{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T04:03:20Z","timestamp":1776139400429,"version":"3.50.1"},"reference-count":52,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/00124\/2020 and UIDP\/00124\/2020"],"award-info":[{"award-number":["UIDB\/00124\/2020 and UIDP\/00124\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011929","name":"Programa Operacional Tem\u00e1tico Factores de Competitividade","doi-asserted-by":"publisher","award":["PINFRA\/22209\/2016"],"award-info":[{"award-number":["PINFRA\/22209\/2016"]}],"id":[{"id":"10.13039\/501100011929","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>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\u2019 compliance and individual perception regarding institutions\u2019 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\u2019 performance. Results suggest a negative association between NPIs\u2019 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\u2019 compliance and institutions\u2019 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\u2019 information and scientific institutions.<\/jats:p>","DOI":"10.1371\/journal.pone.0285289","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T17:26:08Z","timestamp":1683912368000},"page":"e0285289","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Perceptions of institutional performance and compliance to non-pharmaceutical interventions: How performance perceptions and policy compliance affect public health in a decentralized health system"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2276-8531","authenticated-orcid":true,"given":"Marco Antonio Catussi","family":"Paschoalotto","sequence":"first","affiliation":[]},{"given":"Eduardo Polena Pacheco Ara\u00fajo","family":"Costa","sequence":"additional","affiliation":[]},{"given":"Sara Valente de","family":"Almeida","sequence":"additional","affiliation":[]},{"given":"Joana","family":"Cima","sequence":"additional","affiliation":[]},{"given":"Joana Gomes da","family":"Costa","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4696-1002","authenticated-orcid":true,"given":"Jo\u00e3o Vasco","family":"Santos","sequence":"additional","affiliation":[]},{"given":"Claudia Souza","family":"Passador","sequence":"additional","affiliation":[]},{"given":"Jo\u00e3o Luiz","family":"Passador","sequence":"additional","affiliation":[]},{"given":"Pedro Pita","family":"Barros","sequence":"additional","affiliation":[]}],"member":"340","published-online":{"date-parts":[[2023,5,12]]},"reference":[{"key":"pone.0285289.ref001","first-page":"1","article-title":"Predicting COVID-19 Vaccination Intention: The Roles of Institutional Trust, Perceived Vaccine Safety, and Interdependent Self-Construal.","author":"MR Paredes","year":"2021","journal-title":"Health Commun"},{"issue":"1","key":"pone.0285289.ref002","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-021-10643-w","article-title":"Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine.","volume":"21","author":"A Soveri","year":"2021","journal-title":"BMC Public Health."},{"key":"pone.0285289.ref003","article-title":"Factors associated with non-pharmaceutical interventions compliance during COVID-19 pandemic: a Portuguese cross-sectional survey.","author":"JV Santos","year":"2022","journal-title":"J Public Health (Bangkok)."},{"key":"pone.0285289.ref004","first-page":"367","article-title":"Political and institutional perils of Brazil\u2019s COVID-19 crisis.","volume":"396","author":"LG Barberia","year":"2020","journal-title":"The Lancet. 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