**4. Other initiatives**

Since the beginning of the Pandemic, psychological containment care has been provided through the telephone service, organized at the national level by the Ministry of Health and volunteer psychologists. Additionally, in the Caribbean country, proposals were developed to mitigate the ravages caused by COVID-19, for example, the design and construction of low-cost manual respirators, financed by the National Secretariat of Science, Technology, and Innovation [25]. The performance of civil organizations, non-governmental organizations, and professionals from all areas that kept the country afloat is also praiseworthy. An example is the National Oncology Institute (ION), which, with high biosecurity measures, maintained its operations at 100% capacity. The main religious authorities have also played an essential role during the last two years, transforming their spaces and the way they communicate with their parishioners. It allows an area of secure adherence to their beliefs, certainty about the future, relief for physical losses and emotions, promotes social distancing, and follows the national government's rules. And in the artistic area, the composer Rubén Blades composed a melody called "Panamá" to encourage and support people in the face of the Pandemic [26].

The Panamanian Association of Psychology organized courses, seminars, and interviews to disseminate and train members on the psychological effects of confinement on the general population.
