State capacity impact on Covid-19 mortality in Brazil

Bibliographic Data

ID5166165
AuthorsJuliana Maria De Araújo (0000-0002-2004-3062, Universidade Federal de Viçosa), Marco Aurelio Marques Ferreira (0000-0002-9538-1699, Universidade Federal de Viçosa)
Year2024
Volume40
Issue6
Pagese00171523-e00171523
Publication date2024-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen171523
PMID39082562
OpenAlexW4401090178
SCIELO_PIDS0102-311X2024000601406
LanguageEN
References cited30

This study addresses the State's capacity to combat the COVID-19 pandemic and contributes to the literature on crisis management in health care. We analyzed whether the capacity level impacted the State response to COVID-19 in Brazilian healthcare regions in 2020 using a set of statistical analysis techniques and public health impact analysis, including propensity score matching (PSM). Results revealed that a low COVID-19 mortality was associated with participation in municipal health consortia, schooling level of municipal health managers and the resources allocated by the Brazilian National Program for Improvement of Access and Quality of Basic Care (PMAQ). Conversely, the number of intensive care units (ICU) and life-sustaining equipment available were associated with higher mortality, as locations with a larger population concentrated operational capacity to treat the most severe cases. In conclusion, the different levels of State capacity in health regions led to different outcomes in combating the pandemic. This reinforces the importance of discussing State capacity and crisis management, since the COVID-19 confrontation in Brazil related to the level of existing resources concerning health system capacity, bureaucratic capacity and participation in consortia for sharing inputs and ensuring the provision of health services to the population

Bureaucracy · Business · Capacity building · Coronavirus disease 2019 (COVID-19) · Disease · Economic growth · Economics · Environmental health · Health care · Pandemic · Political science · Population · Public health · State of health · Surge Capacity · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine · Nursing