Global health. The current scenario and future perspectives

257 impacts, has increased difficulties for healthcare systems to advance towards sustainable development goals and universal health coverage. However, beyond these impacts there are also lessons learned in healthcare system responses to the pandemic. Midst strategies for responding to Covid-19 with national-level decision-making processes regarding early public health actions involving all sectors, in an approach known as “health in all policies”, countries and their healthcare systems have had different capacities for response, which is related to the resilience of these systems. The Covid-19 pandemic has made the dramatic inequalities and inequities within countries, especially in Latin America, much more evident. However, the pandemic has also facilitated visualization and appreciation of the importance of integrated and coordinated health systems, particularly public systems, as well as increased awareness of existing inequalities and the need to develop policies aimed at reducing inequities. The experience of Covid-19 has only strengthened the urgency to develop policies to increase the availability of financial resources for health, reduce out-of-pocket spending as a percentage of total financing, improve efficient and equitable use of resources and strengthen the development of integrated and coordinated health systems from a rights-based approach that puts individuals and populations at the center to respond to their needs. References Agarwal, R. & Gopinath, G. (2021). A Proposal to End the Covid-19 Pandemic. Staff discussion notes. International Monetary Fund. https://ww w.imf .org/en/Publi cations/Staff-Discussion- Notes/Issues/2021/05/19/A-Proposal-to-End-the-COVID-19-Pandemic- 460263. Access: June 4 t h, 2021. Arteaga, O. & Fuentes García, A. (2020). Covid-19 en América Latina: Más allá de los datos epidemiológicos. Rev. Med. Cine. 16 (e), 119-127. DOI: https://doi.org/10.14201/rmc202016e119127. Bredenkamp, C., Evans, T., Lagrada-Rombaua, P. & John Langenbrunner, J. (2015). Emerging Challenges in Implementing Universal Health Coverage in Asia. Social Science & Medicine (145) : 243-248. Doi: 10.1016/j.socscimed.2015.07.025. Epub 2015 Jul 26. PMID: 26271404. Buse, K., Mays, N. & Walt, G. (2012). Making Health Policy . 2 nd edition. Berkshire, England: Open University Press. McGraw-Hill Education. CEPAL (2020). El Covid-19 y la crisis socioeconómica en América Latina y el Caribe. Revista CEPAL, N° 132 , December 2020. https://ww w.cepa l.org/sites/default/files/publication/files/46838/RVE13