[COVID-19 in Latin America: inequalities and response capacity of health systems to health emergenciesCOVID-19 en América Latina: desigualdades y capacidad de respuesta de los sistemas de salud ante emergencias de salud].

Autor: Dos Santos IDM; Escola Nacional de Saúde Pública Sérgio Arouca da Fundação Oswaldo Cruz (ENSP/FIOCRUZ)   Escola Nacional de Saúde Pública Sérgio Arouca da Fundação Oswaldo Cruz (ENSP/FIOCRUZ)., Machado CV; Escola Nacional de Saúde Pública Sérgio Arouca da Fundação Oswaldo Cruz (ENSP/FIOCRUZ)   Escola Nacional de Saúde Pública Sérgio Arouca da Fundação Oswaldo Cruz (ENSP/FIOCRUZ)., Pereira AMM; Escola Nacional de Saúde Pública Sérgio Arouca da Fundação Oswaldo Cruz (ENSP/FIOCRUZ)   Escola Nacional de Saúde Pública Sérgio Arouca da Fundação Oswaldo Cruz (ENSP/FIOCRUZ)., de Andrade CLT; Escola Nacional de Saúde Pública Sérgio Arouca da Fundação Oswaldo Cruz (ENSP/FIOCRUZ)   Escola Nacional de Saúde Pública Sérgio Arouca da Fundação Oswaldo Cruz (ENSP/FIOCRUZ).
Jazyk: portugalština
Zdroj: Revista panamericana de salud publica = Pan American journal of public health [Rev Panam Salud Publica] 2023 Jun 12; Vol. 47, pp. e88. Date of Electronic Publication: 2023 Jun 12 (Print Publication: 2023).
DOI: 10.26633/RPSP.2023.88
Abstrakt: Objective: To identify correlations between COVID-19, demographic and socioeconomic characteristics, and the capacity of Latin American health systems to respond to health emergencies.
Method: An ecological study was performed using secondary data from 20 Latin American countries regarding incidence, mortality, testing and vaccination coverage for covid-19 from 2020 to 2021 as well as demographic and socioeconomic indicators. The preparedness of countries to respond to health emergencies was explored based on the 2019 State Party Self-Assessment Annual Report on the implementation of the International Health Regulations (IHR). Statistical analyses were performed using the Spearman correlation test (rho).
Results: A high positive correlation was noted between gross domestic product per capita and the human development index with the incidence of COVID-19, testing, and vaccination coverage; and between the proportion of elderly population and vaccination coverage. No correlations were identified between the covid-19 indicators and previous IHR implementation capacities.
Conclusions: The lack of correlation between indicators related to COVID-19 and the ability to implement the IHR may reflect limitations of the indicators used or of the IHR monitoring tool as an instrument that induces the preparedness of countries to face health emergencies. The results suggest the importance of structural conditioning factors and the need for longitudinal, comparative, and qualitative studies to understand the factors that influenced the response of countries to COVID-19.
Databáze: MEDLINE