Of the 1.2 million people living in the area surrounding Cusco, only four percent are Christians. Poverty is widespread and many lack access to healthcare. Cusco is considered the unofficial capital and cultural center for the Quechua Indians, a largely unreached people group scattered throughout the Andes. It is also home to several healthcare universities.

MTW has several ministries here. Cusco serves as the base of operations for ministry to the Quechuas throughout the Andes region. Another part of the MTW team works in partnership with Medical Campus Outreach International to serve the poor with their medical skills as well as evangelizing and training Peruvian healthcare students to offer physical and spiritual healing in Jesus’ name. The Josephine House, established by the MTW team in 2008, is a home that serves as a place of safety for children born into difficult situations until they can be adopted and placed in a permanent home.