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July 19, 2026Governance

Subnational Resilience During Crisis: How Brazilian Municipalities Responded to COVID‐19 and Public Health Budget Cuts

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Authors

MTMichael TouchtonNSNatasha Borges SugiyamaBWBrian Wampler

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Overview

Examines how Brazilian municipalities maintain health outcomes amid crises, suggesting democratic governance enhances resilience.

Key Points

  • The research aims to understand how subnational democratic governance affects social outcomes during crises, specifically during the COVID-19 pandemic and public health budget cuts in Brazil.
  • Analyzed data from 5570 Brazilian municipalities between 2006 and 2022
  • Evaluated the relationship between democratic governance and health outcomes
  • Considered two hypotheses: deterioration vs resilience of health outcomes in crises.
  • Evidence shows subnational democratic governance leads to improved infant and maternal health outcomes during crises.
  • Municipalities with participatory governance, social programs, and rights-based state capacity showed lower mortality rates.
  • Democratic institutions contribute to better social performance in both crisis and normal times.

Cite This Study

Touchton et al. (2026) studied this question.

synapsesocial.com/papers/6a5c69fb118b92953e3ee2a3https://doi.org/10.1111/gove.70144
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  5. 5Correlates of Subnational Polyarchy: Evidence from Contemporary Brazil2026