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COVID-19 IN SOUTH AFRICA - SOCIO ECONOMIC IMPACT ASSESSMENT - ReliefWeb
COVID-19
IN SOUTH AFRICA

SOCIO-ECONOMIC
IMPACT ASSESSMENT
UNITED NATIONS IN SOUTH AFRICA

                                 UN Socio-Economic Impact Assessment of Covid-19   1
COVID-19 IN SOUTH AFRICA - SOCIO ECONOMIC IMPACT ASSESSMENT - ReliefWeb
Glossary

     AIDS                       Acquired Immunodeficiency Syndrome
     CGE                        Computable General Equilibrium
     COVID-19                   Coronavirus disease-2019
     GDP                        Gross Domestic Product
     HIV                        Human Immuno-deficiency Virus
     MSME                       Micro, Small & Medium Enterprises
     NIDS                       National Income Dynamics Study
     SAM                        Social Accounting Matrix
     SDGs                       Sustainable Development Goals
     SMEs                       Small to Medium Enterprises
     TERS                       Temporary Employer/Employee Relief Scheme
     UN                         United Nations
     UNDP                       United Nations Development Programme
     UNESCO                     The United Nations Educational, Scientific and Cultural
                                Organization
     WHO                        World Health Organization

    UN agencies who participated in this study
     ILO                        International Labour Organization
     FAO                        Food and Agriculture Organization
     OHCHR                      Office of the United Nations High Commissioner for Human
                                Rights
     UNHCR                      United Nations High Commissioner for Refugees

2   UN Socio-Economic Impact Assessment of Covid-19
COVID-19 IN SOUTH AFRICA - SOCIO ECONOMIC IMPACT ASSESSMENT - ReliefWeb
Table of Contents
     Glossary                                                                                      2
     List of Figures                                                                               4
     List of Tables                                                                                5
PART 0NE
BACKGROUND ON COVID-19 & REVIEW OF LITERATURE ON COVID-19 IMPACT                                   9
     Foreword                                                                                     10
     Acknowledgement                                                                              12
     Preface                                                                                      14
     Executive Summary                                                                            16
PART TWO
BACKGROUND ON COVID-19 & REVIEW OF LITERATURE ON COVID-19 IMPACT                                  24
     Phase one recovery: economic response:                                                       28
     Recovery: (Stimulus Package)                                                                 30
     1. Objective & outline of the report                                                          31
     2. PUBLIC HEALTH PANDEMIC: LITERATURE REVIEW AND PATHWAYS                                     31
PART THREE
3.MICRO-ECONOMIC ANALYSIS OF THE IMPACT OF COVID-19                                               36
     3.1 Context                                                                                  38
     3.2 Poverty Dynamics                                                                         39
       3.2.1 Characteristics of households by social class.                                       43
     3.3 Overview of the probability of falling into poverty due to COVID-19                      47
         Scenario 1: One member of the household is unemployed because of COVID-19
         and the head of the household is female.                                                 47
         Scenario 2: One working household member lost their job due to COVID-19;
         the only employed member of the household is female, but the work is not
         permanent,
         and she does not belong to a union.                                                      47
         Scenario 3: The head of the household is female, but the only work she can
         do is casual (informal) because of COVID-19, and they have two kids.                     48
     3.4 Determinants of changes in poverty                                                       50
     Other Policy Questions:                                                                      52
PART FOUR
4. MACRO AND MICRO-MACRO SIMULATION RESULTS                                                       54
     4.1 Context                                                                                  56
     4.2 Macro-Micro Model                                                                        56
     4.0 MACRO AND MICRO-MACRO SIMULATION RESULTS                                                 56
     4.3 Simulation Scenarios                                                                     59
     4.4 Impact Pathways (Short term)                                                             61
         Commodity Prices                                                                         61
         Domestic Demand                                                                          64
         Domestic Supply                                                                          65
     4.5 Simulation Results                                                                       66
       4.5.1 GDP Growth                                                                           66
       4.5.2 Unemployment                                                                         70
       4.5.3 Fiscal Impact                                                                        73
       4.5.4 Household Incomes                                                                    76
PART FIVE
5. CONCLUSIONS                                                                                    82
     References                                                                                   90
     Appendix A – Microeconomic analysis                                                          91

                                                UN Socio-Economic Impact Assessment of Covid-19         3
COVID-19 IN SOUTH AFRICA - SOCIO ECONOMIC IMPACT ASSESSMENT - ReliefWeb
List of Figures

    Figure 1: Odds ratio of the probability of falling out of the middle class.	   50
    Figure 2: Year-on-year growth rate of remittances in South Africa.	            51
    Figure 3: Projection of GDP, constant prices, national currency (Billion)	     65
    Figure 4: Annual GDP Growth Under Various Scenarios (Percent)	                 66
    Figure 5: Unemployment Rate under Various Scenarios (Percent)	                 68
    Figure 6: Number of Unemployed under Various Scenarios (Thousands)	            69
    Figure 7: Structure of Employment Earnings by Categorisation of Labour
    and Goods and Services	                                                        70
    Figure 8: Structure of Income from Labour Market by Gender	                    70
    Figure 9: Change in poverty headcount indices, COVID-19 compared to
    BaU Scenario (Percentage point)	                                               76
    Figure 10: Change in poverty headcount indices and the food poverty line,
    COVID-19 compared to BaU Scenario (Percentage point)	                          76
    Figure 11: Headcount Poverty Index by Gender, Upper and Lower Poverty
    Lines, COVID Scenarios Compared to BaU Scenario, Percentage Point	             77
    Figure 12: Change in Gini Index, COVID-19 compared to BaU Scenario
    (Percentage point)	                                                            78
    Figure 13: Change in income inequality, COVID-19 compared to BaU
    Scenario (Percentage point)	                                                   79
    Figure 14: Income share by category of income quintile of expenditure
    group in 2017	                                                                 79

4   UN Socio-Economic Impact Assessment of Covid-19
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List of Tables

Table 1: Confirmed cases in South Africa by Province	                                                25
Table 2: Poverty rate in South Africa using the NIDS data.	                                          37
Table 3: Poverty dynamics in South Africa between 2008 & 2017.
All sample unbalanced	                                                                               38
Table 4: Average probability and associated monetary thresholds	                                     40
Table 5: Monthly household expenditure per capita by social class,
2008 to 2017.	                                                                                       40
Table 6: Average household characteristics by social class, 2008 to 2017.	                           42
Table 7: Characteristics of the head of the household by class	                                      44
Table 8: Persons with a different combination of characteristics that
COVID-19 can affect.	                                                                                46
Table 9: COVID-19 type events that households experienced between
2008 and 2017 and associated exits out of the middle class (or elite).	                              49
Table 10: Historical Trend 2014-2019 of Selected Commodity Real Prices,
Percent Annual Variation	                                                                            60
Table 11: Projection 2020-2024 of Selected Commodity Prices Under
COVID Optimistic Scenario, percent Annual Variation Compared to BaU	                                 60
Table 12: Projection 2020-2024 of Selected Commodity Prices Under
COVID Pessimistic Scenario, Percent Annual Variation	                                                61
Table 13: Export and Import Prices, Average Annual Variation (Percent)	                              61
Table 14: Export and Import Volume, Average Annual Variation (Percent)	                              62
Table 15: Private Final Consumption, Average Annual Variation (Percent)	                             63
Table 16: Production Factor (Capital and Labour) Utilisation Compared to BaU                         64
Table 17: GDP Growth Decomposition by Expenditure, Average Annual
Variation (Percent)	                                                                                 67
Table 18: GDP Growth Decomposition by Sector, Average Annual
Variation (Percent)	                                                                                 67
Table 19: Unemployment Rate by Labour Category, Percentage Point Variation                           70
Table 20: Government Revenue and Balance, Percentage Point Variation	                                72
Table 21: Government Revenue and Balance, Percentage Variation	                                      72
Table 22: Tax Revenues, Percentage Variation	                                                        73
Table 23: Household Gross Income, Percentage Variation	                                              74
Table 24: Change in Household Employment Income, Real Terms (Percent)	                               75
Table 25: Challenges of achieving SDGs in South Africa and the threat of COVID-19	                   84
Table A1: Multivariate probit model: Poverty transitions	                                            89
Table A2: Logit model: Probability of exit out of the middle class (or elite)	                       91

                                                    UN Socio-Economic Impact Assessment of Covid-19        5
COVID-19 IN SOUTH AFRICA - SOCIO ECONOMIC IMPACT ASSESSMENT - ReliefWeb
COVID-19 IN SOUTH AFRICA

    SOCIOECONOMIC IMPACT ASSESSMENT
    UNITED NATIONS IN SOUTH AFRICA

     Any use of information,
    in full or in part, should be accompanied by
    an acknowledgement of UNDP South Africa as the source.
    All rights reserved. | ©UNDP South Africa 2020

    For enquiries, please contact:
    United Nations Development Programme |
    UN House Level 10, Metropark Building | 351 Francis Baard Street
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                                                      Published for the
                                                      United Nations
                                                      Development
                                                      Programme
                                                      (UNDP)

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UN Socio-Economic Impact Assessment of Covid-19   7
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8   UN Socio-Economic Impact Assessment of Covid-19
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Part   BACKGROUND ON
One:   COVID-19 & REVIEW
       OF LITERATURE ON
       COVID-19 IMPACT

             UN Socio-Economic Impact Assessment of Covid-19   9
COVID-19 IN SOUTH AFRICA - SOCIO ECONOMIC IMPACT ASSESSMENT - ReliefWeb
Foreword

                Dr Nkosazana Dlamini-Zuma                        Ms Nardos Bekele-Thomas

     The COVID-19 Pandemic has changed the                decline in real GDP growth by 3.6 percent
     world as we knew it. In the words of the             in 2020 – under this report’s “optimistic
     Secretary General of the United Nations              scenario” – resulting in an overall decline
     “We have been brought to our knees – by a            of GDP growth by 5.1 percentage points,
     microscopic virus… It has laid bare risks we         as compared to the economy’s projected
     have ignored for decades: inadequate health          performance before the onset of the
     systems; gaps in social protection; structural       COVID-19. Under this report’s “pessimistic
     inequalities; environmental degradation; the         scenario,” GDP is likely to fall by 6.4 percent,
     climate crisis.”                                     leading to a nearly 7.9 percentage point
     Today globally there are over 15 million             decline in 2020, compared to the economic
     cases. The rapid spread of the virus, which          performance projected before the onset of
     knows no borders affects every country. It           the COVID-19. As a result, at least five years
     will challenge the global economy, al be it          must pass for South Africa’s economy to
     not to the same intensity.                           return to pre-2019 levels – unless innovative
     South Africa ranks amongst the most infected         actions are implemented.
     countries in the world. The virus has set back       The consequences born of the COVID-19
     the gains we had made in the 26 years since          outbreak are likely to further exacerbate
     the dawn of democracy. It also came at a time        poverty and inequality in South Africa. The
     when our economy was greatly challenged              unemployment threatens to become further
     with pedestrian growth and limited wealth            precarious – with the highest risks for informal
     redistribution, thus making South Africa one         workers and female-headed households. The
     of the most unequal nations in the world.            impacts of COVID-19 on gender issues are
     The ripple effects of the virus impacted upon        very worrying and can curtail the gains made
     women more, with them having lost the most           on advancing gender equality and women
     income and jobs, especially in the informal          empowerment in the past few decades
     sector where they are in the majority.               unless concerted efforts are taken to curtail
     The development consequences of the                  these consequences. As businesses change
     COVID-19 outbreak are likely to lead to a            contract types – from permanent to temporal

10      UN Socio-Economic Impact Assessment of Covid-19
– as a financial coping mechanism, it is            sectors in the economy including the arts,
probable that nearly 44 percent of people           sports and tourism. However key sectors
will fall into poverty. In the same vein, the       such as the informal and SMME sectors
number of households falling from lower-            have not received adequate support. Going
middle class below the upper-level poverty          forward through the District Development
line and the number of households falling           Model, efforts will be coordsinated and
below the chronic poverty line increases due        integrated to lift these and other sectors.
to the impact of COVID-19. The most affected        Efforts will be made to reach to all persons in
persons are semi- and unskilled-workers and         order to leave no one behind. Ensuring that
female headed households with at least two          all are served – and properly so – is critical
children. This reality will further exacerbate      to attaining the Sustainable Development
the already wide income inequalities, as the        Goals (SDGs) as a country. Government and
COVID-19 is complicating income exclusion           other stakeholders therefore will enhance
with the highest incidence on the black             support to all persons without regard to
population, who are already disadvantaged.          location, gender, nationality, creed, and race
Consequently, the South African government          as enshrined in the Charter of the United
response seeks to maintain a delicate balance       Nations, of which South Africa is subscribed
between saving lives and livelihoods. Thus,         and the South African Constitution.
through messaging directed at adjusting             To fight COVID-19 effectively and ensure the
social behaviour which includes the wearing         economy’s recovery, collective support to
of masks, washing of hands, sanitizing, and         programmatic actions and policy options is
maintaining a safe social distance have been        required. This entails all stakeholders putting
integral to the response. Which response            in all necessary effort and resources to
also seeks to ensure the flattening of the          provide the needed support. The UN System
curve healthcare system is adequately               in South Africa is committed to continuing
prepared and equipped to deal with the              to fully support each Agency’s mandate
pandemic. Gradually, as progress was being          to stand in solidarity with the country and
recorded, the South African government was          support the South African Government to
able to open up the economy through the             overcome these three development
Risk Adjusted Strategy. The strategy includes       challenges whose circumstances are likely to
an alert system to determine the level of           worsen due to COVID-19. This togetherness
restrictions in place, an industry classification   is evident in our collective and unyielding
for readiness to return to work and enhances        support to policy briefs and innovative
workplace public health, hygiene and                studies, as well as support to refugees,
social distancing. This strategy has been           children, the informal sector, youth, migrants,
complemented by a socio economic support            health systems, and all other thematic areas.
and rescue package which includes social
relief for the vulnerable and support to key        The call for action is now.

Signed                                              Signed

____________________                                ____________________

Dr Nkosazana Dlamini Zuma                           Ms Nardos Bekele-Thomas
Minister for Cooperative Governance and             UN Resident Coordinator
Traditional Affairs                                 South Africa
South Africa

                                                       UN Socio-Economic Impact Assessment of Covid-19   11
Acknowledgement
     This study was prepared by the United             Interim Board of the UN Global Compact
     Nations in South Africa under the                 Local Network in South Africa and a board
     auspices of the Resident Coordinator,             member of Shared Value Africa Initiative;
     Mrs Nardos Bekele-Thomas, and through             Ms Keketso Naema, Chief Executive
     the leadership of the United Nations              Officer, Gender Commission; Mr Sizwe
     Development Programme (UNDP). The                 Nxasana , Founder Sifiso Learning Group;
     UNDP Resident Representative, Dr                  and Ms Natalie Africa, Senior Advisor, Bill
     Ayodele Odusola’s, relentless guidance            and Melinda Gates Foundation.
     was instrumental in the quality of the study
     and relevance to policy contributions.            Due recognition is accorded to Prof
     The United Nations Technical Team with            Babatunde Abidoye, George Mason
     representatives from RCO, ILO, FAO,               University and Prof Margaret Chitiga,
     UNOHCR, UNDP, UNIDO, and UN Women                 University of Pretoria, lead authors of
     brought an all-encompassing view                  this study, for their expertise, objectivity,
     and distinct dimensions of those most             and also for their patience in ensuring
     affected by the COVID-19 pandemic.                all comments are duly considered. We
                                                       would also like to thank Field & Insights
     Appreciation is extended to the                   Connections for conducting the surveys
     Sounding Board, consisting of eminent             on the Psychological Effects of COVID-19
     policymakers, researchers, members of             on Hospital Staff and household surveys
     think tanks and academia, civil society,          on the socioeconomic impact
     and the private sector who provided               of COVID-19 in South Africa.
     insights on the realities of the country
     context, thus enhancing applicability             This study is driven by an internal
     of the study’s findings. Members of               UNDP team under the stewardship
     the Sounding Board are: Mr Tshediso               of the Economic Advisor, Ms Fatou
     Matona, Executive Secretary, National             Leigh. The team consisted of Deputy
     Planning Commission (NPC) Presidency;             Resident Representative Mr Gabriel
     Mr Risenga Maluleke. Statistician, General        Dava, Mr Shihao Han, Programme
     Statistics South Africa; Mr Robin Toli,           Analyst UNV China; Ms Sara Hamano,
     Chief Director, International Development         Programme Analyst, UNV Japan; Ms
     Cooperation, National Treasury; Prof              Nokuthula      Nyamweda,      Economist
     Ivan Turok, Executive Director, Economic          Intern; Ms Karabo Moloi, Economist
     Performance and Development, Human                Intern; Dr Nelly Mwaka, Gender
     Sciences Research Council; Dr Pali                Specialist; Mr Kordzo Sedegah, National
     Lehohla, Researcher and Consultant,               Economist, Ghana; Ms Rhulani Lehloka,
     Oxford Poverty and Human Development              Communication Analyst; Mr Bobby
     Initiative; Dr David Everatt, Head, School        Shabangu, Knowledge Management;
     of Governance, Wits University; Ms                and Mr James Neuhaus, Partnerships
     Namhla Mniki Mangaliso, Director, African         and Resource Mobilisation Specialist.
     Monitor; Dr Linda Vilakazi, Managing              The team developed concept notes and
     Director, Zanele Mbeki Development                policy briefs, provided critical reviews,
     Trust; Ms Nozipho January Bardill, Chair:         and created infographics.

12   UN Socio-Economic Impact Assessment of Covid-19
The      untiring   administrative  and    Ms Nozika Moasa, Procurement Unit, is
logistics support of Ms Yoliswa Macoba,    truly valued. Kwambele (PTY) Ltd copy-
Executive Assistant; Ms Sibongile          edited, designed and printed this study.
Kubeka,      Programme     Analyst;  Ms    Artists and photographers whose work is
Takalani Radzilani, Mr Augustus Maselela   used in this report: Nuno Acosta, Joseph
Mokoka, and Ms Siphelele Moloi for IT      Rwubusisi, Morris Moma of Morris Photos,
Support; and Ms Lerato Maimela and         Sonwabo Valashiya, Bandile Gumede.

                                              UN Socio-Economic Impact Assessment of Covid-19   13
Preface
                                                       by the Moody’s downgrade of the
                                                       sovereign credit rating to junk status,
                                                       making early and fast recovery very
                                                       challenging. The Government’s strong
                                                       leadership and bold actions to contain
                                                       the pandemic (including a total lockdown,
                                                       implementation of a stimulus package,
                                                       aggressive screening, and testing)
                                                       were globally acknowledged; yet the
                                                       COVID-19 remained untamed in the first
                                                       five months – with devastating impacts
                                                       on the economy and the population.
                                                       This study, conducted in the first three
                                                       months of the COVID-19 in South Africa,
                                                       uses a combination of primary and
                                                       secondary information – constituting one
                                                       of a series of impact studies conducted
                                                       by the United Nations system under the
                                                       leadership of the Resident Coordinator,
                                                       with technical leadership from the United
                                                       Nations       Development        Programme
                  Dr Ayodele Odusola                   (UNDP) in partnership with associated
                                                       Government departments. The report
                                                       benefits from perspectives of prominent
     The COVID-19 pandemic represents the              policymakers, civil society, researchers
     biggest shock, over the past century,             and academia, and the private sector
     to the global public health system                through an apposite Sounding Board
     with resounding impact on economies               Group.
     and societies – reversing progress on             Key messages from the study offer
     human development achieved over                   substantial       evidence      to    inform
     decades and impeding achievement                  responses to the pandemic. For instance,
     of the Sustainable Development Goals              populations living in poverty across
     (SDGs) by the year 2030. The pandemic             upper and lower poverty lines increase
     created uncertainties that led countries          due to COVID19, with higher incidences
     to take bold actions (including complete          on female headed households, rural
     lockdowns of economies and social                 dwellers, populations with education
     activities) to safeguard public health.           below the secondary level, unskilled
     Such efforts, adopted to flatten the              labour, and informal sector workers.
     COVID-19 curve, unfortunately and                 Apart from the fact that about 54 percent
     coincidentally steepen the curve of               of households pushed out of permanent
     economic recession in many countries.             employment to informal jobs are likely to
     The pandemic started when the                     fall into poverty, about 34 percent of those
     South African economy experienced a               categorized as middle class are also
     technical recession, further complicated          likely to fall into vulnerability or poverty.

14   UN Socio-Economic Impact Assessment of Covid-19
The devastating impact of COVID-19 is          into the impact of the pandemic, the
complicating income inequality, with the       road to early recovery from COVID-19,
highest incidence affecting the black          and pathways to build back better and
population. Overall, it may take at least      innovatively.
5 years for the economy to return to pre-
2019 levels, unless innovative actions         Signed
are implemented.
The report concludes that there
is no silver bullet policy action – a          ____________________
combination of innovative policy actions
is needed. In addition to implementing         Dr Ayodele Odusola
macroeconomic measures like reduced            UNDP Resident Representative
lending rates, tax deferrals, and              South Africa
debt rescheduling, ensuring no one
is left behind calls for targeting the
most vulnerable populations, like the
marginalized women and unskilled
workers, especially those in the
informal sectors, through differentiated
interventions,     including    deepening
social     assistance     and    re-skilling
programmes for unskilled workers. With
strong leadership and an understanding
followership, this crisis could be turned
to an accelerated, inclusive-growth
economic strategy through local
production of PPEs, medical devices, and
diagnostic equipment through strategic
support to small scale enterprises and
creating enabling environments that
allow SMEs to thrive.
It is our wish that this report contributes
to the efforts of government partners,
development agencies, civil society,
and the private sector, providing insight

                                                  UN Socio-Economic Impact Assessment of Covid-19   15
Executive Summary
     On 23 March 2020, President Cyril                 Such     an    extraordinary     response
     Ramaphosa announced a new measure                 is expected to significantly impact
     to combat the spread of Coronavirus               the people and the economy. The
     Disease 2019 (COVID-19) in South Africa           objective of this study is to contribute
     – a three-week nationwide lockdown                to the analysis and understanding of
     with severe restrictions on travel and            the impact of COVID-19 on the economy
     movement, supported by the South                  and importantly on the people in South
     African National Defence Force – from             Africa and from there promote the use
     midnight on Thursday, 26 March, to                of evidence-informed information for
     midnight on Thursday, 16 April. The               policy and recovery. This study uses
     president said more is needed to avoid            three complementary methodologies
     “an enormous catastrophe” among the               to generate robust findings to reflect
     population.                                       the realities on the ground: (i) a
                                                       microsimulation model estimating the
                                                       impact of COVID-19 on household
                                                       poverty in South Africa using data from the
                                                       South African National Income Dynamics
                                                       Study (NIDS). Using a multivariate probit
                                                       model,     the study focuses on how
                                                       COVID-19 will drive temporary and long-
                                                       term changes in poverty levels in South
                                                       Africa and predicts the probability of
                                                       selected demographics falling into each
                                                       of the defined poverty classes, (ii) a
                                                       dynamic macroeconomic non-financial
                                                       Computable General Equilibrium Model
                                                       (CGE) calibrated to a 2015 Social
                                                       Accounting Matrix (SAM) updated to
                                                       2017, analysing the impact of COVID-19
                                                       on economic growth, unemployment
                                                       and inequalities within a framework of
                                                       an optimistic and pessimistic scenarios
                  FROM                    TO           in consideration of the situation before
                 26                     16             COVID-19, and (iii) a qualitative analysis
                                                       capturing the perception and feelings
                March                  April           of people on the impact of COVID-19
                                                       on their lives and work, through a
                                                       survey on people working in hospitals
                                                       and a second survey to understand the
             supported by the South African
                                                       immediate impact on the general public.
                National Defence Force

16   UN Socio-Economic Impact Assessment of Covid-19
Methodology                                  and “non-poor”, disaggregating into five
                                             classifications that signify the potential of
This study provides one of the first         shocks to change a household’s financial
modelling assessments to understand          status. The methodology reclassifies
that impact, looking at the household        households into “elite,” “upper-middle-
as a micro-unit and the macroeconomic        class” or “vulnerable class” (reclassifying
effect that captures feedback and            the classic middle class) and the “chronic
interactions within the economy. These       poor” and “transient poor” (reclassifying
models work sequentially in the sense        the classic poor).
that results from the macro model infer
the impact of the pandemic on poverty        The CGE model simulated three
and inequality. This analysis is important   scenarios: 1) a “Business as Usual” (BaU)
                                             scenario, 2) an “optimistic” scenario,

 1
             MICROSIMULATION MODEL
                                             and 3) a “pessimistic” scenario. The
                                             COVID-19 scenarios are fashioned on
                                             the assumption that a period of the
                                             pandemic outside South Africa will
                                             precede South Africa’s experience of
                                             the disease. The BaU scenario tracks
            DYNAMIC MACROECONOMIC            the projected average growth of South

 2
           NON-FINANCIAL COMPUTABLE          Africa’s economy using the 2019 growth
           GENERAL EQUILIBRIUM MODEL
                                             rates from the International Monetary
                                             Fund’s     World    Economic     Outlook

 3
              QUALITATIVE ANALYSIS

given the uncertainties that surround
not only the health aspects of COVID-19,
itself, but also the impact on the economy
and households as well as the possible
response by governments. As we learn
more about the pandemic, the model can
be adjusted to reflect impacts and well
as the responses of the government.

The microeconomic model evaluates
poverty levels, dynamics, and the
factors that drive households in and
out of poverty. The model goes beyond
the definition of poverty only as “poor”

                                                 UN Socio-Economic Impact Assessment of Covid-19   17
data. This is followed by a period                Key Findings
     of suppressed economic activities,
     in which only essential sectors and               •   The main findings at the household
     commodities are traded internally. After              level show that female-headed
     this period, the economy is then allowed              households are more likely to fall
     to get back to normal, albeit gradually.              into poverty than male-headed
     The optimistic scenario is less severe                households. Under the optimistic
     than the pessimistic scenario, including              scenario, the percentage increase in
     a lockdown period of one month. The                   the number of females who fell below
     pandemic period assumed for the                       the Lower Bound Poverty Line (LBPL)
     optimistic scenario totals fifteen months.            is 0.39% (equivalent to about 117
     The pessimistic scenario, on the other
     hand, is assumed to have a lockdown                    female-headed households are
     period of one month followed by a                     more likely to fall into poverty than
     prolonged re-opening of the economy                      male-headed households.
     and society at-large. The pandemic lasts
     for thirty months in this scenario.

     Three main transmission channels
     through which the effects of the
     pandemic feed into the economy in
     the short term are identified. These are
     through international trade markets,
     domestic demand, and domestic supply
     channels. Regarding international trade
     markets, the pandemic slows down                      000) compared to 0.24% (equivalent
     and, in some cases, halts world trade                 to about 69 072) for males. For the
     activities affecting imports and exports.             Upper Bound Poverty Line (UBPL)
     Regarding the domestic demand side,                   percentage increase of females is
     the various measures put in place by                  0.33% compared to 0.24% for males.
     government reduce demand. On the                      Similarly, under the pessimistic
     domestic supply side, the productivity of             scenario, the percentage increase in
     both capital and labour are reduced due               females that fall below the LBPL is
     to the pandemic.                                      0.56% compared to 0.48% for males;
                                                           and for the UBPL, 0.48% for females
     To gather the perceptions of people,                  and 0.36% for males.
     data was collected through telephone              •   The higher the level of education
     interviews (CATI), Email, and SMS                     achieved by the head of household,
     surveying techniques from 14-26 April                 the lower the probability of this
     2020 and from 25 May-3 June 2020 to                   household falling into poverty, with
     obtain supplementary data from hospital               the average marginal impact higher
     workers. The sample was nationally                    for when secondary school was not
     represented by race, age, gender and                  completed than those with tertiary
     location and with a natural fallout of                level of education.
     Living Standard Measures (LSM) across             •   Employment is vital for poverty
     provinces. The survey was administered                transition, since households who
     in English, Zulu, Xhosa, Setswana, Sepedi             experience more secure employment
     and Sesotho                                           (permanent, union, and self-employed

18   UN Socio-Economic Impact Assessment of Covid-19
household in the formal sector) have
                                                                    GROSS DOMESTIC PRODUCT (GDP) FALLS
     a lower probability of falling into
                                                                    AND DOES NOT RECOVER EVEN BY 2024
     poverty.
•    The study also shows that Black
     Africans and households with many

                                                                    GDP
     dependents have a higher likelihood
     of being poor.
•    The number of people living under
     the upper and lower poverty lines
     (poverty and extreme poverty)
     increase due to the pandemic.1
•    Poorer      households      are    more                              equating to a fall in GDP growth
     negatively affected by the pandemic                                  of 7.9 percentage points in 2020
     mainly through the unskilled labour                                  relative to the BaU growth.
     and wage reduction compared to the
     richer households. Hence inequality                        There are relative “winners” and “losers”
     as measured by the Gini coefficient                        among the sectors as a result of the
     index increased by 0.16 in the                             pandemic:
     optimistic scenario and 0.23 in the                           Ղ The winning sectors are those
     pessimistic scenario.                                            designated as essential, including
•    The analysis also suggests that the                              the health sector, the food and
     current stimulus package may not be                              agriculture sector, financial and
     sufficient given that households are                             insurance service sectors and
     still going to lose at least 40 percent                          telecommunication          services
     of their income even if they qualify                             sector.
     for the special Temporary Employee/                           Ղ The losing sectors include
     Employer Relief Scheme (TERS).                                   textiles, glass products, footwear,
     Based on data from households that                               education services, catering and
     experienced at least a 10 percent                                accommodation (which contains
     reduction in income alone before the                             tourism as per the United Nations
     pandemic, the results show that their                            System of National Accounts
     odds of falling into poverty is 1.5.                             classification), beverages and
                                                                      tobacco sectors.
The main findings at the macro level
are:                                                            •    Unemployment increases with about
• Gross Domestic Product (GDP) falls                                 47 082 people losing their jobs in the
   and does not recover even by 2024                                 optimistic scenario and as many as
   as a result of the pandemic.                                      80 712 people losing their jobs in the
   Ղ GDP declines by 3.6 percent                                     pessimistic scenario in 2020. With
      in 2020 under the optimistic                                   the easing of lockdown restrictions
      scenario, equating to a fall in GDP                            and government measures to revive
      growth of 5.1 percentage points                                the economy, unemployment also
      from the BaU growth.                                           recovers but similar to economic
   Ղ GDP declines by 6.4 percent                                     growth, the unemployment will take
      under the pessimistic scenario,                                at least five years to recover to pre-

1 The FPL was R531 with an upper bound poverty line of R1 138 and a lower bound poverty line of R501 (per capita, per month)
in 2017 PPPs.

                                                                     UN Socio-Economic Impact Assessment of Covid-19           19
COVID levels.                                    rate as before the COVID-19 pandemic
          Aggregate household income falls.                (i.e., in the absence of a stimulus
          Upon disaggregation, it emerges that:            package). As a result government
          Ղ The hardest hit are workers with               deficits increase
              only primary school education
              (grades 1-7) and those with              Key findings with respect to the surveys
              only middle school education             • 66.3% of the respondents believe
              (grades 8-11), who are generally            that the South African government
              characterised as unskilled and              has the ability to handle the current
              semi-skilled, respectively, since           COVID-19 pandemic. The confidence
              they receive the majority of                in the government’s ability to handle
              their wage income from sectors              COVID-19 can be attributed to positive
              that are designated to be non-              support of the lockdown and the fact
              essential and were closed during            that the majority of the respondents
              the lockdown period.                        believe that closing the borders is
          Ղ Workers         who       completed           effective in controlling the COVID-19
              secondary     school     education          outbreak.
              (grade 12) and those with tertiary       • About 60 percent of respondents feel
              education (certificates, diplomas
              or degrees) receive the majority              66.3% of the respondents believe that the
                                                             South African government has the ability
              of their income from sectors that
                                                            to handle the current COVID-19 pandemic.
              are designated as essential, which
              generally continued to operate
              during the lockdown period.
          Ղ Most of the job losses reflect
              people who worked in the informal
              sector.

                                                                      I D E N T
                                                                  ONF
      •   Income inequality increases due to the

                                                              C
          pandemic, exacerbating the already
          high-income disparities in South Africa,
          and compromising South Africa’s
          progress towards attaining targets
          under the Sustainable Development                they have enough knowledge about
          Goals particularly regarding poverty,            infectivity and virulence, whereas
          health, education, employment and                69.2 percent feel they have adequate
          inequalities. Women, particularly in the         knowledge about protection and
          poorest female-headed households,                prevention from infection of COVID –
          disproportionately bear the brunt of             19.
          the impact of COVID-19.                      •   There was no greater perceived food
      •   Consumer prices are falling due to               shortage. Most everyday/regular food
          suppressed aggregate demand in the               items were easily available. Some
          economy.                                         grocery outlets limited quantities on
      •   Government revenue falls by 3.5% in              bulk purchasing. In order to stretch
          the optimistic scenario and by 5.1%              food items and to curb increased
          in the pessimistic scenario in 2020.             food spending, respondents would
          This is attributable to the depressed            eat less food, skip meals and ration
          economy as well as government                    plate portions.
          expenditures growing at the same             •   Over half of the people that work at

20   UN Socio-Economic Impact Assessment of Covid-19
COVID-19 hospitals (workers age 18-                                2019 levels unless innovative actions
     24) rarely felt anxious about being                                are implemented.
     infected with COVID-19 or being                               2.   A government rescue response,
     infected while commuting to work.                                  stimulus package, or social protection
•    Workers that are 65 years and older                                programme           typically    targets
     also felt always protected by the                                  businesses and the chronically poor
     hospital.                                                          in society. The number of households
•    Doctors feel physical and mental                                   below the upper-level poverty line
     exhaustion sometimes more than                                     increases as households fall from the
     nurses and other workers. Nurses                                   lower middle class; the number of
     have less motivation to work than                                  households falling into chronic poverty
     doctors and other workers.                                         also increases due to COVID-19.
•    Workers that indicate that they feel                          3.   While support to these households in
     protected are also more likely to be                               the chronic poverty group continues
     motivated, indicating that hospitals                               to be essential, this study makes
     that protect their workers leads to                                a case for other categories of
     workers who are more motivated,                                    households that should be protected
     which is important for recovery during                             to at least preserve poverty levels
     COVID-19.                                                          before COVID-19. The transient poor
•    Exhausted workers are also more likely                             and vulnerable poor2 are essential
     to be anxious and a high workload                                  groups that need special attention
     increases anxiety. Protection and                                  in line with the country’s poverty
     anxiety are not correlated.                                        reduction strategies. A government
•    Female workers are less motivated,                                 policy to maintain the current poverty
     less anxious, more likely to feel a high                           rate, for instance, would include
     workload, and feel less protected.                                 maintaining income and expenditure
                                                                        of households in the vulnerable class.
Twelve Key Emerging Messages                                       4.   Poverty levels will increase by 0.45%
                                                                        (about 264 510 households) in the
1. Economic growth (GDP) will decrease                                  optimistic scenario and by 0.66%
   by 5.1% in the optimistic scenario and                               (about 387 948 households) in the
   by as much as 7.9% in the pessimistic                                pessimistic scenario in 2020 and
   scenario. It may take at least five years                            more households will be vulnerable
   for the economy to return to the pre-                                to shocks. Targeting will be critical for
                                                                        government support to be effective.
    ECONOMIC GROWTH (GDP) WILL DECREASE BY:                             This targeting can be by geography,
          5.1% (OPTIMISTIC SCENARIO)
          7.9% PESSIMISTIC SCENARIO.                                    education, household size, household
                                                                        poverty level, gender dimensions, skill
                                                                        levels, and form of employment.

    GDP
                                                                   5.   COVID-19 is complicating income
                                                                        exclusion with the highest incidence
                                                                        on the black population.
                                                                   6.   Thirty-four percent of households
                                                                        are likely to exit the middle class into
                                                                        vulnerability.

2 - For more disaggregated analysis, the Poor are classified into Chronic poor and Transient poor, and the Non-Poor into
Vulnerable, Middle class, and Elite based on vulnerability criterion. This broader definition of both the poor and the middle class
identifies a household at risk of falling in and out of poverty. (Schotte et al., (2018)

                                                                         UN Socio-Economic Impact Assessment of Covid-19              21
7. The households whose employment                     POLICY INTERVENTIONS NEED TO PAY
         type changes from permanent to                    SPECIFIC ATTENTION TO THOSE PERSONS
                                                                HURT THE MOST BY COVID-19.
         contract employment have a 44
         percent chance of falling into poverty.
         Switching contract types from
         permanent to temporary is a coping
         mechanism for many businesses
         affected by COVID-19.
     8. A household that is pushed from
         permanent employment to informal
         work after the six-month stimulus
         package is over will have a 54 percent
         chance of falling into poverty.
     9. 54 percent of households pushed out
         of permanent to informal jobs after the       predicted losses.
         stimulus package will likely to fall into
         poverty. Semi and unskilled workers           •   For households, this should be
         are the hardest hit. The negative                 according to household poverty level
         impact of COVID-19 is higher on those             and its gender dimension (including
         without social assistance than on                 extending social assistance and
         those who receive social protection.              creating new instruments), as well as
     10. Technology and digitisation has                   marital status and number of children.
         proven to be a “human right” as it                Differentiated interventions should
         redefined access to work, income                  be made considering gender and the
         and schooling during the lockdown                 sex of the household head because of
         periods necessitated by Covid-19.                 income source and level of education
     11. Doctors and nurses feel less protected            (women derive a larger share of
         than other workers. Public hospital               their income from lower-skilled
         workers are less motivated and feel               work). The differentiated impact
         less protected relative to private                also includes differences in location
         hospital workers.                                 (urban versus rural areas) and type
     12. There is no silver bullet policy action           of employment (permanent versus
         – combined innovative policy actions              casual employment).
         are needed.                                   •   For workers, interventions can be
                                                           differentiated according to skill
     Policy Recommendations                                category (those who occupy unskilled
                                                           and      semi-skilled     occupations,
     Policy interventions need to pay specific             including those requiring re-skilling
     attention to those persons hurt the                   programmes and the expansion of
     most by COVID-19. Broadly, a strategic                public works programmes). For the
     thrust in interventions is usually targeted           low skilled and less educated, re-
     towards persons most disadvantaged in                 skilling programmes for those in the
     terms of poverty, inequality, and sectoral/           informal sector will reduce the impact
     production impact. A new dimension                    of some consequences of COVID-19.
     added by this study is that intervention              These households achieved primary
     responses mitigating the impact of                    school education (grades 1-7), and
     COVID-19 need to be differentiated by                 middle school education (grades

22   UN Socio-Economic Impact Assessment of Covid-19
8-11); re-skilling programmes will be           take place. The growth rate that is still
    necessary if the head of household              in line with the shift to a low-carbon
    is out of work. Also, the workers from          economy and climate-resilient society,
    economic sectors most affected such             despite the impact of COVID-19, will
    as textiles, glass products, footwear,          be an essential part of the gradual
    and catering and accommodation                  restructuring package.
    will require retraining to be able to       •   It is critical that measures are taken for
    work in the winning sectors such as             medical workers in public hospitals
    telecommunications and service.                 and for doctors and nurses to feel
•   For sectors, a particular focus should be       more protected. This can be promoted
    on those designated as non-essential,           through ensuring a safer environment
    specifically in textiles, glass products,       and increase in equipment and staff.
    footwear, education services, catering
    and accommodation, beverages and            As the COVID-19 disease evolves
    tobacco sectors. For the SMMEs in           and more information is available,
    these sectors to recover and play a         the government is closely reopening
    role in economic recovery, support in       the economy through a five-phase
    terms of increasing liquidity through       approach, whereby Level 5 was the most
    either direct fiscal support or tax         restrictive. South Africa moved to Level
    breaks will help. One of the significant    3 in June 2020. Reopening the economy
    risks to SMMEs is the liquidity crunch      will include easing and adopting
    that the lockdown created. The role         alternative lockdown measures to spur
    of the private sector and SMMEs in          economic activity. Continuously cautious
    recovery cannot be underestimated           approaches to social distancing and alert
    and should include supporting the           measures can help the recovery, the
    transition to digital technologies          opening of the economy, and minimise
    and improving digital skills. Policy        the recurring spread of COVID-19.
    measures such as boosting liquidity
    measures, tax deferrals, and job
    support, among others, may also be
    considered for SMMEs in the informal
    sector.
•   A big part of the current social
    protection programme announced by
    the government provides additional
    funding to existing social grants in
    South Africa. These grants may need
    to be extended to cover vulnerable
    households that are not currently
    considered poor but at the edge of
    poverty. Deepening social grants

                                                                                     3
    beyond the current amount and a

•
    time extension will be useful.
    It is essential for the restructuring
                                                      ALERT
    package to be directed towards the
    economic sectors where growth will                LEVEL

                                                    UN Socio-Economic Impact Assessment of Covid-19   23
Part                                    BACKGROUND ON
     Two:                                    COVID-19 & REVIEW
                                             OF LITERATURE ON
                                             COVID-19 IMPACT

24   UN Socio-Economic Impact Assessment of Covid-19
UN Socio-Economic Impact Assessment of Covid-19   25
Introduction
     This report is part of the study on the
     socioeconomic impact of COVID-19
     on households in South Africa by
     the United Nations Development
     Programme (UNDP). It focuses on
     how the COVID-19 pandemic affects
     households and the economy through
     multiple channels. These channels can
     include the loss of employment, death
     of family members, and psychological
     effects on health workers. Furthermore,
     due to the regulation implemented by
     the government to curb the spread of
     the virus, the channels into the economy
     include domestic demand and supply
     shocks, as well as international trade
     shocks. This report is divided into three
     sections:

     Background on COVID-19
     & Review of Literature on
     COVID-19 Impact
           OVERVIEW
     As of 24 April 2020, South Africa
     conducted 152 390 tests with 3 953
     positive cases (Table 1) and 1 473
     recoveries, with 79 deaths. As of
     April 6, the total number of confirmed
     COVID-19 cases was 1 686, showing an
     increase of 2 267 within 18 days.

26   UN Socio-Economic Impact Assessment of Covid-19
Table 1: Confirmed cases in South Africa by Province

        1413

                         16

                                    480

                                                    111

                                                                 25

                                                                                    1280

                                                                                                  841

                                                                                                                     24

                                                                                                                                  29
          WESTERN CAPE

                         CAPE
                         NORTHERN

                                     EASTERN CAPE

                                                    FREE STATE

                                                                 NORTH WEST

                                                                                      GAUTENG

                                                                                                   KWAZULU – NATAL

                                                                                                                     MPUMALANGA

                                                                                                                                  LIMPOPO
Source: Update on COVID-19 (24th April 2020) Press Releases and Notices.
https://sacoronavirus.co.za/2020/04/24/update-on-covid-19-24th-april-2020/

                                                                              UN Socio-Economic Impact Assessment of Covid-19               27
PHASE ONE RECOVERY:
                               ECONOMIC RESPONSE:

     On 15 March 2020, in a statement made                           Monday 16 March: South Africa has
     by the South African President, His                             72 ports of entry across land, sea,
     Excellency President Cyril Ramaphosa,                           and airports.
     the government outlined measures to                             • 35 of the 53 land ports were
     combat the COVID-19 epidemic in South                               closed.
     Africa. The first phase included a broad                        • Two of the eight seaports were
     range of measures to mitigate the worst                             closed for passengers and crew
     effects of the pandemic on businesses,                              changes.
     on communities, and on individuals. The                      4. Minimising the risk of the spread by
     measures included tax relief, the release                       limiting contact amongst groups of
     of disaster relief funds, emergency                             people.
     procurement, wage support through the                           • Gatherings of more than 100
     Unemployment Insurance Fund (UIF), and                              people were prohibited.
     funding to small businesses.3                                   • Mass celebrations of national days
                                                                         such as Human Rights Day and
     The specific rules announced included:                              other large government events
      1. A declaration of a national state of                            were subsequently cancelled.
         disaster in regards to the Disaster                         • Where small gatherings are
         Management Act to enable an                                     unavoidable,     organisers    are
         integrated and coordinated disaster                             required to put in place stringent
         management         mechanism        that                        measures of prevention and
         focuses on preventing and reducing                              control.
         the outbreak of the virus.                                  • Schools were closed from
      2. Limited contact between persons                                 Wednesday, 18 March, and
         who may be infected and those not                               instructed to remain closed until
         yet infected, including imposing a                              after the Easter Weekend. This
         travel ban on foreign nationals from                            condition was subsequently
         high-risk countries such as Italy, Iran,                        updated to closure until further
         South Korea, Spain, Germany, the                                notice.
         United States, the United Kingdom,
         and China with effect from 18 March                     At the time of the first statement, there
         2020.                                                   was no requirement to close businesses
         • Travellers      from     medium-risk                  and public places. The president only
             countries – such as Portugal,                       called on companies including mining,
             Hong Kong, and Singapore –                          retail, banking, farms, management of
             were required to undergo high-                      malls, entertainment centres, and other
             intensity screening.                                places frequented by large numbers of
      3. Closure of borders and ports from                       people to bolster their hygiene control.

     3 https://www.cnbcafrica.com/coronavirus/2020/04/21/COVID-19-sa-announces-r500bn-stimulus-package-about-10-of-gdp/

28   UN Socio-Economic Impact Assessment of Covid-19
The message also included suggested         The statement also showed the potential
changes in behavioural patterns amongst     impact of COVID-19 on the economy. The
all South Africans, including:              president noted the dramatic decline in
 • washing hands frequently with soap       economic activity in South Africa’s major
     and water, or using hand sanitizers,   trading partners, with a sudden drop in
     for at least 20 seconds;               international tourism and severe instability
 • covering nose and mouth with a           across all global markets. It was expected
     tissue or flexed elbow when coughing   that an increase in infections – and the
     and sneezing;                          measures required to contain the spread of
 • avoiding close contact with anyone       the disease – would worsen the predicted
     with cold or flu-like symptoms and     effects of the decline in exports and tourist
     minimising physical contact with       arrivals. This will have a potentially severe
     other people.                          impact on production, the viability of
                                            businesses, job retention, and job creation.

                                                UN Socio-Economic Impact Assessment of Covid-19   29
RECOVERY:
                                         (STIMULUS PACKAGE)

     As part of the second phase of recovery in        the remaining R330 billion (roughly 6.5
     South Africa, the government announced            percent of GDP), will be raised both from
     a massive social relief and economic              local sources, such as the UIF, and from
     support package of R500 billion, which            global partners and international financial
     amounts to around 10 percent of GDP.              institutions. The exact source of the
     This fiscal support package is at the             balance is still in progress.
     centre of the government’s second phase
     economic response.                                The objective of the report is to gain a
                                                       deeper understanding of the impact of
     According to the statement released by            COVID-19 on growth and employment
     the government, this response involves:
      1. An extraordinary health budget to
         respond to coronavirus,
      2. The relief of hunger and social
         distress,
      3. Support for companies and workers,
      4. The phased re-opening of the
         economy.

     The relief of hunger and social distress
     includes increasing funds for child
     support grant beneficiaries by an extra
     R300 in May and from June to October
     they will receive an additional R500 each
     month. All other grant beneficiaries will
     also receive an extra R250 per month for
     six months (May to October). Further, a
     special COVID-10 Social Relief of Distress
     grant of R350 a month for the next
     six months will be paid to cover those
     who are currently unemployed and not
     beneficiaries of any other social grant or
     UIF payment (requirement and process
     still pending as at the time of this report).

     The R500 billion will be paid for by
     repurposing R130 billion within the current
     budget, R44 billion worth of temporary
     tax referrals (which National Treasury
     has described as liquidity support), while

30   UN Socio-Economic Impact Assessment of Covid-19
1. OBJECTIVE
                                             & OUTLINE OF
                                             THE REPORT

                                             African economy.
                                             Two other reports are in the pipeline
                                             to support the Government of South
                                             Africa in its response to COVID-19.
                                             These are respectively, (1) the results of
                                             the psychological impact of COVID-19
                                             on healthcare workers to estimate the
                                             capacity of the health centres in a time of
                                             crisis and (2) analysis of a socioeconomic
                                             survey carried out in April 2020 that is
                                             representative of South Africa, including
                                             rural-urban and township.
at the macro level and poverty and
inequalities at the household level and
the implications on the attainment of the
Sustainable Development Goals (SDGs).        2. PUBLIC
The report analysed the impact on the
economy and examined how people              HEALTH
of different demographics and from
various areas are affected by COVID-19.      PANDEMIC:
To understand and measure the socio-
economic impact and awareness of             LITERATURE
COVID-19 on South African households
under the stewardship of the Resident        REVIEW AND
Coordinator, the United Nations (UN) in
South Africa, through the leadership of
the UNDP in South Africa, in collaboration
                                             PATHWAYS
with other UN agencies, commissioned
this report.
                                             Over the past century, five other
                                             outbreaks have raised the same level
This report presents the findings of two
                                             of concern and global mobilisation as
studies: (1) microeconomic analysis of
                                             COVID-19 in terms of speed, spread,
the impact of COVID-19 on households in
                                             and severity of the disease. The five
South Africa based on poverty dynamics;
                                             outbreaks are respectively, the Spanish
and (2) a macro-micro simulation using a
                                             flu, Severe Acute Respiratory Syndrome
Computable General Equilibrium (CGE)
                                             (SARS), Swine flu, the Ebola outbreak,
model based on the Social Accounting
                                             and the Human Immunodeficiency
Matrix and nationally representative
                                             Virus infection and Acquired Immune
household survey data of the South
                                             Deficiency     Syndrome       (HIV/AIDS)

                                                 UN Socio-Economic Impact Assessment of Covid-19   31
pandemic. The Spanish flu, also known                       of people had to be quarantined. Large
     as the 1918 influenza pandemic, infected                    numbers of displaced persons were
     500 million people (one-quarter of the                      reported after the disease spread rapidly
     world’s population), between January                        during the second half of 2014 (ACAPS,
     1918 and December 1920. The disease                         2014). Apart from Guinea, Liberia, and
     caused by the H1N1 influenza virus is so                    Sierra Leone, seven other countries in
     far the deadliest amongst influenzas in                     West Africa, Europe, and North America
     human history, causing about 1.1 million                    reported at least one case of Ebola. In
     deaths globally in 1957, alone.4 Young                      2018, about 37.9 million were living with
     adults aged between 15 and 44 years                         HIV/AIDS, with a death toll of 770,000
     were disproportionally overrepresented                      (UNAIDS, 2019). According to \ UNAIDS,
     among the fatalities, in contrast to most                   the HIV pandemic killed 32 million people
     influenza outbreaks that kill the very                      worldwide between 1980 and 2018.
     young and elderly. Between 2002 and
     2004, the SARS outbreak infected 8                          The empirical evidence on the long-term
     096 persons and killed 774 around the                       economic impacts of disease outbreaks
     world. The epidemic started in November                     is inconclusive, but sizeable economic
     2002 in China and spread across 29                          impacts are more likely to happen in the
     countries and territories worldwide. The                    short term.
     SARS outbreak was caused by the SARS-
     CoV strain, close to the SARS-CoV2 virus                    The long-term impact of epidemics can
     strain that caused the 2019 Coronavirus                     be negative or positive, depending on
     Disease (COVID-19). With a 9.5 percent                      the flexibility and resilience of economies
     global mortality rate, the SARS outbreak                    to the health shocks. Brainerd and Siegler
     caused        severe        socioeconomic                   (2002) find a robust positive impact of
     disruptions, including the cancellation                     the 1918–1919 influenza epidemic on per
     and postponement of several sporting                        capita income growth over the 1920s
     and cultural events in affected countries.                  across the United States. However, Bloom
     A second pandemic involving the H1N1                        and Mahal (1997a) find no significant
     influenza virus (albeit a new strain) hit the               impact of the epidemic on output and
     world between January 2009 and August                       income in England, France, and India.
     2010, infecting 700 million to 1.4 billion                  Bloom and Mahal (1997b) use cross-
     people around the world. The death toll                     country data and see little impact of AIDS
     was estimated between 18 000 and 284                        on economic growth. In contrast, Haacker
     000, a similar level of fatalities annually                 (2002) finds significant adverse effects of
     observed from the seasonal flu, according                   AIDS on growth and per capita income.
     to the World Health Organisation (WHO).                     Bloom and Canning (2006) argue that the
                                                                 sizeable economic impacts of epidemics
     Between December 2013 and June 2016,                        are more likely to happen in the short term.
     the Ebola virus infected 28 646 people                      Several studies estimated a short-term
     and killed 11 323, mainly in Guinea, Liberia,               output decline for Taiwan under the 2002
     and Sierra Leone. The virus’s fatality rate of              SARS outbreak (Wu et al., 2003; Wu et al.,
     39.5 percent created severe disruptions                     2003; Chou et al., 2003; Hsu et al., 2004).
     in West Africa as hundreds of thousands                     Fofana et al. (2015) and the World Bank

     4 https://www.cdc.gov/flu/pandemic-resources/pandemic-timeline-1930-and-beyond.htm.

32   UN Socio-Economic Impact Assessment of Covid-19
(2014) projected the negative short-term                            capital, as measured by the supply of
economic impact of the Ebola outbreak in                            experienced workers. The human capital
Guinea. The latter also estimated a cut in                          impact can affect girls and young women
GDP growth for Liberia and Sierra Leone                             disproportionately, especially in cases
in 2014 due to the Ebola outbreak.5                                 where competition for jobs increases and
                                                                    high-risk employment is the only available
Non-private medical cost increases and                              work. Influenza differs from AIDS in
labour productivity declines are the main                           the period of illness, which has severe
direct costs related to the COVID-19                                implications for the way the disease affects
outbreak.                                                           the economy. In other words, flu claims
                                                                    victims within days of infection, while
Traditionally, the economic cost of                                 AIDS is associated with a long period of
health outbreaks is studied based on                                illness, reducing productivity, which in turn
an accounting approach. This approach                               affects the economy differently (Brainerd
consists of aggregating the medical                                 and Siegler, 2002). While epidemics
costs borne by both private and non-                                like influenza and AIDS primarily affect
private entities during, and in some cases,                         prime-age adults (Brainerd and Siegler,
after the disease. Non-private budget                               2002); the COVID-19 pandemic seems
reallocation to medical expenses would                              so far to have a higher fatality rate for
negatively affect discretionary expenses                            elderly people and those with underlying
in the short run, such as investments, with                         health conditions (WHO, 2020). Logically,
long-run economy-wide consequences.                                 given that most older adults are out of
Other studies (e.g. Sachs and Malaney,                              the labour market, the labour supply
2002) have included the incomes                                     shock of COVID-19 would have been
forgone due to the disease-related                                  expected to be less critical compared to
morbidity and mortality in the estimation                           influenza and AIDS. However, given the
of the costs of disease. Forgone income                             rate of transmission of COVID-19 and the
is estimated by the value of lost workdays                          evolving threat to all ages, labour supply
and the capitalised value of future lifetime                        shocks can be low to medium.
earnings in the case of mortality related
to the disease. These costs are the direct                          Health outbreaks also affect labour
costs of the health outbreak.                                       productivity by restricting workers’
                                                                    ability to move to the places where they
Other direct costs of epidemics on the                              would be the most productive. Indeed,
broader economy are impacts on labour                               epidemics affect the mobility of labour
supply and labour productivity. Brainerd                            within a country and across countries,
and Siegler (2002) investigate the impact                           and mobility limitations can be a vital
of changes in the population and labour                             transmission channel to the economy
force stock due to the influenza epidemic                           through labour productivity impact.
in 1918 and 1919. Haacker (2002)                                    Disease shocks may increase real wages
argues that AIDS affects the economy                                because of a reduction in the size of the
and per capita income in Southern                                   working population. This is confirmed by
African countries mainly through human                              the short-term increase in wages due to

5 Fofana et al. (2015) estimated a 0.9 percent decline in output in annual average due to the Ebola outbreak in Guinea. The World
Bank (2014) report projected a decline in GDP growth perspective by 2.1 percentage points for Guinea (from 4.5 to 2.4 percent),
by 3.4 percentage points for Liberia (from 5.9 to 2.5 percent) and 3.3 percentage points for Sierra Leone (from 11.3 to 8.0 percent).
Guinea’s GDP growth stagnated at 3.9percent, 3.7 percent and 3.8 percent in 2013, 2014 and 2015 respectively. Liberia’s GDP
dropped from 8.8 percent, to 0.7percent and 0.0percent in 2013, 2014 and 2015 respectively. Sierra Leone’s GDP drop from 20.7
percent to 4.6 percent to -20.5 percent in 2013, 2014 and 2015 respectively. Estimates from Fofana et al. (2015) and the World Bank
(2014) did not include the national and international responses to contain the epidemic and mitigating its adverse economic effects.

                                                                          UN Socio-Economic Impact Assessment of Covid-19               33
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