A diagonal and social protection plus approach to meet the challenges of the COVID-19 syndemic: cash transfers and intimate partner violence interventions in Latin America.

Latin America has been particularly hard hit by the COVID-19 syndemic, including the associated economic fallout that has threatened the livelihoods of most families. Social protection platforms and policies should have a crucial role in safeguarding individual and family wellbeing; however, the response has been insufficient to address the scale of the crisis. In this Viewpoint, we focus on two policy challenges of the COVID-19 syndemic: rapidly and effectively providing financial support to the many families that lost livelihoods, and responding to and mitigating the increased risk of intimate partner violence (IPV). We argue that building programmatic linkages between social protection platforms, particularly cash transfers, and IPV prevention, mitigation, and response services, creates synergies that can promote freedom from both poverty and violence.

Social Policy Responses to the COVID-19 Crisis and the Road Ahead

Aside from the health challenge, the COVID-19 pandemic has brought an unprecedented social crisis to Latin America and the Caribbean (LAC). To avoid a humanitarian disaster, governments across the region have responded with a marked expansion of social protection measures. These, however, vary greatly with regard to speed, breadth, and sufficiency. People cannot stay at home if they cannot feed their families. Governments recognised at varying speeds that income assistance measures are central to an effective epidemiological strategy. Both the lockdown measures and the associated economic crises have highlighted the gaps in existing social protections in Latin America, as half of the region's employed population works in the informal sector. Many of these workers lost their income virtually overnight. To cover the needs of informal workers, the most effective governments established relatively inclusive eligibility criteria for cash assistance that allowed low-income households to self-identify and apply. The result is an extended registry that has expanded state capacity, on which further social protection policies can build. The region's two largest economies, Mexico and Brazil, have both suffered high pandemic-related infection and mortality rates, but sharply differ in their social policy approach. The left-wing Mexican government stands out for not establishing any nationwide cash assistance programme in the wake of COVID-19. By contrast, Brazil underwent a massive, opposition-driven expansion of social protection coverage, which eventually boosted the right-wing government's approval ratings among the poor. This year's Nobel Peace Prize awarded to the World Food Programme on 9 October recognizes the fundamental human need for sustenance. The social protection floors that were established ad hoc in the course of the COVID-19 crisis in Latin America need to now be extended to ensure that families can continue to feed themselves. The policy expansion efforts of the crisis could be used as an opportunity to overcome the deficiencies of Latin America's social security schemes and to build a more universal social protection floor for the longer term.

Assessing the Political and Social Impact of the COVID-19 Crisis in Latin America

The COVID-19 pandemic is testing the societies of the world's most unequal continent, where many depend on informal work for their livelihood. Social-distancing measures directly affect their livelihoods, and make immediate social assistance imperative. The crisis is also testing political leadership, as some presidents are emerging as strong, unifying leaders, while others flounder, in a continent where historically trust in formal institutions is low. Decisive leadership has proven crucial for implementing wide-ranging lockdowns, and for the immediate commitment to social assistance. The presidents of Argentina and Peru stand out as examples of fast and coordinated responses. The potential abuse of extraordinary powers raises concerns for the medium run. In Chile and Bolivia, governments struggling with legitimacy after last year's massive protests have had to postpone a constitutional convention vote in the former and presidential elections in the latter. Many governments have quickly promised social assistance. An enormous economic rescue package in Chile stands out for its stinginess towards the most vulnerable. Where populist presidents from the right (Brazil) or left (Mexico) deny the seriousness of the pandemic, subnational and other authorities seek to fill the leadership vacuum - but policy implementation is harmed. The heaviest price will be paid by the most vulnerable. Latin America will suffer from post-crisis external shocks. With little aid coming from the United States or Europe, China emerges as a key hope for shipments of face masks, test kits, and protective gear. As COVID spreads - with higher or flatter curves - health systems will struggle to treat the severely affected. Lockdowns will be differentially respected, as promises of emergency social assistance need to be immediately delivered. Where the executive uses the moment at hand for narrow political gains, sharp political conflict is likely to ensue. Multilateral initiatives to secure social protection for vulnerable households in the region are needed.