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Article

Learning from Latin America: Coordinating Policy Responses across National and Subnational Levels to Combat COVID-19

by
Michael M. Touchton
1,
Felicia Marie Knaul
2,3,4,5,
Hector Arreola-Ornelas
4,5,6,7,*,
Renzo Calderon-Anyosa
8,
Silvia Otero-Bahamón
9,
Calla Hummel
1,
Pedro Pérez-Cruz
10,
Thalia Porteny
11,
Fausto Patino
12,
Patricia J. Garcia
13,
Jorge Insua
14,
Oscar Mendez-Carniado
4,
Carew Boulding
15,
Jami Nelson-Nuñez
16 and
V. Ximena Velasco Guachalla
17
1
Department of Political Science, College of Arts and Sciences, University of Miami, Coral Gables, FL 33146, USA
2
Institute for Advanced Study of the Americas, College of Arts and Sciences, University of Miami, Coral Gables, FL 33146, USA
3
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
4
Fundación Mexicana para la Salud, Mexico City 14610, Mexico
5
Tómatelo a Pecho, A.C., Mexico City 14610, Mexico
6
Institute for Obesity Research, Tecnologico de Monterrey, Monterrey 64700, Nuevo León, Mexico
7
School of Government and Public Transformation, Tecnologico de Monterrey, Mexico City 03700, Mexico
8
School of Medicine, Department of Public Health, McGill University, Montreal, QC H3A 0G4, Canada
9
School of Arts and Sciences, Department of Political Science, Universidad de los Andes, Bogotá 111711, Colombia
10
School of Medicine, Department of Public Health, Pontificia Universidad Catolica de Chile, Santiago 7820436, Chile
11
School of Medicine, Department of Public Health, Mailman School of Public Health, Columbia University, New York, NY 10027, USA
12
Government of Ecuador, Ministry of Social Security, Quito 170102, Ecuador
13
School of Medicine, Department of Public Health, Universidad Cayetano Heredia, Lima 150135, Peru
14
School of Medicine, Department of Public Health, Universidad de Buenos Aires, Buenos Aires C1122AAJ, Argentina
15
College of Arts and Sciences, Department of Political Science, University of Colorado, Boulder, CO 80302, USA
16
College of Arts and Sciences, Department of Political Science, University of New Mexico, Albuquerque, NM 87131, USA
17
School of Social Sciences, Department of Political Science, University of Essex, Colchester CO4 3SQ, UK
 
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*
Author to whom correspondence should be addressed.
COVID 2023, 3(9), 1500-1515; https://doi.org/10.3390/covid3090102
Submission received: 25 July 2023 / Revised: 6 September 2023 / Accepted: 12 September 2023 / Published: 21 September 2023
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Abstract

We provide policy lessons for governments across Latin America by drawing on an original dataset of daily national and subnational non-pharmaceutical interventions (NPIs) during the COVID-19 pandemic for eight Latin American countries: Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Mexico, and Peru. Our analysis offers lessons for health system decision-making at various levels of government and highlights the impact of subnational policy implementation for responding to health crises. However, subnational responses cannot replace coordinated national policy; governments should emphasize the vertical integration of evidence-based policy from national to local levels while tailoring local policies to local conditions as they evolve. Horizontal policy integration across sectors and jurisdictions will also improve coordination at each level of government. The Latin American experiences with policy and politics during the COVID-19 pandemic project glocal health policy recommendations that connect global considerations with local needs.
Keywords: COVID-19; Latin America; non-pharmaceutical interventions; public health; policy implementation COVID-19; Latin America; non-pharmaceutical interventions; public health; policy implementation

Share and Cite

MDPI and ACS Style

Touchton, M.M.; Knaul, F.M.; Arreola-Ornelas, H.; Calderon-Anyosa, R.; Otero-Bahamón, S.; Hummel, C.; Pérez-Cruz, P.; Porteny, T.; Patino, F.; Garcia, P.J.; et al. Learning from Latin America: Coordinating Policy Responses across National and Subnational Levels to Combat COVID-19. COVID 2023, 3, 1500-1515. https://doi.org/10.3390/covid3090102

AMA Style

Touchton MM, Knaul FM, Arreola-Ornelas H, Calderon-Anyosa R, Otero-Bahamón S, Hummel C, Pérez-Cruz P, Porteny T, Patino F, Garcia PJ, et al. Learning from Latin America: Coordinating Policy Responses across National and Subnational Levels to Combat COVID-19. COVID. 2023; 3(9):1500-1515. https://doi.org/10.3390/covid3090102

Chicago/Turabian Style

Touchton, Michael M., Felicia Marie Knaul, Hector Arreola-Ornelas, Renzo Calderon-Anyosa, Silvia Otero-Bahamón, Calla Hummel, Pedro Pérez-Cruz, Thalia Porteny, Fausto Patino, Patricia J. Garcia, and et al. 2023. "Learning from Latin America: Coordinating Policy Responses across National and Subnational Levels to Combat COVID-19" COVID 3, no. 9: 1500-1515. https://doi.org/10.3390/covid3090102

APA Style

Touchton, M. M., Knaul, F. M., Arreola-Ornelas, H., Calderon-Anyosa, R., Otero-Bahamón, S., Hummel, C., Pérez-Cruz, P., Porteny, T., Patino, F., Garcia, P. J., Insua, J., Mendez-Carniado, O., Boulding, C., Nelson-Nuñez, J., & Velasco Guachalla, V. X. (2023). Learning from Latin America: Coordinating Policy Responses across National and Subnational Levels to Combat COVID-19. COVID, 3(9), 1500-1515. https://doi.org/10.3390/covid3090102

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