Publication:
Responding to COVID-19 in Urban Settings: Emerging Evidence, Lessons, and a Look Ahead

Abstract
Metropolitan areas drive economies, yet the same elements that contribute to economic growth, such as industrialization accompanied by migrant influx, result in overcrowding and poor housing and sanitation. These factors, coupled with intensive international connectivity, make cities extremely vulnerable to pandemics. Experiences from New York and São Paulo show that complex administrative structures; conflicting messages from federal, state, and city governments; human resource shortages; supply chain mismanagement; weak coordination between hospitals and public health systems; and poor linkages with the private sector are all limiting factors of a comprehensive pandemic response. COVID-19 has seriously impacted the delivery of essential health services, especially in cities, where the private sector and public hospitals deliver a significant share of primary care. COVID-19 also presents a major public mental health challenge both for health professionals and the public.
Link to Data Set
Citation
Ramana, Gandham N.V.; Mutasa, Ronald; Mohammed, Suresh Kunhi; Nandraj, Sunil; Jammy, Guru Rajesh; Smith, Owen. 2021. Responding to COVID-19 in Urban Settings: Emerging Evidence, Lessons, and a Look Ahead. © World Bank. http://hdl.handle.net/10986/36298 License: CC BY 3.0 IGO.
Associated URLs
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue

Related items

Showing items related by metadata.

  • Publication
    COVID-19 Testing and Tracking
    (World Bank, Washington, DC, 2020-08-30) Gandham, Ramana N.V.; Mutasa, Ronald; Mohammed, Suresh Kunhi; Jammy, Guru Rajesh; Bhatnagar, Aarushi
    The COVID-19 pandemic has ravaged the global economy, either reversing or slowing ongoing efforts to eliminate extreme poverty in many countries. Despite recent progress, including increased recoveries and lower death rates, India is ranked third globally in absolute numbers of COVID-19 reported cases. India’s chronic underinvestment in health, coupled with a hard-hit economic sector, has further entrenched segments of India’s population in vulnerability and poverty. The exodus of millions of migrants from the cities has contributed to the spread of infection from urban to rural areas, where health systems are weaker. As economic activities are revived following a period of lockdowns, policy makers must make smart choices that prevent and rein in the spread of COVID-19. In the absence of effective treatment and a vaccine, preventive measures combined with testing and tracing, followed by quarantine and isolation and supportive treatment, are critical to minimize the spread of COVID-19 and rejuvenate livelihoods to restore India’s economy. In this paper, authors bring together promising testing and tracing lessons and approaches from India and globally, based on a desk review of various initiatives and analyses of secondary data. Key lessons and findings are that: (i) testing and tracing is central to an effective COVID-19 response; (ii) a robust response to an unprecedented pandemic requires creative approaches, such as active case finding, pooled testing, testing environmental samples, triangulation of microdata, effective contact tracing, and partnering with the private sector; (iii) optimizing COVID-19 testing capacity should not negatively impact ongoing disease control programs; (iv) containment of COVID-19 should go hand-in-hand with preparation for future pandemics. We also summarize innovations and bottlenecks to rapidly scale up testing capacities at the state level, including strategies for optimizing the role of the private sector and introducing new technologies to enhance access to testing in rural populations. This paper offers options especially relevant to Indian policy makers, with a focus on sustained health systems strengthening.
  • Publication
    Investing in Vaccine Security in the ASEAN Region
    (Washington, DC: World Bank, 2024-06-20) Schäferhoff, Marco; Ramana, Gandham; Zimmerman, Armand; Fewer, Sara; Seiter, Andreas; Harimurti, Pandu; Sowers, Erin; Mutasa, Ronald
    Vaccine security and self-sufficiency have received increased global attention in the wake of the COVID-19 pandemic, as low- and middle-income countries were heavily dependent on high-income countries (HICs) and international organizations for vaccine supply, resulting in global competition for vaccines and huge inequities. Achieving vaccine security and self-sufficiency is of high importance to Southeast Asia. To achieve this goal, the Association of Southeast Asian Nations (ASEAN) established the ASEAN vaccine security and self-reliance (AVSSR) initiative. Building on the efforts of ASEAN leadership, the World Bank commissioned this study to estimate the public health and economic benefits arising from investments in AVSSR, specifically in vaccine research and development (R&D), manufacturing, and regulation. The study assumes that five ASEAN countries - Indonesia, Malaysia, the Philippines, Thailand, and Vietnam - make public and private investments to strengthen vaccine security. Applying a societal perspective, the study considers four different investments scenarios. Scenario 1 assumes that costs will be shared between these five countries and that these countries alone will benefit from the vaccine security efforts, while Scenario 2 assumes health and economic benefits to the other five ASEAN countries (Brunei, Cambodia, Laos, Myanmar, and Singapore) as well. Scenario 3 assumes that only one country of 100 million people produces and prioritizes vaccines for its population, while Scenario 4 assumes a pandemic of COVID19 magnitude. The findings of the study clearly show that regional investments in clinical trials, manufacturing and regulatory capacity building will have a substantial public health impact and offer high benefit-cost ratios. Findings from this study align with the AVSSR Strategic and Action Plan 2021-2025, which makes the case for stronger regional vaccine capacity, enhanced vaccine manufacturing capacity, and human resource development to realize the goal of self-reliance.
  • Publication
    Targeted Interventions
    (World Bank, Washington, DC, 2021-02) Mohammed, Suresh Kunhi; Mutasa, Ronald Upenyu; Mehta, Ishira
    This case study documents how India, the world’s second most populous country, pulled the reins on a global epidemic to stop it in its tracks from growing into a generalized epidemic. Central to the case study is the story of a government body, the National AIDS Control Organization (NACO) that, with the support of international development organizations like the World Bank, deftly collaborated with civil society organizations to engage with communities that had a high risk of HIV infection and were also highly marginalized to implement large scale behavior change in the interest of individual and public health. Above all, this is a story of courage, resilience and gumption of some of the most hidden and disenfranchised communities of India in taking charge of their destinies with respect to HIV-AIDS and demonstrating that if provided with the right programmatic structure and a supportive ecosystem, they can rise towards a better tomorrow. This case study is the story of India’s fight against HIV-AIDS and the significant role played by Targeted Interventions in this fight. Targeted Interventions are a resource-effective approach to offer HIV prevention and care services to high-risk populations within communities by providing them with the information, means and skills they need to minimize HIV transmission and improving their access to care, support and treatment services.
  • Publication
    ASEAN Regional Vaccine Manufacturing and Development
    (Washington, DC: World Bank, 2023-04-18) Mutasa,Ronald; Ramana,Gandham; Newmarch,Giles; Seiter,Andreas; Schaeferhoff,Marco; Sowers,Erin; Schunk,Michael; Gupta,Ridhi; Slamet,Lucky; Guichard,Stephane; Harimurti,Pandu
    This report is organized into six chapters. The first chapter provides an introduction and presents a brief situation analysis of current research and development and manufacturing capacities in the region based on detailed desk review. The second chapter describes the importance of coordination in ensuring regional vaccine security and presents different complementary pathways for achieving the AVSSR vision. The third chapter comprehensively describes the vaccine value chain in the ASEAN region, covering both backward and forward integration aspects, including logistics and delivery. The fourth chapter describes strategic priorities relevant to regional vaccine eco-system development and describes existing strengths and weaknesses within selected ASEAN countries that could influence such development. The fifth chapter summarizes findings of an economic analysis of investing in late-stage clinical trials, manufacture, and regulatory strengthening for a limited set of priority diseases. A strong economic case is made for investing at the regional level compared to the national level by using cost benefit ratios. The concluding chapter summarizes feedback from key stakeholders in both public and private sectors and utilizes this feedback to present a way forward by listing specific tasks for ASEAN member state governments, the Secretariat, and the World Bank Group.
  • Publication
    Influence of Covid-19 On China's Urban Planning and Design Regulations
    (Washington, DC, 2021-01) World Bank
    The purpose of this note is to explain how the pandemic is reshaping regulations in China and affecting urban planning and city management. In preparing this note, a meta-analysis was conducted based on a review of China’s urban planning responses to COVID-19. The review covered newly issued regulations and amendments to the existing regulations at both national and subnational levels between February and August 2020. The note identifies regulatory gaps in urban planning and provides a systematic review of how China responses to COVID-19 and addresses gaps in urban planning and building design, including emergency interventions during this crisis, and post-COVID-19 responses to build health-resilient cities. The note concludes that in response to the pandemic, Chinese authorities have issued various policies and regulations on land use, environmental management, sectoral planning, public spaces, city management, and building design for different types of buildings. This note will directly contribute to the research on health cities, one of the four pillars of the China Urban, Resilience and Land Programmatic ASA. Our objective is to document diverse practices and responses to the pandemic from different countries and offer the policymakers a handy reference that can help them plan, develop, and implement policies and regulations.

Users also downloaded

Showing related downloaded files

  • Publication
    Classroom Assessment to Support Foundational Literacy
    (Washington, DC: World Bank, 2025-03-21) Luna-Bazaldua, Diego; Levin, Victoria; Liberman, Julia; Gala, Priyal Mukesh
    This document focuses primarily on how classroom assessment activities can measure students’ literacy skills as they progress along a learning trajectory towards reading fluently and with comprehension by the end of primary school grades. The document addresses considerations regarding the design and implementation of early grade reading classroom assessment, provides examples of assessment activities from a variety of countries and contexts, and discusses the importance of incorporating classroom assessment practices into teacher training and professional development opportunities for teachers. The structure of the document is as follows. The first section presents definitions and addresses basic questions on classroom assessment. Section 2 covers the intersection between assessment and early grade reading by discussing how learning assessment can measure early grade reading skills following the reading learning trajectory. Section 3 compares some of the most common early grade literacy assessment tools with respect to the early grade reading skills and developmental phases. Section 4 of the document addresses teacher training considerations in developing, scoring, and using early grade reading assessment. Additional issues in assessing reading skills in the classroom and using assessment results to improve teaching and learning are reviewed in section 5. Throughout the document, country cases are presented to demonstrate how assessment activities can be implemented in the classroom in different contexts.
  • Publication
    World Development Report 2006
    (Washington, DC, 2005) World Bank
    This year’s Word Development Report (WDR), the twenty-eighth, looks at the role of equity in the development process. It defines equity in terms of two basic principles. The first is equal opportunities: that a person’s chances in life should be determined by his or her talents and efforts, rather than by pre-determined circumstances such as race, gender, social or family background. The second principle is the avoidance of extreme deprivation in outcomes, particularly in health, education and consumption levels. This principle thus includes the objective of poverty reduction. The report’s main message is that, in the long run, the pursuit of equity and the pursuit of economic prosperity are complementary. In addition to detailed chapters exploring these and related issues, the Report contains selected data from the World Development Indicators 2005‹an appendix of economic and social data for over 200 countries. This Report offers practical insights for policymakers, executives, scholars, and all those with an interest in economic development.
  • Publication
    Argentina Country Climate and Development Report
    (World Bank, Washington, DC, 2022-11) World Bank Group
    The Argentina Country Climate and Development Report (CCDR) explores opportunities and identifies trade-offs for aligning Argentina’s growth and poverty reduction policies with its commitments on, and its ability to withstand, climate change. It assesses how the country can: reduce its vulnerability to climate shocks through targeted public and private investments and adequation of social protection. The report also shows how Argentina can seize the benefits of a global decarbonization path to sustain a more robust economic growth through further development of Argentina’s potential for renewable energy, energy efficiency actions, the lithium value chain, as well as climate-smart agriculture (and land use) options. Given Argentina’s context, this CCDR focuses on win-win policies and investments, which have large co-benefits or can contribute to raising the country’s growth while helping to adapt the economy, also considering how human capital actions can accompany a just transition.
  • Publication
    The Journey Ahead
    (Washington, DC: World Bank, 2024-10-31) Bossavie, Laurent; Garrote Sánchez, Daniel; Makovec, Mattia
    The Journey Ahead: Supporting Successful Migration in Europe and Central Asia provides an in-depth analysis of international migration in Europe and Central Asia (ECA) and the implications for policy making. By identifying challenges and opportunities associated with migration in the region, it aims to inform a more nuanced, evidencebased debate on the costs and benefits of cross-border mobility. Using data-driven insights and new analysis, the report shows that migration has been an engine of prosperity and has helped address some of ECA’s demographic and socioeconomic disparities. Yet, migration’s full economic potential remains untapped. The report identifies multiple barriers keeping migration from achieving its full potential. Crucially, it argues that policies in both origin and destination countries can help maximize the development impacts of migration and effectively manage the economic, social, and political costs. Drawing from a wide range of literature, country experiences, and novel analysis, The Journey Ahead presents actionable policy options to enhance the benefits of migration for destination and origin countries and migrants themselves. Some measures can be taken unilaterally by countries, whereas others require close bilateral or regional coordination. The recommendations are tailored to different types of migration— forced displacement as well as high-skilled and low-skilled economic migration—and from the perspectives of both sending and receiving countries. This report serves as a comprehensive resource for governments, development partners, and other stakeholders throughout Europe and Central Asia, where the richness and diversity of migration experiences provide valuable insights for policy makers in other regions of the world.
  • Publication
    Lebanon Economic Monitor, Fall 2022
    (Washington, DC, 2022-11) World Bank
    The economy continues to contract, albeit at a somewhat slower pace. Public finances improved in 2021, but only because spending collapsed faster than revenue generation. Testament to the continued atrophy of Lebanon’s economy, the Lebanese Pound continues to depreciate sharply. The sharp deterioration in the currency continues to drive surging inflation, in triple digits since July 2020, impacting the poor and vulnerable the most. An unprecedented institutional vacuum will likely further delay any agreement on crisis resolution and much needed reforms; this includes prior actions as part of the April 2022 International Monetary Fund (IMF) staff-level agreement (SLA). Divergent views among key stakeholders on how to distribute the financial losses remains the main bottleneck for reaching an agreement on a comprehensive reform agenda. Lebanon needs to urgently adopt a domestic, equitable, and comprehensive solution that is predicated on: (i) addressing upfront the balance sheet impairments, (ii) restoring liquidity, and (iii) adhering to sound global practices of bail-in solutions based on a hierarchy of creditors (starting with banks’ shareholders) that protects small depositors.