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

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dc.creatorVelasco Guachalla, V. Ximenaspa
dc.creatorUndurraga, Eduardospa
dc.creatorTouchton, Michael M.spa
dc.creatorSanchez-Talanquer, Marianospa
dc.creatorArreola-Ornelas, Hectorspa
dc.creatorPérez-Cruz, Pedrospa
dc.creatorPorteny, Thaliaspa
dc.creatorPatino, Fausto. Atun, Rifatspa
dc.creatorOtero Bahamon, Silvia Alejandraspa
dc.creatorNuñez, Jami Nelsonspa
dc.creatorMendez, Oscarspa
dc.creatorKnaul, Felicia Mariespa
dc.creatorInsua, Jorgespa
dc.creatorHummel, Callaspa
dc.creatorGarcia, Patricia J.spa
dc.creatorCalderon-Anyosa, Renzospa
dc.creatorBoulding, Carewspa
dc.date.accessioned2025-09-16T16:32:25Z
dc.date.available2025-09-16T16:32:25Z
dc.date.created2022-01spa
dc.date.issued2022-03spa
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.eng
dc.format.extent9 ppspa
dc.identifier.doihttps://doi:10.1377/hlthaff.2021.00981spa
dc.identifier.issn1353-3312spa
dc.identifier.issn1743-906Xspa
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/46491
dc.language.isoengspa
dc.publisherHealth Affairsspa
dc.relation.ispartofHealth Affairs March 2022 Vol. 41, No. 3spa
dc.relation.urihttps://www.healthaffairs.org/doi/10.1377/hlthaff.2021.00981spa
dc.sourceHealth Affairsspa
dc.subject.keywordCOVID-19eng
dc.subject.keywordNonpharmaceutical interventionseng
dc.subject.keywordStay-at-home orderseng
dc.subject.keywordVaccine rollouteng
dc.subject.keywordSubnational policieseng
dc.subject.keywordLatin Americaeng
dc.subject.keywordArgentinaeng
dc.subject.keywordBoliviaeng
dc.subject.keywordBrazileng
dc.subject.keywordChileeng
dc.subject.keywordColombiaeng
dc.subject.keywordEcuadoreng
dc.subject.keywordMexicoeng
dc.subject.keywordPerueng
dc.subject.keywordPublic health measureseng
dc.subject.keywordPolicy variationeng
dc.subject.keywordSubnational heterogeneityeng
dc.subject.keywordNational guidelineseng
dc.subject.keywordCentralized policieseng
dc.subject.keywordHealth crises responseeng
dc.subject.keywordEvidence-based policieseng
dc.subject.keywordCoordinated national policyeng
dc.titleStrengthening Health Systems To Face Pandemics: Subnational Policy Responses To COVID-19 In Latin Americaspa
dc.typearticlespa
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersionspa
dc.type.spaArtículospa
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