Impact of the Healthcare System, Macro Indicator, General Mandatory Quarantine, and Mask Obligation on COVID-19 Cases and Death in Six Latin American Countries: An Interrupted Time Series Study
| Autor: | Adriana Poppe |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Costa Rica
Latin Americans ITSA = interrupted time-series analysis Physical Distancing Population Developing country Context (language use) Mandatory Programs Colombia coping strategies 03 medical and health sciences 0302 clinical medicine country comparison Peru Development economics Health care macro indicators Humans 030212 general & internal medicine Chile education Mexico Pandemics Original Research education.field_of_study Informal sector Poverty SARS-CoV-2 business.industry lcsh:Public aspects of medicine Masks Public Health Environmental and Occupational Health COVID-19 mask obligation Interrupted Time Series Analysis lcsh:RA1-1270 mandatory quarantine Social security Latin America Quarantine Public Health Ecuador Business Delivery of Health Care 030217 neurology & neurosurgery |
| Zdroj: | Frontiers in Public Health, Vol 8 (2020) Frontiers in Public Health |
| ISSN: | 2296-2565 |
| DOI: | 10.3389/fpubh.2020.607832/full |
| Popis: | Background: Different coping strategies have been implemented by various governments worldwide to address the emerging health crisis of COVID-19. While most developed countries count on supporting healthcare and social systems, developing countries face additional challenges due to low macro indicators. The implementation of measurements such as quarantine are shown to be successful to flatten the curve of infection and death. In this context, it is important to test whether those measurements have an impact on the distribution of cases of COVID-19 in developing countries that face additional challenges such as lack of social security due to informal employment. A country comparison for Colombia, Costa Rica, Peru, Ecuador, Mexico, and Chile has therefore been conducted.Method: The healthcare systems and macro indicator as well as the distribution of death due to COVID-19 per thousand inhabitants are compared descriptively. Using Multiple Interrupted Time Series Analysis with synthetic control units the impact of the General Mandatory Quarantine in Colombia, Peru, and Ecuador as well as the impact of Mask Obligation in public in Colombia and Chile have been tested.Results: No clear impact of the poverty headcount ratio at the national poverty line and urban population on the percentage of death within the confirmed cases has been found. The out-of-pocked spending within health expenditure as a barrier in access to healthcare can be considered as a determinant of death within the confirmed cases of COVID-19. The implementation of a general mandatory quarantine did not show a curve-flattening effect in Ecuador and Peru but did so in Colombia. The implementation of Mask obligation in public spaced showed positive impact on the distribution of confirmed case in both countries tested.Conclusion: The implementation of a general mandatory quarantine does not guarantee the curve-flattening effect. Various macro indicators should therefore always be considered while analyzing the effect of policies. |
| Databáze: | OpenAIRE |
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