Health systems in times of Covid-19

For years the health systems of the world have maintained a complex organizational structure that responds to their health needs based on their internal characteristics. Currently, the pandemic put the health systems of the entire world to the test; Various interpersonal, community operational strategies - pre-hospital, hospital, isolation and quarantine were applied, and Ecuador was no exception, but despite this nothing is enough. To analyze the relationship between the management and response capacity of health systems, in times of COVID-19. A systematic review was carried out in the Scopus, Pub med and Google Academic databases under the terms: "Health systems", "COVID - 19", "response capacity", "health policies", "pandemic", at the global, regional and local levels. A critical analysis of the bibliography found was carried out, of a total of 30 articles that met the search and selection criteria, most of the articles mentioned the importance of Primary Health Care (PHC) applied at all levels under various approaches in addition to the use of novel and proactive technologies. The health systems were put to the test during the pandemic, each of them responded according to their management capacity and sustainability, it was evidenced that there is no method that allows to deal effectively with stochastic situations, so the only thing that What could be done was to shovel the various components of the pandemic, the interleaved mitigation and suppression methods are a promising element under novel modalities such as Tics.