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1. A Global Development Paradigm for a World in Crisis

Author:
Rachael Calleja, Beata Cichocka, Mikaela Gavas, and Samuel Pleeck
Publication Date:
11-2022
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
This paper explores how and whether responses to COVID-19, particularly from non-DAC actors, have deepened the transition from an “international” to a “global” development paradigm, and it considers implications for the future of development cooperation. To do so, we map international responses to COVID-19—financial and beyond—to understand the changing nature of development challenges and cooperation as well as the growing role of non-DAC actors as part of this shift. Our analysis shows that while a diversity of actors contributed to international COVID-19 responses, the transition towards a global development paradigm has yet to materialize. Instead, responses to COVID-19 demonstrated clear tensions between the imperative for collaboration and the national interest, with the latter trumping the former.
Topic:
Development, International Cooperation, Pandemic, and COVID-19
Political Geography:
Global Focus

2. A Package of Reforms for Financing Pandemic Preparedness and Response for the G7

Author:
Amanda Glassman and Eleni Smitham
Publication Date:
06-2022
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
COVID-19 has shown the detrimental consequences of insufficient and fragmented financing for outbreak preparedness, prevention, and response (PPR). As the world seeks to recover from the current COVID-19 pandemic, and to mitigate recovery needs for future health crises, more must be done to accelerate global efforts to ensure rapid, adequate funding and governance for global health security, which has been under-resourced and under-prioritized. The rationale for reforming and replenishing the global health architecture to prepare for the next pandemic is clear: to protect health, human lives, and economic well-being.[1] Without dedicated and accelerated investment—in scaled up surveillance, strengthened national health systems, enhanced research and development of medical countermeasures, and more—we will continue to face more frequent and more complex epidemics and pandemics in the years ahead, and be less prepared to stop them.[2] Without the capacity to surge financing to respond at-scale to infectious disease outbreaks, we risk a repeat of the devastation caused by the COVID-19 pandemic. Last July, the High-Level Independent Panel (HLIP) on Financing the Global Commons for Pandemic Preparedness and Response, mandated by the Italian Presidency of the G20, released the report A Global Deal for Our Pandemic Age, laying out policies and investments needed to reduce vulnerabilities to future pandemics.[3] Likewise, in 2021, the Independent Panel for Pandemic Preparedness and Response[4] described the shortcomings of the existing architecture and suggested similar policies for the future, including greater assessed contributions for the World Health Organization (WHO) and the need for dedicated financing to prevent and prepare for the next COVID-19 variant and pandemic risk. The Global Preparedness and Monitoring Board’s periodic reports went in this same direction[5] , as did earlier assessments following Ebola, SARS and MERS outbreaks though recommendations often went without implementation.[6] These reports and the experience of the COVID-19 pandemic itself have again made clear that existing mechanisms for financing pandemic preparedness and response are not fit-for-purpose, nor at the sufficient speed and scale needed to ensure global health security. Current financing for pandemic preparedness is small, fragmented, and concentrated in the health sector.[7] Different organizations across the global health and international financial institution architecture hold different comparative advantages in mobilizing and deploying monies and need to be fully financed to do what they are best suited to do. However, no institution (that is adequately funded, credible, and capable) is currently mandated to or accountable for ensuring pandemic preparedness, resulting in financing and accountability gaps, particularly in low- and middle-income countries where Global Health Security Action Plans too often go un-costed and unfunded.[8] Further, new regional organizations and groupings are leaders in their own development, and must be a central part of a new global health security architecture—the Africa Centres for Disease Control and Prevention (Africa CDC), Partnerships for African Vaccine Manufacturing (PAVM), Association of Southeast Asian Nations (ASEAN), Forum for the Progress and Development of South America (PROSUR), among others, are examples. Adequate reforms and robust replenishments of global health organizations new and old are needed to ensure stronger global health security and pandemic preparedness now and in the future. External funders should take a comprehensive view of the major global health initiatives and consider how a range of reforms, when combined, have the potential to respond more coherently and efficiently to the financing demands related to the on-going COVID-19 pandemic, other macro risks that affect public spending on health, and in the face of future health threats. There are reasons for optimism. Unlike the experience during previous pandemic threats, COVID-19 has finally seen the International Monetary Fund become more aware and vocal on the need to address both COVID-19 and future pandemic risks as “systemic risk(s) to the global economy, not just the development […] of a particular country.”[9] Finance, health and development policymakers are increasingly coming together in different fora and recognizing the need to invest across sectors and to connect the international financial architecture with health initiatives in ways that will deliver better outcomes.[10]
Topic:
Reform, Pandemic, COVID-19, and Health Crisis
Political Geography:
Global Focus

3. Assessment of Expenditure Choices by Low- and Low- Middle-Income Countries During the Pandemic and Their Impact on SDGs

Author:
Sanjeev Gupta and Lucas Sala
Publication Date:
06-2022
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
Until the COVID pandemic, public spending in low- and low-middle-income countries had been growing modestly. As a result, governments expanded service provision, including in social sectors, and enlarged welfare programs. This was made possible in part by domestic revenue growth. However, the pandemic has significantly lowered revenue receipts of these countries, while creating pressures to spend more on shielding the population and providing support to the economy. Unfortunately, health outlays did not increase as a share of total output during 2000-2018. The preliminary evidence compiled in this paper shows that health spending in relation to GDP increased virtually in all low and low-middle income countries in 2020, though not by as much as in advanced economies. However, higher health spending in low and low-middle income countries is unlikely to be sustained because of the pandemic’s adverse impact on revenues and other spending pressures. Furthermore, COVID has critically scarred the future productivity of these countries. Before the pandemic, the achievement of the Sustainable Development Goals (SDGs) by 2030 was doubtful in part because of the slow pace in generating additional revenues from domestic sources. As the financing needs have increased, the achievement of these goals will be delayed beyond 2030, unless additional financing sources can be found. This means that policy actions will need to be taken by these countries to create additional fiscal space going forward. There is potential to raise more revenues from domestic sources by implementing politically difficult policy measures and generating savings by improving the quality of public spending, including on health.
Topic:
Development, Sustainable Development Goals, Sustainability, Pandemic, and COVID-19
Political Geography:
Global Focus

4. A Fund for Global Health Security and Pandemic Preparedness

Author:
Amanda Glassman, Eleni Smitham, and Erin Collinson
Publication Date:
05-2022
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
The COVID-19 crisis has served as a painful demonstration that no country is fully prepared for a pandemic and that the existing global health architecture remains ill-equipped to finance pandemic prevention, preparedness, and response (PPR). The rationale for preventing and containing pandemics is self-evident: the price of preparedness is a fraction of the cost of responding to catastrophic outbreaks, both in terms of human and economic well-being.[1] In the aftermath of the 2003 SARS outbreak, 2009 H1N1 pandemic, and the 2014-2016 West Africa Ebola outbreak, experts called for scaling up sustainable financing to ensure the world was better prepared to face that next global health threat. But even amid efforts to better understand and measure preparedness gaps,[2] little action was taken to mobilize financing and incentivize investments in strengthening detection, prevention, and response capabilities. As global health threats evolve, countries’ capacity to prepare for and respond to disease outbreaks is increasingly a global imperative. Now is the time to take concrete steps toward establishing sustained financing for pandemic PPR to help bring an end to the ongoing COVID-19 pandemic, combat future health security threats, and break the costly cycle of neglect.
Topic:
Security, Health, Pandemic, and COVID-19
Political Geography:
Global Focus

5. IDB COVID-19 Response Projects and Gender Integration

Author:
Shelby Bourgault, Kelsey Ross, and Megan O'Donnell
Publication Date:
01-2022
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
This paper aims to determine the extent to which gender was considered in the Inter-American Development Bank’s (IDB) operations aimed at responding to the COVID pandemic and associated economic crisis. Using keywords to identify COVID response projects, we found 264 projects approved between March 1, 2020, and July 31, 2021 for our analysis. We found that 135 projects (51 percent) had publicly available project documents for analysis, and of these, 32 projects (24 percent) included gender-focused indicators in their results frameworks. Most gender indicators focus on women as participants of social protection programs or as owners of small- and medium-sized enterprises. Our recommendations to the IDB include increasing transparency by publishing more project documents and ensuring gender indicators are included in projects’ results frameworks across sectors. This project builds on previous analysis of gender integration in COVID response projects at the World Bank, Asian Development Bank, and African Development Bank.
Topic:
Pandemic, COVID-19, Social Groups, and Gender
Political Geography:
Global Focus

6. A Review of Multilateral Development Banks’ Investments in Childcare

Author:
Megan O'Donnell, Kelsey Ross, and Shelby Bourgault
Publication Date:
08-2021
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
The COVID-19 pandemic has led to an unprecedented increase in unpaid care work all over the world, causing women to leave the workforce, reversing decades of progress on gender equality, and resulting in increased focus and empathy around the global childcare crisis. Recognizing a gap in the evidence regarding multilateral development banks’ current (and historical) investments in childcare solutions, in this paper we seek to establish a baseline, exploring the extent to which MDBs have invested in childcare over time, across geographies, and through various sectors and activities. Using project data from eight multilateral development banks’ project databases, we compiled all projects with a childcare component from 2000 to June 2021. Our analysis explores best practices across institutions, identifies gaps and areas for improvement, and makes recommendations for how MDBs can increase and improve investments in childcare.
Topic:
Development, Multilateralism, Banks, Pandemic, COVID-19, and Childcare
Political Geography:
Global Focus

7. A Path to Resiliency: Mitigating the Impacts of COVID-19 on Essential Medicines Supply Chains

Author:
Anthony McDonnell, Elizabeth Pisani, and Somya Singhvi
Publication Date:
06-2021
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
COVID-19 has put a spotlight on health product supply chains, highlighting the challenges in multiple steps in the global supply chain. This paper seeks to understand the impact of COVID-19 on the supply chain of a subset of essential medicines. It identifies the main categories of blockages in the global supply chain created by COVID-19, then uses data on trade flows, wholesalers, and pharma companies, and from surveys, to track the impact. There was significant short-term disruption to manufacturing caused by COVID-19. Surveys, pharmacy, and export data indicate that COVID-related disruptions impacted the supply of essential medicines, but this varied greatly by markets and product. The paper highlights that (1) data-driven approaches should be considered to make supply chains more robust, (2) solutions must account for the political and institutional landscape, (3) price surges benefit the wealthiest, and (4) local solutions are often needed to manage global shocks. More research is needed, particularly into how to obtain granular data to track supply shocks in real time? How do we increase surge capacity? Is it possible to improve procurement practices through pooled procurement, where applicable? And can pharmaceutical production be diversified, with products produced regionally to limit the risk of disruption?
Topic:
Pandemic, Resilience, COVID-19, and Medicine
Political Geography:
Global Focus

8. Addressing the COVID-19 Crisis’s Indirect Health Impacts for Women and Girls

Author:
Carleigh Krubiner, Megan O'Donnell, Julia Kaufman, and Shelby Bourgault
Publication Date:
04-2021
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
As donor institutions and governments seek to provide relief and support recovery from the COVID-19 pandemic and global recession, CGD’s COVID-19 Gender and Development Initiative aims to ensure that their policy and investment decisions equitably benefit women and girls. We seek to support decision-makers in understanding the gendered impacts of the COVID-19 pandemic; assess health, economic, and social policy response measures with a gender lens; and propose evidence-based solutions for an inclusive recovery. Recognizing that the dialogue to date has largely emphasized challenges facing women and girls in high-income settings, our analysis centers on women and girls in low- and middle-income countries. In this policy brief, we summarize the findings of a CGD working paper, Addressing the COVID-19 Crisis’s Indirect Health Impacts for Women and Girls. We examine how the pandemic is affecting women’s and girl’s health, including their sexual and reproductive health; some of the ways national governments and donor institutions have sought to maintain the provision of essential health services; and existing gaps, opportunities, and promising strategies donors and governments should pursue to address indirect harms to women’s and girl’s health during and beyond the COVID-19 crisis.
Topic:
Health, Children, Women, Pandemic, COVID-19, and Health Crisis
Political Geography:
Global Focus

9. Promoting Women’s Economic Empowerment in the COVID-19 Context

Author:
Megan O'Donnell, Mayra Buvinic, Charles Kenny, Shelby Bourgault, and George Yang
Publication Date:
04-2021
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
As donor institutions and governments seek to provide relief and support recovery from the COVID-19 pandemic and global recession, CGD’s COVID-19 Gender and Development Initiative aims to ensure that their policy and investment decisions equitably benefit women and girls. We seek to support decision-makers in understanding the gendered impacts of the COVID-19 pandemic; assess health, economic, and social policy response measures with a gender lens; and propose evidence-based solutions for an inclusive recovery. Recognizing that the dialogue to date has largely emphasized challenges facing women and girls in high-income settings, our analysis centers on women and girls in low- and middle-income countries. In this policy brief, we summarize the findings of a CGD working paper, Promoting Women’s Economic Empowerment in the COVID-19 Context. We explore the impacts of the crisis on women’s economic opportunities and outcomes, document the extent to which governments and donors are taking action to respond to these impacts, and make recommendations for how decision-makers can elevate women’s economic empowerment as a priority in response and recovery efforts. Specifically, we examine the impact of the COVID-19 global recession on women’s work and employment in low- and middle-income countries, including entrepreneurship, wage and salaried work, work in subsistence and commercial agriculture, and unpaid housework and care work.
Topic:
Economics, Women, Inequality, Pandemic, COVID-19, and Gender
Political Geography:
Global Focus

10. The Gendered Dimensions of Social Protection in the COVID-19 Context

Author:
Megan O'Donnell, Mayra Buvinic, Shelby Bourgault, and Brian Webster
Publication Date:
04-2021
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
As donor institutions and governments seek to provide relief and support recovery from the COVID-19 pandemic and global recession, CGD’s COVID-19 Gender and Development Initiative aims to ensure that their policy and investment decisions equitably benefit women and girls. We seek to support decision-makers in understanding the gendered impacts of the COVID-19 pandemic; assess health, economic, and social policy response measures with a gender lens; and propose evidence-based solutions for an inclusive recovery. Recognizing that the dialogue to date has largely emphasized challenges facing women and girls in high-income settings, our analysis centers on women and girls in low- and middle-income countries. In this policy brief, we summarize the findings of a CGD working paper, The Gendered Dimensions of Social Protection in the COVID-19 Context. We explore the role of social protection, with an emphasis on social assistance policies and programs, in addressing increasing poverty, food insecurity, unpaid care work, and gender-based violence—all exacerbated by the onset of the crisis and associated containment measures. We document these trends and how they disproportionately impact women and girls, as well as the extent to which governments and donors are integrating a gender lens into their social protection efforts and make recommendations to ensure that future efforts effectively reach and benefit women and girls.
Topic:
Women, Inequality, Pandemic, COVID-19, and Gender
Political Geography:
Global Focus