Ítem
Acceso Abierto
Strengthening Health Systems To Face Pandemics: Subnational Policy Responses To COVID-19 In Latin America
Título de la revista
Autores
Velasco Guachalla, V. Ximena
Undurraga, Eduardo
Touchton, Michael M.
Sanchez-Talanquer, Mariano
Arreola-Ornelas, Hector
Pérez-Cruz, Pedro
Porteny, Thalia
Patino, Fausto. Atun, Rifat
Otero Bahamon, Silvia Alejandra
Nuñez, Jami Nelson
Fecha
2022-01
Directores
ISSN de la revista
Título del volumen
Editor
Health Affairs
Buscar en:
Métricas alternativas
Resumen
Abstract
Nonpharmaceutical 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.
Palabras clave
Keywords
COVID-19 , Nonpharmaceutical interventions , Stay-at-home orders , Vaccine rollout , Subnational policies , Latin America , Argentina , Bolivia , Brazil , Chile , Colombia , Ecuador , Mexico , Peru , Public health measures , Policy variation , Subnational heterogeneity , National guidelines , Centralized policies , Health crises response , Evidence-based policies , Coordinated national policy
