Death, debt and opportunity: cost of COVID-19 in Africa Pretoria, South Africa – COVID-19 has created a human development crisis in Africa but is an opportunity to accelerate infrastructure investment and economic reform to boost the continent’s prospects when the pandemic subsides.
Crowded informal urban settlements have made physical distancing difficult and may make Africa particularly susceptible to COVID-19. This is exacerbated by limited access to safe water, undernourishment, poorly funded health systems and underlying health conditions like tuberculosis (TB) and HIV/AIDS.
Forecasts of infections and deaths vary widely, but the social and economic impact of the pandemic is already being felt and may trigger a series of debt crises, says a new report by the Institute for Security Studies (ISS), Gordon Institute of Business Science (GIBS) and Frederick S Pardee Center for International Futures. The research was funded by Humanity United and the Hanns Seidel Foundation (HSF).
‘The study comes at a very important time and is the first comprehensive long-term forecast of the health and economic impact of the pandemic on Africa up to 2030,’ said Markus Ferber, Member of the European Parliament and HSF Chairman. ‘Africa will be extremely hard hit, but the crisis also offers an opportunity for a sustainable economic transformation. These insights are valuable for the EU-Africa summit in October. It is in Europe’s own interest to support Africa in its crisis management.’
The study uses the International Monetary Fund’s April 2020 growth forecast, combined with mortality data from Imperial College in London to model three scenarios on the likely impact of COVID-19 on Africa’s economic growth, per capita income, poverty and Sustainable Development Goal (SDG) targets.
Mortality rates are to date significantly lower than other regions of the world, probably due to Africa’s younger population, but community transmission is accelerating. Considering forecasted rates of infection, COVID-19 is expected to have a relatively low mortality. Between 350 000 and 1 450 000 additional deaths may be due to COVID-19 in 2020, but likely much less thereafter.
The study concludes that direct and indirect COVID-19-related mortality would result in between 1.8 and 5.3 million additional deaths in Africa by 2030. Currently about 700 000 Africans die from AIDS, and slightly fewer from malaria every year.
Indirect mortality generally results from lower government revenues and reduced health spending. With Ebola in Guinea, Liberia and Sierra Leone from 2014 to 2016, resources diverted from basic health care prompted increases in malaria, HIV/AIDS, TB and maternal mortality. If the same happens with COVID-19, then HIV, TB and malaria deaths may increase by up to 36% in Africa over five years.
Government revenues in Africa are estimated to drop in 2020 by US$45 billion from the pre-COVID forecast, and the report calculates that public and private health expenditure will decline by US$3.7 billion. Economic recovery is likely to be gradual after lockdowns in Africa are fully lifted, worsened by an expected collapse in tax revenues and falls in employment and household income.
Economic contraction is compounded by many African countries’ high levels of debt. Costs of servicing debt have increased to roughly US$40 billion annually, driven higher by depreciation of many African currencies in 2020. COVID-19 is thus likely to trigger a debt crisis and potentially a default by some countries.
On average, debt is expected to increase by about 4.4 percentage points of GDP in 2020. Debt suspension or cancellation would be a powerful tool to supplement African countries’ efforts to deal with the pandemic and help their economies towards recovery, the report says.
The contraction in African economies will likely see a rise in foreign aid’s contribution to GDP. Africa will for several years become more dependent on aid, and faces the conundrum of having to spur domestic investment while constraining public expenditure.
The impact of COVID-19 on extreme poverty is particularly severe. Already in 2020 an additional 12 million Africans have income below the US$1.90 extreme poverty threshold, rising to up to 26 million people in 2021. About 570 million Africans were expected to be living in extreme poverty by 2030, but COVID-19 could push it to 631 million.
The proportion of Africa’s undernourished population is set to increase, and infant mortality will by 2030 be three times higher than the UN’s 2030 target in the SDGs.
Beyond emergency policies to fight the pandemic, there is a need to build resilience and improve long-term growth prospects by spending more effectively on health, investing in basic infrastructure and driving economic transformation.
Urbanisation has seen the rapid growth of informal settlements without the basic infrastructure to cope with a large influx of people on top of natural population growth. Africa’s urban population is forecast to more than double by 2050, adding more than 800 million people to its cities. The pandemic presents an opportunity for African countries to make provision of water and sanitation a focus of their economic recovery stimulus, and improve a range of development indicators in the process.
COVID-19 may accelerate a digital transition and facilitate technology leapfrogging to a more sustainable economy fueled by renewable energy. Modern technology can help to overcome much of Africa’s basic infrastructure gap. This is through a combination of smart metering, big data, geolocation and the internet of things to establish smart grids and solar home systems, map sanitation facilities and water points, mitigate peak traffic and manage waste.
COVID-19 also underscores the importance of accelerating structural transformation towards labour-absorptive growth of formal sectors, and economic diversification away from reliance on commodities.