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Assessing pandemic preparedness, response, and lessons learned from the Covid-19 pandemic in four south American countries

Agenda for the future

Bibliographic Data

ID22077593
AuthorsAndrea Ramírez-Varela (0000-0003-2685-9617, Universidad de los Andes, corresponding author), Andrea Ramirez Varela, Michael Touchton (0000-0001-7645-1391, University of Miami), J Jaime Miranda (0000-0002-4738-5468, Universidad Peruana Cayetano Heredia), Juliana Mejía-Grueso (0000-0003-0059-2993, Universidad de los Andes), Juliana Mejía Grueso, Rachid Laajaj (0000-0003-0061-7302, Universidad de los Andes), Gabriel Carrasquilla (0000-0002-9449-4931, Hospital Universitario Nacional de Colombia), Martha J Vives (0000-0001-7795-1494, Universidad de los Andes), Martha Vives Florez, Ana María Vesga Gaviria (Asociación Colombiana de Facultades de Ingeniería), Ana María Ortiz Hoyos (0000-0002-2758-3889), Esteban Orlando Vanegas Duarte (Universidad de los Andes), Alejandra Velásquez Morales (0000-0001-6108-0006, Universidad El Bosque), Nubia Velasco (0000-0002-5717-4998, Universidad de los Andes), Silvia Restrepo (0000-0001-9016-1040, Universidad de los Andes), Silvia Restrepo Restrepo
Year2023
Volume11
Pages1274737-1274737
Publication date2023-11-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1274737
PMID38094236
OpenAlexW4389149416
LanguageEN
Citations received2
References cited21

Introduction: The 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. Methods: This 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. Results: The 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. Discussion: We 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

Disease · Economic growth · Economics · Environmental health · Geography · Health care · Pandemic · Political science · Population · Preparedness · Public health · Socioeconomic status · Socioeconomics · Sociology · COVID-19 epidemiological studies · Medicine · Nursing · Viral Infections and Outbreaks Research · Zoonotic diseases and public health

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Unique citing works2
Citations per year2
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2
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