South Africa—can its achievement in containing COVID-19 lead to sustained success in dealing with the crisis?

By Alan Hirsch, Professor of Development Policy and Practice at The Nelson Mandela School of Public Governance at University of Cape Town


This blog is part of a series on tackling COVID-19 in developing countries. Visit the OECD dedicated page to access the OECD’s data, analysis and recommendations on the health, economic, financial and societal impacts of COVID-19 worldwide.


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Empty streets in Cape Town, South Africa, during the Covid 19 lockdown. April 2nd 2020. Photo: Shutterstock

On April 21st, President Ramaphosa announced a huge economic support programme designed to assist the vulnerable poor and sustain small and medium businesses in distress. The package is valued at R500bn or $25bn, including R200bn in credit guarantees and R130bn through reprioritisation of the budget. Some of the funds will also come from the Unemployment Insurance Fund. It is a massive package by South African standards at 10 percent of GDP or a third of the annual budget. The package has been widely acclaimed, almost across the entire political spectrum. It is pro-poor and pro-formal sector employee; and supports businesses through SME support, a job creation and retention fund, as well as through credit support. Continue reading “South Africa—can its achievement in containing COVID-19 lead to sustained success in dealing with the crisis?”

The impact of coronavirus on Sub-Saharan Africa

By Simi Siwisa, Absa Group Head of Public Policy


This blog is part of a series on tackling COVID-19 in developing countries. Visit the OECD dedicated page to access the OECD’s data, analysis and recommendations on the health, economic, financial and societal impacts of COVID-19 worldwide.


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Lagos, Nigeria – First Gate Market during the lockdown in response to the Coronavirus Pandemic, April 2020. Photo: Shutterstock

The IMF anticipates that the “Great Lockdown” will have a more devastating impact on the global economy than the Global Financial Crisis. For the African continent, it is forecasting “an unprecedented threat to Africa’s development with a decline projected at “1.6% in 2020, and real per capita income to fall by even more – 3.9% on average.” This is because many African economies are disproportionally affected by sudden stops in the global economy. A collapse in global demand and supply has resulted in a sharp decline in key commodity prices and export volumes. Related to this, flight to safety has resulted in tighter financial conditions with more than $4.2 billion outflows from African countries since February 2020. Less optimistic, the World Bank forecasts that Sub-Saharan Africa will “contract 2.1% to 5.1% from growth of 2.4% last year, costing the region $37 billion to $79 billion in output losses’. Under any scenario, the outlook for Sub-Saharan Africa remains bleak, and urgent interventions are required to prevent unmitigated health, social, economic and political crises. Debt relief is an important component of the crisis-response package. As David Pilling put it in the Financial Times, debt relief to Africa is in the self-interest of the rest of the world. However, for these efforts to work and not sow the seeds of future financial problems, the lessons from past debt relief initiatives and the changed nature of Africa’s debt must be taken into account. Continue reading “The impact of coronavirus on Sub-Saharan Africa”

Le COVID-19 en Afrique : Comment les systèmes de santé peuvent-il faire face ?

Par Riku Elovainio, Consultant en santé mondiale et protection sociale et Alexander Pick, Centre de développement de l’OCDE


Ce blog fait partie d’une série sur la lutte contre le COVID-19 dans les pays en voie de développement. Visitez la page dédiée de l’OCDE pour accéder aux données, analyses et recommandations de l’OCDE sur les impacts sanitaires, économiques, financiers et sociétaux de COVID-19 dans le monde.


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(Read this post in English)

La pandémie de Covid-19 menace de submerger les systèmes de santé partout dans le monde. Le virus est désormais présent dans 52 pays africains. Les systèmes de santé de la région pourront-ils faire face, alors que beaucoup étaient déjà sous pression avant la pandémie et n’ont pas de capacité de réserve ? Un soutien international sera crucial pour aider les pays africains à réagir, mais les efforts pour renforcer les services de santé de la région à court terme se heurtent à une série d’obstacles qui vont au-delà du secteur de la santé lui-même. Même une crise de cette ampleur ne doit pas occulter les priorités à long terme des systèmes de santé africains : y répondre est essentiel non seulement pour renforcer leur capacité à gérer les besoins quotidiens, mais aussi pour faire face à la prochaine crise. Continue reading “Le COVID-19 en Afrique : Comment les systèmes de santé peuvent-il faire face ?”

COVID-19 in West Africa: Multiple crises demand a new approach to co-operation

By Ibrahim Assane Mayaki, Chief Executive Officer, African Union Development Agency (AUDA-NEPAD) and Honorary President, Sahel and West Africa Club (SWAC)


This blog is part of a series on tackling COVID-19 in developing countries. Visit the OECD dedicated page to access the OECD’s data, analysis and recommendations on the health, economic, financial and societal impacts of COVID-19 worldwide.


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Healthcare workers in Senegal. Photo: RTI International/Sam Phelps

West Africa is in the midst of a food crisis of exceptional magnitude. The recent meeting of the Food Crisis Prevention Network — which monitors the food and nutrition situation in the Sahel and West Africa — reported that the crisis is expected to affect 17 million people in the coming months; twice as many as the average of previous years. This worsening situation is mainly due to a high level of insecurity.

The COVID-19 pandemic is already hitting the region hard as a result of the collapse of world commodity prices, the devaluation of some currencies, inflation and difficulties in importing agricultural inputs. Moreover, some policy responses, such as limiting mobility, closing or restricting market activity — are de facto threatening the livelihoods of the majority of the population. It is feared that the spread of the pandemic will be rapid and massive, especially since — despite a young population — the immune systems of millions of people are weakened by malnutrition or chronic illnesses. Continue reading “COVID-19 in West Africa: Multiple crises demand a new approach to co-operation”

How Africa Can Fight the Pandemic

By Arkebe Oqubay, Senior Minister and Special Advisor to the Prime Minister of Ethiopia, distinguished fellow at the Overseas Development Institute and author


This blog is part of a series on tackling COVID-19 in developing countries. Visit the OECD dedicated page to access the OECD’s data, analysis and recommendations on the health, economic, financial and societal impacts of COVID-19 worldwide.


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Sumy Sadurni / AFP via Getty Images / Project Syndicate

WHO warns Africa could be next epicentre of the Coronavirus and the pandemic will kill at least 300,000 people in Africa and push nearly 30 million into poverty.


The response to Africa’s COVID-19 plight must be swift and at scale rather than too little, too late. In a world short of progressive global leadership, where rules-based global governance is under threat, this is a chance for African and international policymakers to take decisive action.

Addis  Ababa – The COVID-19 death toll is still mounting in the developed West, but the pandemic’s impact on Africa could be much worse. African and international leaders must act boldly, decisively, and immediately to prevent a catastrophe. Continue reading “How Africa Can Fight the Pandemic”

Global response to COVID-19 in Africa must protect lives, livelihoods, and freedoms

By E. Gyimah-Boadi, Board Chairman and interim CEO of Afrobarometer, and Carolyn Logan, Director of Analysis for Afrobarometer


This blog is part of a series on tackling COVID-19 in developing countries. Visit the OECD dedicated page to access the OECD’s data, analysis and recommendations on the health, economic, financial and societal impacts of COVID-19 worldwide.


Madina Hospital in Mogadishu
UN Photo – Tobin Jones

As COVID-19 gains a foothold on the continent, fears are growing that Africa’s fragile health-care systems and economies will provide little protection from the pandemic’s potential ravages. At the same time, trust in government institutions – one of the most critical resources needed to mount effective societal responses that depend on widespread public cooperation – is sorely lacking in many African countries. Concern is also growing that regimes that are either unscrupulous or desperate may take advantage of local fears and global pressures to place not just essential, temporary restrictions on public freedoms, but to roll back hard-won gains on a more permanent basis.

 

While citizens may be ill-equipped to speak or act in defense of their freedoms during an emerging crisis, perceptions that governments are abusing their powers and taking advantage of the situation could undermine public trust still further. Limiting the effects of the pandemic on Africa and saving lives requires an urgent global response. But the international community must also provide support in ways that strengthen, rather than undermine, Africans’ freedoms. Continue reading “Global response to COVID-19 in Africa must protect lives, livelihoods, and freedoms”

COVID-19 and beyond: How can Africa’s health systems cope?

By Riku Elovainio, Consultant in global health and social protection and Alexander Pick, OECD Development Centre


This blog is part of a series on tackling COVID-19 in developing countries. Visit the OECD dedicated page to access the OECD’s data, analysis and recommendations on the health, economic, financial and societal impacts of COVID-19 worldwide.


globe-life-line-AFRICA(Lire ce blog en français)

The Covid-19 pandemic threatens to overwhelm health systems everywhere. With the virus now present in 52 African countries, will health systems in the region, many of which were under strain before the pandemic and have no reserve capacity, be able to cope? International support will be crucial in helping countries in Africa respond, but efforts to strengthen the region’s health services in the short term confront an array of obstacles that extend beyond the health sector itself. Even a crisis of these proportions should not obscure the long-term priorities for Africa’s health systems, on which depends its capacity to deal with day-to-day demand, let alone the next crisis.

The West African Ebola epidemic of 2014-2016 exposed the affected countries’ limited capacity to deal with a widespread disease outbreak. The lessons for health systems across Africa were understood yet have not prompted a step change in public health services, even in the countries where the Ebola crisis struck. While there is great variation across Africa (South Africa’s health system is clearly very different from South Sudan’s, for example), many countries exhibit the same gaps in their health systems that make it extremely difficult to scale up a short-term response.

Continue reading “COVID-19 and beyond: How can Africa’s health systems cope?”

Avec ou sans, pendant et après le Covid-19, priorité aux réformes des systèmes de santé et d’éducation en Afrique de l’Ouest

Par Gilles Yabi, fondateur de WATHI, think tank citoyen de l’Afrique de l’Ouest


Ce blog fait partie d’une série sur la lutte contre le COVID-19 dans les pays en voie de développement. Visitez la page dédiée de l’OCDE pour accéder aux données, analyses et recommandations de l’OCDE sur les impacts sanitaires, économiques, financiers et sociétaux de COVID-19 dans le monde.


SWAC-blog-covid19En Afrique de l’Ouest, les impacts de Covid-19 seront-ils catastrophiques ? La crise Ebola a révélé la très grande faiblesse des systèmes sanitaires des pays touchés à l’époque dans la région, Liberia, Sierra Leone et Guinée principalement. Si des enseignements importants ont été tirés, avec la mise en place de centres dédiés aux urgences sanitaires dans plusieurs pays, les systèmes de santé dans leur ensemble ne se sont pas particulièrement renforcés. Les ménages assument l’essentiel des dépenses de santé par rapport aux États, les inégalités d’accès aux soins sont frappantes, et les hôpitaux manquent cruellement de personnel qualifié, de matériel, de dispositif de maintenance des équipements et de médicaments, ainsi que de capacités d’accueil et, parfois, de salubrité. La crise du coronavirus exacerbera sans doute la situation. Il est plus que jamais primordial de renforcer et d’investir dans les systèmes de santé, sans quoi la plupart des pays d’Afrique de l’Ouest ne pourront faire face ni aux crises sanitaires, comme celle du Covid-19, ni aux nombreuses autres maladies infectieuses ou chroniques.

Continue reading “Avec ou sans, pendant et après le Covid-19, priorité aux réformes des systèmes de santé et d’éducation en Afrique de l’Ouest”

Covid-19: time to unleash the power of international co-operation

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By Mario Pezzini, former Director, OECD Development Centre and Special Advisor to the OECD Secretary General on Development


This blog* is part of a series on tackling COVID-19 in developing countries. Visit the OECD dedicated page to access the OECD’s data, analysis and recommendations on the health, economic, financial and societal impacts of COVID-19 worldwide.


Development co-operationThe rapid spread of the dire human, social and economic impacts of the coronavirus crisis shows just how interconnected we are. International co-operation has become –literally– vital.

A health crisis has set off a global economic crisis, where shocks on the demand and supply sides are combining in an unprecedented scenario. Many developing countries are bracing themselves. While Europe is struggling to contain and cope with a spiralling number of cases and fatalities, the effects in countries where health systems are already weak, economies are highly dependent on global demand, and strict containment policies are more difficult to implement, could be even more disastrous.

Major outbreaks in developing countries could cause the collapse of weak health systems and expose gaps in social protection programmes, especially in Africa, where so many schemes rely on official development assistance. A humanitarian crisis may be in the making: travel restrictions affect the delivery of humanitarian assistance, and infections in refugee camps – largely hosted in developing countries – will be difficult to fight. The ILO estimates that 25 million jobs could be lost worldwide, possibly more, as the majority of workers in developing countries are in the informal economy. Continue reading “Covid-19: time to unleash the power of international co-operation”

When COVID-19 Comes to Africa

By Arkebe Oqubay, Senior Minister and Special Advisor to the Prime Minister of Ethiopia, distinguished fellow at the Overseas Development Institute and author


This blog is part of a series on tackling COVID-19 in developing countries. Visit the OECD dedicated page to access the OECD’s data, analysis and recommendations on the health, economic, financial and societal impacts of COVID-19 worldwide.


covid19-africaThere is no telling how long it will take to bring the COVID-19 coronavirus under control, or how many people will be affected. But African governments, in cooperation with communities and international actors, can take steps now to limit the damage – and lay the foundations for a healthier, more resilient future.

Addia Ababa – The COVID-19 coronavirus – which has now spread to more than 100 countries – has pushed the world into “uncharted territory,” according to World Health Organization Director-General Tedros Adhanom. So far, Africa has recorded relatively few infections, but there is no reason to believe this won’t change. When it does, the results could be catastrophic.

One need only recall the West African Ebola epidemic of 2014-2016 to comprehend the potential damage. The hardest-hit countries were Guinea (with 3,814 cases and 2,544 deaths), Liberia (10,678 cases and 4,810 deaths), and Sierra Leone (14,124 cases and 3,956 deaths). Moreover, since August 2018, the Democratic Republic of the Congo has faced its own large-scale Ebola epidemic, with more than 3,444 cases and 2,264 deaths (as of March 10, 2020). Continue reading “When COVID-19 Comes to Africa”