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COMMENTARY
Economic & Political Weekly EPW november 21, 2020 vol lV no 46 13
The Pandemic and Economic
Fallout in South Asia
Challenges and the Way Forward
Selim Raihan, Ganeshan Wignaraja, Vaqar Ahmed, Puspa Sharma, Nazir Kabiri,
Prabir De
Coherent national strategies,
backed by regional cooperation
efforts, offer a way forward for
economic recovery in South Asia,
which is rapidly becoming the
next COVID-19 global hotspot.
Challenges and policies relating
to macroeconomics, health,
economic sectors, stimulus
measures, and reforms, which
are all crucial for the region’s
recovery are discussed.
This article is an outcome of joint research
undertaken by South Asian think tanks. An
earlier version of the article was discussed at
the webinar “COVID-19: South Asia’s Response,”
2 May 2020. The authors are grateful to Sabya
Dutta, Director, Asian Confluence for organising
the webinar, and to the participants for their
useful comments. The views are authors’ own.
Selim Raihan (selim.raihan@gmail.com) is
Executive Director of the South Asian Network
on Economic Modelling, and teaches
Economics at the University of Dhaka, Dhaka.
Ganeshan Wignaraja (gwignaraja@gmail.com) is
Executive Director of the Lakshman Kadirgamar
Institute of International Relations and
Strategic Studies, Colombo, and visiting scholar
at the International Monetary Fund, Washington,
DC. Vaqar Ahmed (vahmed@gmail.com) is Joint
Executive Director at the Sustainable
Development Policy Institute, Islamabad.
Puspa Sharma (puspa.sharma@sawtee.org) is
Executive Director at the South Asia Watch on
Trade, Economics and Environment, Kathmandu.
Nazir Kabiri (nazir.kabiri@biruni.af) is
Executive Director at the Biruni Institute,
Kabul. Prabir De (prabirde@hotmail.com) is
the head of and teaches at the ASEAN-India
Centre, Research and Information System for
Developing Countries, New Delhi.
S
outh Asia, the world’s most popu-
lous region, is rapidly becoming the
next global hotspot for the COVID-19
pandemic. Governments across the region
are faced with the grim calculus of trading
off health for the economy which is in
lockdown or partial lockdown. Coherent
national strategies, backed by regional
cooperation efforts, offer a way forward
for economic recovery in South Asia.
South Asia faces two major challenges
at this juncture. First, is to tackle the
public health emergency related to the
spread of coronavirus (COVID-19). Saving
lives and not overburdening under-
developed health systems are important
concerns of governments. Second, is to
save the regional economy from an eco-
nomic downturn and deep recession due
to the effects of the Covid-19 pandemic
and the global and regional lockdown.
The present health cum economic crisis
throws up some important issues for
public policy in South Asia. If the spread
of the virus and the consequent loss of
life is minimised, either through newly
invented vaccines or medicines, economies
may rebound sharply. Countries are, there-
fore, heavily engaged in inventing the
vaccines or exploring access to them once
they are invented, as well as injecting
countercyclical fiscal and monetary stim-
ulus measures. Both pathways are critical
to support possible recovery in South
Asia in late 2020 and 2021.
The experience of some better-devel-
oped East Asian countries in managing
COVID-19 offers some insights for South
Asia (such as enforcement of individual
quarantine, early border controls, mobi-
lisation of industry and focused economic
measures), but these need to be tailored to
the circumstances of South Asian countries
(Duchatel et al 2020). The subtle nuances
relating to public policy choices to tackle
the pandemic in South Asia have moti-
vated us as an informal group of South
Asian scholars to debate these issues and
to write this article. It discusses challenges
and policies relating to macroeconomics,
health, economic sectors, stimulus meas-
ures, and reforms, which are all crucial
for the region’s recovery.
Challenges
Health hazard: COVID-19 has sparked
both a public health emergency and an
economic shock in South Asia. As of
2 August 2020, South Asia accounted for
13.17% of global cases, while the United
States accounted for 26.38%, and the
European Union for 7.92% (John Hopkins
University & Medicine nd). On 15 April
2020, South Asia accounted for only
0.99% of the global cases. This suggests
that Covid-19 cases in South Asia have
increased rapidly over a period of three
and a half months. Also, because of its
underdeveloped health system, the public
health crisis will likely be prolonged in
South Asia. Furthermore, testing across
South Asian countries remains inadequate
in relation to needs (Table 1, p 14). Barring
Bhutan, the rest of South Asia lags behind
the East and South East Asian average
significantly in terms of tests, hospital
beds and public health expenditure. These
differences in health outcome indicators
may reflect different development policy
priorities accorded to economic growth
versus human development (including
public health provision) in South Asia
and East Asia. There is clearly a need for
urgent public policy interventions to
narrow the gaps in the health sector
within South Asia.
Macroeconomy: South Asia has moved
from the fastest-growing region in the
world in 2019 to a slow-growth scenario in
2020. Many economies may face negative
per capita income growth in 2020 due to
the coronavirus pandemic (IMF 2020a).
Furthermore, in its recent forecast, the
World Trade Organization (WTO) indicated
a fall in world trade between 13% and
32% in 2020, perhaps, the highest fall
COMMENTARY
november 21, 2020 vol lV no 46 EPW Economic & Political Weekly14
since the Great Depression of the 1930s
(WTO 2020). In its June 2020 Global Eco-
nomic Prospects, the World Bank indi-
cated a very slow recovery of South Asia
in 2021 with negative growth in several
countries (Figure 1) (World Bank 2020a).
Economic sectors: All South Asian
countries are suffering from the collapsing
of trade, investment and tourism. Stock
markets have tumbled and business con-
fidence is vanishing. Daily life has been
disrupted and millions face poverty.
In Afghanistan, the outbreak of the
pandemic has and will further suppress an
already sluggish economy. The economy
may contract by 3%–8% in 2020. Infla-
tionary pressures are mounting as a result
of disruption in trade and supply chains.
A sharp decline in revenues has exposed
the country to a fiscal crisis. Un(der)em-
ployment (39.5% in 2017) and poverty
(54.5% in 2017) are projected to increase
to respectively 53.5% and 80% by the
end of 2020 (Biruni Institute 2020).
In Bangladesh, all the drivers of Bang-
ladesh’s economy have been severely
affected during this economic crisis. These
include the export sector—especially the
garment industry, remittances, domestic
industries and services, agriculture, poul-
try, fisheries, and especially small and
medium enterprises. In the fiscal year
ending June 2020, total exports declined
by around 18%. The poverty rate is feared
to increase to around 40% from around
20% in 2019. Considering the dynamics
of the crisis so far, it is obvious that this
crisis is going to leave a big mark on the
economic growth and social achievements
of Bangladesh (Raihan et al 2020).
In Bhutan, from tourism to trade, the
COVID-19 crisis is affecting the livelihoods
of many. Bhutan’s tourism sector remains
among the hardest hit. Initial reports indi-
cate that the temporary restriction on
tourism has affected the livelihoods of
some 50,000 Bhutanese, working in the
sector, including hoteliers, travel agents
and tour guides (UNDP 2020).
In India, with the imposition of restric-
tions on transportation worldwide, exports
and imports saw a drastic fall in the
country especially in the case of essen-
tial commodities, such as petroleum, food
crops, and coal, among others. The growth
rate of the automotive business in India
was expected to be the most adversely
affected, followed by the power supply and
information technology sectors. Further-
more, many start-ups, micro, small and
medium enterprises (MSMEs) in India are
expected to face issues of supply disruption
and a decrease in demand (Keelery 2020).
Coronavirus has hit Maldives’ lucra-
tive tourism industry. Tourism, directly
and indirectly, accounts for nearly two-
thirds of the country’s gross domestic
product (GDP). The industry also employs
the single-largest proportion of the
Maldivian workforce (Sharma 2020).
Nepal is feared to experience a 14%
reduction in remittances in 2020, which
will lead to a significant reduction in
foreign exchange earnings for a country
heavily dependent on remittances (World
Bank 2020b). A large number of migrants
are likely to return home, which, with the
inability to absorb them in the job market,
will create serious socio-economic prob-
lems. Also, travel and tourism, contribut-
ing around 4% to Nepal’s GDP and 3% to
total employment, is one of the most
affected sectors (ADB 2020). The hotel and
restaurant sector in Nepal seemed to
contract by 16.3% in the fiscal year that
ended on 15 July 2020.
In Pakistan, major crops, the livestock,
fruits and vegetable sector supplies are
affected. In the large-scale manufacturing,
sectors producing both tradable and non-
tradable goods have been equally hit
(Javed and Ayaz 2020). The halt in con-
struction activities (now gradually being
opened) resulted in the closure of basic
and allied industries related to construc-
tion. This, of course, had implications for
daily wage workers and those providing
services in the informal sector. Ongoing
concerns relate to drastic slowdown in
small and medium-sized enterprises
(SMEs) sustainability and operations in
the face of expected future rounds of
Covid-19. While exporters from textile
and garments sector are looking to pivot
and diversify towards production of per-
sonal protective materials, unfortunately
lesser options for pivoting are available
to other export-oriented industries such
as leather, surgical, sports, agro and
food processing. The consumption levels
and ultimately aggregate demand in the
economy could remain depressed for a
longer time if remittance and migration
outlook globally remains uncertain.
As a classic small open economy, Sri
Lanka has seen a broad hit across the
economy affecting swathes of manufac-
turing and services. The most affected
sectors are tourism, apparel exports, retail
(non-essential goods), the financial sector,
transportation, construction, and infor-
mation technology (IT)/business process
outsourcing (KPMG 2020). Interestingly,
agriculture and agri-food processing for
Table1:COVID-19TestsandHealthSectorin
SouthAsianandComparableCountries
Total Hospital Public Out-of-Pocket
Tests Beds Health Expenditure
per1,000 per1,000 Expenditure (%ofCurrent
Peoplea Peopleb (%of Health
GDP)b Expenditure)b
South Asia
Afghanistan 2.3 0.5 0.6 75.5
Bangladesh 7.2 0.8 0.4 73.9
Bhutan 17.9 1.7 2.4 13.3
India 14.4 0.5 1.0 62.4
Nepal 12.5 0.3 1.2 57.8
Pakistan 9.1 0.6 0.9 60.2
Sri Lanka 7.6 3.6 1.6 49.8
Average for
South Asia 12.8 0.6 0.9 62.5
East and South East Asia
China 62.8 4.2 2.9 36.1
South Korea 30.7 12.3 4.4 33.7
Indonesia 5.6 1.0 1.4 34.6
Malaysia 30.2 1.9 2.0 37.9
Philippines 14.0 1.0 1.4 53.0
Thailand 10.3 2.1 2.9 11.1
Average for
all East and
South East Asia 43.3 4.2 4.4 27.0
Europe
France 45.6 5.9 8.7 9.4
Italy 114.4 3.2 6.5 23.5
United
Kingdom 239.7 2.5 7.6 16.0
Sources: a: https://ourworldindata.org/coronavirus-
testing, Ministry of Health, Sri Lanka, Ministry of Health,
Nepal and various newspaper links (as on 2 August 2020).
b: World Bank, World Development Indicators (data for the
most recent year).
Figure1:ProjectedGDPGrowthRatesin
SouthAsianCountries
Source: World Bank (2020a).
Afghanistan
Bangladesh
Bhutan
India
Maldives
Nepal
Pakistan
SriLanka
10
5
0
-5
-10
15
2021
2020
GDPGrowthRates(%)
COMMENTARY
Economic & Political Weekly EPW november 21, 2020 vol lV no 46 15
the domestic market have done relatively
well, bolstered by reasonable weather.
Exports of tea, coconut products, sea food
and spices have grown in response to
notable external demand and some large
apparel firms are switching lines to make
personal protective equipment such as
face masks, protective suits and surgical
gloves. E-commerce and some IT-related
services are also expanding due to
changes in the buying habits of consumers
and business practices.
The Way Forward
At the time of writing, it is uncertain
whether South Asian countries are likely
to experience a rapid V-shaped economic
recovery in 2021 or whether recovery
will be slow with a prolonged period at
the bottom of a U-shaped trajectory
(Wignaraja 2020). The projections by
international organisations, like the
International Monetary Fund (IMF) and
the World Bank, are rather pessimistic
both for 2021 and 2022. The prospects
for recovery in South Asia, however, are
closely linked to effectively managing
the health hazard of COVID-19, reducing
business uncertainty, resuming domestic
economic activities, and reviving global
demand. By focusing on the policy steps
ahead, governments of South Asian
countries can increase the likelihood of
recovery within a reasonable time span.
Stimulus measures: Fiscal and monetary
stimulus measures, tailored to national
circumstances, can mitigate long-term
economic damage in South Asia. The
pandemic has affected every sector of
the economy and every segment of the
population in South Asia. All the national
governments in the region have an-
nounced, albeit in varying degrees, fiscal
and monetary relief measures to respond
to damages wrought by the pandemic.
These include, on the fiscal front, cash
transfers and direct food assistance to
the poor, wage support to workers, sub-
sidies on electricity usage, and so on.
Similarly, on the monetary front, some
of the important measures taken are re-
ductions in repo rate, cash reserve ratio
requirements, and interest rates, deferrals
on interest payments, etc. Given the
limited financial resources of South Asian
countries, their relief packages are modest
compared to those of developed countries.
Afghanistan is a heavily aid-reliant
and import-dependent economy. The
pandemic is already affecting aid pre-
dictability. The Afghan government has
allocated about $500 million to deal with
the crisis, supported by donor grants
and concessional credits. The need for an
emergency support programme to house-
holds is enormous, and the government
has designed a $300 million project
(REACH: COVID-19 Relief Effort for Afghan
Communities and Households) to distri-
bute in-kind food supplies to poor house-
holds. However, the type and the struc-
ture of the programme, which currently
relies on in-kind distribution of food,
needs to be seriously reconsidered for
the reasons of efficiency, effectiveness,
value-for-money, and transparency.
Bangladesh, as of 14 May 2020, an-
nounced a $11.7 billion stimulus package
to support the economy, with a primary
focus on supporting the manufacturing
and service sectors, agriculture and social
safety nets. This support package is equiv-
alent to 3.7% of the GDP. The central bank
has also taken several steps to inject
liquidity in the banking sector (reducing
the cash reserve ratio and repo rates,
purchase of bonds and bills), delay non-
performing loan classification, relieve late
fees for credit cards, extend tenures of
trade instruments, and ensure access to
financial services to deal with the urgent
scenario (Haque and Mourshed 2020).
The Bhutan government wants to con-
tinue construction of hydropower projects
to minimise the impact of COVID-19 and
revive the land-locked country’s economy.
India responded by unveiling a $262
billion stimulus plan, amounting to 10%
of the GDP, providing direct cash trans-
fer to poor senior citizens and women
and free foodgrain and cooking gas
to give relief to the millions hit by the
lockdown. The central bank cut the key
interest rate. Also, a moratorium on
repayment of loans for three months
had been provided.
The Maldives government has an-
nounced an emergency $161.8 million
stimulus package, which includes $100
million in emergency loans for businesses
to meet short-term working capital needs,
and $2 million short-term financing
facility for the tourism industry.
The Nepal government has prioritised
health in the recently unveiled budget
for the fiscal year 2020–21. It has also
planned to create 7,36,000 jobs in the
agriculture and construction sectors and
provide vocational trainings and seed
capital to youth, among others. To sup-
port enterprises affected by lockdowns
ensued by the pandemic, the government
has announced, through the monetary
policy, enlarging the refinance funds by
five times up to about Nepalese rupee
(NPR) 200 billion, and the creation of a
special fund, particularly to support SMEs,
worth NPR 50 billion. It has announced
that the interest rates on loans provided
through these funds will not exceed 5%.
In Pakistan, the government announced
a rescue package of around $12.2 billion
for businesses, SMEs and vulnerable peo-
ple, and announced concessional loans
for businesses. The country’s largest social
safety nets programme—Ehsaas—dis-
bursed `81 billion among 6.6 million
deserving families to cover their liquidity-
related constraints. The actual welfare
impact of such spending will critically
depend upon the reform in disbursement
mechanisms of the existing and new forms
of payments to the poor. For revival of
jobs, a package for the construction sec-
tor has been announced and the govern-
ment sees the federal budget for the fiscal
year 2020–21 as an opportunity to intro-
duce greater redistribution through a re-
formed fiscal policy. Pressures on local
resources have subsided to an extent with
IMF allowing rapid finance instrument
facility and other multilateral develop-
ment partners also contributing to the
Pakistan Pandemic Response Plan.
Sri Lanka’s interim government is yet
to mount a major fiscal stimulus package
owing to difficulties in passing a national
budget until after parliamentary elections
on 5 August 2020. Accordingly, the country
has relied heavily on a monetary stimulus,
an activist Central Bank, trade policy
actions and some social protection meas-
ures. In order to lift liquidity constraints
and alleviate exchange rate pressures, the
Central Bank of Sri Lanka lowered policy
rates by 200 basis points across three
rate cuts since March. On 31 March 2020,
COMMENTARY
november 21, 2020 vol lV no 46 EPW Economic & Political Weekly16
the Central Bank of Sri Lanka also an-
nounced a $250 million refinancing fa-
cility for banks, enabling them to ex-
pand their lending capacity to businesses,
offer loan repayment moratoriums for six
months and provide working capital at
subsidised interest rates. To stabilise
foreign exchange reserves, import restric-
tions of some items, including agricultural
products were introduced on 19 March
2020, banks were prohibited from financ-
ing vehicle imports and outward remit-
tances were suspended. Furthermore,
emergency relief (totalling around 0.2%
of GDP) to around 5.7 million vulnerable
households was provided in the form of
monthly payments (LKR 5,000, approxi-
mately $26), food allowances and con-
cessional loans (IMF 2020b).
The success of the aforementioned
stimulus packages in the South Asian
countries will depend on three aspects—
financing, management and monitoring.
In the case of financing, given the likely
scenario of reduced government revenue,
it is necessary to suspend “unnecessary”
or less important projects of the govern-
ment. Also, borrowing from international
organisations, such as the World Bank,
IMF, Asian Development Bank and Asian
Infrastructure Investment Bank should
be explored. It is additionally opportune
for governments to revitalise existing
mechanisms under the South Asian
Association of Regional Cooperation, like
the SAARCFINANCE Forum, to exchange
ideas on stimulus measures and finance
where possible. In this vein, on 24 July
2020, the Central Bank of Sri Lanka and
the Reserve Bank of India entered into a
$400 million swap under the Framework
on Currency Swap Arrangement for SAARC
countries. Proper management of the
stimulus package is also very important.
There is a need for efficient supervision—
who will get the money and how. The
government needs to ensure transparency
and accountability in this whole process.
Without proper monitoring of the use and
management of stimulus package funds,
its purpose will be severely hampered.
Improving public health systems: The
crisis caused by COVID-19 has shown us
that investing in South Asia’s underdeve-
loped and overstretched health systems
is essential. Reflecting a history of
chronic underspending on public health,
lags behind others. For instance, in 2017,
South Asia spent only 0.9% of its GDP on
public health, which is half the figure for
sub-Saharan Africa (1.9%) and one-fifth
of that of East Asia and South East Asia
(4.4%). As Table 1 shows, strikingly,
Afghanistan, Bangladesh and Pakistan
even spend below the regional average.
The out-of-pocket health spending in most
South Asian countries is exceedingly high
in comparison to countries from East
and South East Asia. The pandemic has
exposed the dilapidated state of public
health services in most South Asian coun-
tries to the detriment of the region’s poor
and middle class. This has led to excess
demand for private healthcare services
from a relatively small private healthcare
sector. However, the cost of private hos-
pitals and healthcare services tends to be
prohibitively expensive and there is a lack
of accountability. It is also important to
keep in mind that with the expected signi-
ficant increase in public expenditure
in the health sector, transparency and
accountability in spending as well as
value-for-money services must be ensured.
With limited doctors, drugs and hospital
beds to cope with the pandemic, South
Asia should target a gradual increase in
public health spending to about 4% of
the GDP. Furthermore, the region should
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COMMENTARY
Economic & Political Weekly EPW november 21, 2020 vol lV no 46 17
invest in technologies to improve public
health efficiency, such as 24/7 helplines
that work and telemedicine to treat mild
cases as well as ambulances to ferry
serious cases to hospital. Rural- and com-
munity-based primary healthcare systems
should also be upgraded. Timely public
health investments will not only build
capacity in South Asia to deal with the
COVID-19 pandemic but also provide
insurance against future pandemics and
other health problems. Indeed, recent
research argues that the risk of pandem-
ics and ageing-related disease is on the
rise globally and that relatively smaller
investments in preventive measures could
substantially reduce the economic damage
caused by future pandemics (McKinsey
Global Institute 2020).
Reforms for pro-poor growth: Reforms
should focus on pro-poor growth. The
closure of manufacturing and services
activities across South Asia means rising
job loss and pay cuts for workers. House-
hold income of the poorest households,
linked to tourism, remittances and in-
formal sector activity, will be hard hit. A
protracted COVID-19-driven crisis may
threaten food security, particularly for
the most vulnerable and in least devel-
oped countries like Afghanistan and
Nepal. The progress that South Asia has
made in reducing poverty over the years
could be reversed by the current pandemic.
Therefore, after tackling the immediate
pandemic threat and putting in place
economic stimulus measures, attention
should focus on the more difficult issues
of formulating and implementing reforms
for pro-poor growth in all South Asian
countries. Such reforms should tackle
the challenging issues of agricultural
productivity and food security, targeted
social safety nets, women’s empowerment,
and small enterprises. These measures
will help mitigate the impact of the eco-
nomic crisis on the poor in South Asia.
Also, the country experiences in South
Asia suggest that there are problems of
coordination among health policy, lock-
down measures and economic policies in
most of these countries. Efforts should
also continue to improve the investment
climate in South Asia, including cutting
redundant red tape affecting business
(in areas such as tax collection, land for
business purposes, customs and local
government permits) and digitisation of all
public services. Improving the investment
climate would show that South Asian
countries are fully supportive of business
efforts to revive economic activity, foster
growth and create jobs.
Proper steps for opening up of the
economy: Lockdowns and social dis-
tancing measures interrupt transmission
of the virus and save overstretched health
systems from collapse. But a prolonged
lockdown risks causing significant eco-
nomic damage and personal suffering.
This is particularly so in South Asia,
which is unable to offer costly social
protection measures (such as unemploy-
ment benefits and universal healthcare)
feasible in developed countries. However,
lifting of lockdowns should be carefully
planned as ad hoc opening up could
encourage the spread of the virus and
induce huge health and economic costs in
the near future and may even lead to the
reimpositionofmorestringentlockdowns.
There is a need to develop and imple-
ment region-wise and sector-wise health
protocols for opening up of economic
activities along with the mandatory use
of face masks, an increase in testing ca-
pacity and more use of individual self-
quarantine practices in South Asian
countries.
Regional cooperation: In South Asia,
despite significant potential, regional
integration and cooperation processes
have been limited to date. A serious lack
of mutual trust among most of the South
Asian countries has constrained region-
alism in South Asia. However, a public
health emergency and economic crisis
like the one brought by COVID-19 provide
an opportunity for countries to work
together for the common good of all
South Asians.
First, South Asian countries need to
share their experiences of the national
policy measures to combat the crisis.
The SAARCFINANCE Forum, which was
established in 1998 as a regional network
of the SAARC Central Bank Governors
and Finance Secretaries, should be reac-
tivated. Though the primary function of
the network is to conduct a dialogue on
macroeconomic policies of the region and
share experiences and ideas of the member
countries, the forum has been suspended
since 2014 with the deadlock in the
SAARC process. As the Prime Minister of
India, in a video conference with SAARC
leaders on 15 March 2020, proposed an
emergency COVID-19 fund for SAARC
countries, the time is ripe to revitalise
the SAARCFINANCE Forum to discuss how
this emergency fund can be established
and operationalised. The SAARC COVID-19
emergency fund could be a useful build-
ing block to revive regional cooperation.
At the senior officials’ level, discussions
were also held on health issues arising
from the transit of goods and people as
well as fostering intra-regional trade.
The SAARC Comprehensive Framework on
Disaster Management provides a road
map for cooperation in natural disasters,
including pandemic like COVID-19.
Second, no country in this region
can boast to have health systems which
comprehensively cover the needs of its
citizens. Therefore, there is a case to
strengthen health sector trade value
chains in the region. In this regard, lib-
eralisation of trade in health services is
recommended; while countries in the
region will have to invest in national
public healthcare capacities in the medium
to longer term, they can explore the use
of the pool of doctors, nurses, medical
facilities, generic drugs and experience
available in this region to help each other.
Under the SAARC process, there is a forum
for a meeting of SAARC health ministers.
One may recall that in the wake of the
outbreak of the severe acute respiratory
syndrome epidemic, an emergency meet-
ing of SAARC health ministers was held
in Malé in April 2003 to develop a re-
gional strategy to deal with the deadly
epidemic. Between 2003 and 2017, there
were six meetings of the SAARC health
ministers. A promising sign of potential
regional cooperation occurred on 26
March 2020, when senior health profes-
sionals of all SAARC countries met by
videoconference and agreed that India
will share online training tools for
emergency responders and set up an
electronic disease surveillance platform
to help neighbouring countries trace and
COMMENTARY
november 21, 2020 vol lV no 46 EPW Economic & Political Weekly18
manage the coronavirus outbreaks. The
SAARC’s Disaster Management Centre,
which is housed in the campus of the
Gujarat Institute of Disaster Management
in India, has also set up a COVID-19 web-
site with daily updates about confirmed
cases throughout South Asia and national
actions. Furthermore, India has provided
training on management of Covid-19
pandemic for healthcare professionals
from SAARC countries since 17 April 2020.
Third, given that the global supply
chains have been severely disrupted in
several sectors, South Asian countries
should explore business opportunities
for localisation and regionalisation of
supply chains according to comparative
advantage. The current crisis highlights
the risk of over-reliance on a few countries,
both for exports and imports. Despite the
huge potential for intra-regional trade,
South Asian countries have been unable
to exploit this potential due to factors such
as non-tariff measures, opaque investment
rules, underdeveloped regional trade
logistics, weak supply capacity and po-
litical conflicts. The current situation
underscores the need for official dialogue
on how to promote regional economic
integration through supply chains in
South Asia in this COVID-19 era. Think
tanks can provide useful analytical work
to underpin such discussions.
Fourth, scarcity of resources in the
region for investment, at this point, may
slow down economic recovery. South
Asian countries are not in a position to
bail out national economies with just in-
ternal resources. Therefore, a calibrated
approach is needed to utilise foreign
investments in the areas like healthcare,
disease control and disaster management,
food security, infrastructure development,
etc. It is for that reason that some South
Asian countries are looking to Chinese
inward investment. It seems equally im-
portant that South Asian countries take
steps to promote intra-regional investment
through regional cooperation efforts.
Finally, the SAARC process and the SAARC
secretariat need to be rejuvenated. The
crisis brought by COVID-19 underlines the
importance of efforts to deepen regional
cooperation in South Asia. Cooperative
efforts to work together to tackle the public
health emergency could re-emphasise
the economic benefits of regional coop-
eration at least in limited areas such as
public health and management of natural
disasters. Over time, improved trust and
demonstrated benefits of regional coop-
eration could provide an incentive for
countries in South Asia to make sincere
efforts to put aside their political differ-
ences which hamper the development of a
broader agenda for regional cooperation.
Concluding Remarks
The COVID-19 pandemic has exposed
fragilities in health and national economic
systems in South Asia, which additionally
lacks the supportive buffer of shared
resources, mechanisms and expertise that
close regionalism can bring. The public
health crisis, lockdowns and economic
slowdown in the wake of COVID-19 are
disrupting economic activities and in-
creasing poverty on an unimaginable
scale across the region. Governments in
South Asia are responding nationally on
the public health and economic fronts
with varying degrees of effectiveness.
However, there is a need for a stronger
coordination among health mitigation
policies, lockdown measures and eco-
nomic recovery policies among the South
Asian countries. The recent effort at re-
gional cooperation is a good beginning
to share responsibilities and to reactivate
the SAARC process, which may help miti-
gate a prolonged downturn. The process
of trust-building can be enhanced by the
regular regional dialogue of governments
and relevant stakeholders to strengthen
SAARC cooperation in the COVID-19 era.
Think tanks in South Asia region can be
tasked with relevant research and advoca-
cy. To tackle the pandemic and economic
crisis, South Asia needs to ramp up its
response. Working together offers the best
hope for the region to succeed.
References
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Duchatel, M, F Godement and V Zhu (2020):
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org/ressources/pdfs/publications/fighting-
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Haque, M and I Mourshed (2020): “The Stimulus
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help-our-smes-tackle-the-unprecedented-crisis.
IMF (2020a): World Economic Outlook, April 2020:
The Great Lockdown, International Monetary
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en/Publications/WEO/Issues/2020/04/14/
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Javed, S A and M U Ayaz (2020): “COVID-19: Impact
of Lockdown on SMEs,” SDPI Covid-19 Policy
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tent/uploads/2020/04/COVID-19-Impact-of-
Lockdown-on-SMEs.pdf.
John Hopkins University & Medicine (nd): “Covid-19
Dashboard by the Centre for Systems Science
and Engineering (CSSE) at John Hopkins Uni-
versity,” Coronavirus Resource Center, https://
coronavirus.jhu.edu/map.html.
Keelery, S (2020): “Estimated impact from the
Coronavirus (COVID-19) on India between
April and June 2020, by sector GVA,” Statista,
https://www.statista.com/statistics/1107798/
india-estimated-economic-impact-of-coronavi-
rus-by-sector/.
KPMG (2020): “Impact of COVID-19 on the Sri Lankan
Economy,” Colombo, https://assets.kpmg/con-
tent/dam/kpmg/lk/pdf/kpmg-covid-19-eco-
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McKinsey Global Institute (2020): “Prioritizing
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Md Tuhin Ahmed and Md Junaed (2020):“How
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Sharma, A (2020): “Coronavirus Hits Maldives’
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maldives-lucrative-tourism-industry/a-53131198.
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COVID-19 on Bhutan’s Tourism Sector,” Press
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gramme, Bhutan, Thimpu, https://www.bt.undp.
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impacts-of-covid19-on-bhutan-tourim-sector.html.
Wignaraja, G (2020): “International Monetary Fund
Predictions: Asia’s Growth after Covid-19,”
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The Pandemic and Economic Fallout

  • 1. COMMENTARY Economic & Political Weekly EPW november 21, 2020 vol lV no 46 13 The Pandemic and Economic Fallout in South Asia Challenges and the Way Forward Selim Raihan, Ganeshan Wignaraja, Vaqar Ahmed, Puspa Sharma, Nazir Kabiri, Prabir De Coherent national strategies, backed by regional cooperation efforts, offer a way forward for economic recovery in South Asia, which is rapidly becoming the next COVID-19 global hotspot. Challenges and policies relating to macroeconomics, health, economic sectors, stimulus measures, and reforms, which are all crucial for the region’s recovery are discussed. This article is an outcome of joint research undertaken by South Asian think tanks. An earlier version of the article was discussed at the webinar “COVID-19: South Asia’s Response,” 2 May 2020. The authors are grateful to Sabya Dutta, Director, Asian Confluence for organising the webinar, and to the participants for their useful comments. The views are authors’ own. Selim Raihan (selim.raihan@gmail.com) is Executive Director of the South Asian Network on Economic Modelling, and teaches Economics at the University of Dhaka, Dhaka. Ganeshan Wignaraja (gwignaraja@gmail.com) is Executive Director of the Lakshman Kadirgamar Institute of International Relations and Strategic Studies, Colombo, and visiting scholar at the International Monetary Fund, Washington, DC. Vaqar Ahmed (vahmed@gmail.com) is Joint Executive Director at the Sustainable Development Policy Institute, Islamabad. Puspa Sharma (puspa.sharma@sawtee.org) is Executive Director at the South Asia Watch on Trade, Economics and Environment, Kathmandu. Nazir Kabiri (nazir.kabiri@biruni.af) is Executive Director at the Biruni Institute, Kabul. Prabir De (prabirde@hotmail.com) is the head of and teaches at the ASEAN-India Centre, Research and Information System for Developing Countries, New Delhi. S outh Asia, the world’s most popu- lous region, is rapidly becoming the next global hotspot for the COVID-19 pandemic. Governments across the region are faced with the grim calculus of trading off health for the economy which is in lockdown or partial lockdown. Coherent national strategies, backed by regional cooperation efforts, offer a way forward for economic recovery in South Asia. South Asia faces two major challenges at this juncture. First, is to tackle the public health emergency related to the spread of coronavirus (COVID-19). Saving lives and not overburdening under- developed health systems are important concerns of governments. Second, is to save the regional economy from an eco- nomic downturn and deep recession due to the effects of the Covid-19 pandemic and the global and regional lockdown. The present health cum economic crisis throws up some important issues for public policy in South Asia. If the spread of the virus and the consequent loss of life is minimised, either through newly invented vaccines or medicines, economies may rebound sharply. Countries are, there- fore, heavily engaged in inventing the vaccines or exploring access to them once they are invented, as well as injecting countercyclical fiscal and monetary stim- ulus measures. Both pathways are critical to support possible recovery in South Asia in late 2020 and 2021. The experience of some better-devel- oped East Asian countries in managing COVID-19 offers some insights for South Asia (such as enforcement of individual quarantine, early border controls, mobi- lisation of industry and focused economic measures), but these need to be tailored to the circumstances of South Asian countries (Duchatel et al 2020). The subtle nuances relating to public policy choices to tackle the pandemic in South Asia have moti- vated us as an informal group of South Asian scholars to debate these issues and to write this article. It discusses challenges and policies relating to macroeconomics, health, economic sectors, stimulus meas- ures, and reforms, which are all crucial for the region’s recovery. Challenges Health hazard: COVID-19 has sparked both a public health emergency and an economic shock in South Asia. As of 2 August 2020, South Asia accounted for 13.17% of global cases, while the United States accounted for 26.38%, and the European Union for 7.92% (John Hopkins University & Medicine nd). On 15 April 2020, South Asia accounted for only 0.99% of the global cases. This suggests that Covid-19 cases in South Asia have increased rapidly over a period of three and a half months. Also, because of its underdeveloped health system, the public health crisis will likely be prolonged in South Asia. Furthermore, testing across South Asian countries remains inadequate in relation to needs (Table 1, p 14). Barring Bhutan, the rest of South Asia lags behind the East and South East Asian average significantly in terms of tests, hospital beds and public health expenditure. These differences in health outcome indicators may reflect different development policy priorities accorded to economic growth versus human development (including public health provision) in South Asia and East Asia. There is clearly a need for urgent public policy interventions to narrow the gaps in the health sector within South Asia. Macroeconomy: South Asia has moved from the fastest-growing region in the world in 2019 to a slow-growth scenario in 2020. Many economies may face negative per capita income growth in 2020 due to the coronavirus pandemic (IMF 2020a). Furthermore, in its recent forecast, the World Trade Organization (WTO) indicated a fall in world trade between 13% and 32% in 2020, perhaps, the highest fall
  • 2. COMMENTARY november 21, 2020 vol lV no 46 EPW Economic & Political Weekly14 since the Great Depression of the 1930s (WTO 2020). In its June 2020 Global Eco- nomic Prospects, the World Bank indi- cated a very slow recovery of South Asia in 2021 with negative growth in several countries (Figure 1) (World Bank 2020a). Economic sectors: All South Asian countries are suffering from the collapsing of trade, investment and tourism. Stock markets have tumbled and business con- fidence is vanishing. Daily life has been disrupted and millions face poverty. In Afghanistan, the outbreak of the pandemic has and will further suppress an already sluggish economy. The economy may contract by 3%–8% in 2020. Infla- tionary pressures are mounting as a result of disruption in trade and supply chains. A sharp decline in revenues has exposed the country to a fiscal crisis. Un(der)em- ployment (39.5% in 2017) and poverty (54.5% in 2017) are projected to increase to respectively 53.5% and 80% by the end of 2020 (Biruni Institute 2020). In Bangladesh, all the drivers of Bang- ladesh’s economy have been severely affected during this economic crisis. These include the export sector—especially the garment industry, remittances, domestic industries and services, agriculture, poul- try, fisheries, and especially small and medium enterprises. In the fiscal year ending June 2020, total exports declined by around 18%. The poverty rate is feared to increase to around 40% from around 20% in 2019. Considering the dynamics of the crisis so far, it is obvious that this crisis is going to leave a big mark on the economic growth and social achievements of Bangladesh (Raihan et al 2020). In Bhutan, from tourism to trade, the COVID-19 crisis is affecting the livelihoods of many. Bhutan’s tourism sector remains among the hardest hit. Initial reports indi- cate that the temporary restriction on tourism has affected the livelihoods of some 50,000 Bhutanese, working in the sector, including hoteliers, travel agents and tour guides (UNDP 2020). In India, with the imposition of restric- tions on transportation worldwide, exports and imports saw a drastic fall in the country especially in the case of essen- tial commodities, such as petroleum, food crops, and coal, among others. The growth rate of the automotive business in India was expected to be the most adversely affected, followed by the power supply and information technology sectors. Further- more, many start-ups, micro, small and medium enterprises (MSMEs) in India are expected to face issues of supply disruption and a decrease in demand (Keelery 2020). Coronavirus has hit Maldives’ lucra- tive tourism industry. Tourism, directly and indirectly, accounts for nearly two- thirds of the country’s gross domestic product (GDP). The industry also employs the single-largest proportion of the Maldivian workforce (Sharma 2020). Nepal is feared to experience a 14% reduction in remittances in 2020, which will lead to a significant reduction in foreign exchange earnings for a country heavily dependent on remittances (World Bank 2020b). A large number of migrants are likely to return home, which, with the inability to absorb them in the job market, will create serious socio-economic prob- lems. Also, travel and tourism, contribut- ing around 4% to Nepal’s GDP and 3% to total employment, is one of the most affected sectors (ADB 2020). The hotel and restaurant sector in Nepal seemed to contract by 16.3% in the fiscal year that ended on 15 July 2020. In Pakistan, major crops, the livestock, fruits and vegetable sector supplies are affected. In the large-scale manufacturing, sectors producing both tradable and non- tradable goods have been equally hit (Javed and Ayaz 2020). The halt in con- struction activities (now gradually being opened) resulted in the closure of basic and allied industries related to construc- tion. This, of course, had implications for daily wage workers and those providing services in the informal sector. Ongoing concerns relate to drastic slowdown in small and medium-sized enterprises (SMEs) sustainability and operations in the face of expected future rounds of Covid-19. While exporters from textile and garments sector are looking to pivot and diversify towards production of per- sonal protective materials, unfortunately lesser options for pivoting are available to other export-oriented industries such as leather, surgical, sports, agro and food processing. The consumption levels and ultimately aggregate demand in the economy could remain depressed for a longer time if remittance and migration outlook globally remains uncertain. As a classic small open economy, Sri Lanka has seen a broad hit across the economy affecting swathes of manufac- turing and services. The most affected sectors are tourism, apparel exports, retail (non-essential goods), the financial sector, transportation, construction, and infor- mation technology (IT)/business process outsourcing (KPMG 2020). Interestingly, agriculture and agri-food processing for Table1:COVID-19TestsandHealthSectorin SouthAsianandComparableCountries Total Hospital Public Out-of-Pocket Tests Beds Health Expenditure per1,000 per1,000 Expenditure (%ofCurrent Peoplea Peopleb (%of Health GDP)b Expenditure)b South Asia Afghanistan 2.3 0.5 0.6 75.5 Bangladesh 7.2 0.8 0.4 73.9 Bhutan 17.9 1.7 2.4 13.3 India 14.4 0.5 1.0 62.4 Nepal 12.5 0.3 1.2 57.8 Pakistan 9.1 0.6 0.9 60.2 Sri Lanka 7.6 3.6 1.6 49.8 Average for South Asia 12.8 0.6 0.9 62.5 East and South East Asia China 62.8 4.2 2.9 36.1 South Korea 30.7 12.3 4.4 33.7 Indonesia 5.6 1.0 1.4 34.6 Malaysia 30.2 1.9 2.0 37.9 Philippines 14.0 1.0 1.4 53.0 Thailand 10.3 2.1 2.9 11.1 Average for all East and South East Asia 43.3 4.2 4.4 27.0 Europe France 45.6 5.9 8.7 9.4 Italy 114.4 3.2 6.5 23.5 United Kingdom 239.7 2.5 7.6 16.0 Sources: a: https://ourworldindata.org/coronavirus- testing, Ministry of Health, Sri Lanka, Ministry of Health, Nepal and various newspaper links (as on 2 August 2020). b: World Bank, World Development Indicators (data for the most recent year). Figure1:ProjectedGDPGrowthRatesin SouthAsianCountries Source: World Bank (2020a). Afghanistan Bangladesh Bhutan India Maldives Nepal Pakistan SriLanka 10 5 0 -5 -10 15 2021 2020 GDPGrowthRates(%)
  • 3. COMMENTARY Economic & Political Weekly EPW november 21, 2020 vol lV no 46 15 the domestic market have done relatively well, bolstered by reasonable weather. Exports of tea, coconut products, sea food and spices have grown in response to notable external demand and some large apparel firms are switching lines to make personal protective equipment such as face masks, protective suits and surgical gloves. E-commerce and some IT-related services are also expanding due to changes in the buying habits of consumers and business practices. The Way Forward At the time of writing, it is uncertain whether South Asian countries are likely to experience a rapid V-shaped economic recovery in 2021 or whether recovery will be slow with a prolonged period at the bottom of a U-shaped trajectory (Wignaraja 2020). The projections by international organisations, like the International Monetary Fund (IMF) and the World Bank, are rather pessimistic both for 2021 and 2022. The prospects for recovery in South Asia, however, are closely linked to effectively managing the health hazard of COVID-19, reducing business uncertainty, resuming domestic economic activities, and reviving global demand. By focusing on the policy steps ahead, governments of South Asian countries can increase the likelihood of recovery within a reasonable time span. Stimulus measures: Fiscal and monetary stimulus measures, tailored to national circumstances, can mitigate long-term economic damage in South Asia. The pandemic has affected every sector of the economy and every segment of the population in South Asia. All the national governments in the region have an- nounced, albeit in varying degrees, fiscal and monetary relief measures to respond to damages wrought by the pandemic. These include, on the fiscal front, cash transfers and direct food assistance to the poor, wage support to workers, sub- sidies on electricity usage, and so on. Similarly, on the monetary front, some of the important measures taken are re- ductions in repo rate, cash reserve ratio requirements, and interest rates, deferrals on interest payments, etc. Given the limited financial resources of South Asian countries, their relief packages are modest compared to those of developed countries. Afghanistan is a heavily aid-reliant and import-dependent economy. The pandemic is already affecting aid pre- dictability. The Afghan government has allocated about $500 million to deal with the crisis, supported by donor grants and concessional credits. The need for an emergency support programme to house- holds is enormous, and the government has designed a $300 million project (REACH: COVID-19 Relief Effort for Afghan Communities and Households) to distri- bute in-kind food supplies to poor house- holds. However, the type and the struc- ture of the programme, which currently relies on in-kind distribution of food, needs to be seriously reconsidered for the reasons of efficiency, effectiveness, value-for-money, and transparency. Bangladesh, as of 14 May 2020, an- nounced a $11.7 billion stimulus package to support the economy, with a primary focus on supporting the manufacturing and service sectors, agriculture and social safety nets. This support package is equiv- alent to 3.7% of the GDP. The central bank has also taken several steps to inject liquidity in the banking sector (reducing the cash reserve ratio and repo rates, purchase of bonds and bills), delay non- performing loan classification, relieve late fees for credit cards, extend tenures of trade instruments, and ensure access to financial services to deal with the urgent scenario (Haque and Mourshed 2020). The Bhutan government wants to con- tinue construction of hydropower projects to minimise the impact of COVID-19 and revive the land-locked country’s economy. India responded by unveiling a $262 billion stimulus plan, amounting to 10% of the GDP, providing direct cash trans- fer to poor senior citizens and women and free foodgrain and cooking gas to give relief to the millions hit by the lockdown. The central bank cut the key interest rate. Also, a moratorium on repayment of loans for three months had been provided. The Maldives government has an- nounced an emergency $161.8 million stimulus package, which includes $100 million in emergency loans for businesses to meet short-term working capital needs, and $2 million short-term financing facility for the tourism industry. The Nepal government has prioritised health in the recently unveiled budget for the fiscal year 2020–21. It has also planned to create 7,36,000 jobs in the agriculture and construction sectors and provide vocational trainings and seed capital to youth, among others. To sup- port enterprises affected by lockdowns ensued by the pandemic, the government has announced, through the monetary policy, enlarging the refinance funds by five times up to about Nepalese rupee (NPR) 200 billion, and the creation of a special fund, particularly to support SMEs, worth NPR 50 billion. It has announced that the interest rates on loans provided through these funds will not exceed 5%. In Pakistan, the government announced a rescue package of around $12.2 billion for businesses, SMEs and vulnerable peo- ple, and announced concessional loans for businesses. The country’s largest social safety nets programme—Ehsaas—dis- bursed `81 billion among 6.6 million deserving families to cover their liquidity- related constraints. The actual welfare impact of such spending will critically depend upon the reform in disbursement mechanisms of the existing and new forms of payments to the poor. For revival of jobs, a package for the construction sec- tor has been announced and the govern- ment sees the federal budget for the fiscal year 2020–21 as an opportunity to intro- duce greater redistribution through a re- formed fiscal policy. Pressures on local resources have subsided to an extent with IMF allowing rapid finance instrument facility and other multilateral develop- ment partners also contributing to the Pakistan Pandemic Response Plan. Sri Lanka’s interim government is yet to mount a major fiscal stimulus package owing to difficulties in passing a national budget until after parliamentary elections on 5 August 2020. Accordingly, the country has relied heavily on a monetary stimulus, an activist Central Bank, trade policy actions and some social protection meas- ures. In order to lift liquidity constraints and alleviate exchange rate pressures, the Central Bank of Sri Lanka lowered policy rates by 200 basis points across three rate cuts since March. On 31 March 2020,
  • 4. COMMENTARY november 21, 2020 vol lV no 46 EPW Economic & Political Weekly16 the Central Bank of Sri Lanka also an- nounced a $250 million refinancing fa- cility for banks, enabling them to ex- pand their lending capacity to businesses, offer loan repayment moratoriums for six months and provide working capital at subsidised interest rates. To stabilise foreign exchange reserves, import restric- tions of some items, including agricultural products were introduced on 19 March 2020, banks were prohibited from financ- ing vehicle imports and outward remit- tances were suspended. Furthermore, emergency relief (totalling around 0.2% of GDP) to around 5.7 million vulnerable households was provided in the form of monthly payments (LKR 5,000, approxi- mately $26), food allowances and con- cessional loans (IMF 2020b). The success of the aforementioned stimulus packages in the South Asian countries will depend on three aspects— financing, management and monitoring. In the case of financing, given the likely scenario of reduced government revenue, it is necessary to suspend “unnecessary” or less important projects of the govern- ment. Also, borrowing from international organisations, such as the World Bank, IMF, Asian Development Bank and Asian Infrastructure Investment Bank should be explored. It is additionally opportune for governments to revitalise existing mechanisms under the South Asian Association of Regional Cooperation, like the SAARCFINANCE Forum, to exchange ideas on stimulus measures and finance where possible. In this vein, on 24 July 2020, the Central Bank of Sri Lanka and the Reserve Bank of India entered into a $400 million swap under the Framework on Currency Swap Arrangement for SAARC countries. Proper management of the stimulus package is also very important. There is a need for efficient supervision— who will get the money and how. The government needs to ensure transparency and accountability in this whole process. Without proper monitoring of the use and management of stimulus package funds, its purpose will be severely hampered. Improving public health systems: The crisis caused by COVID-19 has shown us that investing in South Asia’s underdeve- loped and overstretched health systems is essential. Reflecting a history of chronic underspending on public health, lags behind others. For instance, in 2017, South Asia spent only 0.9% of its GDP on public health, which is half the figure for sub-Saharan Africa (1.9%) and one-fifth of that of East Asia and South East Asia (4.4%). As Table 1 shows, strikingly, Afghanistan, Bangladesh and Pakistan even spend below the regional average. The out-of-pocket health spending in most South Asian countries is exceedingly high in comparison to countries from East and South East Asia. The pandemic has exposed the dilapidated state of public health services in most South Asian coun- tries to the detriment of the region’s poor and middle class. This has led to excess demand for private healthcare services from a relatively small private healthcare sector. However, the cost of private hos- pitals and healthcare services tends to be prohibitively expensive and there is a lack of accountability. It is also important to keep in mind that with the expected signi- ficant increase in public expenditure in the health sector, transparency and accountability in spending as well as value-for-money services must be ensured. With limited doctors, drugs and hospital beds to cope with the pandemic, South Asia should target a gradual increase in public health spending to about 4% of the GDP. Furthermore, the region should Vacancy at Anusandhan Trust Head of Institution, SATHI Pune Anusandhan Trust (www.anusandhantrust.org) is looking for a person to lead and manage the activities of its Centre SATHI (Support for Advocacy and Training to Health Initiatives), Pune (www.sathicehat.org), an institution engaged in research and advocacy linked to community action on public health and health systems. SATHI's work spans three major programmes at local and national levels: social action on public health systems, community action for nutrition, and social accountability of private healthcare. Our grants total to about Rs. 4 crores annually. SATHI has pioneered health rights approaches across India, promoting accountability of the public and the private health sector. We operate from our own premises in Pune, with a multidisciplinary team of 15 professionals qualified in the various fields of social sciences and medicine/public health. SATHI's head of the institution is expected to lead and manage the institution's current programmes and develop new areas. As the head, s/he must provide guidance and expertise to program and support staff; work consultatively with them to develop effective strategies for realising the organisational vision; and represent SATHI in various fora. S/he will raise resources for the institution and liaison with funding agencies. The incumbent is required to act in close liaison with the Board of trustees and other organs of Anusandhan Trust. Please refer the detailed job specifications at https://sathicehat.org/openings/ and http://www.cehat.org/careers Interested candidates must apply with a detailed CV and samples of publication to hoisathiat@gmail.com Last date for receiving applications: 15 December 2020.
  • 5. COMMENTARY Economic & Political Weekly EPW november 21, 2020 vol lV no 46 17 invest in technologies to improve public health efficiency, such as 24/7 helplines that work and telemedicine to treat mild cases as well as ambulances to ferry serious cases to hospital. Rural- and com- munity-based primary healthcare systems should also be upgraded. Timely public health investments will not only build capacity in South Asia to deal with the COVID-19 pandemic but also provide insurance against future pandemics and other health problems. Indeed, recent research argues that the risk of pandem- ics and ageing-related disease is on the rise globally and that relatively smaller investments in preventive measures could substantially reduce the economic damage caused by future pandemics (McKinsey Global Institute 2020). Reforms for pro-poor growth: Reforms should focus on pro-poor growth. The closure of manufacturing and services activities across South Asia means rising job loss and pay cuts for workers. House- hold income of the poorest households, linked to tourism, remittances and in- formal sector activity, will be hard hit. A protracted COVID-19-driven crisis may threaten food security, particularly for the most vulnerable and in least devel- oped countries like Afghanistan and Nepal. The progress that South Asia has made in reducing poverty over the years could be reversed by the current pandemic. Therefore, after tackling the immediate pandemic threat and putting in place economic stimulus measures, attention should focus on the more difficult issues of formulating and implementing reforms for pro-poor growth in all South Asian countries. Such reforms should tackle the challenging issues of agricultural productivity and food security, targeted social safety nets, women’s empowerment, and small enterprises. These measures will help mitigate the impact of the eco- nomic crisis on the poor in South Asia. Also, the country experiences in South Asia suggest that there are problems of coordination among health policy, lock- down measures and economic policies in most of these countries. Efforts should also continue to improve the investment climate in South Asia, including cutting redundant red tape affecting business (in areas such as tax collection, land for business purposes, customs and local government permits) and digitisation of all public services. Improving the investment climate would show that South Asian countries are fully supportive of business efforts to revive economic activity, foster growth and create jobs. Proper steps for opening up of the economy: Lockdowns and social dis- tancing measures interrupt transmission of the virus and save overstretched health systems from collapse. But a prolonged lockdown risks causing significant eco- nomic damage and personal suffering. This is particularly so in South Asia, which is unable to offer costly social protection measures (such as unemploy- ment benefits and universal healthcare) feasible in developed countries. However, lifting of lockdowns should be carefully planned as ad hoc opening up could encourage the spread of the virus and induce huge health and economic costs in the near future and may even lead to the reimpositionofmorestringentlockdowns. There is a need to develop and imple- ment region-wise and sector-wise health protocols for opening up of economic activities along with the mandatory use of face masks, an increase in testing ca- pacity and more use of individual self- quarantine practices in South Asian countries. Regional cooperation: In South Asia, despite significant potential, regional integration and cooperation processes have been limited to date. A serious lack of mutual trust among most of the South Asian countries has constrained region- alism in South Asia. However, a public health emergency and economic crisis like the one brought by COVID-19 provide an opportunity for countries to work together for the common good of all South Asians. First, South Asian countries need to share their experiences of the national policy measures to combat the crisis. The SAARCFINANCE Forum, which was established in 1998 as a regional network of the SAARC Central Bank Governors and Finance Secretaries, should be reac- tivated. Though the primary function of the network is to conduct a dialogue on macroeconomic policies of the region and share experiences and ideas of the member countries, the forum has been suspended since 2014 with the deadlock in the SAARC process. As the Prime Minister of India, in a video conference with SAARC leaders on 15 March 2020, proposed an emergency COVID-19 fund for SAARC countries, the time is ripe to revitalise the SAARCFINANCE Forum to discuss how this emergency fund can be established and operationalised. The SAARC COVID-19 emergency fund could be a useful build- ing block to revive regional cooperation. At the senior officials’ level, discussions were also held on health issues arising from the transit of goods and people as well as fostering intra-regional trade. The SAARC Comprehensive Framework on Disaster Management provides a road map for cooperation in natural disasters, including pandemic like COVID-19. Second, no country in this region can boast to have health systems which comprehensively cover the needs of its citizens. Therefore, there is a case to strengthen health sector trade value chains in the region. In this regard, lib- eralisation of trade in health services is recommended; while countries in the region will have to invest in national public healthcare capacities in the medium to longer term, they can explore the use of the pool of doctors, nurses, medical facilities, generic drugs and experience available in this region to help each other. Under the SAARC process, there is a forum for a meeting of SAARC health ministers. One may recall that in the wake of the outbreak of the severe acute respiratory syndrome epidemic, an emergency meet- ing of SAARC health ministers was held in Malé in April 2003 to develop a re- gional strategy to deal with the deadly epidemic. Between 2003 and 2017, there were six meetings of the SAARC health ministers. A promising sign of potential regional cooperation occurred on 26 March 2020, when senior health profes- sionals of all SAARC countries met by videoconference and agreed that India will share online training tools for emergency responders and set up an electronic disease surveillance platform to help neighbouring countries trace and
  • 6. COMMENTARY november 21, 2020 vol lV no 46 EPW Economic & Political Weekly18 manage the coronavirus outbreaks. The SAARC’s Disaster Management Centre, which is housed in the campus of the Gujarat Institute of Disaster Management in India, has also set up a COVID-19 web- site with daily updates about confirmed cases throughout South Asia and national actions. Furthermore, India has provided training on management of Covid-19 pandemic for healthcare professionals from SAARC countries since 17 April 2020. Third, given that the global supply chains have been severely disrupted in several sectors, South Asian countries should explore business opportunities for localisation and regionalisation of supply chains according to comparative advantage. The current crisis highlights the risk of over-reliance on a few countries, both for exports and imports. Despite the huge potential for intra-regional trade, South Asian countries have been unable to exploit this potential due to factors such as non-tariff measures, opaque investment rules, underdeveloped regional trade logistics, weak supply capacity and po- litical conflicts. The current situation underscores the need for official dialogue on how to promote regional economic integration through supply chains in South Asia in this COVID-19 era. Think tanks can provide useful analytical work to underpin such discussions. Fourth, scarcity of resources in the region for investment, at this point, may slow down economic recovery. South Asian countries are not in a position to bail out national economies with just in- ternal resources. Therefore, a calibrated approach is needed to utilise foreign investments in the areas like healthcare, disease control and disaster management, food security, infrastructure development, etc. It is for that reason that some South Asian countries are looking to Chinese inward investment. It seems equally im- portant that South Asian countries take steps to promote intra-regional investment through regional cooperation efforts. Finally, the SAARC process and the SAARC secretariat need to be rejuvenated. The crisis brought by COVID-19 underlines the importance of efforts to deepen regional cooperation in South Asia. Cooperative efforts to work together to tackle the public health emergency could re-emphasise the economic benefits of regional coop- eration at least in limited areas such as public health and management of natural disasters. Over time, improved trust and demonstrated benefits of regional coop- eration could provide an incentive for countries in South Asia to make sincere efforts to put aside their political differ- ences which hamper the development of a broader agenda for regional cooperation. Concluding Remarks The COVID-19 pandemic has exposed fragilities in health and national economic systems in South Asia, which additionally lacks the supportive buffer of shared resources, mechanisms and expertise that close regionalism can bring. The public health crisis, lockdowns and economic slowdown in the wake of COVID-19 are disrupting economic activities and in- creasing poverty on an unimaginable scale across the region. Governments in South Asia are responding nationally on the public health and economic fronts with varying degrees of effectiveness. However, there is a need for a stronger coordination among health mitigation policies, lockdown measures and eco- nomic recovery policies among the South Asian countries. The recent effort at re- gional cooperation is a good beginning to share responsibilities and to reactivate the SAARC process, which may help miti- gate a prolonged downturn. The process of trust-building can be enhanced by the regular regional dialogue of governments and relevant stakeholders to strengthen SAARC cooperation in the COVID-19 era. Think tanks in South Asia region can be tasked with relevant research and advoca- cy. To tackle the pandemic and economic crisis, South Asia needs to ramp up its response. Working together offers the best hope for the region to succeed. References ADB (2020): “Nepal: Macroeconomic Update,” Asian Development Bank, Nepal Resident Mission, Kathmandu, Vol 8, No 1, https://www.adb. org/sites/default/files/institutional-document/ 577946/nepal-macroeconomic-update-202004. pdf. 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