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ANALISIS DE SITUACION DE LA SALUD LOCAL DEL DISTRITO DE CHAUPIMARCA PROVINCIA Y REGION PASCO 2015
Decenio de las Personas con Discapacidad en el Perú'' “Año de la Diversificación Productiva y del Fortalecimiento de la Educación”
ANAL!! !"#A$%NAL DE LA !AL#D L%$AL D!"&"% DE $A#P(A&$A ING. TEODULO QUISPE HUERTAS )%*E&NAD%& &E)%NAL + PA!$% PA!
%$ ANAL!! !"#A$%NAL DE LA !AL#D L%$AL D!"&"% DE $A#P(A&$A 2015
ANÁLISIS DE SITUACIN DE SALUD LOCAL ASIS 2015 ! CHAUPIMARCA PROVINCIA DE PASCO REGIN PASCO
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16 ANAL!! DEL EN"%&N%............................................................................................13 1616
$aracter7sticas 8eo8r9ficas6.................................................................................13
1.1.1
U"#$#") '&"+(8.............................................................................................13
1.1.2
S/(%"#"( +(%%"+,%"$' #,),%$#")......................................................................13
1.1.>
A##"-()+(8 (,%"#,8.......................................................................................14
16/6
$aracter7sticas Demo8r9ficas...............................................................................14
1.2.1
P,'$#") +,+$' /,% 8(, /,% (+$/$8 -( 3"-$.........................................................15
1.2.2
D()8"-$- /,'$#",)$'.........................................................................................16
1.2.>
P,'$#") %$)$ %%$'.....................................................................................17
1.2.@
P,'$#") (),% -( 5 $,8.................................................................................17
1.2.5
P,'$#") (8+$)+(............................................................................................18
G%$"#, =: CONCENTRACIN DE GESTANTES EN RELACIN A LA PROVINCIA Y REGIN PASCO 201@...................................................................................................................18 1.2.=
N$#""()+,8......................................................................................................19
T$'$ 2: NMERO DE NACIMIENTOS EN EL DISTRITO DE CHAUPIMARCA .........................19
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Determinantes Estructurales................................................................................27
1.1.@
C$%$#+(%&8+"#$8 S,#",(#,)"#$8.........................................................................27
1.1.5
C$%$#+(%&8+"#$8 -( '$ 3"3"()-$..............................................................................29
1.1.=
C$%$#+(%&8+"#$8 E-#$+"3$8..................................................................................30
1.1.
I)3(%8") -(' (8+$-, -(8-( '$ )"#"/$'"-$-...........................................................33
/6/6
Determinantes intermedios..................................................................................34
2.2.1
C$%$#+(%&8+"#$8 8,#",#'+%$'(8.............................................................................34
2.2.2
C$%$#+(%&8+"#$8 -(' 8"8+($ -( 8$'- () (' +(%%"+,%",.................................................35
2.2.>
A)'"8"8 -( '$ -($)-$ -( ")+(%3()#",)(8 8$)"+$%"$8...............................................36
AN
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M,%"'"-$-............................................................................................................50
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6 P&%&>A$?N DE L%! P&%*LE(A! $%N (PA$"% !AN"A&%6...............................64
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=.= E)(%(-$-(8 -( '$ #$3"-$- #$'................................................................................86
B6 A)("$ /,% -("#"()#"$ -( "(%%, () )",8 (8+$)+(8......................................................87 B6 A'#,,'"8, D%,$-"##")..........................................................................................87 B6 E$%$J, () $-,'(8#()+(8..........................................................................................88 B610 I)(##",)(8 R(8/"%$+,%"$8 A-$8................................................................................88 6I6LIOGRAFIA...................................................................................................................90
+,$-,%(8 -( -(#"8",)(8* ',8 )"3('(8 ,/(%$+"3,8 '$ #,)"-$- -(() -(8/'($% 88 (8(%J,8 () 8(-$ -( $'#$)J$% (' "-($' -( 8$'- /$%$ +,-,81. E8+( -,#()+, $ 8"-, ('$,%$-, #,) "),%$#") -(' '+", #()8, -(' I)8+"++, N$#",)$' -( E8+$-&8+"#$ ;INEI<* "),%$#") -( '$ E)#(8+$ D(,%"#$ -( S$'- F$"'"$% ;ENDES<* $8& #,, '$ "),%$#") -(' %("8+%, #,-""#$#") -( '$ $+()#") () #,)8'+$ (+(%)$ ;HIS MIS<. L$ "),%$#") (8+ ,%$)"J$-, () 8("8 #$/&+',8: E' /%"(% #$/&+', $,%-$ (' $)'"8"8 -(' ()+,%), -,)-( +%$+$,8 '$ %('$#") -( '$ /,'$#") -(' -"8+%"+, -( C$/"$%#$ #,) (' $"()+( (,%"#,* 88 #$%$#+(%&8+"#$8 -(,%"#$8* 8 ,%$)"J$#") 8,#"$' '$ /%(8()#"$ -( %"(8,8 ;-( ,%"() )$+%$' , $)+%/"#,<. E' 8()-, #$/&+', 8( $)$'"J$ '$8 -(+(%")$)+(8 8,#"$'(8 -( '$ 8$'-* (' "8, ")#'( ? L$8 -(+(%")$)+(8 (8+%#+%$'(8 -( '$8 ")("-$-(8 () 8$'- #,, '$8 #$%$#+(%&8+"#$8 8,#",(#,)"#$8* #$%$#+(%&8+"#$8 -( '$8 3"3"()-$8* #$%$#+(%&8+"#$8 (-#$+"3$8* #$%$#+(%&8+"#$8 -( +%$$,* ")3(%8") -(' (8+$-, -(8-( '$ )"#"/$'"-$-. ? D(+(%")$)+(8 ")+(%(-",8 -( '$ 8$'- #,, C$%$#+(%&8+"#$8 8,#",#'+%$'(8 #$%$#+(%&8+"#$8 -(' 8"8+($ -( 8$'- -(' -"8+%"+,. E' +(%#(% #$/&+', 8( $)$'"J$ ',8 /%,'($8 -( 8$'-: L$8 -"(J /%")#"/$'(8 #$8$8 -( ,%"'"-$-* ()(%$'* /,% #$8$8 (8/(#&"#$8* /,% 8(, %/,8 -( (-$- 8 #,/,%+$"()+, () %('$#") $ '$ /%,3")#"$. L, "8, ( #,) '$ ,%+$'"-$- ( 8,) (3()+,8 ")$'(8 -(' /%,#(8, 8$'- ()(%(-$-. E) (' #$%+, #$/&+', 8( -(8#%"( '$ /%",%"J$#") -( ',8 /%,'($8 -( 8$'- #,) "/$#+, 8$)"+$%",* (
%$)#(%&$8* ,#$8",)$)-, "'(8 -( (%+(8 () +,-, )(8+%, +(%%"+,%",* 8(/'+$)-, $ +%(8#"()+,8 ,%(8 () ',8 ")+(%",%(8 -( '$ M")$ -(' R(* ( $ /$%+"% -( ()+,)#(8* %(#"" (' ),%( -( M$+$()+(. E8+( +(%%(,+, -$)+(8#, +$"9) +(%") /,% -(8+%"% #,/'(+$()+( )(8+%$ ,-(8+$ "'(8"$ -( S$)+$ R,8$. A /$%+"% -( $(' ,()+,* %"-,8 /,% '$ -(8(8/(%$#") ), (-$% () #,/'(+, -(8$/$%, /"$-,8,* (-""#$) ) )(3, +(/', () C$/"$%#$* /'$J$ /%")#"/$' -( '$ #"-$- -,)-( $)+"$()+( ((#+$$) 88 #,)#"'"',8 ',8 $%"#,#$8. E' -"8+%"+, -( C$/"$%#$ ( #%($-, (' 2 -( ),3"(%( -( 1@@* (8#")-"-, -( D(/$%+$()+, -( 4)&) #,) '$ L( L$ -(/()-()#"$ $#"$ '$ ")(%&$ ( +"()( C(%%, -( P$8#, (8 %$)-(. E' /,#, -(8$%%,'', -( ,+%$8 $#+"3"-$-(8 ;$%"#'+%$* $)$-(%&$* ")-8+%"$< #,)8+"+( ) /%,'($ () (' '$%, /'$J,* /(8+, ( ',8 %(#%8,8 ")(%,8 () $') ,()+, 8( $,+$%). S( "#$ ($#+$()+( () '$ $'-$ -(' C(%%, U'"$#") $' /"( -( '$ L$)$ P$+$%#,#$* () '$ M(8(+$ -( 6,)* )$ (+()8$ /'$)"#"( ( 8( /%,',)$ $8+$ '$ R(")
1.1.2 S/(%"#"( +(%%"+,%"$' #,),%$#") L$ 8/(%"#"( +(%%"+,%"$' (8 -( =.== 2 8"()-, (' -"8+%"+, #,) (),% (+()8") +(%%"+,%"$' -( '$ /%,3")#"$ -( '$ %("). E8+ #,),%$-, /,% +%(8 #()+%,8 /,'$-,8 T/$# A$%* E' M"8+" U'"$#").
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1.2.1 P,'$#") +,+$' /,% 8(, /,% (+$/$8 -( 3"-$ G%$"#, 2: PO6LACION TOTAL DEL DISTRITO DE CHAUPIMARCA PERIODO PROVINCIA Y REGION PASCO 2011 ! 201@ 2M=00 2M@00 2M@>M 2M200
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1.2.5 P,'$#") (8+$)+( L$ /,'$#") (8+$)+( -(' -"8+%"+, -( C$/"$%#$* $' "$' ( ',8 )$#""()+,8 $ +()"-, )$ -"8")#") /%,%(8"3$ () ',8 '+",8 5 $,8* -"8")()-, -(' 2010 $' 201@ () 2=.* (8+(
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Nº
NOMBRES Y APELLIDOS
CARGO
15 1= 1 1
PATR PATRICI ICIA A ISA6EL ISA6EL ALIAG ALIAGA A SALAZ SALAZAR AR DR. RICA RICAR RDO GUARDI ARDIÁ ÁN CHÁ CHÁVEZ ING ING DEM DEME ETRIO TRIO 6EDRI DRIÑANA ÑANA 6AÑICO ÑICO LIC. LIC. 4IMM 4IMMY Y CARH CARHUA UARI RICR CRA A QUIN QUINTA TANA NA
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1 20
ING CARLOS PINTO CANESSA MIGU MIGUEL EL ANGEL NGEL GO GOET ETEN ENDI DIA A ALAR ALARCO CON N
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21 22
LIC. DIMAS VALLE CAR6A4AL LIC. LIC. ELI ELIZA ZA6E 6ETH TH VALENT LENTIN INA A ATENCI ENCIO O
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SOVERO DRA. RA. 4A 4ACKE CKELYN SO SONIA NIA MENC MENCIA IA
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AM6IENTAL AM6IENTAL ;OEFA< ;OEFA< 4EFE DE SUNAT PASCO CONSE4O PERUANO DEL DEPORTE ! PASCO CIA 6OM6EROS ELECTROCENTRO PASCO
2 2
MARQUEZ LIC. ALAIN GMEZ PAREDES SR. VICTOR HUANCA REMIGIO
ADMINISTRADOR RENIEC PASCO DIRECTOR DEPARTAMENTAL PASCO ! INSTITUTO NACIONAL
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DR. 4A 4AMES CARLOS MATTOS
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ANDRADE ECO. XI XILMAR CO COSME CA CALZADA ECO. TE TEODORO SÁ SÁNCHEZ RICRA
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CPC. LU LUIS AL AL6ERTO ME MEDINA
PROVINCIAL PASCO ADMINISTRADOR ADMINISTRADOR DE LA AGENCIA > DE CERRO DE PASCO PASCO !
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36 DQ3il capacidad de respuesta ante la contaminación por metales pesados6 D(8-( ( '$ ")(%&$ ( -(")"-$ #,, $#+"3"-$- (#,)"#$* 8( $ #,)8+"+"-, #,, )$ ()+( -( %(#%8,8 /$%$ 8 -(8$%%,'',* 8") ($%, -(8-( (-"$-,8 -(' 8"', /$8$-, '$ $)"-$- $ (/(J$-, $ /()8$% 8(%"$()+( () (' #,8+, 8,#"$'* $"()+$' -( 8$'- ( ()(%$) ',8 8"8+($8 -( (/',+$#") +%$)8,%$#") -( ',8 %(#%8,8 ")(%,8 ), %(),3$'(8* ), 8', /,% -(8+%"% '$ +"(%%$* 8"), (8/(#"$'()+( /,% '$ %$) #$)+"-$- -( -(8,)+(8* %('$3(8* $8(8 +"#,8* /,'3,8* $$8 #"-$8 ,+%,8 ( #,)8(#()+(()+( -(8+%() ',8 %(#%8,8 )$+%$'(8 -(' /'$)(+$* 8)-,8( $ (8+, (' -(+(%",%, -( '$ 8$'- '$ ")(8+$"'"-$- (,#",)$' 8,#"$' -( '$8 /,'$#",)(8 ( 3"3() $' ()+,%), -(' +%$$, ")(%, L$8 J,)$8 %$)$8 -( ',8 -"8+%"+,8 -( C$/"$%#$* S") 6,'&3$%* Y$)$#$)#$ +,-$ '$ #"%#)8#%"/#") -( (8+) -"%(#+$()+( /(%-"#$-$8 /,% ',8 /%,#(8,8 -( #,)+$")$#") $"()+$' ")(%,* ,8(%3)-,8( ',8 8""()+(8 /%,'($8: ? P(%$)()#"$ -( #,)'"#+,8 /,% 8, -( 8(',: (' +$, $"(%+, ,#/$ (' 50 -( /,'&,), -( '$ #"-$-* (' -(8$',, -( /,'$-,%(8 ,%$-,%(8* -(8+%##") -( 3"3"()-$8* +%"J$#")* )-""()+,8* ,-""#$#") -(' /$"8$(* -(8+%##") -( #$''(8 ( ")%$(8+%#+%$.
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-(")$) /,'&+"#$8 ( +"()-$) $ '$ 8,'#") -(' /%,'($ /$%$ ( 8( +,() (-"-$8 /$%$ '$ (%%$-"#$#") -(' /',, -(' $"()+( /%,,3(% () '$ /,'$#") () ()(%$' '$ "-()+""#$#") -( ',8 $#+,%(8 -( %"(8, $' %(#,),#""()+, -( ',8 8"),8 8&)+,$8 -( '$ ")+,"#$#").
c6 Desnutrición en niños menores de cinco años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
E) #,)#'8") /,-(,8 -(#"% ( '$ -(8)+%"#") #%)"#$ () ',8 )",8 (),%(8 -( #")#, $,8 () (' -"8+%"+, (8 )$ -(-$ /()-"()+( ( +()(,8 +,-,8 ',8 8(#+,%(8 ")3,'#%$-,8* ( (' +%$$, (8 $%-,* $ '$%, +"(/,* /(%, 8,%( +,-, -( #, #,/%,"8, (8 (' +($ () (' ( 8 8( $ +%$$$-, $ (3"-()#"$8 ( -((8+%$8 #$'(8 $) 8"-, '$8 (-"-$8 8 #,8+, ((#+"3$8 8") ($%, (8+$8 -(() 8(% $-(#$-$()+( "/'(()+$-$8 8,8+()"-$8 () (' +"(/, /,% ,+%, '$-, (8 "/,%+$)+( ()(%$% )(8+%$8 /%,/"$8 (3"-()#"$8 /$%$ #%($% /,'&+"#$8 /'"#$8 $#,%-( #,) '$ %($'"-$-.
d6 ,iolencia familiar L$ 3",'()#"$ $"'"$% #,)8+"+( ) "/,%+$)+( /%,'($ -( 8$'- /'"#$ () (' /$&8 () )(8+%$ %(") -(8-( $#( )$ -9#$-$ 8( ()#()+%$ ()+%( '$8 #")#, /%",%"-$-(8 %(",)$'(8 () 8$'-* ")#'9)-,8( () (' /'$) #,)#(%+$-, -( 8$'- -(' /(%",-, 200 ! 201@ 8") ($%, ), 8( $ $3$)J$-, #, () %(3(%+"% (8+$ 8"+$#") (8 ) /%,'($ ( (3"-()#"$ '$ /,'$#") ()-,. S() (' ENDES 201@* = -( #$-$ 10 $"'"$8 3"3( $') +"/, -( 3",'()#"$ () '$ %("). V$,8 $ -(")"% '$ 3",'()#"$ I)+%$$"'"$% #,, $(''$ 3",'()#"$ ( +"()( '$% -()+%, -( '$ $"'"$* $ 8($ ( (' $%(8,% #,/$%+( , $$ #,/$%+"-, (' "8, -,"#"'",* ( #,/%()-(* ()+%( ,+%,8 3",'$#")* $'+%$+, &8"#,* /8"#,'"#, $8, 8($'. E)+()-(,8 ( '$ 3",'()#"$ () (' 8(), $"'"$% (8 ) ,-(', -( #,)-#+$8 $/%()-"-$8* #,(%#"+"3$8 ( ")3,'#%$) $8, &8"#, , '$ $()$J$ -( $8, &8"#,. T$"9) /(-( ")#'"% $8, /8"#,'"#, %(/(+"-,* $+$( 8($'* $"8'$"()+, 8,#"$' /%,%(8"3,* #$8+",* ")+""-$#") ^, #,(%#") (#,)"#$* 8" "() '$ 3",'()#"$ (8
(8/$#",8 -( )$ 8,#"(-$-. E8+( (8 (' 8"8+($ $,% #,)+"()( $ ',8 ,+%,8* () 9' 8( ()#()+%$) %(/%(8()+$-$8 '$8 #%(()#"$8 3$',%(8 #'+%$'(8 $#(%#$ -( '$ (%* (' ,%(* '$ $"'"$* ',8 ",8* '$ #,)#(/#") -(' /,-(% '$ ,(-"()#"$* '$8 $#+"+-(8 8,#"$'(8 #'+%$'(8 ( '("+"$) (' 8, -( '$ (%J$ /$%$ '$ %(8,'#") -( #,)'"#+,8* ',8 #,)#(/+,8 -( %,'(8 $"'"$%(8* -(%(#,8* %(8/,)8$"'"-$-(8* (+#. E) (8+( 8()+"-, ,8(%3$,8 ( '$ ,%$)"J$#") () '$ $"'"$ (8 /$+%"$%#$'* '$ ( 8( (8+%#+%$ 8,%( '$ $8( -( -"(%()#"$8 -( /,-(% ( -$) 3()+$$ $' ,%( 8,%( '$ (% $ ',8 /$-%(8 8,%( ',8 ",8* (8+$8 -"(%()#"$8 8( /'$8$) () ',8 3$',%(8 -( '$ #'+%$ () ',8 8")""#$-,8 -(' 8(% ,%(* (%* /$-%(* $-%(* ", ( "$* -(+(%")$)-, -( (8+$ $)(%$ ',8 %,'(8 -( #$-$ ),* $8& #,, 88 -(%(#,8 %(8/,)8$"'"-$-(8. L$ 3$'"-$#") -(' 8, -( '$ (%J$ /$%$ '$ %(8,'#") -( #,)'"#+,8* ()+%( ,+%,8 $8/(#+,8 (8+$'(#( ) #,)+(+, ( ()(%$ $)+"()( '$8 -"3(%8$8 (/%(8",)(8 -( '$ 3",'()#"$ ()+%( '$8 /(%8,)$8 ',8 %/,8 () )(8+%$ 8,#"(-$-* 8$(,8 ( '$ 3",'()#"$ () )(8+%, -"8+%"+, (8 ) #,/,%+$"()+, 8,#"$'()+( $#(/+$-,. E' /%,'($ -( '$ 3",'()#"$ $"'"$% (8 #,/'(,* 8,%( +,-, /,%( ), (8 "-()+""#$-, #,%%(#+$()+( /,% '$ /,'$#")* () (8$ (-"-$ '$ /%"(%$ %(8/,)8$"'"-$- ( +()(,8 (8 ',%$% ( 8( %(#,),J#$ #,, ) "/,%+$)+( /%,'($ -( 8$'- /'"#$.
e6 DQ3il capacidad de respuesta para recoo de residuos solidos L,8 /%,'($8 $8,#"$-,8 $ '$ -"8/,8"#") $-(#$-$ -( %(8"-,8 8'"-,8* $) /(%8"8+"-, -(8-(
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
(8+$'(#""()+,8 -( 8$'- $%$)+"J$)-, '$ $+()#") ")+(%$' -( 8$'- () +,-$8 '$8 (+$/$8 -( 3"-$ %(,%J$)-, '$ /%,,#") -( '$ 8$'- #$'. L""+$% '$ $+()#") ")+(%$' () 8$'- ,%$' $' 8"'') ,-,)+,'"#, ), /(%"+"% ()(%$% 8$'-. E8 "/%(8#")-"'( $3$)J$% () '$ #,)8+%##") -( $"()+(8 #,)+(+,8 8$'-$'(8* ', ( $ '$%, /'$J, /(-( ")'"% () '$ %(-##") -( ',8 #,8+,8 -( ',8 8(%3"#",8 -( 8$'-.
86 Anemia por deficiencia de @ierro en niños y 8estantes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Á%"#$. I)-(/()-"()+(()+( -( '$ ,%"'"-$- /%,-#"-$ /,% '$ $)("$ () 8&* '$ $)("$ /,% -("#"()#"$ -( "(%%,* (8 (' '+", (8+$-", -(' -9"#"+ -( "(%%,* /(8+, ( $%#$ (' ")$' -( ) /%,#(8, #$%()#"$'* ( 8" ,#%%( () )$ (+$/$ #%&+"#$ #,, '$ #,/%()-"-$ ()+%( '$ '$#+$)#"$ '$ ")$)#"$ +(/%$)$ /(-( #$8$% -$, "%%(3(%8"'( () '$ $-"8"#") -( /$+$8 $-%$+"3$8 -( )(%,-(8$%%,'',. E) +$' 8()+"-,* +,-$8 '$8 $##",)(8 -( 8$'- /$%$ /%(3()"% (8$ $'+(%$#")* +"()() () %($'"-$- )$ "/,%+$)#"$ $,% #$)-, 8( /"()8$ (* -( 8(% ((#+"3$8*
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@6 Alco@olismo y dro8adicción
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/$%($ , $"'"$ 8( ()%()+$ $ %$)-(8 #$%()#"$8 -""#'+$-(8 8 /%,(#+, -( 3"-$ 8( 3( %()$-,* 8%() 3",'()#"$ /,% /$%+( -( 8 $"'"$ -(' ()+,%), +"()() (),8 ,/,%+)"-$-(8 -( #,)8("% ) (/'(, ;#$)-, ', ,+"()() (8 $' %()(%$-,<* 8") ,'3"-$% ( -(() (-#$% $ 8 ", () (-", -( ) $"()+( -(8$3,%$'(. E' ($%$J, /(-( 8(% )$ (/(%"()#"$ $%$3"'',8$ /(%, 8" ), 8( (8+ /%(/$%$-, /(-( 8(% (' (3()+, 8 -%$+"#, -( + 3"-$. C$)-, 8( +%$+$ -( ($%$J, () '$ $-,'(8#()#"$ ), 8,', $ ( $'$% -( (''$ 8"), +$"9) -( 9'* /,%( '$8 #,)8(#()#"$8 8,) /$%$ $,8. S" "() '$ (% (8 '$ ( (8 8 3')(%$'( '$ ( ()%()+$ $,%(8 %"(8,8 (' 3$%) +$"9) (8 $(#+$-, (8 $', ( +()(,8 ( $8"% #,, 8,#"(-$-. L$ 8($'"-$- () )(8+%$ #'+%$ (8 +,-$3&$ ) +$ ;), +( +,(* ), $'(8* (8 8#",...< ',8 /$-%(8 +"()() -""#'+$-(8 /$%$ $'$% #,) 88 ",8* ',8 "8, 8#(-( () '$ (8#('$ ('',8 /"()8$) ( #$)+, (),8 $'() -(' +($ ), 8#(-(% '$ -(),")$-$ /,'&+"#$ -(' $3(8+%J 8" , ), $', -(' +($ (8+( ), ("8+( #%((,8 ( )$ -( '$8 -(+(%")$8+( 8 "/,%+$)+(8 $ ")+(%3()"% -(( 8(% '$ (-#$#")* 8,%( +,-, () 8($'"-$- ( -(( 8(% #'$%$ 3(%$J. S" "() +()(,8 -("'"-$-(8 -( /,-(%),8 #,)"#$% #,) ',8;$8< $-,'(8#()+(8 () '$ $"'"$ () '$ (8#('$* +$"9) ("8+( $'+$ -( %('$#") -( ',8 ()8$(8 ( ("+() ',8 (-",8 -( #,)"#$#") $8"3$ #,) ',8 -(),")$-,8 /%,%$$8 $8%$ () (' "+, -( '$ #,)"-$-,)-( '(,8 -( 8(% ) $'"$-, (8+%$+9"#, 8( #,)3"(%+( () ) $#+,% -( %"(8,. P,-(,8 #,)#'"% #,) ', ( (/(J$,8* '$ 8($'"-$- (8 '$ -"()8") 8 (''$ ( +"()( ('
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B6/ DQ3il capacidad de respuesta ante la contaminación por metales pesados E) (8( #,)+(+, /%,/,)(,8 #,, '&)($8 -( $##") /$%$ "+"$% (' "/$#+, )($+"3, -( '$ #,)+$")$#") /,% /',, 8,) '$8 8""()+(8. $. R(#/(%$#") -(8#,)+$")$#") -( %(#%8,8 &-%"#,8. . D(8#,)+$")$#") $+,89%"#$ %(#/(%$#") -( )"3('(8 $#(/+$'(8 -( #$'"-$- -( $"%(. #. E8+$'(#""()+, -( /,'&+"#$8 ),%$8 -( $)(, -"8/,8"#") -( %(8"-,8 8'"-,8 -,"#"'"$%",8 ( ")-8+%"$'(8. -. L,8 $-")"8+%$-,%(8 -( ',8 8"8+($8 -( $$8+(#""()+, -( $$ #,) ('(3$-$8 #,)#()+%$#",)(8 -( /',, -((%) ($")$% '$ /,8""'"-$- -( $/'"#$% +9#)"#$8 -( +%$+$"()+,* +$'(8 #,, $()+$% (' /H -( '$8 $$8 #"-$8* /$%$ %(-#"% $' &)", '$ #,%%,8") -"8")"% '$ '""3"$#") -( /',, () (' 8"8+($ -( -"8+%"#"). (. E-#$#") $ '$ /,'$#"): L,8 #,)8"-,%(8 -((%) '$3$% $ ,)-, '$8 %+$8 3(%-%$8 /$%$ ('"")$% (' /,'3, '$ +"(%%$ ( /(-$) #,)+()(% /',,. L$3$%8( '$8 $),8 $)+(8 -( /%(/$%$% $'"()+,8 +$"9) $-$% $ ('"")$% #$'"(% %(8+, -( /,'3, , 8#"(-$- ( /(-$ (8+$% #,)+$")$-, #,) /',,. .
P%,/"#"$% (' (,%$"()+, )+%"#",)$' -( ',8 )",8 )"$8 8,(+"-,8 $ '$ ()+( #,)+$")$)+(* 8 $) -( $('',8 ( /%(8()+$%,) -,8$(8 -( /',, /,% $%%"$ -( ',8
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
B6= ,iolencia familiar E8+( (),( (+,-,'"#, ),8 (8+%$ ( '$ 3",'()#"$ -()+%, -(' 8(), $"'"$% (8 '+"#$8$'* ), 8"()-, ) /%,'($ )"#$()+( -(' ()+,%), $"'"$%. D(8-( (8+( /)+, -( 3"8+$ '$8 ")+(%3()#",)(8 -(() %($'"J$%8( () (8+$ (-"-$* '$8 (-"-$8 8 #,8+,8 ((#+"3,8 8( $) (8+$'(#"-, () '$8 8""()+(8: $. R($'"J$% (' $,%-$( ")+(%8(#+,%"$' -( '$ /%,'(+"#$* $%+"#'$)-, #,) ,+%$8 ")8+$)#"$8 -( '$ (8+") /'"#$* ONG*8* U)"3(%8"-$-(8* C,'(",8 P%,(8",)$'(8* ")8+"+#",)(8 -( '$ #,)"-$-* ,%$)"J$#",)(8 8,#"$'(8.
B62 DQ3il capacidad de respuesta para recoo de residuos solidos E)+%( '$8 ")+(%3()#",)(8 8 #,8+, ((#+"3, 8( $ ()#,)+%$-, '$8 8""()+(8: $. S()8""'"J$% $ ',8 +,$-,%(8 -( -(#"8",)(8 8,%( '$ /%,'(+"#$ $#+$' -( '$ $8%$ (' "/$#+, $"()+$' ,#$8",)$-, '$8 $'+(%)$+"3$8 ( ("8+() /$%$ (' $)(, ")+(%$' -( ',8 %(8"-,8 8'"-,8 %$),8. . I/'8$% #$/$$8 )$#",)$'(8 -( (-#$#") 8()8""'"J$#") $"()+$' /$%$ (,%$% '$8 #,)-#+$8 %(8/(#+, -(' $%%,, -( $8%$ ,()+$% '$ %(-##")* 8(%($#")* %(8* %(#"#'$( $8& #,, (' %(#,),#""()+, -( '$ "/,%+$)#"$ -( #,)+$% #,) %(''(),8 8$)"+$%",8 /$%$ '$ -"8/,8"#") ")$' -( ',8 %(8"-,8 8'"-,8. #. C,)#"()+"J$% $ '$8 $+,%"-$-(8 )"#"/$'(8 8,%( ',8 %"(8,8 8$)"+$%",8 $ ( 8( ()#()+%$ (/(8+$ ',8 +%$$$-,%(8 -(' 8(%3"#", -( '"/"$ '$ /,'$#") () ()(%$' /,% (' ")$-(#$-, $)(, -( '$ $8%$. -. P%,,3(% '$ ")3(%8") /'"#$ /%"3$-$ -(8-( '$ )"#"/$'"-$- () /%,(#+,8 /$%$ (,%$% ',8 8"8+($8 -( %(#,'(##")* ,/(%$#",)(8 -( %(#"#'$(* -"8/,8"#") ")$' -( %(8"-,8 8'"-,8 (' -(8$%%,'', -( ")%$(8+%#+%$ $ )"3(' -"8+%"+$' $8(%$)-, (' #"(%%( , #'$8%$ -( ,+$-(%,8 ,+%$8 ")8+$'$#",)(8 "'($'(8. (. P%,,3(% (' $)(, $-(#$-, -( ',8 %(8"-,8 8'"-,8 /('"%,8,8 /,% '$ )"#"/$'"-$-* #,,%-")$)-, $##",)(8 #,) '$8 $+,%"-$-(8 -( '$ D"%(##") R(",)$' -( S$'- P$8#,.
-. C,,%-")$#") ")+(%")8+"+#",)$' #,) ,+%,8 $#+,%(8 /'"#,8 , ), /'"#,8* /$%$ '$ ,%$#") -( $'"$)J$8 (8+%$+9"#$8 ( #,)+%"$) $' -"8(, -( $##",)(8 #,))+$8 /$%$ (' $,%-$( ")+(%$' -( '$ S$'- 6#$'. (. P%,,3(% '$ ")3(8+"$#") ( %(8/,)-$ $ ',8 /%,'($8 -( 8$'- #$' -( '$ /,'$#") ( /(%"+$) -(8$%%,''$% (8+%$+("$8 $-(#$-$8 ,/,%+)$8.
B6 Anemia por deficiencia de @ierro en niños y 8estantes E) (8+( #,)+(+, +()(,8 ")+(%3()#",)(8 #,8+, ((#+"3$8 ( 8" 8,) "/'(()+$-$8 $-(#$-$()+( -(8-( 8 /'$)""#$#") $8+$ 8 ,)"+,%(, (3$'$#") $8(%$) %(8'+$-,8 /,8"+"3,8 ()+%( (''$8 ()#",)$,8 '$8 8""()+(8: $. P%,,3(% (' #,),#""()+, -( '$8 $-%(8 (' ()+,%), $"'"$% () )+%"#") ")$)+"' -( '$ (8+$)+( #,) /$%+"#"/$#") -( '$ #,)"-$- E-#$#") /$%$ (' #$", -( #,/,%+$"()+, 8$'- )+%"#") #()+%$-$8 () (' (,%$"()+, -(' #"-$-, $"'"$% #,)"+$%", -( '$ )"(J* ( ")#'( /$+$8 -( #%"$)J$ /,8"+"3$8* "+,8 $'"()+$%",8 $-(#$-,8* ""()( -(' ,$%* $+, #"-$-, -( '$ 8$'- '$ (8+"'$#") +(/%$)$ -(' -(8$%%,'', /8"#,,+,% ()+$' ")$)+"'* +,$)-, () #()+$ ',8 8$(%(8 /%(3",8 (/(%"()#"$8 -( '$ /,'$#"). . P%,,3(% '$ ")3(%8") /'"#$ () '$ 8$'- -( '$ ")$)#"$* (' #,$+( $ '$ /,%(J$* (' $##(8, $ $$ 8(%$ '$ 8(%"-$- $'"()+$%"$. #. E' $##(8, $ '$ $+()#") %(),3$-$ () 8$'- /%",%"J$)-, (' (),( /%(3()+"3, 8,%( ('
L,8 (8+$'(#""()+,8 -( 8$'- -(() (8+$% /%(/$%$-,8 #%($% 8"8+($8 -( "-()+""#$#") +(/%$)$ -( /$#"()+(8 #,) /%,'($8 -( $'#,,' ), (),8 "/,%+$)+( (' +%$$, #,) ',8 $#+,%(8 '$8 $+,%"-$-(8 (' +%$$, -(( 8(% ")+%$ ( ")+(%8(#+,%"$' #,, +,-,8 $('',8 /%,'($8 -( 8$'- /'"#$. S,', () (8$ (-"-$ /,-(,8 $3$)J$% () -(+()(% (8+( "/,%+$)+( /%,'($ -( 8$'- /'"#$
B6 Em3ara;o en adolescentes L$8 ")+(%3()#",)(8 ( $) -(,8+%$-, 8 ((#+"3"-$- 8() '$ (3"-()#"$ #"()+&"#$ 8,): $. E-#$#") ")+(%$' () 8($'"-$- () '$ $"'"$ '$ (8#('$ ( -(( 8(% ")"#"$-$ ',8 8 +(/%$)$ /,8"'( -(8-( '$ )"(J #,) #,)+()"-,8 ( 8( 3$) %$-$)-, -( $#(%-, $ '$ (-$-* (' $#,/$$"()+, /(%$)()+( -( ',8 8(%3"#",8 -( 8$'- -( ',8 /$-%(8 -( $"'"$* #$/$#"+$#") $' -,#()+( ( ")%(8( $' /'$) #%%"#'$% #,) (),( -( ")+(%#'+%$'"-$-. . I/'(()+$#") -(' 8(%3"#", -( $+()#") -"(%()#"$-$ -( '$8;,8< $-,'(8#()+(8. L$ /,'$#") $-,'(8#()+( ()%()+$ 8 $%%(%$8 -( $##(8, $ ',8 8(%3"#",8 -( 8$'- $' 8, -( 9+,-,8 ((#+"3,8 ( ,+%,8 %/,8 -( (-$-* (8+,8 8(%3"#",8 -(() $%$)+"J$% (' /(%8,)$' ), 8,', #$/$#"+$-, 8"), #,) ) /(%"' (/+"#, 8") /%("#",8 '$8 ")8+$'$#",)(8 -(() 8(% $#,(-,%$8 -"8/,)"'(8 /$%$ 8$%',8 #$)-, ('',8 ',8 )(#(8"+() '$ #,)"-$- -(( 8(% ) (#$)"8, -( -"8") /$%$ 8(% +"'"J$-,8. #. ")+(%3()#",)(8 $8$-$8 () (-",8 -( #,)"#$#")* ',8 (-",8 -( #,)"#$#") ($) ) /$/(' "/,%+$)+( () '$ /%(3()#") -( ($%$J, -( $-,'(8#()+(8 ,()+$-, '$ /%(3()#") -( #,/,%+$"()+,8 -( %"(8,* (' (%#$-(, 8,#"$' '$8 #$'(8 +"'"J$) +9#)"#$8 /'"#"+$%"$8 /$%$
(. P%,,3(% '$ '$#+$)#"$ $+(%)$ (#'8"3$* '$ 3$#)$#") ,/,%+)$* (' $-(#$-, /(8, $' )$#(%* ) $-(#$-, (8+$-, )+%"#",)$' #,)+$% #,) ) 8(%, -( 8$'- #,, '$8 (-"-$8 8 #,8+, ((#+"3$8 /$%$ /%(3()"% '$8 IRA8. .
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