The research "Cultural factors that influence the accompaniment service for families of the Cuna Mas National Program in the San Pedro De Mangua Community on the Napo River, Mazan District 2023" had the objective of knowing the cultural factors that influence the Accompaniment Service for Families of the Cuna Mas National Program in the San Pedro de Mangua community on the Napo river. The research was of a qualitative approach, descriptive level, ethnographic design, the population is made up of 200 inhabitants, the sample is made up of 20 key informants among users, facilitators or personnel of the SAF of the PNCM; As techniques, interviews and direct observation were applied. Families must meet the requirements of the SAF "Cuna Más" to provide children with comprehensive care, the way their children are raised is related to the practices, knowledge, and traditional knowledge of the ho...