Strengthening Health Systems To Face Pandemics: Subnational Policy Responses To COVID-19 In Latin America

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dc.contributor.authorKnaul F.M.
dc.contributor.authorTouchton M.M.
dc.contributor.authorArreola-Ornelas H.
dc.contributor.authorCalderon-Anyosa R.
dc.contributor.authorOtero-Bahamon S.
dc.contributor.authorHummel C.
dc.contributor.authorPerez-Cruz P.
dc.contributor.authorPorteny T.
dc.contributor.authorPatino F.
dc.contributor.authorAtun R.
dc.contributor.authorGarcia P.J.
dc.contributor.authorInsua J.
dc.contributor.authorMendez O.
dc.contributor.authorUndurraga, Eduardo A.
dc.contributor.authorBoulding C.
dc.contributor.authorNelson-Nunez J.
dc.contributor.authorVelasco Guachalla V.X.
dc.contributor.authorSanchez-Talanquer M.
dc.date.accessioned2024-01-10T14:23:08Z
dc.date.available2024-01-10T14:23:08Z
dc.date.issued2022
dc.description.abstractNonpharmaceutical interventions such as stay-at-home orders continue to be the main policy response to the COVID-19 pandemic in countries with limited or slow vaccine rollout. Often, nonpharmaceutical interventions are managed or implemented at the subnational level, yet little information exists on within-country variation in nonpharmaceutical intervention policies. We focused on Latin America, a COVID-19 epicenter, and collected and analyzed daily subnational data on public health measures in Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Mexico, and Peru to compare within- and across-country nonpharmaceutical interventions. We showed high heterogeneity in the adoption of these interventions at the subnational level in Brazil and Mexico; consistent national guidelines with subnational heterogeneity in Argentina and Colombia; and homogeneous policies guided by centralized national policies in Bolivia, Chile, and Peru. Our results point to the role of subnational policies and governments in responding to health crises. We found that subnational responses cannot replace coordinated national policy. Our findings imply that governments should focus on evidence-based national policies while coordinating with subnational governments to tailor local responses to changing local conditions.
dc.format.extent462 páginas
dc.fuente.origenScopus
dc.identifier.doi10.1377/hlthaff.2021.00981
dc.identifier.eissn15445208
dc.identifier.issn15445208
dc.identifier.pubmedid35254925
dc.identifier.scopusidSCOPUS_ID:85125974344
dc.identifier.urihttps://doi.org/10.1377/hlthaff.2021.00981
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/80049
dc.identifier.wosidWOS:000799152600017
dc.information.autorucInterdisciplinarias; Undurraga Fourcade, Eduardo Andres; S/I; 12868
dc.issue.numero3
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final462
dc.pagina.inicio454
dc.publisherNLM (Medline)
dc.relation.ispartofHealth affairs (Project Hope)
dc.revistaHealth affairs (Project Hope)
dc.rightsregistro bibliográfico
dc.subject.ods16 Peace and Justice Strong Institutions
dc.subject.odspa16 Paz, justicia e instituciones sólidas
dc.titleStrengthening Health Systems To Face Pandemics: Subnational Policy Responses To COVID-19 In Latin America
dc.typeartículo
dc.volumen41
sipa.codpersvinculados12868
sipa.indexScopus
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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