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

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dc.contributor.author Knaul, F.M.
dc.contributor.author Touchton, M.M.
dc.contributor.author Arreola-Ornelas, H.
dc.contributor.author Calderon-Anyosa, R.
dc.contributor.author Otero-Bahamón, S.
dc.contributor.author Hummel, C.
dc.contributor.author Pérez-Cruz, P.
dc.contributor.author Porteny, T.
dc.contributor.author Patino, F.
dc.contributor.author Atun, R.
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.contributor.author Insua, J.
dc.contributor.author Mendez, O.
dc.contributor.author Undurraga, E.
dc.contributor.author Boulding, C.
dc.contributor.author Nelson-Nuñez, J.
dc.contributor.author Velasco Guachalla, V.X.
dc.contributor.author Sanchez-Talanquer, M.
dc.date.accessioned 2022-06-01T13:53:57Z
dc.date.available 2022-06-01T13:53:57Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/11738
dc.description.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. en_US
dc.language.iso eng
dc.publisher Project HOPE
dc.relation.ispartofseries Health Affairs
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject COVID-19 en_US
dc.subject human en_US
dc.subject Humans en_US
dc.subject epidemiology en_US
dc.subject Latin America en_US
dc.subject pandemic en_US
dc.subject Pandemics en_US
dc.subject SARS-CoV-2 en_US
dc.subject South and Central America en_US
dc.subject prevention and control en_US
dc.subject Policy en_US
dc.subject policy en_US
dc.title Strengthening Health Systems To Face Pandemics: Subnational Policy Responses To COVID-19 In Latin America en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1377/hlthaff.2021.00981
dc.relation.issn 1544-5208


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