Covid-19 and inequities in the Americas

Lessons learned and implications for essential health services

Dados Bibliográficos

ID14966876
AutoresAnselm Hennis (0000-0002-2400-3463, World Health Organization Regional Office for the Americas, autor correspondente), Anselm J M Hennis (Pan American Health Organization, Washington, D.C., United States of America), Anna Coates (0000-0003-1339-4419, Pan American Health Organization, Washington, D.C., United States of America), Sandra del Pino (0000-0002-0559-4640, Pan American Health Organization, Washington, D.C., United States of America), Massimo Ghidinelli (Pan American Health Organization, Washington, D.C., United States of America), Rodolfo Gómez Ponce De León (0000-0001-9914-7130, Pan American Health Organization, Washington, D.C., United States of America), Edwin Bolastig (Pan American Health Organization, Washington, D.C., United States of America), Luis Castellanos (0009-0006-6243-0999, Pan American Health Organization, Washington, D.C., United States of America), Renato Oliveira E Souza (0009-0005-9947-9393, Pan American Health Organization, Washington, D.C., United States of America), Silvana Luciani (0000-0002-3122-1258, Pan American Health Organization, Washington, D.C., United States of America)
Ano2021
Volume45
Páginas1
Data de publicação2021-12-28
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoRevista Panamericana de Salud Pública (JOURNAL)
Identificadores do periódicoISSN: 1020-4989 • E-ISSN: 1680-5348
EditoraPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2021.130
PMID34987555
OpenAlexW4200212322
IdiomaEN
Citações recebidas6
Referências citadas14

The COVID-19 pandemic has exacerbated social, economic, and health-related disparities, which disproportionately affect persons living in conditions of vulnerability. Such populations include ethnic groups who face discrimination and experience barriers to accessing comprehensive health care. The COVID-19 pandemic has exposed these health disparities, and disruptions of essential health services have further widened the gaps in access to health care. Noncommunicable diseases are more prevalent among groups most impacted by poor social determinants of health and have been associated with an increased likelihood of severe COVID-19 disease and higher mortality. Disruptions in the provision of essential health services for noncommunicable diseases, mental health, communicable diseases such as HIV, tuberculosis, and malaria, and maternal and child health services (including sexual and reproductive health), are projected to also increase poor health outcomes. Other challenges have been an increased frequency of interpersonal violence and food insecurity. Countries in the Americas have responded to the disruptions caused by the pandemic by means of health service delivery through telemedicine and other digital solutions and stepping up social service support interventions. As vaccinations for COVID-19 create the opportunity to overcome the pandemic, countries must strengthen primary health care and essential health services with a view to ensuring equity, if the region is to achieve universal health coverage in fulfillment of the Sustainable Development Goals

Coronavirus disease 2019 (COVID-19 · Disease · Economic growth · Environmental health · Health care · Health equity · Infectious disease (medical specialty · Pandemic · Population · Psychological intervention · Public health · Race and health · Reproductive health · Social determinants of health · Food Security and Health in Diverse Populations · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine · Nursing · Health Policy