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拉美和加勒比海地区新冠疫情冲击和政策反思(2022年)

时间:2022-07-04 13:00:02 来源:网友投稿

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拉美和加勒比海地区新冠疫情冲击和政策反思(2022年)

 

 ribbean

 (LCR CE)

 and

 the

 Macr oeconomics,

 T rade

 and

 In v estment

 (MTI)

 Global

 Practice at

 the

 W orld

 Bank.

 I ts

 preparation

 w as

 led

 b y

 Martin

 Rama

 ( Chief

 Economist,

 LCR CE),

 in

 close

 collaboration

 with

 J org e

 Araujo

 (Practice

 Manag er ,

 ELCMU).

 close

 T HE

 C O S T

 OF

 S TA y ING

 H E AL TH y

 A C k NO w LEDGEMENT S

  5

  Ackno wl edg ements

 A

 This

 r eport

 is

 a

 joint

 pr oduct

 of

 the

 Chief

 Economist

 office

 f or

 Latin

 America

 and

 the

 Ca -

 T

  Substanti v e

 contributions

 to

 the

 r eport

 w er e

 made

 b y

 Guillermo

 Be y lis

 (Economist ),

 Ir ene

 Ez - ran

 ( Consultant ),

 Elena

 Iancho vichina

 (Lead

 Economist ),

 Miguel

 R osales

 Leg orr eta

 ( Consultant ), D aniel

 Riera-Crichton

 (R esear ch

 Economist ),

 Rucheta

 Singh

 ( Consultant )

 and

 Guillermo

 V ule -

 Subs ran

 ( D ani

 tin

 ( Senior

 Economist ),

 all

 with

 LCR CE.

 tin

 ( S

  The

 team

 at

 the

 Chief

 Economist

 office

 f or

 Latin

 America

 and

 the

 Caribbean

 pr oduced

 back - ground

  papers

  on

  fiscal

  multipliers

  fr om

  social

  transfers

  to

  households,

  on

  the

  no w casting

 of economic

 acti vity

 based

 on

 satellite

 imag ery ,

 and

 on

 the

 d ynamics

 of

 heath

 and

 economic

 out -

 The gr ou econ

 comes

 acr oss

 countries.

 come

  A

 background

 paper

 on

 the

 pharmaceutical

 industry

 in

 the

 r egion

 w as

 also

 commissioned

 fr om

 A

 bac

 V er ónica

 V argas

 ( V isiting

 F ello w ,

 Harv ar d

 U ni v ersity )

 and

 a

 stud y

 of

 the

 g o v ernment

 procur e -

 V er ó

 ment

 of

 medical

 supplies

 and

 pharmaceuticals

 fr om

 Ale xandr e

 Borg es

 de

 O li v eira

 (Lead

 Pr o -

 ment

 cur ement

 S pecialist )

 and

 Mihaly

 F azekas

 (Assistant

 Pr of essor ,

 Central

 European

 U ni v ersity ).

 cur e

  Country -specific

  macroeconomic

  estimates

  and

  write-ups

  w er e

  pr oduced

  b y

  country

  econo -

 Coun

 mists

 in

 the

 MTI

 Global

 Practice

 coor dinated

 b y

 J ames

 Sampi

 (Economist,

 ELCMU),

 and

 includ -

 mists

 ing

 Sonia

 Araujo,

 Matias

 Arnal,

 D aniel

 Barco,

 Rafael

 Barr oso,

 Elena

 Bondarenko,

 Bledi

 Celiku,

 ing

 S

 F abiano

 Colbano,

 Barbara

 Cunha,

 Simon

 D a vies,

 Anton

 Dobronog o v ,

 Jo zef

 Draaisma,

 P aolo

 Du -

 F abia

 dine,

 J ulian

 F olgar ,

 F ernando

 Giuliano,

 Mar ek

 Hanusch,

 J ohannes

 H er derschee,

 E v ans

 J adotte,

 dine,

 Santiag o

  J ustel,

  E w a

  K or czy c,

  Ran

  Li,

  Rohan

  Longmor e,

  D avid

  Mac W illiam,

  Kirsten

  M cLeod,

 Santi

 Eduardo

  O laberria,

  Rafael

  Ornelas,

  Ruslan

  Piontki v sky ,

 Andr es

  Roseroi,

  Dieg o

 T uzman,

  J ulio

 Edua

 V elasco,

 Gabriel

 Zaourak,

 and

 Christian

 Zambaglione.

 V elas

  A dditional

 inputs

 on

 health

 and

 po v erty

 w er e

 pr o vided

 b y

 teams

 led

 b y

 Michele

 Granolati

 (Prac - tice

 Manag er ,

 HLCHN)

 and

 Ximena

 del

 Carpio

 (Practice

 Manag er ,

 ELCPV),

 r especti v el y .

  A dministrati v e

 support

 w as

 pr o vided

 b y

 J acqueline

 Larrabur e

 (Pr ogram

 Assistant,

 LCR CE).

 Ale -

 A ddi tice

  A dm

 jandr o

 Espinosa

 ( Sonideas ),

 Shane

 Kimo

 Romig

 (LCREC),

 Carlos

 Molina

 ( Online

 Communica -

 jandr

 tions

 Officer ,

 LCREC)

 and

 Gonzalo

 V illamizar

 ( Consultant,

 LCREC)

 contributed

 on

 design

 and communication.

  The

 cutoff

 date

 f or

 this

 r eport

 w as

 October

 1,

 2020 .

 tions com

  The

  6

 T HE

 C O S T

 OF

 S TA y ING

 H E AL TH y

 ILLUSTRA TION

 BASED

 ON

 PHO T O

 B Y :

 ALBER T O

 PICHARDO / S ONIDE AS . C O M

  T HE

 C O S T

 OF

 S TA y ING

 H E AL TH y

 T ABLE

 OF

 C ONTENT S

  7

 T ab l e

 of

 c ont ents

  Ackno wl edg ements

  .......................................................................... 5

 Ex ecutiv e

 summary

  ........................................................................... 9

 1 One

 of

 the

 w orst

 cris es

 e v er

  ....................................................... 14

 A

 ba d shock in

 an

 a lr e a dy

 struggling

 r egion

  ...................................................................... 15

 Some wel c ome

 surpris es

 on the

 up side

  ........................................................................... 17

 A

 str ong

 polic y

 r esponse

 despit e

 limit ed

 fis c a l

 spa c e

  ....................................................... 20

 Damaging

 ec onomic and

 s oci a l

 impa c ts

  ........................................................................... 21

 2 The

 outl ook

 f or

 the

 r egion

  ......................................................... 24

 Soci a l

 tr ansf er s

 as

 a

 s a ving

 gr a c e

  ....................................................................................... 25

 As s es sing

 the

 e xt ent

 of

 the

 dama g e

  ................................................................................. 27

 Ec onomic a c tivit y

 in

 the

 thir d quar t er

  .............................................................................. 28

 3 The

 c o st

 of

 c ont aining

 the

 pandemic

  .......................................... 34

 T r a deoff s

 fr om

 the

 pandemic

 in

 rich

 and

 poor c ountries

  ................................................. 35

 He a lth

 c o sts

 and

 ec onomic c o sts

 s o

 f ar

  ........................................................................... 37

 4 He a lth

 c ar e

 c o sts

 in

 norma l

 times

  ............................................... 40

 The r es our c es

 de v o t ed

 t o

 he a lth

 c ar e

  .............................................................................. 41

 The or g aniza tion of

 the

 pharma c eutic a l

 s ec t or

  ................................................................ 44

 Public

 pr ocur ement

 of

 medicines

  ..................................................................................... 46

 5 The

 w a y

 f orw ar d

  ....................................................................... 50

 Living

 with

 the

 virus

 whil e

 w aiting

 f or

 the

 v a c cine

  ............................................................ 51

 Expanding

 eff ec tiv e

 he a lth

 c ar e

 c o v er a g e

  ......................................................................... 52

 K eeping

 medicines

 aff or dable

  ........................................................................................... 52

 Re as s es sing

 inf orma lit y

 ..................................................................................................... 56

 Recre a ting

 polic y

 spa c e

  .................................................................................................... 57

 6 C ountry

 brief s

  .......................................................................... 60

 Ref er enc es

  ...................................................................................... 73

  8

 T HE

 C O S T

 OF

 S TA y ING

 H E AL TH y

  ILLUSTRA TION

 BASED

 ON

 PHO T O

 B Y :

 ALBER T O

 PICHARDO / S ONIDE AS . C O M

  L

 L

 E

 Ex e cutiv e

 summary

  a n t

 nomi pr og

 atin

 America

 and

  the

  Caribbean

  is

  the

  r egion

  har dest

  hit

  b y

 the

  Co vid-19

  pandemic.

 The number

 of

 deaths

 per

 million

 people

 is

 as

 high

 as

 in

 ad v anced

 economies,

 if

 not

 mor e,

 but

 been certa

 the

 r esour ces

 a v ailable

 to

 counter

 the

 shock

 ar e

 much

 mor e

 constrained.

 The

 r esulting

 eco -

 do wn

 nomic

 crisis

 arri v es

 on

 the

 back

 of

 se v eral

 years

 of

 disappointing

 economic

 gr o wth

 and

 limited pr ogr ess

 on

 social

 indicators,

 and

 right

 after

 a

 w a v e

 of

 social

 unr est.

 The

 impact

 of

 Co vid-19

 has been

 f elt

 thr ough

 multiple

 channels,

 including

 lo w er

 f or eign

 demand,

 incr eased

 economic

 un -

  On

  t been

 certainty ,

 a

 collapse

 of

 tourism

 flo w s

 and,

 especially ,

 the

 consequences

 of

 months

 under

 lock -

 modi

 do wn

 to

 trying

 to

 contain

 the

 spread

 of

 the

 disease.

 high

 The

 s

 On

  the

  positi v e

  side,

  international

  de v elopments

  ha v e

  been

  less

  unfa v orable

  than

  could

  ha v e been

 anticipated

 six

 months

 ag o.

 Global

 trade

 in

 g oods

 is

 r eturning

 to

 pr e-crisis

 le v els

 and

 com - modity

 prices

 ha v e

 held

 r elati v el y

 w ell.

 After

 a

 sharp

 initial

 decline,

 r emittances

 ar e

 g enerall y

 spite

  And

 higher

 than

 a

 y ear

 earlier ,

 and

 f e w

 countries

 ha v e

 lost

 access

 to

 international

 financial

 mark ets.

 acr os

 The

 stimulus

 packag es

 set

 up

 b y

 se v eral

 g o v ernments

 in

 the

 r egion

 w er e

 r emarkabl y

 r obust,

 de -

 cond

 spite

 the

 fiscal

 constraints,

 and

 much

 of

 the

 additional

 r esour ces

 w ent

 to

 social

 transf ers.

 that

 s

 surv e

 And

  y et,

  the

  economic

  and

  social

  damag e

  is

  immense.

  U nemployment

  rates

  ha v e

  incr eased

 r e v ea

 acr oss

 Latin

 America

 and

 the

 Caribbean,

 sometimes

 substantially .

 A

 series

 of

 telephone

 surv e y s

 soon.

 conducted

 b y

 the

 W orld

 Bank

 in

 13

 countries

 in

 the

 r egion

 sho w s

 that

 the

 shar e

 of

 households that

 suff er ed

 a

 decline

 in

 income

 is

 e v en

 higher

 than

 the

 shar e

 e xperiencing

 job

 losses.

 A

 similar surv e y

 e x er cise

 b y

 the

 W orld

 Bank

 f ocusing

 on

 firms

 and

 co v ering

 fi v e

 countries

 in

 the

 r egion, r e v eals

 that

 a

 larg e

 shar e

 of

 the

 r espondents

 has

 fallen

 in

 pa yment

 arr ears

 or

 anticipate

 doing

 so soon.

 The

 findings

 of

 these

 rapid

 r esponse

 assessments,

 summarized

 in

 this

 r eport,

 sugg est

 that the

 impact

 of

 the

 crisis

 is

 not

 onl y

 se v er e

 but

 also

 potentiall y

 long-lasting.

  One

 r eason

 to

 temper

 the

 most

 pessimistic

 f or ecasts

 is

 the

 r emarkabl y

 larg e

 scale

 of

 the

 stimu - lus

 packag es

 adopted

 b y

 se v eral

 g o v ernments

 in

 Latin

 America

 and

 the

 Caribbean.

 Fi v e

 of

 the ten

 social

 transf er

 pr ograms

 with

 the

 br oadest

 population

 co v erag e

 in

 the

 de v eloping

 w orld

 ar e

 the

 i

  One lus

 p ten

 s in

 th

  A

 firs larg e with

 in

 the

 r egion.

 sis

  co

  A

 first

 background

 stud ...

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