COVID-19 is a developing country pandemic

By Indermit Gill, Nonresident Senior Fellow at Brookings and Philip Schellekens, Senior Economic Advisor at International Finance Corporation (World Bank Group)

“Has global health been subverted?” This question was asked exactly a year ago in The Lancet. At the time, the pandemic had already spread across the globe, but mortality remained concentrated in richer economies. Richard Cash and Vikram Patel declared that “for the first time in the post-war history of epidemics, there is a reversal of which countries are most heavily affected by a disease pandemic.”

What a difference a year makes. We know now that this is actually a developing-country pandemic—and has been that for a long time. In this blog, we review the officially published data and contrast them with brand new estimates on excess mortality (kindly provided by the folks at the Economist). We will argue that global health has not been subverted. In fact, compared to rich countries, the developing world appears to be facing very similar—if not higher—mortality rates. Its demographic advantage of a younger population may have been entirely offset by higher infection prevalence and age-specific infection fatality.

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The morning after

By Pablo Ferreri, Public Accountant and former Vice Minister of Economy and Finance of Uruguay

Today, more than a year into the pandemic, we are still witnessing a humanitarian drama on a global scale. Mass vaccination offers a glimmer of hope at the end of the tunnel; however, that light is much further away for developing countries. While we see developed countries moving closer to herd immunity, we also see huge lags in the rest of the world. Moreover, beyond the health drama, the ensuing social and economic crisis will persist for a long time to come. We must focus on “the morning after”, as the health crisis recedes and as vaccination progresses. The morning after the pandemic ends, we will be left with an impoverished and, above all, much more unequal global economy.

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Divergent recoveries from COVID-19 in Africa require intentional action

By Anzetse Were, Senior Economist FSD Kenya

The COVID-19 pandemic has had divergent impacts within and between economies. 2021 is already being defined by multispeed and divergent recoveries. Rich economies with USA in the lead, and China, are set for a strong recovery, mainly linked to their willingness to support incomes and deploy unprecedented fiscal and monetary support and quick COVID-19 vaccine rollouts. Low-income countries however face grimmer economic prospects due to limited access to COVID-19 vaccines and weak public finances; they will suffer more significant medium-term losses, especially affecting countries that rely on tourism and commodity exports, and those with limited policy space to respond.

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COVID-19 impact on higher education in Africa

By Peter Koninckx, Strategic and Commercial Advisor, Cunégonde Fatondji, Analyst Intern, and Joel Burgos, Senior Project Manager, ShARE

Beyond the death toll and illness of millions of people due to COVID-19, businesses, healthcare, culture and education have had to cope with severe disturbances. But in our opinion, one could argue that higher-education students are amongst the most affected populations, particularly those in Africa. Although Africa is the continent with the least reported cases, the closure of higher education institutions was more widespread, and mitigation measures less effective than in other regions, according to a survey we conducted with more than 165 students across 21 African countries. No quick-fix solution exists, but the current crisis has highlighted the weaknesses in higher education in Africa, indicating where governments, international institutions, NGOs, and the private sector should focus their efforts.

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Migración urbana y COVID-19: Las ciudades están en la primera línea de una respuesta inclusiva y de la recuperación

Por Samer Saliba, Líder de Proyectos, Mayors Migration Council1

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La comunidad internacional no está haciendo suficientes esfuerzos para apoyar económicamente a quienes más hacen por las personas migrantes, refugiadas y desplazadas durante la pandemia global: los Gobiernos de las ciudades. Aunque numerosas Alcaldías tienen el mandato de atender a las personas en situación de vulnerabilidad, tales como migrantes y residentes desplazados, frecuentemente las ciudades no cuentan con suficientes recursos económicos para responder a las crecientes necesidades de quienes van llegando. Asimismo, los Gobiernos locales de las ciudades han dejado de percibir ingresos debido a los impactos económicos del COVID-19, lo cual este año limita aún más su capacidad de brindar servicios fundamentales a los residentes. Según algunas estimaciones, los Gobiernos de las ciudades experimentarán una pérdida de ingresos de hasta un 25 % en el 2021, precisamente cuando necesitan incurrir en un mayor gasto para impulsar la recuperación y para atender a una población que crece continuamente. En una encuesta reciente, 33 funcionarios a cargo de las finanzas municipales de 22 países de todos los continentes expresaron que ya se observa una disminución del 10 % en el ingreso total y un aumento de aproximadamente 5 % en el gasto. Este “efecto tijera” de los ingresos y gastos de los Gobiernos locales tendrá un mayor impacto en las ciudades de países en desarrollo. Las ciudades africanas, por ejemplo, podrían dejar de percibir hasta un 65 % de sus ingresos en el 2021.      

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Think global, act local: unpacking progress towards ending child marriage and averting the setbacks of COVID-19

By Chiara Orlassino, Research Adviser and Gabrielle Szabo, Senior Gender Equality Adviser, Save the Children UK1

In 2021, over 28,000 girls got married on International Women’s Day. Ten years from now, the number might still be as high as 26,000 – a far cry from the net zero target of Agenda 2030 (Fig. 1). The grim estimate for 2030 doesn’t even take into account the impact of COVID-19 on child marriage rates, although evidence shows that the pandemic is having a detrimental effect on girls’ rights. With only 10 years to go to 2030, we reflect on progress made on one of the most important Sustainable Development Goals (SDGs) and call for urgent action on inequalities in particular, which COVID-19 is exacerbating. The Generation Equality forum convened by UN Women is a timely process to prioritise gender equality in recovery efforts, building momentum around economic and political investment in girls’ rights.

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Urban migration and COVID-19: Cities on the frontline of an inclusive response and recovery

By Samer Saliba, Head of Practice, Mayors Migration Council

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The international community is not doing enough to financially support those who are doing the most for migrants, refugees, and internally displaced people during this global pandemic: city governments. While many cities have the mandate to serve people in vulnerable situations, including migrant and displaced residents, they often do not have enough financial resources to meet the increased demand and need of new arrivals. Lost revenue due to the economic impacts of COVID-19 will further curtail cities’ ability to deliver critical services to their residents this year. Some estimates suggest city governments could see revenue losses of up to 25 percent in 2021, precisely when their spending needs to increase to pay for recovery efforts and continuously growing populations. In a recent survey, 33 municipal finance officials in 22 countries across all continents reported already seeing a 10 percent decrease in their overall revenue and around a five percent increase in expenditure. This “scissors effect” of local government revenue and expenditure will be most felt in cities in developing countries. African cities, for example,  could potentially lose up to up to 65 percent of their revenue in 2021.

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For greater vaccine equity, first fix these misconceptions

By Philip Schellekens, Senior Economic Advisor – IFC (World Bank Group)

As we start to see the light at the end of the pandemic’s dark tunnel, inequities in the distribution of vaccines across countries are coming under intense scrutiny. Unequal vaccine distribution is not necessarily unfair—after all, some population groups are more vulnerable than others. Yet relative to sensible metrics of need, the current inequality is excessive. Efforts to boost and balance deployment have galvanized under the clarion call for #VaccinEquity, but progress has been slow and marred by bottlenecks.

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From COVID-19 to “neglected diseases”: Time to deliver on pharmaceutical innovation

By Werner Raza, ÖFSE – Austrian Foundation for Development Research

The pharmaceutical innovation system’s disregard of “neglected diseases” primarily affecting countries in the Global South should no longer be tolerated. A substantial reform is necessary.

Triggered by SARS-COV-2, Covid-19 belongs to the group of new infectious diseases which until now had mainly occurred in emerging and developing countries. Since the first outbreak of a SARS epidemic in 2002, millions of people have been affected by the family of coronaviruses. But it took a global pandemic with serious impacts on OECD countries’ societies and economic systems, for such a disease to receive the health policy attention that the Global South has been sorely lacking.

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Gender-based violence: the ‘pandemic within a pandemic’ with devastating human and economic consequences

By Flavia Bustreo, Global leader for health & rights of women, children, adolescents & elderly & Former Assistant Director-General at WHO, Gabriela Ramos, Assistant Director-General for Social and Human Sciences, UNESCO and Felicia Knaul, Director, Institute for Advanced Study of the Americas, Professor, Department of Public Health Sciences at the Miller School of Medicine

Last year, in early February, we joined global leaders and Ministers from a number of countries at a landmark conference organised by the OECD on ending violence against women. The first of its kind, it reflected the rising recognition among OECD countries that violence against women is both a grave violation of human rights as well as an economic sinkhole. The COVID-19 crisis has magnified the existing ‘pandemic within a pandemic’ of violence, with devastating consequences for individuals, and for our societies and economies at large.

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