TY - JOUR
T1 - Perceptions of institutional performance and compliance to non-pharmaceutical interventions
T2 - How performance perceptions and policy compliance affect public health in a decentralized health system
AU - Paschoalotto, Marco Antonio Catussi
AU - Costa, Eduardo
AU - Almeida, Sara Valente de
AU - Cima, Joana
AU - Costa, Joana Gomes da
AU - Santos, João Vasco
AU - Passador, Claudia Souza
AU - Passador, João Luiz
AU - Barros, Pedro Pita
N1 - This report is independent research funded by Fundação para a Ciência e a Tecnologia (UIDB/00124/2020, UIDP/00124/2020 and Social Sciences DataLab - PINFRA/22209/2016), POR Lisboa and POR Norte (Social Sciences DataLab, PINFRA/22209/2016). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
PY - 2023/5/12
Y1 - 2023/5/12
N2 - Trust in institutions is a key driver to shape population attitudes and behavior, such as compliance of non-pharmaceutical interventions (NPI). During the COVID-19 pandemic, this was fundamental and its compliance was supported by governmental and non-governmental institutions. Nevertheless, the situation of political polarization in some countries with decentralized health systems increased the difficulty of such interventions. This study analyzes the association between non-pharmaceutical interventions’ compliance and individual perception regarding institutions’ performance during the COVID-19 pandemic in Brazil. A web survey was conducted in Brazil between November 2020 and February 2021. Bivariate analysis and ordered logit regressions were performed to assess the association between NPIs compliance and perceived institutions’ performance. Results suggest a negative association between NPIs’ compliance and Federal Government and Ministry of health perceived performance, which may reflect the political positioning of the respondents. Moreover, we find a positive association between NPI compliance and the perceived performance of the remaining institutions (state government, federal supreme court, national congress, WHO, media and SUS). Our contribution goes beyond the study of a relationship between non-pharmaceutical interventions’ compliance and institutions’ performance, by pointing out the importance of subnational and local governmental spheres in a decentralized health system, as well as highlighting the importance of social communication based on health organizations’ information and scientific institutions.
AB - Trust in institutions is a key driver to shape population attitudes and behavior, such as compliance of non-pharmaceutical interventions (NPI). During the COVID-19 pandemic, this was fundamental and its compliance was supported by governmental and non-governmental institutions. Nevertheless, the situation of political polarization in some countries with decentralized health systems increased the difficulty of such interventions. This study analyzes the association between non-pharmaceutical interventions’ compliance and individual perception regarding institutions’ performance during the COVID-19 pandemic in Brazil. A web survey was conducted in Brazil between November 2020 and February 2021. Bivariate analysis and ordered logit regressions were performed to assess the association between NPIs compliance and perceived institutions’ performance. Results suggest a negative association between NPIs’ compliance and Federal Government and Ministry of health perceived performance, which may reflect the political positioning of the respondents. Moreover, we find a positive association between NPI compliance and the perceived performance of the remaining institutions (state government, federal supreme court, national congress, WHO, media and SUS). Our contribution goes beyond the study of a relationship between non-pharmaceutical interventions’ compliance and institutions’ performance, by pointing out the importance of subnational and local governmental spheres in a decentralized health system, as well as highlighting the importance of social communication based on health organizations’ information and scientific institutions.
KW - COVID-19
KW - Guideline Adherence
KW - Humans
KW - Local Government
KW - Pandemics
KW - Public Health
U2 - https://doi.org/10.1371/journal.pone.0285289
DO - https://doi.org/10.1371/journal.pone.0285289
M3 - Article
SN - 1932-6203
VL - 18
JO - PLoS ONE
JF - PLoS ONE
IS - 5
M1 - 0285289
ER -