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Latin America and the Caribbean and COVID-19: The socioeconomic situation and social protection measures Alicia Brcena Executive Secretary, ECLAC 21 April 2020 Virtual meeting on the role of social development ministries in response to the


  1. Latin America and the Caribbean and COVID-19: The socioeconomic situation and social protection measures Alicia Bárcena Executive Secretary, ECLAC 21 April 2020 Virtual meeting on the role of social development ministries in response to the COVID-19 pandemic Regional Conference on Social Development in Latin America and the Caribbean

  2. Five characteristics of the COVID-19 crisis The world is facing a health and humanitarian crisis without precedent in the past century, in what is an already adverse economic context; unlike in 2008, this is not a financial crisis but a crisis affecting people, health and well-being . A situation of “war-like economy” is too important to be left to the market. States are therefore taking on a key role to contain the virus and the risks that affect the economy and social cohesion. To flatten the curve of infection will take measures to reduce interpersonal contact, which will cause economic contraction , paralyse production activity and destroy sectoral and aggregate demand. How not to flatten the economy : strict and effective observance of quarantines and public health measures will be the fastest and most efficient way to reduce the economic costs. International cooperation : the way out of the crisis will depend on the economic strengths of each country. Given the asymmetries between developed and developing countries , the role of the United Nations, the International Monetary Fund and the World Bank will be essential to ensure access to financing, safeguard social spending and support economic activities with out-of-the-box measures. Alicia Bárcena, Executive Secretary of ECLAC The COVID-19 pandemic: the socioeconomic situation and social protection measures

  3. Confirmed COVID cases The response to the (12 April 2020) Deaths % of total COVID-19 pandemic Total population Anguilla 3 0.02 0 must halt transmission Antigua and Barbuda 21 0.02 2 Aruba 92 0.09 0 The Bahamas 46 0.01 8 of the virus and Barbados 71 0.02 4 Belize 14 0.00 2 mitigate the impact Bermuda 57 0.09 4 British Virgin Islands 3 0.01 0 Cayman Islands 53 0.09 1 Cuba 669 0.01 18 5749 cases in total in Curacao 14 0.01 1 Dominica 16 0.02 0 the Caribbean Dominican Republic 2967 0.03 163 French Guiana 86 0.03 0  294 deaths in 30 countries in the Grenada 14 0.01 0 Guadeloupe 143 0.04 8 Caribbean, at 12 April. Guyana 45 0.01 6 Haiti 33 0.00 3  The first cases in the Caribbean Jamaica 69 0.00 4 Martinique 155 0.04 6 were reported on February 29 Montserrat 9 0.18 0 (Saint Martin and St. Barth) and Puerto Rico 897 0.03 44 Saint Kitts and Nevis 12 0.02 0 March 2 (Dominica). Saint Lucia 15 0.01 0  Diagnosis, tracking and Saint Vincent and the Grenadines 12 0.01 0 Sint Maarten 50 0.12 9 management of cases, Suriname 10 0.00 1 Trinidad and Tobago 113 0.01 8 quarantines and social distancing Turks and Caicos Islands 9 0.02 1 are needed to save lives. United States Virgin Islands 51 0.05 1 TOTAL (30 Caribbean countries 5749 294 Source: ECLAC, on the basis of Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins Alicia Bárcena, Executive Secretary of ECLAC The COVID-19 pandemic: the socioeconomic situation and social protection measures

  4. 180 Caribbean (27 countries): 160 Confirmed coronavirus cases and deaths, as of 12 April 2020 140 120 100 80 60 40 20 0 ANGUILLA THE BRITISH VIRGIN ISLANDS MONTSERRAT TURKS AND CAICOS ISLANDS SURINAME SAINT KITTS AND NEVIS SAINT VINCENT AND THE GRENADINES BELIZE CURACAO GRENADA SAINT LUCIA DOMINICA ANTIGUA AND BARBUDA HAITI GUYANA THE BAHAMAS SINT MAARTEN UNITED STATES VIRGIN ISLANDS CAYMAN ISLANDS BERMUDA JAMAICA BARBADOS FRENCH GUIANA ARUBA TRINIDAD AND TOBAGO GUADELOUPE MARTINIQUE Confirmed cases Deaths Source: ECLAC, on the basis of Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins Alicia Bárcena, Executive Secretary of ECLAC The COVID-19 pandemic: the socioeconomic situation and social protection measures

  5. The region’s health-care sector is not well-prepared to address the COVID-19 pandemic Selected countries: hospital beds, 2014 a (Per thousand inhabitants) 16 13.4 14  Shortages of doctors, 11.5 nurses and hospital 12 beds (especially 10 intensive care beds, 8.2 8 with ventilators) 6.4 5.8  Health-care systems 6 4.3 are fragmented 3.8 3.8 3.4 4 3.1 3.0 2.9 2.9 2.6 between the public 2.1 1.7 1.6 1.3 1.3 2 sector, social insurance 0.7 and the private sector 0 GUY LAC VCT USA TTO SUR NOR FIN BRB DEU HTI BLZ LCA JAM BHS ITA ABW FRA KOR JAP Source: ECLAC, on the basis of World Health Organization Global Health Observatory. a Regional simple average of 29 countries. LAC = Latin America and the Caribbean Alicia Bárcena, Executive Secretary of ECLAC The COVID-19 pandemic: the socioeconomic situation and social protection measures

  6. In addition, there are considerable inequalities in access to health systems  Social expenditure on health in the Caribbean is 2.9% of GDP, well below the 6% suggested by the Pan American Health Organization and the World Health Organization Public and out-of-pocket health expenditure, 2017 (Percentages of GDP) 6 5 3.87 3.84 3.82 3.71 4 3.65 3.00 2.96 2.89 3 2.53 2.35 2.23 2.13 2.03 2 1 0 GRENADA ANTIGUA AND SAINT LUCIA SAINT KITTS BAHAMAS SAINT VINCENT AND GUYANA BARBADOS SURINAME AND TOBAGO DOMINICA BELIZE JAMAICA AND NEVIS THE GRENADINES TRINIDAD BARBUDA Public expenditure on health Out-of-pocket health expenditure Benchmark (PAHO): 6% public expenditure on health Source: ECLAC, on the basis of World Health Organization Global Health Expenditure Database. Alicia Bárcena, Executive Secretary of ECLAC The COVID-19 pandemic: the socioeconomic situation and social protection measures

  7. Five external transmission channels will affect the regional economy A drop in trade with A fall in commodity Disruption of global key trading partners prices value chains Heightened risk aversion and worse Less demand for tourism services global financial conditions Alicia Bárcena, Executive Secretary of ECLAC The COVID-19 pandemic: the socioeconomic situation and social protection measures

  8. Containment measures will carry a cost in terms of the output of sectors that account for 67% of GDP and employ 64% of formal workers Latin America and the Caribbean: 2018 formal Latin America and the Caribbean: 2018 GDP by employment by sectors of economic activity sectors of economic activity (Percentages) (Percentages) Sectors that Sectors that may shrink may shrink Commerce, 14% Commerce, hotels and 12% hotels and 25% restaurants 13% restaurants 10% Transport 6% 8% Transport 64% 67% 7% Business 19% Business 8% services services 2% Social 15% 25% Social services 6% 24% services 5% Alicia Bárcena, Executive Secretary of ECLAC The COVID-19 pandemic: the socioeconomic situation and social protection measures

  9. The region’s countries have taken immediate measures to contain the virus and protect the workforce and household income Total quarantine with working arrangements: legal Restriction and monitoring measures measures for teleworking, reduced working hours, for travellers from areas affected introduction of flexible hours, advance leave, and by COVID-19. protection of workers from dismissal. Flight bans (to and from specific Protection of the workforce and income: wage countries) and border closures. support to offset loss of income through advance Temporary school closures , distance payments, wage subsidies or the strengthening of learning and homeschooling with unemployment insurance and the suspension or asymmetries in connectivity. reduction of payments of contributions for water, gas and electricity services and to private pension Social distancing, with the closure of funds. restaurants, bars, cinemas, the encouragement of teleworking and Social protection to reduce the social impact on reduced office hours. those with the lowest incomes through subsidies, cash transfers or advance payments through ongoing Health infrastructure in the region is social programmes and social protection schemes. fragmented (2.5 beds / 1,000 people). SMEs and other companies: financial support for Strengthening of the capacity of the SMEs and the informal sector, in order for banks to health sector: beds, mobile hospitals, renegotiate or improve lending conditions for SMEs medical supplies. and the informal sector. Alicia Bárcena, Executive Secretary of ECLAC The COVID-19 pandemic: the socioeconomic situation and social protection measures

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