This article addresses the degree of institutional preparedness of Peru to deal with the effects of the pandemic COVID-19. It is argued that the country was not in the best condition to face this health phenomenon, in a context of institutional weakness, economic stagnation and the inability to overcome some of its historical and permanent structural deficiencies. Despite the political efforts made and the measures adopted, all these have failed to have a positive impact on the population due to the structural fragility of the health system. In addition, Peru had to face an internal political crisis that negatively affected the strategic direction of the pandemic. The armed forces have played a limited role essentially reduced to logistical support. All in all, a dissociation between restrictive policies and the results obtained have been identified, due to structural deficiencies. of the health system to cope with the pandemic.