The COVID-19 pandemic response option (CPRO) is an effective model for channeling significant support to government to mitigate the impacts of a crisis.This program demonstrated how the CPRO provided a timely and effective means for channeling support to government in helping mitigate negative social, health, and economic impacts of a crisis.
Changing internal guidance and expectations added significant pressure in designing ADB’s COVID-19 response programs and this has to be managed more effectively in future similar circumstances. ADB was still refining its COVID-19 pandemic response option (CPRO) policy and guidelines when this program was prepared. Managing the changing internal guidelines and expectations added significant pressure.
Widespread assistance from development partners (DPs) in times of crisis could lead to fiscal expansion and unsustainable expenditures that require subsequent downward adjustments. The inflow of DP assistance to support the Republic of Marshall Islands’ (RMI) COVID-19 response plan has masked its structural fiscal deficit and led to expenditures that were unsustainable and needed to be adjusted afterwards. With the pandemic winding down, it has become most important for the country to heed the EconMAP’s recommendation for it take steps to address this fiscal deficit.
Targeted assistance will help ensure that crisis response programs reach those who need them most. Targeted assistance to women and girls, including in safeguarding their health and safety and prioritizing their coverage in socioeconomic assistance, helped support the well-being of these vulnerable groups. Harmonizing efforts to distribute WASH and dignity kits with those undertaken by a civil society group eliminated the risk of duplication and inefficiencies thus maximizing available assistance from various sources.
Combating pandemics of COVID-19’s scale requires a whole-of-society-and-government approach. While replicating the Bhutanese experience may be difficult given the country's uniqueness in many ways, Bhutan's strong leadership and the government's relentless endeavor to implement public safety measures while vaccinating nearly the entire adult population is notable. Bhutan’s COVID-19 response with a whole-of-society-and-government approach under the leadership of the King is exemplary and provides a model for combating pandemics of such a scale.
Preparedness should be front and center of a disaster and/or pandemic response. The government set up a health emergency operations center and a WHO emergency operations center in 2018, and invested in medical camp kit tents, initially meant to be deployed for disaster relief. During the pandemic, the tents were repurposed to screen and treat patients with respiratory symptoms. In 2019, the country upgraded its Royal Centre for Disease Control laboratory, with equipment to not only handle new and deadly influenza viruses but also SARS-CoV-2.
A robust targeting and monitoring system is essential to prioritizing the poor and vulnerable in emergency assistance and disaster risk reduction. While the government’s National Resilience Fund monitoring system ensured that social relief reached the poor and the vulnerable and other affected groups as envisaged, the preparation of reports took almost 1 month on average. The COVID-19 experience indicates that pandemics affect women and women differently because of gender inequalities caused by socioeconomic conditions and societal gender norms, which put women and girls at a disadvantage.
Nonpartisan, broadly upheld leadership is crucial to the success of pandemic/crisis response programs. Leading the national efforts in the fight against the pandemic, His Majesty the King traveled extensively across the country to achieve the highest level of preparedness and to instill public confidence by alleviating the difficulties faced by the people and ensuring uninterrupted supply of food and essential commodities. His Majesty’s compassionate leadership resulted in building mutual trust and confidence among the people and their leaders.
Changing internal guidance and expectations created additional pressure in designing ADB’s COVID-19 response programs and this has to be managed more effectively in future similar situations. At the time this program was prepared, ADB policy and guidelines on the COVID-19 pandemic response option (CPRO) were still being developed, and managing changing internal guidance and expectations added a significant amount of pressure.
Development partners are a great source of assistance in designing and implementing crisis response programs. The program design and implementation benefited greatly from the presence in Palau of the EconMAP team in situ in the Ministry of Finance (MOF), analyzing economic trends and providing regular advice, and the program team’s coordination with the International Monetary Fund and the Pacific Financial Technical Assistance Centre team in Fiji. Given thin capacity in MOF, such support has been invaluable.