Policy Brief A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe - UNDP
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1 UnitedPOLICY BRIEF Development Nations 01/2020 A PreliminaryProgramme Assessment of the Socio-economic Zimbabwe Impact of Coronavirus (COVID -19) on Zimbabwe # 001/2020 Policy Brief A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe
2 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe T he novel coronavirus was first reported as a cluster of cases of pneumonia of unknown cause in Wuhan City, Hubei Province of China on 31 December 2019. Since then, the virus, and COVID -19, the disease that it causes, has spread fast across the globe, including Zimbabwe01. Due INSIDE the fast spread of the disease, both in terms of casualties and 2 Economic decline, geographic coverage, the World Health Organization (WHO), governance challenges declared the coronavirus outbreak a public health emergency and a fragile health of international concern on January 30, 2020, and thereafter, system 5 Government response a pandemic on March 11, 2020. Being a novel disease, there to the pandemic are certain epidemiological features that remain unclear and 7 Possible socio- as such it is not possible to determine, with certainty, how the economic impact of COVID -19 pandemic will evolve. This Policy Brief presents a preliminary 11 Conclusions and Policy assessment of the socio-economic impacts of the COVID -19 Recommendations on Zimbabwe on the basis of some known and observable facts as opposed to a detailed and robust analysis. It identifies the possible impact transmission channels based on the structure of Zimbabwean economy, it’s geography and socio-political factors; the possible effects on Zimbabwean socio-economic development; and proffers some policy recommendations. ECONOMIC DECLINE, GOVERNANCE CHALLENGES AND A FRAGILE HEALTH SYSTEM Zimbabwe has an ambitious many sectors such as health. Over the governance reform agenda aimed at past decade, economic growth has devolving key functions to the sub- been on a general declining trend, national – provincial and district – culminating in contraction by an levels, as well as a number of legal estimated 6.5 percent in 2019. The reforms. The devolution programme Covid-19 pandemic hit Zimbabwe at a however, faces a number of critical time when the country had targeted an challenges and is yet to take root in economic rebound by inter alia, getting 01 COVID- 19 is a respiratory illness, just like flu, whose symptoms include dry cough, fever, and in more severe cases, difficulty in breathing.
3 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe 12 Zimbabwe GDP growth 10 rates 2009 -2020 8 (actual and projected figures) % 6 Source: Zimbabwe 4 Statistical Agency (2020) and World Bank 2 estimates 0 -2 -4 -6 -8 -10 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 the economic fundamentals right The Zimbabwean economy is through the implementation of the characterised by heavy reliance short-term Transitional Stabilization on the primary sector (agriculture Programme (TSP)02. While the and minerals) for forex earnings economy was initially projected to and employment, with limited rebound and grow by an estimated 2.8 manufacturing and services. The percent in 2020, mainly on account productive capacity has been on the of performance of the mineral sector, decline due to non-competitiveness this growth target is unlikely to be of the country’s industry which achieved in the wake of the COVID- 19 stems from the high cost structure pandemic and its effects on the global arising primarily from high cost of economy, generally and, in particular, labour, rentals and utilities and the the Zimbabwean economy03. Indeed, continued use of hard currency (USD) the International Monetary Fund in most transactions. Consequently, (IMF) has reported that the Covid-19 a culture of widespread trade, would make it even harder for the mainly in imported goods and government to balance the policies services, is fast taking root. needed to restore macroeconomic stability with those needed to address urgent social needs04. 02 Available at http://www.veritaszim.net/sites/veritas_d/files/Abridged_Transitional_%20programme%202018-10-05.pdf 03 The World Bank estimates that the economy will contract by between 5 to 10 percent in 2020 04 See https://www.imf.org/en/News/Articles/2020/02/26/pr2072-zimbabwe-imf-executive-board-concludes-2020-article-iv-consultation
4 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe 50 Manufacturing Capacity Utilisation (%) 40 Source: Confederation of Zimbabwe Industries (CZI) (2020) 30 20 10 0 2012 2013 2014 2015 2016 2017 2018 2019 2020 Moreover, in the recent past the doctors, nurses and midwives (health economy has been characterised workers) per 1000 population needed by macroeconomic volatility to meet the SDGs06. In addition, as shown in below: regular strikes in the health sector, in particular by doctors and nurses, The official unemployment rate due to low wages and poor working stands at 11 percent although the conditions have further compromised vast majority of the people considered the quality of health care07. The to be employed are engaged in low Zimbabwe Service Availability and paying temporary insecure work and Readiness Assessment Report of petty trade in the informal sector. 201508 revealed inadequacies in all Moreover, Zimbabwe’s health sector the six WHO health system building remains fragile and under-resourced, blocks, namely: human resources, both in terms of financial and human medical products, vaccines and resources. According to the Ministry technology including infrastructure, of Health and Child Care, there are health financing, health information, 1.6 physicians and 7.2 nurses for service delivery, leadership and every 10,000 people05, against governance that are prerequisites for WHO recommendations of 4.45 a functional health delivery system. 05 Zimbabwe Ministry of Health and Child Welfare, Human Resources for Health information sheet, 2010. 06 See https://apps.who.int/iris/bitstream/handle/10665/250330/9789241511407-?sequence=1 07 In 2019 alone, Doctors’ strike lasted for more than 4 months and only ended when a private sector company chipped in with a 6-month worth of salaries package. 08 http://ncuwash.org/newfour/wp-content/uploads/2017/08/Zimbabwe-Service-Availability-and-Readiness-Assessment-Report.pdf
5 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe 40 Inflation (%) Recent 35 trends 30 Source: Zimbabwe Statistical Agency (2020) 25 20 15 10 5 0 JAN 19 FEB19 MAR 19 APR 19 MAY 19 JUN 19 JUL 19 AUG 19 SEP 19 OCT 19 NOV 19 DEC 19 JAN 20 35 FEB 20 US$/RTGS (Parallel) 30 Interbank Market & Parallel Market Rates 25 (ZWL$ / USD$) 20 Mar 19 - Feb 20 15 Interbank Source: Reserve Bank 10 of Zimbabwe (2020) and UNICEF Zimbabwe 5 (2020) 0 28 MAR 28 APR 28 MAY 28 JUN 28 JUL 28 AUG 28 SEP 28 NOV 28 DEC 28 JAN 28 FEB 28 OCT GOVERNMENT RESPONSE TO THE PANDEMIC Since the onset of the pandemic, the pandemic and ameliorate its the government has instituted a effects, especially on the poor and number of policy, institutional and vulnerable members of society09. The operational measures to combat government’s response is founded 09 The policies and operational measures are deposited Ministry of Health and Child Care (2020): Zimbabwe Preparedness and Response Plan – COVID -2019
6 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe on the following principles: limiting frontline of the response. Moreover, human-to-human transmission, the government has effected including to health personnel; early expenditure restructuring away from identification, isolation and care capital projects to health-related for patients; risk communication expenditures; ring-fencing of the 2 and community engagement; percent money transfer tax for social narrowing knowledge gaps in protection and other pandemic related disease transmission, prevention expenditures; availed USD 2 million and treatment; and minimizing for urgent and immediate importation social and economic impact. for health-related supplies; approved immediate hiring of over 4000 health At the apex of the national response personnel; availed ZWL 200 million architecture is an inter-ministerial (USD 8 million) per month for a period task force, currently chaired by one of three months as cash transfers to of the Vice Presidents, that is tasked an estimated one million vulnerable with overseeing implementation households; ordered the expeditious of all necessary measures to limit processing of value-added and transmission. Below the inter- corporate tax refunds and extended ministerial task force there are nine the period within which tax is payable; working groups with membership suspended customs duty chargeable from government, development on COVID-19 medical supplies partners, private sector and academia and reviewed procurement rules with the responsibility for conducting to expedite purchase of COVID- 19 risk and capacity assessments; supplies; and intends to support local preparation of standard operating industries with capacity to produce procedures (SOPs), guidelines and basic food stuffs and pharmaceuticals. tools; identification of key priorities And in an effort to mobilise additional to scale up implementation of resources, especially from the priority activities; preparation of private sector, the government has operational budgets and timelines for established a National Disaster Fund to implementation of identified priorities; which individual and corporate entities and determination of priority resource may make contributions. The fund has requirements and resource mapping. received an overwhelming response from the private sector through, for To date, some of the specific measures instance, the local business fighting so far taken by government include, COVID-19 consortium. Additionally, but are not limited to, a stimulus on 21 March 2020 Zimbabwe began a package of ZWL 500 million (approx. national lockdown in a bid to combat USD 20,000,000) to help fight the the spread of the coronavirus - this pandemic and specifically, ZWL 50 meant the shutting down of most million (USD 2,000,000) for medical governmental institutions except in aid, mostly for civil servants on the the health sector and the uniformed
7 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe forces who are instrumental in enforcing the lock down. POSSIBLE SOCIO- ECONOMIC IMPACT OF COVID -19 The pandemic is, for all practical GDP growth in the continent11. purposes, still evolving, a fact For Zimbabwe, whose economy which renders an assessment of contracted by an estimated 6.5 its possible impact problematic. percent in 2019, continued contraction However, on the basis of recent in the magnitude highlighted above, developments and observable or more given the fragility of the trends, as well as government and economy, would be disastrous, private sector responses, there are affecting, disproportionately, the poor certain discernable impacts that and vulnerable, small and informal merit highlighting at this early stage. businesses, as well as small scale In an attempt to understand the agricultural producers. Delayed potential impact of the pandemic on imports of goods (see below) could Zimbabwe, it is instructive to note increase shortages of basic consumer that although it is primarily a health and intermediate goods and thus crisis, it nonetheless has far-reaching fuel further inflationary pressures public governance, socio-political in the country – imported inflation. and economic ramifications. And These, together with wide currency to understand these ramifications, fluctuations and possible rising it is useful to determine the debt in the wake of the increased channels through which the effects demand for goods and services for are likely to be transmitted. effective response to the pandemic, could dampen growth further and Growth is likely to be depressed discourage the much- needed further: A stable macro-economic investments thus leading to an environment is a sine qua non for increase in the incidence of poverty. economic growth, investments, job creation and poverty reduction10. A recent study by McKinsey and Company has reported that, left unchecked and especially in the absence of a fiscal stimulus, the pandemic will lead to a 3 -8 percentage point decline in 10 See for instance, Bleamey, M.F (1996): Macroeconomic stability, investment and growth in developing countries. Available at https://www. sciencedirect.com/science/article/abs/pii/0304387895000496 11 See Kartik Jayaram, Acha Leke, Amandla Ooko-Ombaka, and Ying Sunny Sun (2020) Tackling COVID-19 in Africa: An unfolding health and economic crisis that demands bold action
8 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe Effects of lower oil prices are likely for Zimbabwean exports, especially to be offset by declining global tobacco which is likely to be adversely demand for exports: Zimbabwe relies affected by economic slowdown heavily on fuel imports to meet her in that country13. China is also an total energy demand12. Crude oil Brent important source of intermediate prices have declined sharply from 69. goods for South Africa, Zimbabwe’s 6 USD per barrel on January 5, 2020 main trading partner and thus any to the current (April 03, 2020) price slowdown in economic activity in China of 27.5 USD per barrel, a 60 percent will also affect the country indirectly decline. This decline however, is via reduced trade with South Africa. unlikely to translate into benefits for Zimbabwe as it is likely to be offset by, Decline in tourism will lead to more paradoxically, rising local fuel prices job losses and dampen growth: as well as declining global demand Tourism is a key sector for Zimbabwe’s for Zimbabwean exports, especially economy, generating an estimated tobacco and minerals. The Chamber of US$1.4 billion (3.3 percent of GDP) Mines of Zimbabwe has estimated that in revenue in 2018. Currently, most mineral production could plunge by of the source countries have issued 60 percent in the first quarter of 2020 travel restrictions or are in total alone as companies reduce output lockdown resulting in an increased due to disruptions in the supply chain number of booking cancellations. Tour and logistics leading to a loss of USD operators and hotels in the resort 400 million in revenues. Depressed city of Victoria Falls for instance had activities in the mining sector will also reported 80 percent cancellations by adversely affect forex earnings since early March 2020 and more recently, minerals account for at least one most hotels have shut down altogether third of the country’s forex earnings. leading to loss of jobs and income. Reduced merchandise trade will Remittances are likely to decline, negatively affect forex earnings, affecting access to basic social revenue and growth: Exports of services and increasing vulnerability: goods, mainly primary commodities, Zimbabwe receives an estimated which accounted for an estimated US$1 billion in remittances from 22 percent of GDP in 2018 are its diaspora community annually. expected to be adversely affected by Remittances are expected to decline direct and indirect linkages with the as countries hosting significant global economy, mainly China and numbers of Zimbabwe’s diaspora European Union (EU) countries. China community such as South Africa are remains an important destination affected due to slowdown in economic 12 In 2017, the country spent some $74.4 million on importation of refined petroleum products, making it the fifth most important import, by value. 13 In 2017, China was the top destination market for Zimbabwean export, followed by South Africa, United Kingdom, India and Zambia.
9 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe activity and the current lockdown malnutrition is likely to be on the rise resulting in job losses and reduced among the food insecure, exacerbating incomes. Given the important role of the risk of disease among adults and remittances in sustaining livelihoods stunting and wasting in children. in Zimbabwe, a decline in remittances will further compromise access to Zimbabwe’s fragile healthcare basic social services and increase system will be stretched further vulnerability for many households. in the short run but could emerge stronger in the medium to long term: Household food insecurity is likely Zimbabwe’s heath system is bedeviled to worsen as a result of adverse by a plethora of challenges, including climatic factors and breakdown a lack of resources, mostly financial, in supply chains: The agricultural as well as a host of institutional and sector remains the backbone of the governance issues all of which render Zimbabwean economy in terms of service delivery problematic. The forex earnings and food security at the health system is beset by periodic household level. Due to a combination strikes by health workers over of adverse climate conditions, land remuneration, low morale among the tenure system and poor agronomic workers and poor working conditions practices, agricultural production and characterized by lack of essential productivity have been on the decline equipment, inadequate medicines and in the recent past. As a consequence, medical supplies including personal a large number of Zimbabweans lack protective equipment (PPE). While access to adequate food and have the government had put in place a to rely on humanitarian assistance14. number of preventative measures An estimated 59 percent of the total aimed at flattening the curve, there population are food insecure and in can be no gainsaying the fact that the need of immediate food assistance, health system will be overstretched which in the short-run can only be and will not cope resulting in high met through imports and, to a lesser mortality rates should the pandemic extent, increased local production. escalate beyond the current level15. The breakdown and/or slowdown However, the pandemic has also of global supply chains and lack of led to unprecedented collaborative foreign currency as well as physical effort between the government, barriers to movement of goods across the private sector, development borders however, will negatively affect partners and other stakeholders to food imports to meet the domestic mobilise resources for the health shortfall. Perhaps needless to say, sector, especially those health due the limited availability of food, facilities designated as isolation and 14 An estimated 4.34 million people in Integrated Food Security Phase Classification (IPC) phase 3 and 4 in rural areas will be requiring food assistance between February and June 2020 15 The pandemic has exposed the latent fragilities of even some of the most developed health care systems in the world.
10 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe treatment centres. If this resource a result of the pandemic, although, on mobilization and targeting for the the global scale, some researchers health sector was to be expanded to have posited that more men than other health facilities including those women are dying, potentially due to in the provinces and districts, the sex-based immunological or gendered health system would be strengthened differences, such as patterns and in the context of devolution easing prevalence of smoking16. Anecdotal pressure on Harare-based facilities evidence from developing countries and offering service to the people like Zimbabwe however, suggests most in need close to where they live. that women are likely to suffer disproportionate effects of such Human capital formation will be pandemics as women mostly bear adversely affected with rural areas burden of care work as a result of and low-income households most morbidity; and household chores, affected: On March 24,2020, in especially when everyone is at home an effort to curb the spread of the during school closures and lock downs disease, the government announced or when some family members are indefinite closure of all schools and undergoing quarantine or isolation. other institutions of learning, which Moreover, women, especially nurses coincided, in part with the planned and community social workers17 school holidays. While learners from are often at the frontline of national some urban schools and middle- response against pandemics such as class households have continued with this COVID 19 and in the absence of e-learning, those in low income rural PPE kits are more likely to be exposed and high-density urban and peri- than men. Women and girls are also urban areas have effectively stopped more likely to suffer from sexual learning because of lack of equipment and gender-based violence during and support structures. In the event crises like the current pandemic, of school closure beyond the current especially during lockdown and holiday period, there is likelihood of restricted movement. Additionally, skewed access to education, in the women’s and especially adolescent final analysis exacerbating inequalities girls’ reproductive rights are likely in education outcomes, poverty to remain unmet as the government reduction and human development. re-prioritizes expenditures, including health sector expenditures, towards Women and girls likely to be more the fight against the pandemic. adversely affected: It is premature Lastly, the current lockdown and to say whether more women than travel restrictions as well as reduced men are likely to die in Zimbabwe as merchandise trade are also likely 16 See, for example, Wenham, Smith and Morgan, 2020 – available at https://www.cgdev.org/blog/how-will-covid-19-affect-women-and-girls- low-and-middle-income-countries. 17 According the Zimbabwe Labour Force Survey (2014), an estimated 64.2% of the health sector labour force are women.
11 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe to disproportionately affect women been reported cases of human rights since the vast majority of women abuses in many countries across the are engaged in micro enterprise globe. There is therefore, fear, in some activities which rely on unfettered quarters, that the same will occur in movement of merchandise goods Zimbabwe, particularly during the across and within national borders. lockdown period as the security forces move to enforce the lockdown orders. Possible slowdown of the devolution agenda: The government of Depolarizing national politics, bi- Zimbabwe is currently in the process partisan approach to the response: of devolving the powers of central On a positive note, both President government, that is, the Executive and and the opposition leader have urged the Treasury functions to the local Zimbabweans to act in unity and governments of the 10 provinces. adopt a nationwide campaign against The response to Covid-19 which the pandemic in order to flatten the requires greater coordination and curve in the interest of the nation. policy and programmatic direction It is such convergence of minds from the centre could slow this at the highest political level that noble policy stance of devolving demonstrates that Zimbabweans can power, authority and decision de-polarise their otherwise seemingly making to the sub-national level. intractable divergent political views when faced with a common enemy. Human rights abuses likely to The potential for unity of thought increase: Many countries are and purpose could generate a turn- currently implementing various around in the seemingly intractable degrees of restricted movements with polarization in the country. security forces deployed to enforce compliance. There has however, CONCLUSIONS AND POLICY RECOMMENDATIONS Zimbabwe’s health system remains have been adversely affected by fragile and ill-prepared to cope the pandemic. The government of with the pandemic. This situation Zimbabwe, therefore, has only limited is exacerbated by the country’s fiscal legroom available for effective weak economic position due to response to the pandemic. Across a huge external debt burden and the globe many countries have begun heavy reliance on commodity, implementing a number of stimulus mostly tobacco and mineral exports, packages, with the USA announcing tourism and remittances for foreign the greatest stimulus package to the exchange and revenue, all of which tune of USD 2.2 trillion comprising of
12 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe direct payments to individuals and is prudent to devise ways of keeping families, loans to small businesses, such businesses and even more unemployment insurance benefits and established formal ones operational loans to distressed companies. While even during the lockdown as a such a package would be desirable in complete lockdown could lead not the current circumstances, Zimbabwe just to loss of income and jobs but has very limited fiscal space for also social unrest. The critical public policy manoeuvre and as such investments in this regard should innovative, efficient and pragmatic be aimed at providing basic social response measures will be needed services such as running water and in the fight against the pandemic. sanitation facilities in markets and ensuring strict adherence to the set Against this backdrop, we propose the hygiene practices including use of following policy recommendations: face masks, regular handwashing/ sanitization and social distancing. • Halt the spread and/or flatten the curve : As a priority measure, • Strengthen the health system Zimbabwe, working in concert with within a devolved system of the international community, and governance: The pandemic has especially her regional neighbours, brought to the fore the need to should halt the spread and, in strengthen the health system in the the worst case scenario, flatten country by inter alia, addressing the curve as much as possible by the ever-present problem of lack instituting community isolation of finances, shortage of trained measures that keep the daily and motivated health workers; number of disease cases at a a improving service delivery and minimum or manageable level access to essential medicine for medical providers to avoid a and supplies; strengthening situation where its fragile health health information system; and system becomes overstretched and promoting good governance in the unable to cope with the pandemic, sector. More importantly, there is leading to high morbidity and a need to approach the pandemic mortality. response from a devolution lens as outlined in the constitution and • Carefully manage the pandemic other legal instruments. In this within the context of a thriving way, the response will not only informal economy: In the absence serve to address the pandemic of a robust social protection but also strengthen the system of programme and especially, a governance as well as ease the Lifeline Fund or its variant to demand on the fiscus as it will rely support small scale traders and on local leadership and institutional businesses in the informal sector, it structures.
13 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe • Mobilise additional resources: In especially among the existing order to expand the available fiscal small scale traders in the informal space, the government should sector as means of promoting their aim for greater efficiency in the businesses and as step towards application of scarce resources by formalising the informal sector. curbing wastages, duplication and leakages given the limited scope • Promote good governance and for additional borrowing and huge respect for human rights: In inflows of external aid. Relatedly, responding to the pandemic the government should address, as there is need to promote peoples’ a matter of urgency, illicit financial participation, transparency, rule flows from the country, especially of law, consensus building, equity, from the extractive sector. While inclusiveness, effectiveness, the above measures would lead efficiency and accountability to enhanced domestic resource for results – the basic tenets of mobilization, it is also evident that good governance. In addition to the response requires additional supporting the security sector international support. Hence, there to maintain law and order while is a need for a well-coordinated aid respecting human rights, there architecture to be established as an is a need to further empower the integral part of the response. Such a various independent commissions robust aid architecture could also be to support monitoring and reporting leveraged to support the recovery of possible human rights violations agenda post the pandemic. in a proactive manner. • Cushioning the poor and vulnerable: • Turning adversity into opportunity: There is need to cushion a large The pandemic presents an segment of the population who opportunity for instituting a are poor and vulnerable- small development model characterised scale farmers, petty traders in the by investments in domestic informal sector, people living with productive capacity especially for HIV and AIDS, people living with basic goods and medical essentials disability etc from the adverse such as face masks, sanitizers effects of the pandemic through and PPEs and promoting regional targeted social transfers. trade and deepening collaboration between Zimbabwe and her • Make credit more affordable and neighbours. It also presents an promote entrepreneurship: There is opportunity for the consideration need for government to put in place of greater investments in basic measures that would render credit services water and sanitation and more affordable while at the same critical sectors of the economy such time promoting entrepreneurship, as agriculture, manufacturing and
14 POLICY BRIEF 01/2020 A Preliminary Assessment of the Socio-economic Impact of Coronavirus (COVID -19) on Zimbabwe services sectors, as well as better management of the extractives sector for forex earning, revenue generation, sustainable job creation and poverty reduction. Moreover, there is a need to adopt a long-term and regional, that is, devolution, approach in strengthening the health system to combat the pandemic, currently, and offer quality and accessible health care as well as other basic services to the people, now and in the future.
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