Pakistan’s vaccination campaignOn July 17, 2021, COVAX gave 1.2 million doses of the AstraZeneca COVID-19 vaccine to Islamabad, Pakistan. These doses are an addition to five million COVID-19 vaccines already delivered to Pakistan by COVAX. By July 17, 2021, Pakistan had fully vaccinated 4.5 million people and partially vaccinated 18 million people. The new batch of vaccines will assist the government of Pakistan’s vaccination campaign, which started in February 2021.

The COVAX Initiative

COVAX, an international coalition led by Gavi, the Vaccine Alliance, WHO, CEPI and UNICEF, aims to ensure equitable access to COVID-19 vaccines. These organizations have teamed up with manufacturers to secure COVID-19 vaccine doses as well as manage the “freight, logistics and storage” of the vaccines.

Through COVAX, vaccines will be delivered to “92 low- and lower-middle-income countries” as well as “more than 97 upper-middle-income and high-income nations.” With these vaccine equity efforts, COVAX aids more than 80% of the global population. So far, COVAX has assisted Pakistan’s vaccination campaign by supplying 2.4 million doses of AstraZeneca, roughly 100,000 doses of Pfizer and 2.5 million Moderna vaccines to Pakistan.

COVID-19 in Pakistan

Pakistan was seeing slow economic improvement prior to the pandemic with yearly per capita growth averaging just 2%. Since the onset of COVID-19, Pakistan has now surpassed one million COVID-19 cases with more than 24,000 deaths. Furthermore, COVID-19’s impacts have left about 50% of the working class jobless and many of those who retained employment saw their income decrease. Informal and lower-skilled employees were the most impacted by unemployment. Like many countries, poverty has risen in Pakistan, with more than two million people pushed under the international poverty line in 2020. According to the World Bank, poverty incidence increased from 4.4% to 5.4% in the 2020 fiscal year.

Pakistan’s Vaccination Campaign

In the months following the lift of lockdowns in May 2020, Pakistan’s economy had been slowly recovering as the industry and service sectors became more active and production increased. Pakistan’s vaccination campaign is essential to stop the spread of COVID-19 and continue economic progress.

The World Health Organization’s Pakistan representative, Dr. Palitha Mahipala, praised the country’s vaccination campaign. She described the reach of the vaccination effort as a “remarkable achievement.” According to Dr. Mahipala, Pakistan distributes COVID-19 vaccines equitably, reaching citizens in even the most remote areas of Pakistan. Another UNICEF Pakistan representative, Aida Girma, says that the latest delivery of 1.2 million doses comes at a “critical time” as the Pakistani government aims to significantly boost its vaccination campaign to reach a greater portion of the population.

Looking to the Future

According to the World Bank, “the global economy is expected to expand 4% in 2021, assuming an initial COVID-19 vaccine rollout becomes widespread throughout the year.” Furthermore, according to the World Economic Forum, equitable access to COVID-19 vaccines means “10 major economies could be $466 billion better off by 2025.” These projections show that COVID-19 vaccination campaigns support economic recovery, nationally and internationally. With further support, there is hope for the full vaccination of Pakistan’s population in the near future, which will help boost the country’s recovering economy, contributing to overall global economic recovery.

Gene Kang
Photo: Wikimedia Commons

The Impact of COVID-19 on Poverty in Pakistan
As COVID-19 wreaks havoc on the developing world, the World Bank estimates that there will be between 119 to 124 million additional people added to poverty due to economic standstills. Developing countries are at high risk of an increase in poverty, including Pakistan. The impact of COVID-19 on poverty in Pakistan is substantial, but the government and other organizations have been cooperating to minimize the impact.

COVID-19’s Impact on Pakistan

In Pakistan, to date, there have been more than 22,000 COVID-19 related deaths. Vaccination programs have experienced delays, with only about 2% of the population of Pakistan currently vaccinated. To receive the vaccine, residents pay around $78, a luxury that many Pakistanis cannot afford. Due to the U.K. strain, cases are rising again. However, government officials are hesitant to enforce a strict lockdown as they did in March 2020. Rather, the government utilized the popular “smart” or “micro” lockdowns, where only specific areas go into lockdown. However, limited data exists on the success rates of these strategies.

Pre-Pandemic Pakistan

Even before the pandemic, Pakistan’s health system had limitations. According to the United Nations Development Programme (UNDP), before COVID-19, Pakistan had a ratio of one doctor to 963 people and a lack of universal healthcare. Before the virus, the poverty rate in Pakistan declined by 40% over the last two decades. However, the economic impacts of the pandemic halted poverty reduction progress.

The Impact of COVID-19 on Women and Children

COVID-19 has impacted women and children in Pakistan more significantly than men. Due to the virus, these vulnerable groups are suffering several consequences. Children are one of the most vulnerable groups in Pakistan. In June 2020, nearly 42 million children were out of school, with 17 million children younger than 5 missing routine vaccinations.

According to the International Labor Organization (ILO), the shutdowns due to COVID-19 have disproportionately affected women, and in particular, the garment industry, which makes up a substantial part of Pakistan’s exports. In Pakistan, the majority of the population has employment within the garment industry, with approximately one in seven women working in this sector.

To rectify the bleak situation, the Pakistan Workers Federation and the Employers Federation of Pakistan issued a joint statement of cooperation and the government provided wage support. These efforts also included a “no lay off” order and an interest rate reduction for employers who retain their employees.

The Good News

While the situation looks bleak, the government and organizations are taking action to relieve the impact of COVID-19 on poverty in Pakistan. The U.N. Development Programme established a COVID-19 Secretariat at Pakistan’s Planning Commission in 2020 to facilitate the economic and social response to the pandemic in conjunction with U.N. agencies. The Secretariat supported the Pakistani government’s 2020-2021 budget and National Action Plan for COVID-19.

To alleviate the lockdown’s hardships in 2020, the government issued unconditional cash transfers of approximately $70 to 12 million vulnerable households to prevent food insecurity. To continue to support the most vulnerable population, Ehsaas, the federal social protection program, made extra payments to 4.5 million families. Under the Ehsaas Emergency Cash initiative, another 7.5 million households received monetary assistance.

Dr. Sania Nishtar, the leader of Ehsaas, said in an interview with Mckinsey, that Ehsaas “invested” heavily in time, money, energy and effort to build infrastructure, including an SMS-based request-seeking mechanism, which allowed for ease in eligibility determinations and digital payments.

The World Bank ranked Ehsaas as one of the top four social protection programs by coverage. In March 2021, the World Bank issued a statement supporting the program by approving $600 million to expand Ehsaas. The fund allocation will facilitate the expansion of the programs to reach more informal workers.

Looking Ahead

The impact of COVID-19 on poverty in Pakistan is significant, however, the government and organizations are working together to provide social protection to the most vulnerable groups and will continue to do so as vaccination rates increase.

– Lalitha Shanmugasundaram
Photo: Flickr