Partnerships for the Goals

Although the COVID-19 (coronavirus) crisis is, in the first instance, a physical health crisis, it has the seeds of a major mental health crisis as well, if action is not taken. Good mental health is critical to the functioning of society at the best of times. It must be front and centre of every country’s response to and recovery from the COVID-19 pandemic. The mental health and wellbeing of whole societies have been severely impacted by this crisis and are priorities to be addressed urgently. Rapid implementation of recommended actions will be essential to ensure people and societies are better protected from the mental health impact of COVID-19. The e-book for this policy brief has been converted into an accessible format for the visually impaired and people with print reading disabilities. It is fully compatible with leading screen-reader technologies such as JAWS and NVDA.

The remarkable growth of cities in recent decades has intensified a number of humanity’s most pressing challenges. It has also presented many of our greatest opportunities to protect people, prosperity and planet. COVID-19 (coronavirus) has laid bare – and indeed heightened – both these challenges and these opportunities. With an estimated 90 percent of all reported COVID-19 cases, urban areas have become the epicentre of the pandemic. In the near term, for many cities, the COVID-19 health crisis has expanded to a crisis of urban access, urban equity, urban finance, safety, joblessness, public services, infrastructure and transport, all of which are dis-proportionally affecting the most vulnerable in society.

Since the global financial crisis of 2008, public external debt in many developing countries has increased. The increasing indebtedness reflected the funding required to finance domestic investment-savings gaps. It was also encouraged by the long period of unusually low international interest rates and unprecedented levels of global liquidity associated with quantitative easing. Developing countries, including least developed countries (LDCs), increased access to commercial financing. Lending by non-Paris Club official creditors also increased. The negative economic, social and financial impacts will likely outlast the COVID-19 (coronavirus) pandemic and hit hardest poor, developing and highly indebted countries. Beyond dealing with the immediate pandemic, additional resources will also be needed to stimulate demand, regenerate jobs and restore supply capacity to pre-crisis levels, let alone to achieve the SDGs. The e-book for this policy brief has been converted into an accessible format for the visually impaired and people with print reading disabilities. It is fully compatible with leading screen-reader technologies such as JAWS and NVDA.

Human rights are key in shaping the COVID-19 (coronavirus) pandemic response, both for the public health emergency and the broader impact on people’s lives and livelihoods. Human rights put people centre-stage. Responses that are shaped by and respect human rights result in better outcomes in beating the pandemic, ensuring healthcare for everyone and preserving human dignity. But they also focus our attention on who is suffering most, why, and what can be done about it. They prepare the ground now for emerging from this crisis with more equitable and sustainable societies, development and peace. The e-book for this policy brief has been converted into an accessible format for the visually impaired and people with print reading disabilities. It is fully compatible with leading screen-reader technologies such as JAWS and NVDA.

In the space of nine months, COVID-19 (coronavirus) has spread to more than 190 countries, with over 30 million cases reported. Over one million lives have been lost. The pandemic has laid bare long-ignored risks, including inadequate health systems, gaps in social protection and structural inequalities. It has also brought home the importance of basic public health, and strong health systems and emergency preparedness, as well as the resilience of a population in the face of a new virus or pandemic, lending ever greater urgency to the quest for universal health coverage (UHC). Health is a fundamental human right, and universal health coverage is a critical tool for achieving health for all. Universal health coverage is defined as a situation where all individuals and communities receive the health services they need without undue financial hardship. However, at least half of the world’s population still do not have full coverage of essential health services, and over 800 million people spend at least 10 per cent of their household budgets to pay for health. It will be important to remove as much as possible financial barriers to accessing health services. This is challenging during an economic recession, but COVID-19 has shown that effective epidemic control benefits the economy. It has also exposed the down sides of financing health coverage primarily through wage-based contributions. In the context of a global economic crisis where unemployment increases, and where entitlement to services is linked to such contributions, access to health services is reduced at the time people need it the most.

Without aggressive policy action, the COVID-19 (coronavirus) pandemic could turn into a protracted debt crisis for many developing countries. The note puts forward concrete proposals to expand on the G20 bilateral debt moratorium and to facilitate investments in recovery and the SDGs, including for highly-indebted middle-income countries that request a standstill, and by bringing in other creditors. Time gained by the standstill must be used to develop sustainable solutions to the debt challenges of developing countries—to ‘build back better’. Such debt relief should be part of broader financing and recovery strategies that take SDG investment needs into consideration, for example through country-led Integrated national financing frameworks. This is also the the time to also address long-standing gaps in the international financial architecture for sovereign debt.