Health and Healthcare Systems

Here’s how governments can drive a sustainable recovery from COVID-19

COVID-19 coronavirus economics financial recovery

The global fiscal support reached nearly $14 trillion as of end-December 2020 and has increased by $2.2 trillion since October 2020 Image: Pixabay/nattanan23

Vitor Gaspar
Director of the Fiscal Affairs Department, IMF
Raphael Lam
IMF Deputy Resident Representative for China, IMF
Paolo Mauro
Deputy Director, Fiscal Affairs Department, IMF
Mehdi Raissi
Senior Economist in the Fiscal Affairs Department, IMF
  • The IMF's January 2021 Fiscal Monitor Update shows how governments have been supporting people and organizations during COVID-19.
  • It also outlines what more governments can do to achieve a greener, fairer, and more durable recovery.
  • Support from governments has varied across countries depending on their economic situation.
  • Governments need to meet vaccination goals and be flexible as people's financial needs change.

The COVID-19 pandemic is accelerating in many countries and uncertainty is unusually high. Decisive government actions are necessary to ensure swift and extensive vaccine rollouts, protect the most vulnerable households and otherwise viable firms, and foster a durable and inclusive recovery.

Most countries will need to do more with less, considering the increasingly tight budget constraints.

Many countries have continued to support people and firms amid the resurgence of infections and renewed restrictions, while calibrating their responses to the evolving economic situation. The January 2021 Fiscal Monitor Update provides an overview of such efforts and outlines what more governments can do to achieve a greener, fairer, and more durable recovery.

Have you read?

Government support has helped people and firms

The global fiscal support reached nearly $14 trillion as of end-December 2020, up by about $2.2 trillion since October 2020. It comprises $7.8 trillion in additional spending or (to a lesser extent) measures to forgo revenues and $6 trillion in guarantees, loans, and equity injections (country details here).

This support has varied across countries depending on the impact of the pandemic-related shocks and governments’ ability to borrow. In advanced economies, fiscal actions cover several years (exceeding 4 percent of GDP in 2021 and beyond). In contrast, support in emerging markets and developing countries was frontloaded, with a large share of measures expiring. Together with economic contraction that has resulted in lower revenues, such support has led to a rise in public debt and deficits. Average public debt worldwide approached 98 percent of GDP at end-2020, compared with 84 percent projected pre-pandemic for the same date.

A graph to show the cost of government financial support across advanced, middle-income and low-income economies.
In low-income countries, the fiscal policy response has been more restricted. Image: International Monetary Fund

Advanced economies recorded the largest increases in fiscal deficits and debt, reflecting both higher spending and declines in revenue. In emerging markets, the rise in deficits stemmed largely from depressed tax receipts due to the economic recession. In low-income countries, the fiscal policy response has been more limited, owing to financing constraints and less developed welfare programs. The pandemic thus risks leaving a lasting impact, including higher poverty and malnutrition, in these countries.

A diagram to show the varied fiscal responses across a range of economies
The pandemic may leave a negative, lasting impact in low-income countries Image: International Monetary Fund

Fiscal support needs to be available until the recovery is well under way

Global cooperation on producing and widely distributing treatments and vaccines to all countries at low cost is crucial. Vaccination is a global public good that saves lives and will eventually save taxpayers’ money in all countries. The sooner the global pandemic ends, the quicker economies can return to normal and people will need less government support.

Given the unusually high uncertainty, policies should respond flexibly to the changing economic and pandemic conditions, as needed and appropriately differentiated. Most countries will need to do more with less, considering the increasingly tight budget constraints. This means focusing on the hardest-hit and most vulnerable, including the poor, women, and informal workers, and firms that are likely to remain viable after the crisis or are systemically important to the economy.

Many low-income countries will face challenges even after doing their part. They will need additional assistance, including through grants, concessional financing, the extension of the Debt Service Suspension Initiative, or, in some cases, debt restructuring. Quick operationalization of the Common Framework for Debt Treatments and expansion of the eligibility of debtor countries will be essential.

Fiscal policy should enable a green, digital, and inclusive transformation of the economy in the post-COVID19 environment. Priorities include:

  • Investing in health systems (including vaccinations), education, and infrastructure.
  • A coordinated green public investment push by economies with fiscal space can foster global growth.
  • Projects—ideally with the participation of the private sector—should aim at mitigating climate change and facilitating digitalization;
  • Helping people go back to work and move between jobs, if needed, through hiring subsidies, enhanced training and job search programs;
  • Strengthening social protection systems to help counter inequality and poverty;
  • Rethinking tax systems to promote greater fairness and provide incentives to protect the environment; and
  • Cutting wasteful spending, strengthening the transparency of spending initiatives, and improving governance practices to reap the full benefits of fiscal support.

Policymakers will have to strike a balance between providing more short-term support to ensure a solid recovery and keeping debt at a manageable level over the longer term. Developing credible multiyear frameworks for revenue and spending (including how to strengthen fiscal positions over the medium term) will be vital, especially where debt is high and financing is tight.

In short, governments need to win the vaccination race, respond flexibility to the changing economic conditions, and set the stage for a greener, fairer, and more durable recovery.

Loading...
Don't miss any update on this topic

Create a free account and access your personalized content collection with our latest publications and analyses.

Sign up for free

License and Republishing

World Economic Forum articles may be republished in accordance with the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Public License, and in accordance with our Terms of Use.

The views expressed in this article are those of the author alone and not the World Economic Forum.

Stay up to date:

Pandemic Preparedness and Response

Related topics:
Health and Healthcare SystemsEconomic Growth
Share:
The Big Picture
Explore and monitor how Pandemic Preparedness and Response is affecting economies, industries and global issues
World Economic Forum logo

Forum Stories newsletter

Bringing you weekly curated insights and analysis on the global issues that matter.

Subscribe today

These collaborations are already tackling climate-driven health risks but more can be done to find solutions

Fernando J. Gómez and Elia Tziambazis

December 20, 2024

Investing in children’s well-being: The urgent need for expanded mental health and psychosocial support funding

About us

Engage with us

  • Sign in
  • Partner with us
  • Become a member
  • Sign up for our press releases
  • Subscribe to our newsletters
  • Contact us

Quick links

Language editions

Privacy Policy & Terms of Service

Sitemap

© 2024 World Economic Forum