:c+:ae+ es|e c:esc :cc J+ eve+|c +a|Ja |Je +c see e:sa 1e +|eve+:c+es ese:aza1as
c c |a+|c a s|a|ea 8a+|aa Ma:c+a 1e 8aJ1 8etJa ] ec1J:|va 1e a Je::c+ 3e+ea 1e 8aJ1 1e as
esc+as 1e \+s|ec 1e 8aJ1 e+ esJes|a a :ccsc 1e :c+|aJ :c+ e ca|e|vc :cJ+ 1e a a|e+1a1
seJa ] e e|cae+|c 1e a saJ1 ] scae vve+:a 1e e:e+ +a:1c, e|c a Mca Te:+:a aa a A|e+:c+ 1e
a|c ve|:a :c+ a1e:Ja:c+ +|e:J|Ja, c|:a 1e saJ1 |Je cc+e e e|c 1e se+saza ] :aa:|a a esc+a
1e saJ1 aa a c|e|a 1e es|a c1a1a1 1e a|c a +ve +a:c+a
+ e a^c 2JJJ, 1Ja+|e a sea+a 1e a 0a1a1 ] e+ e a:c 1e :c+:Jsc 1e c]e:|cs 1e \e|ca e+ a :a|eca
esa 1e 8ev:cs, 1e a 8c:e1a1 Ma:c+a 1e +1Js|as, e 0e+|c 1e 8aJ1 0as 1eea:c- \c]aaaaa 1e a
J8A 1e 8a+ \a|+, ca|Jvc e e Ja :c+ e c]e:|c Adecaac|a 0a|ta|a| de |os 3e|v|c|os de 3a|ad
Mate|aa". + :eec+a Ja:a, e ec |Je e:a1c c a se^ca \+s|a 1e 8aJ1, Ja a \azze|| 8ce ]
e e|Jc 1e es|c+ 1e es|aae:e+|c a+a1c, :c+s||J]e+1cse e+ e e ec |Je ca|e+e e \+s|ec 1e
8aJ1, e+ e |ea 1e :a1a1
Pa|to Ve|t|ca| ea estac|ec|m|eatos de sa|ad de Haaacave||ca y Amazoaas
J+a 1e as a:|:as :J|Jaes e+ ea:c+ a a a|e+:c+ 1e a|c es a cs:c+ |Je a1c|a a J|e e+ e ce+|c 1e
1a a Jz .a a+ a]ca 1e as J|ees a+1+as ] aazc+:as
+ +Jes|c as, ets|e J+a c|a+|e etee+:a e+ a a|e+:c+ 1e a|c e+ cs:c+ ve|:a, :c+ J+ e+|c|Je 1e
a1e:Ja:c+ :J|Ja, ev1e+:a+1cse e+ cs J|cs a^cs J+ +c|aae +:ee+|c 1e c:e+|a|e 1e a|cs a|e+11cs
c esc+a 1e saJ1
0c+s1ea+1c |Je es|e +:ee+|c e+ a 1ea+1a 1e a a|e+:c+ 1e a|c +s||J:c+a Je1e es|a ea:c+a1c :c+
cs es|Jezcs 1esea1cs c e esc+a 1e saJ1 aa a1e:Ja :J|Jae+|e cs es|aae:e+|cs ] a+|e a
ev1e+:a 1e a +:a|va aa |cJa ] es|a+1aza e c|c:cc 1e a|e+:c+ 1e a|c ve|:a e+ cs
1ea|ae+|cs 1e 0Js:c, Ja+:ave:a, A]a:J:+c, 0a|aa:a, 8a+ \a|+, Ja+J:c, AJa:, Aazc+as, a
Je::c+ 3e+ea 1e 8aJ1 1e as esc+as, a |aves 1e a 8M88, 1e:1c ac]a ] +ca es|a es|a|ea, a
|aves 1e a eaaca:c+ 1e a Mca Te:+:a aa a a|e+:c+ 1e a|c ve|:a :c+ A1e:Ja:c+ +|e:J|Ja
.a a|e+:c+ 1e a|c ve|:a, 1e a:Je1c a cs :|ecs +|e+a:c+aes ] a a etee+:a, esc+1e a a +e:es1a1
1e a1e:Ja :J|Jae+|e a c|e|a 1e cs sev:cs aa a a|e+:c+ 1e a saJ1 1e as J|ees, :c+ e |+ 1e :c+|aJ
a +:ee+|a a +:1e+:a 1e a|c +s||J:c+a ] e1J: as :c:a:c+es cas|e|:as |Je c:asc+a+ a Je|e
a|e+a
4.2.- Ateac|a de| Pa|to ea Pos|c|a Ve|t|ca|
5

4.1.- |mp||caac|as y |etos pead|eates de |a Mo|ma Teca|ca pa|a |a ateac|a de| pa|to ve|t|ca| coa
Adecaac|a|ate|ca|ta|a|
.a e:e+|e acaa:c+ 1e a +ca |e:+:a aa a a|e+:c+ 1e a|c ve|:a :c+ a1e:Ja:c+ +|e:J|Ja +a
e+ea1c c J+ a1c J+a e+|Jsas|a a:c1a 1e a|e 1e as esc+as |Je e:c+c:e+ a c|a+:a 1e e+ea
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MINSA Avanzando Maternidad Segura Peru

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MINSA Avanzando Maternidad Segura Peru

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Ministerie de Sa|od

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OR. A|JAMOR0 T0|O0 MAMR|0J

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