[en] Objective:Describe the perceptions of key actors regarding the disruption of health services for populations that ceased to be prioritized because of the COVID-19 pandemic-pregnant women, newborn, children, adolescents, and women-in countries of Latin America and the Caribbean (LAC) during the first stage of the pandemic. Methods:In this cross-sectional study, a 35-question survey was administered to key actors in 19 LAC countries between July and September 2020. The respondents were asked for their personal perceptions regarding the situation of social and health services in their country before and during the pandemic. They were also asked for a projection of the situation during the post-pandemic period. Results:In the 691 responses received, the main perception was that coverage in the services analyzed had been high before the pandemic, although their quality was not as highly rated. Both the coverage and quality of services were thought to have declined for adolescents and women. The majority of respondents predicted that all services will continue to function at lower than usual coverage levels for another three months (53.1%) and another 12 months (41.3%). Guaranteeing coverage and access to health services was considered the main policy challenge going forward. The next most needed initiatives noted were financing for actions to support women, children, and adolescents, and protection against violence and promotion of measures to combat it. Conclusions:Although the pandemic has struck all countries, its effect on the delivery of services in the populations analyzed differs from country to country and according to the types of service. It is essential to invest in national information systems that will make it possible to monitor the different services and identify the populations that need to be prioritized.

[es] Objetivos.:Describir la percepción de actores clave sobre la interrupción de los servicios de salud para poblaciones no priorizadas por la pandemia —embarazadas, recién nacidos, niños y niñas, adolescentes y mujeres— en países de América Latina y el Caribe (ALC) durante la primera etapa de la pandemia de COVID-19. Métodos.:Estudio transversal. Se aplicó una encuesta a actores relevantes de 19 países de ALC entre julio y septiembre del 2020, con 35 preguntas sobre su percepción personal del estado de los servicios sociales y de salud en su país antes y durante la pandemia, así como una proyección para después de ella. Resultados.:En las 691 respuestas, predominó la percepción de que la cobertura de servicios analizados era alta antes de la pandemia, aunque su calidad se apreció menor. Se percibió una reducción de la cobertura y la calidad de los servicios a adolescentes y mujeres. La mayoría estimó que todos los servicios seguirían con una menor cobertura tanto a los 3 como a los 12 meses (53,1% y 41,3%, respectivamente). Garantizar la cobertura y el acceso a los servicios de salud es el principal desafío político con vista al futuro, seguido del financiamiento de iniciativas para mujeres, niños, niñas y adolescentes, y la protección y promoción contra la violencia. Conclusiones.:Aunque la pandemia ha golpeado a todos los países, la afectación en la provisión de servicios para las poblaciones analizadas es heterogénea entre países y tipos de servicio. Se requiere invertir en sistemas de información nacionales que permitan monitorear los distintos servicios e identificar las poblaciones que no se han priorizado.