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Introduction: Mexico has been one of the countries most affected by the international public health emergency brought on by COVID-19 (short for corona virus disease 2019), at the end of June 2021, the country has had 2.642.068 confirmed cases and 236.015 deaths. In response to the pandemic, governments around the world have reacted by implementing a wide variety of public health policies with a wide range of nuances and huge heterogeneity that make them difficult to compare and assess in view of scaling up some of them, as well as it complicates the possibility of making global recommendations.The aim of this paper is to analyze the decision making of the Mexican health system in the governance of the COVID-19 pandemic, and to assess its strengths according to the WHO guide for COVID-19 Strategic Preparedness and Response Plan (SPRP). We conducted a qualitative investigation based on semi-structured interviews of 41 key actors of the health system, from June to November, 2020. Interviews were audio-recorded, organized into categories following the framework of the COVID-19 SPRP and the ""health policy triangle"", using ATLAS.ti-v.9 software.Conclusions: The health policy response focused on intersectoral communication between the health sector and other sector such as education, economy or public security; advice of expert in health policies; portability of health-care services, equitable policies, and improving the information system (Epidemiological Stoplight); which allowed an intermediate response to COVID-19.Implications: Strengthening an effective response of the Mexican health system to face COVID-19, according to the WHO guide for COVID-19-SPRP, requires the prompt formulation of evidence-based policies, such as restrictions on international movement, efficient testing policy and contact tracing, in addition to the intersectoral, equitable, collaborative, and responsible policies currently implemented. |
