Access to Covid-19 vaccine critical in Middle East and Central Asia region's recovery: IMF
February 10 2021 08:20 PM
Health officials display vial of Russia’s Sputnik V vaccine against the coronavirus disease (Covid-1
Health officials display vial of Russia’s Sputnik V vaccine against the coronavirus disease (Covid-19), at Imam Khomeini Hospital, Tehran on February 9. The road to recovery for the Middle East and Central Asia region will hinge on containment measures, access to and distribution of vaccines, the scope of policies to support growth, and measures to mitigate economic scarring from the pandemic, says Jihad Azour, director, Middle East and Central Asia Department, IMF.

Access to the Covid-19 vaccine will play a critical role in the recovery ahead in the Middle East and Central Asia region, said Jihad Azour, director, Middle East and Central Asia Department at the International Monetary Fund (IMF).
The road to recovery for the Middle East and Central Asia region will hinge on containment measures, access to and distribution of vaccines, the scope of policies to support growth, and measures to mitigate economic scarring from the pandemic, Azour noted.
The virus’s second wave, which began in September, hurt many countries in the region, where infection and death rates far surpassed those seen during the first wave.
Most countries resumed selective restrictions to help lessen their negative humanitarian and economic impact, while some have started vaccination campaigns, Azour wrote recently.
Since IMF’s October Regional Economic Outlook, growth estimates for 2020 have been revised up for the Middle East and North Africa region by 1.2 percentage points, to an overall contraction of 3.8%. This is largely driven by stronger-than-expected performance among oil exporters, as the absence of the second wave in some countries boosted non-oil activity, and the impact of the first wave was lower than expected.
For 2021, IMF projections relative to October are broadly unchanged but reflect significant differences among countries: those with diversified vaccine providers and production have more favourable or broadly unchanged forecasts, while the outlook for those with more limited access to vaccines and those harder hit by the second wave looks weaker, he said.
Additionally, countries that put in place stronger fiscal and monetary support in response to Covid-19 are also expected to have a stronger recovery, aided by a “shallower trough” in 2020.
Nonetheless, recovery in the Middle East and Central Asia region’s emerging markets is projected to lag that of their peers elsewhere, with most countries not recouping 2019 GDP levels until 2022. Fragile and conflict-affected states will be especially battered, with 2021 GDP levels projected at 6 percent lower than in 2019.
“Risks remain high,” Azour said and noted, “Renewed infections could delay recovery in the absence of vaccines and policy space. Recent mutations of the virus could pose additional challenges. Further spending needs could exacerbate debt sustainability concerns in several countries, especially if a sharp rise in global risk premia or higher-than-expected increase in global interest rates tighten financing conditions and raise roll-over risks. Lastly, delays in or mismanagement of vaccine distribution, together with higher vulnerabilities, could rekindle social unrest.
“While vaccines shine a light of hope, the path will be long and winding. In the short term, the main priority remains ensuring that healthcare systems are adequately resourced, including funding vaccine purchases and distribution as well as continuing investment in testing, therapies, and personal protective equipment. People’s health will be critical to anchor the recovery.
“Balancing between supporting the recovery and preserving debt sustainability will be challenging for the region, given that fiscal space is limited (fiscal balances worsened by more than 5 percentage points of GDP in 2020 for one-third of the countries) and consolidation will need to resume in 2021 for numerous countries.”
If renewed infections endanger the recovery, countries that have some fiscal space could reinforce temporary support – until wide vaccine availability – through lifelines to vulnerable households and viable firms.
Countries with narrow or no fiscal space, whose debt to GDP reached an average of 72% in 2020 (an increase of 11 percentage points), should maintain or reallocate spending towards targeted policies with the largest social and economic impact, such as priority health spending, investing in youth, and upskilling the labour force. Given narrow fiscal space, to support demand, monetary policy should remain accommodative where inflation and external sustainability are not at risk.
In countries with flexible currencies, the exchange rate should continue to act as a buffer when needed, he said.
International and regional co-operation are essential in a world facing an uneven recovery and with vaccine haves and have-nots, he said. Enhancing transparency around vaccine contracts would safeguard access on equal terms. Supporting poorer countries and countries in fragility or conflict to ensure equitable access is critical, as is the need to bolster funding for COVAX.
Regional coordination would facilitate redistribution of excess vaccines from those that have secured surplus (including from domestic production capacity) to those with insufficient supplies. Fragile and conflict-affected states should receive priority to prevent further humanitarian tragedies.
The IMF, which provided sizeable financing to the region last year ($17.3bn), stands ready to continue helping countries tackle the crisis and shift towards recovery through financing, technical assistance, and policy advice.
While much work remains to tackle the immediate crisis, the region must also move swiftly and in parallel on building a resilient, stable, and more inclusive post-pandemic recovery.
“To accelerate the recovery and avoid a lost decade, work should start now on high-quality investment in green infrastructure and digitalisation,” Azour said.



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