Due attention for funding COVID-19 prevention in developing countries

It is well known that developing countries run short finance for development purposes. To add sore on a wound, COVID-19 has come up with its own burden of funding. According to World Economic Forum, for most low and middle-income countries, global aid is a major source of funding for health security systems. Developing countries have been largely dependent on external support to sustain their vital functions

Such global aid helps improve education, bolsters social cohesion, and – pertinently –builds resilient health security systems to mitigate the impacts of infectious outbreaks such as Ebola, Zika, and Cholera. With the proliferation of COVID-19 worldwide, fragile healthcare systems have become even more vulnerable, and therefore need immediate support to overcome the pandemic. We have learned from previous global pandemics that failing to respond effectively results in catastrophic economic and health consequences. So, have these countries gotten the support they need during this pandemic?

World Health Organization (WHO) states that sources of funding for COVID-19 vaccination should not come at the expense of other essential health or social services keeping in mind that said funding, because of its very large positive externalities, is an overall economic decision taken by government and is certainly not limited by the reprogramming of existing MoH budgets. In the case that existing funds are reprogrammed to COVID-19 vaccination from other activities or investments (at the government-wide level), priority should be given to identifying areas of non-productive spending or non-essential activities that can be delayed without negatively impacting population welfare.

Failure to sufficiently accelerate comprehensive efforts to contain COVID-19 contagion has greatly worsened the catastrophe in developing countries. Grossly inadequate financing of relief, recovery and reform efforts has also further set back progress, including sustainable development. After over a year, “Poor countries are facing severe setbacks on their development paths, encumbered by ballooning debts, high risks of default and limited ability to inject desperately needed liquidity,” observed participants at a recent UN Forum.

International Monetary Fund (IMF) chief economist, Gita Gopinath, estimates US$9 trillion in economic benefits from adequately accelerating affordable mass vaccination, testing, tracing and treatment at a cost of US$50bln. Overall global projections obscure disparities among and within countries. With vaccine apartheid and developing countries’ constraints, uneven pandemic containment and recovery have been worsening prior inequalities, further setting back poor countries and people.

Government responses have been much constrained by macroeconomic policy space, especially access to finance. ‘Unconventional’ monetary policies since the 2008 global financial crisis, especially low interest rates, have helped. Thus, high-income countries (HICs) have borrowed and spent much more on relief and recovery. While rich countries have been able to borrow and spend massively, developing countries have very limited fiscal space due to diminished borrowing capacity.

Often with poorer credit histories and ratings, developing countries generally face much higher interest rates on foreign borrowing. Their foreign debt burdens as shares of national income were already relatively higher before the pandemic. All these have constrained them from adopting bolder expansionary efforts.

Unsurprisingly, developed countries have accounted for nearly 80 percent of all fiscal efforts. Compared to 16 percent of their national incomes, least developed countries have only increased government expenditure by 2.6 percent on average. Facing financing constraints, many low-income countries (LICs) have even cut spending! Total resource flows to developing countries have fallen as official development assistance (ODA) and foreign direct investment (FDI) have declined. FDI in developing economies fell by 12 percent in 2020: by 37 percent in Latin America and the Caribbean, 18 percent in Africa and 4 percent in Asia.

While donors cut bilateral aid commitments by 36 percent in 2020, net ODA from 13 OECD Development Assistance Committee (DAC) rich member countries declined by US$4.7bln – led by a 10 percent UK cut – as “DAC donors prioritized their national responses towards COVID at the expense of international aid”.

International support for developing countries at this time of great need has been woefully inadequate. Despite acknowledging that “Debt service suspension is a powerful, fast acting measure that can bring real benefits to people in poor countries,” the World Bank has refused debt service cancellations. The Bank claims these would adversely impact its credit rating, reducing its ability to borrow at low preferential rates for lending to middle-income countries (MICs) and to LICs on concessional terms. Unsurprisingly, debt cancellation has not been envisaged by the Bank.

From April 2020, the IMF’s Catastrophe Containment and Relief Trust has provided debt service relief of about US$500m, or 0.2 percent of GDP for 28 highly indebted LICs, its poorest and most vulnerable members. This relief has been extended twice – for half a year each time – to cover all eligible debt service payments due to the Fund estimated at US$238 million in the latest round.

The G20’s Debt Service Suspension Initiative (DSSI) is even worse, merely delaying repayments. Interest continues to accumulate to be repaid later. Despite two extensions, borrowing countries’ lack of enthusiasm for DSSI is hardly surprising. As private creditors have not joined, DSSI only covered 2 percent of total debt service payments due in 2020.

With Biden administration support, US$650bln in new IMF special drawing rights (SDRs) should be approved by August. But this is barely half of the trillion in SDRs (worth US$1.37tn) that The Financial Times deemed necessary.

SDR allocations are proportionate to countries’ shareholdings and voting rights, mainly benefiting developed, especially European countries. Allocations for the Group of Seven (G7) largest developed economies amount to US$272 bln, with Africa getting only US$33.6bln! Nonetheless, the new SDRs should provide some welcome relief for many countries. Developed countries which do not need to use their new SDRs should transfer their new allocations to the 15 ‘eligible’ multilateral financial institutions, including the IMF, World Bank and regional development banks. These should be used to expand their lending to developing countries on preferential terms.

Calling for massive multilateral development bank recapitalization for a ten-fold increase in official funding for poor countries, Jeffrey Sachs has called for much more official financing, by ‘recycling’ at least US$100bln of HIC SDRs.

Most developing country governments were already heavily indebted to varying degrees before the pandemic. Much greater debt forbearance is urgently needed as well as longer-term development financing are also needed.

While MICs may have more borrowing options, enabling them to minimize the burden of past government debt, domestic or foreign, is urgent. Already, the financial community and media frequently warn that their credit ratings will be adversely affected if they borrow more. World Bank Chief Economist Carmen Reinhart – once reputed for her aversion to high indebtedness – now urges countries to borrow to fight the economic impact of the pandemic. She has rightly opposed putting “resources into zombie loans”.

Increasing non-performing loans and financial fragility to enable unviable firms to survive would slow recovery efforts. Instead, Reinhart has stressed the need to “expediently restructure and write down bad debts”.

However, there is no ‘one size fits all’ approach to financing needed measures to contain the pandemic and for macroeconomic expansion. Meanwhile, poor countries’ financing conditions are worsening as the pandemic drags on much longer than expected.

Facing economic slowdown, most governments need to spend much more domestically to prevent temporary recessions becoming depressions. Developing countries should not incur foreign debt except on preferential terms as necessary to import essentials such as medicines and food. International cooperation must ensure significantly more official foreign exchange financing to supplement innovative domestic financing for urgently needed spending for relief, recovery and reform.

BY STAFF REPORTER

The Ethiopian Herald May 26/2021

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