CoV-IMPACT- C “Coronavirus Impact Monitor: Policy, Access, Control and Transectorial Consequences”

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## CoV-IMPACT- C
Coronavirus Impact Monitor: Policy, Access, Control and Transectorial Consequences

.small[ANID-COVID N° 960

<br><br>
Valentina Andrade<br> [www.movid19.cl/](https://www.movid19.cl/)  <br>

Semana de Articulación COVID-19, ANID<br>*17 de Noviembre, 2020*]
<br>

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# 1. ¿Quiénes somos?

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# 1. Quiénes somos

- Un equipo interdisciplinario de 36 investigadores/as: salud pública, epidemiología, sociología, antropología, economía, estadística, psicología.

- **La Universidad de Chile patrocina** pero participan académicos de distintas casas de estudio

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#  1.1 Objetivo

## Evaluar la respuesta del sistema de salud y la política social a la pandemia COVID-19 para retroalimentar futuros abordajes ante agentes con potencial epidémico

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# 2. Líneas transversales

## 2.1 Líneas Encuestas

## 2.2 Líneas Cualitativa

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## 2.1 Líneas Encuestas

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## MOVID-19

- **Encuesta** Panel Online: [informe metodológico](https://movid19.cl/informe/metodologico)

- Síntomas y Prácticas Asociadas a COVID-19: [informes](https://movid19.cl/publicaciones/)

- [Sitio web](www.movid19.cl) y [Shiny App](https://movid19.cl/app) de código abierto y programa en R

.right[![:scale 20%](input/img/movid4.gif)]

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## MOVID-IMPACT

- **Encuesta** dos olas, representativa y telefónica.

- Síntomas, acceso a servicios de salud y características sociodemográficas.

- Análisis basados en una muestra probabilistica servirán a todas las líneas.

- Trabajo de campo: Noviembre 2020 y Abril 2021

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## 2.2 Línea Cualitativa

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## Estudio de caso

- Independencia y San Joaquín

- **Entrevista** a 50 actores claves: organizaciones sociales, vecinales y sanitarias

- **Etnografía**

- **Aceptabilidad** de políticas públicas, ***adherencia** a intervenciones, prácticas de cuidado y efectos en salud

- **WP N°1**: *Artículo sobre cuidados colectivos y afrontamiento de la pandemia*

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## 3. Líneas temáticas

### 3.1 Acceso

### 3.2 Social

### 3.3 Impacto

### 3.4 Indicadores

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## 3.1 Acceso

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## 3.1 Acceso

- **Evaluar el acceso efectivo y la equidad de servicios de salud relacionados y no relacionados a COVID-19, en el contexto de la pandemia**

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## Acceso COVID-19

- **Paper N°1**: [“Propiedades diagnósticas de las definiciones de caso sospechoso de COVID-19 en Chile”](https://github.com/CoV-IMPACT-C/Diagnostic-criteria-COVID19-Chile)en la Revista Panamericana de Salud Pública.  (*en prensa*)
[<svg viewBox="0 0 512 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M505.12019,19.09375c-1.18945-5.53125-6.65819-11-12.207-12.1875C460.716,0,435.507,0,410.40747,0,307.17523,0,245.26909,55.20312,199.05238,128H94.83772c-16.34763.01562-35.55658,11.875-42.88664,26.48438L2.51562,253.29688A28.4,28.4,0,0,0,0,264a24.00867,24.00867,0,0,0,24.00582,24H127.81618l-22.47457,22.46875c-11.36521,11.36133-12.99607,32.25781,0,45.25L156.24582,406.625c11.15623,11.1875,32.15619,13.15625,45.27726,0l22.47457-22.46875V488a24.00867,24.00867,0,0,0,24.00581,24,28.55934,28.55934,0,0,0,10.707-2.51562l98.72834-49.39063c14.62888-7.29687,26.50776-26.5,26.50776-42.85937V312.79688c72.59753-46.3125,128.03493-108.40626,128.03493-211.09376C512.07526,76.5,512.07526,51.29688,505.12019,19.09375ZM384.04033,168A40,40,0,1,1,424.05,128,40.02322,40.02322,0,0,1,384.04033,168Z"></path></svg>](https://github.com/CoV-IMPACT-C/Diagnostic-criteria-COVID19-Chile)

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## Acceso No-COVID-19:

- **Paper N° 2**: ["Gender disparities in access to care for time-sensitive conditions during COVID-19 pandemic in Chile"](https://www.medrxiv.org/content/10.1101/2020.09.11.20192880v1) (*under review*)
[<svg viewBox="0 0 448 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M448 360V24c0-13.3-10.7-24-24-24H96C43 0 0 43 0 96v320c0 53 43 96 96 96h328c13.3 0 24-10.7 24-24v-16c0-7.5-3.5-14.3-8.9-18.7-4.2-15.4-4.2-59.3 0-74.7 5.4-4.3 8.9-11.1 8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z"></path></svg>](https://www.medrxiv.org/content/10.1101/2020.09.11.20192880v1)
[<svg viewBox="0 0 512 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M505.12019,19.09375c-1.18945-5.53125-6.65819-11-12.207-12.1875C460.716,0,435.507,0,410.40747,0,307.17523,0,245.26909,55.20312,199.05238,128H94.83772c-16.34763.01562-35.55658,11.875-42.88664,26.48438L2.51562,253.29688A28.4,28.4,0,0,0,0,264a24.00867,24.00867,0,0,0,24.00582,24H127.81618l-22.47457,22.46875c-11.36521,11.36133-12.99607,32.25781,0,45.25L156.24582,406.625c11.15623,11.1875,32.15619,13.15625,45.27726,0l22.47457-22.46875V488a24.00867,24.00867,0,0,0,24.00581,24,28.55934,28.55934,0,0,0,10.707-2.51562l98.72834-49.39063c14.62888-7.29687,26.50776-26.5,26.50776-42.85937V312.79688c72.59753-46.3125,128.03493-108.40626,128.03493-211.09376C512.07526,76.5,512.07526,51.29688,505.12019,19.09375ZM384.04033,168A40,40,0,1,1,424.05,128,40.02322,40.02322,0,0,1,384.04033,168Z"></path></svg>](https://github.com/CoV-IMPACT-C/gender-impact-access-covid)

.center[![:scale 50%](https://raw.githubusercontent.com/CoV-IMPACT-C/gender-impact-access-covid/master/Graphs/Figure%203.png)
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## Acceso No-COVID-19:

- **Informe técnico N°1: **[¿Cuál ha sido el impacto de la pandemia en el acceso a atenciones de salud? Un análisis para la adaptación de nuestro sistema de salud](https://www.movid19.cl/publicaciones/decimo-informe/)
[<svg viewBox="0 0 512 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M505.12019,19.09375c-1.18945-5.53125-6.65819-11-12.207-12.1875C460.716,0,435.507,0,410.40747,0,307.17523,0,245.26909,55.20312,199.05238,128H94.83772c-16.34763.01562-35.55658,11.875-42.88664,26.48438L2.51562,253.29688A28.4,28.4,0,0,0,0,264a24.00867,24.00867,0,0,0,24.00582,24H127.81618l-22.47457,22.46875c-11.36521,11.36133-12.99607,32.25781,0,45.25L156.24582,406.625c11.15623,11.1875,32.15619,13.15625,45.27726,0l22.47457-22.46875V488a24.00867,24.00867,0,0,0,24.00581,24,28.55934,28.55934,0,0,0,10.707-2.51562l98.72834-49.39063c14.62888-7.29687,26.50776-26.5,26.50776-42.85937V312.79688c72.59753-46.3125,128.03493-108.40626,128.03493-211.09376C512.07526,76.5,512.07526,51.29688,505.12019,19.09375ZM384.04033,168A40,40,0,1,1,424.05,128,40.02322,40.02322,0,0,1,384.04033,168Z"></path></svg>](https://github.com/CoV-IMPACT-C/acceso-nocovid)

- **Informe técnico N°2: **[¿Cuál ha sido el impacto de la pandemia en el acceso a servicios ambulatorios vinculados al cáncer?](https://www.dropbox.com/s/zlk4b2269npu9xi/Analisis%20UCH%20-%20acceso%20a%20cancer%20y%20pandemia.pdf?dl=0)

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## Working Papers

.small[
- **WP N°2:** *¿Se asocia el posponer el control de patologías crónicas a características sociales, demográficas o clínicas de las personas?*  
-  **WP N°3:** *Cómo se asocian distintas dimensiones de riesgo al COVID y conductas de atención de salud*
- **WP N°4:** *Trayectorias asistenciales de pacientes con enfermedades oncológicas durante la pandemia (INCANCER)*
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## 3.2 Social

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## 3.2 Social

- **Analizar el rol del contexto social en el que se inserta la pandemia en Chile en la aceptabilidad de las políticas públicas, la adherencia a intervenciones propuestas por las autoridades ** 
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## 3.2 Social

- **Paper N° 3**: [Stay home, stay safe: analysis of the compliance with stay-at-home policies in Chile during the COVID-19 pandemic](https://github.com/CoV-IMPACT-C/Stay-home-stay-safe-COVID19-Chile) *Political Psychology* (*under review*)
[<svg viewBox="0 0 512 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M505.12019,19.09375c-1.18945-5.53125-6.65819-11-12.207-12.1875C460.716,0,435.507,0,410.40747,0,307.17523,0,245.26909,55.20312,199.05238,128H94.83772c-16.34763.01562-35.55658,11.875-42.88664,26.48438L2.51562,253.29688A28.4,28.4,0,0,0,0,264a24.00867,24.00867,0,0,0,24.00582,24H127.81618l-22.47457,22.46875c-11.36521,11.36133-12.99607,32.25781,0,45.25L156.24582,406.625c11.15623,11.1875,32.15619,13.15625,45.27726,0l22.47457-22.46875V488a24.00867,24.00867,0,0,0,24.00581,24,28.55934,28.55934,0,0,0,10.707-2.51562l98.72834-49.39063c14.62888-7.29687,26.50776-26.5,26.50776-42.85937V312.79688c72.59753-46.3125,128.03493-108.40626,128.03493-211.09376C512.07526,76.5,512.07526,51.29688,505.12019,19.09375ZM384.04033,168A40,40,0,1,1,424.05,128,40.02322,40.02322,0,0,1,384.04033,168Z"></path></svg>](https://github.com/CoV-IMPACT-C/Stay-home-stay-safe-COVID19-Chile)

.center[![:scale 20%](https://raw.githubusercontent.com/CoV-IMPACT-C/Stay-home-stay-safe-COVID19-Chile/master/Figures/Stay%20home%20stay%20save%20-%20Figure2.png)
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## 3.2 Social

- **Informe técnico N°3: **[¿Cuál ha sido el impacto de la pandemia en las labores de cuidado?: Un análisis desde una perspectiva de género](https://www.movid19.cl/publicaciones/decimo-informe/)
[<svg viewBox="0 0 448 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M448 360V24c0-13.3-10.7-24-24-24H96C43 0 0 43 0 96v320c0 53 43 96 96 96h328c13.3 0 24-10.7 24-24v-16c0-7.5-3.5-14.3-8.9-18.7-4.2-15.4-4.2-59.3 0-74.7 5.4-4.3 8.9-11.1 8.9-18.6zM128 134c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm0 64c0-3.3 2.7-6 6-6h212c3.3 0 6 2.7 6 6v20c0 3.3-2.7 6-6 6H134c-3.3 0-6-2.7-6-6v-20zm253.4 250H96c-17.7 0-32-14.3-32-32 0-17.6 14.4-32 32-32h285.4c-1.9 17.1-1.9 46.9 0 64z"></path></svg>](https://www.movid19.cl/publicaciones/decimo-informe/)
[<svg viewBox="0 0 512 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M505.12019,19.09375c-1.18945-5.53125-6.65819-11-12.207-12.1875C460.716,0,435.507,0,410.40747,0,307.17523,0,245.26909,55.20312,199.05238,128H94.83772c-16.34763.01562-35.55658,11.875-42.88664,26.48438L2.51562,253.29688A28.4,28.4,0,0,0,0,264a24.00867,24.00867,0,0,0,24.00582,24H127.81618l-22.47457,22.46875c-11.36521,11.36133-12.99607,32.25781,0,45.25L156.24582,406.625c11.15623,11.1875,32.15619,13.15625,45.27726,0l22.47457-22.46875V488a24.00867,24.00867,0,0,0,24.00581,24,28.55934,28.55934,0,0,0,10.707-2.51562l98.72834-49.39063c14.62888-7.29687,26.50776-26.5,26.50776-42.85937V312.79688c72.59753-46.3125,128.03493-108.40626,128.03493-211.09376C512.07526,76.5,512.07526,51.29688,505.12019,19.09375ZM384.04033,168A40,40,0,1,1,424.05,128,40.02322,40.02322,0,0,1,384.04033,168Z"></path></svg>](https://github.com/CoV-IMPACT-C/cuidados)

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## 3.3 Impacto

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## 3.3 Impacto

- **Evaluar el impacto de las políticas públicas implementadas para responder a la pandemia COVID-19.** 
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## 3.3 Impacto

- **Protocolo para registro en ClinicalTrials.gov** <svg viewBox="0 0 480 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M477.7 186.1L309.5 18.3c-3.1-3.1-8.2-3.1-11.3 0l-34 33.9c-3.1 3.1-3.1 8.2 0 11.3l11.2 11.1L33 316.5c-38.8 38.7-45.1 102-9.4 143.5 20.6 24 49.5 36 78.4 35.9 26.4 0 52.8-10 72.9-30.1l246.3-245.7 11.2 11.1c3.1 3.1 8.2 3.1 11.3 0l34-33.9c3.1-3 3.1-8.1 0-11.2zM318 256H161l148-147.7 78.5 78.3L318 256z"></path></svg>

- Modelos de series de tiempo interrumpidas a nivel subnacional y meta-análisis con efectos aleatorios <svg viewBox="0 0 512 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M496 384H64V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-32c0-8.84-7.16-16-16-16zM464 96H345.94c-21.38 0-32.09 25.85-16.97 40.97l32.4 32.4L288 242.75l-73.37-73.37c-12.5-12.5-32.76-12.5-45.25 0l-68.69 68.69c-6.25 6.25-6.25 16.38 0 22.63l22.62 22.62c6.25 6.25 16.38 6.25 22.63 0L192 237.25l73.37 73.37c12.5 12.5 32.76 12.5 45.25 0l96-96 32.4 32.4c15.12 15.12 40.97 4.41 40.97-16.97V112c.01-8.84-7.15-16-15.99-16z"></path></svg>

- Analizar si existe heterogeneidad de efecto en los niveles subnacionales

- **1.Viral spread** (*lockdown, curfew, School closure, remote work,closure of shopping malls, gyms, churches, parks, prohibition of mass gatherings, etc*)

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- **2. Health systems response**(*testing capacity, n° ICU,  occupation critical beds*)

- **3.Mitigation strategies** (*direct social assistance, cash transfer*)

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## 3.4 Indicadores

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## 3.4 Indicadores

- **Desarrollar indicadores que permitan apoyar la toma de decisiones de aplicación y desescalamiento de intervenciones epidemiológicas para responder a una pandemia.** 
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## 3.4 Indicadores

- **Indicadores han aportado en ICOVID** [<svg viewBox="0 0 544 512" xmlns="http://www.w3.org/2000/svg" style="height:1em;fill:currentColor;position:relative;display:inline-block;top:.1em;">  [ comment ]  <path d="M527.79 288H290.5l158.03 158.03c6.04 6.04 15.98 6.53 22.19.68 38.7-36.46 65.32-85.61 73.13-140.86 1.34-9.46-6.51-17.85-16.06-17.85zm-15.83-64.8C503.72 103.74 408.26 8.28 288.8.04 279.68-.59 272 7.1 272 16.24V240h223.77c9.14 0 16.82-7.68 16.19-16.8zM224 288V50.71c0-9.55-8.39-17.4-17.84-16.06C86.99 51.49-4.1 155.6.14 280.37 4.5 408.51 114.83 513.59 243.03 511.98c50.4-.63 96.97-16.87 135.26-44.03 7.9-5.6 8.42-17.23 1.57-24.08L224 288z"></path></svg>](https://www.icovidchile.cl/)

(*participa Dra. Fuentes, Dr. Cuadrado, Dr. Canals*)

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- Propuesta de indicador resumen de riesgo

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¡Muchas gracias!

Para más información

# [www.movid19.cl/](https://www.movid19.cl/)

# [github/CoV-IMPACT-C](https://github.com/CoV-IMPACT-C)

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## CoV-IMPACT- C
Coronavirus Impact Monitor: Policy, Access, Control and Transectorial Consequences

.small[ANID-COVID N° 960

<br><br>
Valentina Andrade<br> [www.movid19.cl/](https://www.movid19.cl/)  <br>]

.small[Semana de Articulación COVID-19, ANID<br>*17 de Noviembre, 2020*]
<br>]