More than 2.2 million COVID-19 infections have been registered in the MENA region (including Iran, where more than 26,000 people have already died and infection rates continue to surge). Among Arab economies, Iraq has the most confirmed cases, followed by Saudi Arabia and Morocco 1.
Despite varying levels of health system preparedness across the region, MENA countries’ overall health management strategies – characterised by strict containment measures implemented in the very early stages of the outbreak – have proven efficient in limiting human losses and the spread of the pandemic in the region. Following a prudent de-confinement process engaged from May to August, mainly easing restrictions on movement, re-opening of borders and economic activities, new infections have been flattened in the Gulf countries. Unfortunately, an emerging second wave is currently affecting the Maghreb and the most fragile countries in North Africa and the Levant, some of which have re-established stricter measures (local lockdowns, school closures) to contain the virus from spreading too rapidly again. The situation is particularly worrying in Lebanon, which has recorded a continuous increase in cases since the blast that hit the port of Beirut on 4 August, while economic pressures are affecting compliance with lockdown measures.
The pandemic is challenging MENA medical systems, some of which are particularly weak and overcrowded. The situation is, obviously, not the same for the richer Gulf countries, the developing economies in the Levant or North-Africa, or in fragile and conflict-affected countries such as Iran, Syria, Iraq, the Palestinian Authority, Yemen and Libya, where the lack of hospital beds and testing capacities is a cause of concern. The first wave has left public hospitals and their personnel exhausted in Lebanon, Morocco or Tunisia, and has severely impacted public trust on the credibility of official figures and the overall management of the crisis. On the other hand, some countries have adopted rapid, decisive and/or innovative measures to contain the virus, such as the smooth crisis management developed by Jordan, virtual doctors and sanitising robots in the UAE, or ramping up domestic masks and test production in Morocco. Healthcare co-operation and innovation was also considerably boosted, in particular in the area of vaccine research. This highlights the significant differences in between countries in terms of their capacity to react on the healthcare side.
The crisis is also testing the public sector, forcing governments to make quick decisions, manage crisis co-ordination and implement drastic measures to protect communities at risk. Many administrations have demonstrated strong capacity to mobilise and implement prevention measures, while preparing for stimulus packages to support households and firms. This crisis emphasises the importance of underlying structural issues, such as transparency and the fight against corruption, effective public procurement, the maturity of digitalisation and open government approaches, as well as a strengthened role for civil society. Governments’ willingness to collaborate with civil society has been key for effective crisis response in many countries. Public governance measures should be used to ensure the continuity of response and essential services by public institutions, while enhancing public sector resilience and adaptability and restoring the population’s trust in public institutions. The crisis has underscored the need to accelerate public administration reform to create a more professional, efficient, effective, transparent and user-oriented public sector.
Despite the large fiscal packages announced in most countries, the pandemic is already causing a dramatic economic cost, with both a negative demand/supply shock and a shock from the collapse of oil prices.2 As countries have taken a series of containment measures limiting transportation and economic activity, these are strongly weighing on the ability of people to go to work and on businesses to continue contributing to the economy. At the same time, the region suffers from a drop in demand at the regional and at global levels, while most supply chains are disrupted. The effects of containment measures on the services sector, which employs a large number of people in the region (in particular in the tourism industry), will cause wide reverberations if unemployment rises and wages and remittances fall. Further, bottoming crude oil prices have put additional strain on even the region’s wealthiest countries, through reduced investments from Gulf countries, which are the largest investor in the region, as well as substantial lower remittances from Gulf countries and work opportunities in the richer GCC region for nationals of other MENA countries. Overall, the region could lose about USD 42 billion of GDP this year3.
It will be critical to monitor the social consequences of the crisis, especially for the most vulnerable (women, youth, elderly, informal workers, refugees). While welfare provisions and social safety nets were often considerably expanded, the United Nations Economic and Social Commission for West Asia (UNESCWA) estimates that the economic slowdown caused by the pandemic will cause an additional 8.3 million people to fall into poverty4. The pandemic might dramatically increase inequalities. School closures risk weighing on the future development of MENA societies. In light of their demographic weight in the region, ensuring that all young people have the opportunity to succeed at school and develop the knowledge, skills, attitudes and values that will allow them to contribute to society should stand high on the recovery agendas.
The impact of the COVID-19 is testing the region’s fragile resilience. It may further exacerbate regional competition and political instability as well as fragility in some cases. The outbreak of the virus has indeed impacted political developments within MENA economies, and their capacity to restore and support their social contracts is being increasingly questioned. Demonstrations in Algeria and Lebanon have been put to a halt due to the sanitary crisis. Hit by a cataclysmic blast at Beirut’ main port and daily spikes in COVID-19 cases, Lebanon is crippled by the impact of multiple shocks which have exhausted its economy and caused an unprecedented poverty increase, where more than 55% of the country’s population is now trapped in poverty and struggling for bare necessities, as per UNESCWA. In fragile and conflict-affected countries, economic reconstruction plans will need to materialize to provide for minimum levels of stability.
Like for OECD countries, the crisis could, still, offer an opportunity to engage in a comprehensive reform agenda addressing some of the region’s underlying structural issues (decentralisation, private sector development, social protection) and supporting a more inclusive growth model (economic diversification, health and education spending, industrial innovation and participation in regional value chains), building on all segments of the society. Success stories at the national level should be recognised and made widely known. The pandemic is a call to renew the commitment to the Sustainable Development Goals. Looking ahead, in a region with very heterogeneous situations for the capacity of the civil society to operate with autonomy, it will be important to monitor the impact of the pandemic on the rule of law and governance frameworks. Indeed, new laws and controls put in place to contain the pandemic may have long-term negative effects on the space in which the civil society operates. In a moment where the contribution of all to face the unprecedented economic and social challenges is more necessary than ever, empowering people remains critical.