Introduction: Health professionals performing their social health service (SHS) in rural communities could be at risk of developing depression. Moreover, those who migrate from farther places to perform their SHS could have an increased risk. The objective of this study was to evaluate the association between place of origin and the presence of depressive symptoms, in health professionals performing rural social health service (SHS) in Ancash, Peru. Methods: This was a cross-sectional study. During April 2015, a survey was applied to health professionals performing SHS in the Peruvian Ministry of Health (MINSA) facilities in Ancash. The main outcome was the presence of depressive symptoms, defined as a score =2 points in the Patient Health Questionnaire-2. The main exposure was the place of origin, defined as the place where the subjects completed their undergraduate professional studies (Ancash, Lima city or others). Poisson regressions with robust variance were performed to calculate crude and adjusted prevalence ratios (PR and aPR) and their 95% confidence interval (95%CI). Results: From 573 health professionals performing their SHS in MINSA in Ancash, 347 were included in the study. The mean age was 27.2±4.5 years, 78.7% were women, and 14.7% scored positive for depressive symptoms. Those who had completed their undergraduate professional studies in Lima city had a higher prevalence of presence of depressive symptoms compared to those who did in Ancash (aPR=2.59, 95%CI=1.23-5.45). Conclusions: Those who completed their undergraduate professional studies in Lima had a higher prevalence of depressive symptoms than those who did in Ancash. Possible explanations include the difficulty in visiting family and friends, acculturation, and lack of Quechua language proficiency. / Revisión por pares

El actual proyecto surge a través de una necesidad, la cual es realizar un modelo de Arquitectura Empresarial del proceso de Compra de Prestaciones de Salud para la empresa estatal ESSALUD, con la finalidad de poder cubrir las inconsistencias que existen entre los procesos, usuarios, stakeholders, etc., las mismas que ocasionan pérdida de recursos, tiempo, además de afectar directamente la reputación y seriedad de la compañía. Así mismo, existe la necesidad de expandir la cobertura de los servicios de salud ofrecidos en el plano de una serie de restricciones financieras y políticas aplicadas por el gobierno de turno. De esta manera, gracias al desarrollo de la arquitectura empresarial para el proceso de compra de prestaciones de salud se puede optimizar y reducir los costos, gastos y tiempos utilizados actualmente en la entidad de salud; lo cual genera no solo un cuello de botella en el procedimiento general no solo internamente afectando al personal, sino, también, a la sociedad, pues existe actualmente un porcentaje muy alto de personas disconformes con el servicio que se ofrece. Para ello, es necesario que los procesos a los que se recurren esten correctamente definidos, de igual manera sus entradas, flujo interno y salidas, de tal manera que, al auditar estos procedimientos los números y estadísticas cuadren con el balance anual que se realiza para las entidades reguladoras de los presupuestos. / The current project comes through a necessity, which is to make a design model of the Enterprise Architecture Process Purchase benefits for the state company ESSALUD, in order to be able to cover the inconsistencies between processes, users, stakeholders, etc., the same that cause loss of resources, time, as well as directly affect the reputation and reliability of the company. Also, there is a need to expand the coverage of health services offered in terms of a number of financial and political restrictions imposed by the government. In this way, thanks to the development of the enterprise architecture for the process of buying health services in EsSalud, costs, expenses and time of use can be optimized and reduced at the health entity. Don’t make a change in this procedure generates not only a trouble in the general procedure, so it is not only internally affecting the staff, also affects to society, since there is a very high percentage of people that doesn’t like the service offered. For this, it is necessary that the processes that are used should be correctly define, as well as their inputs, the internal flow and outputs, this can generate that the numbers and the statistics match the annual balance that is made for the budgets regulatory entities. / Tesis