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Strengthening Health Systems to Face Pandemics: Subnational Policy Responses to Covid-19 in Latin America

Knaul, Felicia and Touchton, Michael and Arreola-Ornelas, Hector and Calderon-Anyosa, Renzo and Otero-Bahamon, Silvia and Hummel, Calla and Perez-Cruz, Pedro and Porteny, Thalia and Patino, Fausto and Rifat, Atua and Garcia, Patricia and Insua, Jorge and Mendez, Oscar and Undurraga, Eduardo and Boulding, Carew and Nelson-Nunez, Jami and Velasco Guachalla, V Ximena and Sanchez-Talanquer, Mariano (2022) 'Strengthening Health Systems to Face Pandemics: Subnational Policy Responses to Covid-19 in Latin America.' Health Affairs, 41 (3). pp. 454-462. ISSN 0278-2715

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Abstract

Non-pharmaceutical interventions (NPIs) 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, NPI are managed or implemented at the sub-national level, yet little information exists on within country variation in NPI policies. We focus on Latin America, a COVID-19 epicenter, and collect and analyze daily subnational data on public health measures in Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Mexico, and Peru to compare within- and across-country NPI. We show high heterogeneity in the adoption of NPIs at the subnational level in Mexico and Brazil, 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

Item Type: Article
Uncontrolled Keywords: COVID-19, Latin America, Non-pharmaceutical interventions, public health, policy implementation
Divisions: Faculty of Social Sciences
Faculty of Social Sciences > Government, Department of
SWORD Depositor: Elements
Depositing User: Elements
Date Deposited: 16 Feb 2022 10:25
Last Modified: 23 Sep 2022 19:52
URI: http://repository.essex.ac.uk/id/eprint/32311

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