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Investor Presentaiton

T Chapter VII - Impacts of COVID-19: Fiscal Pressures and Healthcare Deficit Effects of COVID -19 on Economic Outlook he rampant Coronavirus disease (COVID-19) has quickly evolved from a provincial health scare in China to a global pandemic. While it has brought nearly half the world to a standstill, it has affected the financial markets in unseen ways by eroding a quarter of wealth in nearly a month. A colossal challenge confronts us as a pandemic, we understand little about, sweeps across the globe. With 33 mutations of this virus, the use of data and technology to swiftly understand the changing landscape is more important than ever. The exponential spread of COVID-19 around the globe has become a real challenge for humanity. Government of Punjab initiated its response to combat the virus at quite an early stage by sensitizing public about its severity, enhancing the testing capacity and strengthening its hospital capacity vis-à-vis bed strength. Even the high- income countries with a well-developed Healthcare system were overwhelmed with this pandemic within the first few weeks and several are reeling under the havoc caused by it. In contrast, Pakistan is a low middle income country which spends less than 1% of its GDP on Health and this came up with a big challenge for the Governments and policy makers to deal the pandemic. The Health system is already not up to the mark and there are many disparities in the healthcare delivery between the rural and urban areas. The doctor-to-patient ratio in Pakistan is 78: 100,000 and number of hospital beds is mere 0.6:1000.4 Before the COVID-19 pandemic set in, there was no proper National Health plan or Government strategy in place to tackle such a healthcare crisis as the cumulative capacity of the Government Hospitals in Punjab stood at 40,660 beds against the population of around 110 million showing is a huge gap. The instant Pandemic has unearthed the systematic deficiencies in the existing Health infrastructure including the non-availability of reliable data, absence of disaster management framework in Health sector, insufficient communication framework for preventive Health Care etc. The rapid increase in local transmission of COVID-19 cases has immensely stressed out the already insufficient healthcare infrastructure in terms of patient handling capacity of the Public and Private Sector Hospitals. Due to this, Healthcare authorities faced severe shortage of specialized human resource required to deal with Corona specific activities and ultimately they had to divert their existing staff towards COVID-19 wards and on the other hand Healthcare staff belonging to those non-COVID Health specialties and establishments was compelled to deal with a Pandemic they were not trained to cope with. Owing to the shortage of space Provincial Health Departments were compelled to utilize several health specialty related wards and establishments for isolating and treating COVID-19 patients. Such improvisations on one hand deprived non-COVID patients from curative healthcare against serious ailments like Hepatitis-C, Cardiovascular diseases, Neurological disorders and other medical emergencies were not able to receive the essential curative medical care they needed and on the other hand led to serious neglect of preventive healthcare regime as one of the most visible negative effects could be seen on anti-polio vaccination campaign. On the basis of WHO Guidelines and keeping in view the ground realities of the country, the Government has taken multiple steps to mitigate the various dimensions of the crisis: Page 59
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