Assessing pandemic preparedness, response, and lessons learned from the COVID-19 pandemic in four south American countries: agenda for the future
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Published:2023-11-29
Issue:
Volume:11
Page:
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ISSN:2296-2565
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Container-title:Frontiers in Public Health
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language:
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Short-container-title:Front. Public Health
Author:
Ramírez Varela Andrea,Touchton Michael,Miranda J. Jaime,Grueso Juliana Mejía,Laajaj Rachid,Carrasquilla Gabriel,Florez Martha Vives,Gaviria Ana María Vesga,Hoyos Ana María Ortiz,Duarte Esteban Orlando Vanegas,Morales Alejandra Velásquez,Velasco Nubia,Restrepo Silvia Restrepo
Abstract
IntroductionThe COVID-19 pandemic emerged in a context that lacked adequate prevention, preparedness, and response (PPR) activities, and global, regional, and national leadership. South American countries were among world’s hardest hit by the pandemic, accounting for 10.1% of total cases and 20.1% of global deaths.MethodsThis study explores how pandemic PPR were affected by political, socioeconomic, and health system contexts as well as how PPR may have shaped pandemic outcomes in Argentina, Brazil, Colombia, and Peru. We then identify lessons learned and advance an agenda for improving PPR capacity at regional and national levels. We do this through a mixed-methods sequential explanatory study in four South American countries based on structured interviews and focus groups with elite policy makers.ResultsThe results of our study demonstrate that structural and contextual barriers limited PPR activities at political, social, and economic levels in each country, as well as through the structure of the health care system. Respondents believe that top-level government officials had insufficient political will for prioritizing pandemic PPR and post-COVID-19 recovery programs within their countries’ health agendas.DiscussionWe recommend a regional COVID-19 task force, post-pandemic recovery, social and economic protection for vulnerable groups, improved primary health care and surveillance systems, risk communication strategies, and community engagement to place pandemic PPR on Argentina, Brazil, Colombia, and Peru and other South American countries’ national public health agendas.
Publisher
Frontiers Media SA
Subject
Public Health, Environmental and Occupational Health
Reference36 articles.
1. Cumulative confirmed and probable COVID-19 cases reported by countries and Teritories in the region of the Americas;Health Inform. Anal.,2023
2. Coronavirus pandemic (COVID-19);Ritchie,2020
3. GHS index methodology,2021
4. Global Health security index: Advancing collective action and accountability amid global crisis;Bell,2021