María Luisa Altamirano Reátegui, José Luis Nepo Mesta, Jesús Manuel Gonzales Herrera, Nilton Isaias Cueva Quezada, Gerardo Francisco Ludeña González
The COVID-19 pandemic has generated a multi-sector crisis worldwide and in Latin America that covers 3 areas: Health, economic and social, and has exposed these inequalities in access to the health system as well as interruptions in essential health services, which has further widened the gaps in access to care of this essential service in society. Non-communicable diseases are more prevalent in groups that have suffered a greater impact from poor social determinants of health and have been associated with a greater probability of presenting a severe case of COVID-19 and increasing their mortality rate. Disruptions in the provision of essential health services for non-communicable diseases such as mental health or communicable diseases such as HIV, tuberculosis and malaria, as well as maternal and child health services are also projected to occur (such as sexual and reproductive health) increase poor results in terms of service management and coverage. Other challenges include an increased frequency of interpersonal violence and food insecurity. Countries in the Region of the Americas have responded to the disruptions caused by the pandemic by providing health services through telemedicine and other digital solutions, and accelerating social service support interventions. As COVID-19 vaccination creates the opportunity to overcome the pandemic, countries must strengthen their primary health care and essential health services to ensure equity, so that the Region achieves universal health coverage in compliance with the Sustainable Development Goals. It is concluded that the global health system in the face of COVID-19 has had many existing deficiencies, for example, the triggering due to the lack of resolution capacity of health establishments, human resources (health professionals) and material resources. (Medical equipment and infrastructure) harming many users’ access to care, treatments and medicine.
Pág 2562-2569, 30 Oct