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An analysis of tax abuse, debt, and climate change risk in low-income and lower-middle-income countries.
Lopez, Marisol J; O'Hare, Bernadette Anne-Marie; Hannah, Eilish; Hall, Stephen.
  • Lopez MJ; School of Medicine, University of St Andrews, St Andrews, UK marisoljay@live.com.
  • O'Hare BA; School of Medicine, University of St Andrews, St Andrews, UK.
  • Hannah E; University of Malawi College of Medicine, Blantyre, Malawi.
  • Hall S; School of Medicine, University of St Andrews, St Andrews, UK.
BMJ Paediatr Open ; 6(1)2022 07.
Article in English | MEDLINE | ID: covidwho-1962323
ABSTRACT

INTRODUCTION:

Climate change is exacerbating a pre-existing child rights crisis. Lower- (low- and lower-middle-) income countries have borne 99% of the disease burden from the crisis, of which children under five carry 90%. In response, much of the recent global policy efforts focus on climate action. However, unsustainable levels of debt and tax abuses are draining countries of crucial revenue to handle the crisis. Like the climate crisis, these are primarily facilitated by entities domiciled within higher- (upper-middle- and high-) income countries. This paper aims to review these revenue leaks in countries where children are at the greatest risk of climate change to identify opportunities to increase climate change resilience.

METHODS:

We compiled data on tax abuse, debt service and climate risk for all lower-income countries with available data to highlight the need for intervention at the global level. We used the Climate Change Risk Index (CCRI), developed by UNICEF. Additionally, we used figures for tax abuse and debt service as a percentage of government revenue.

RESULTS:

We present data on 62 lower-income countries with data on revenue losses, of which 55 have CCRI data. Forty-two of these 62 countries (67.7%) are at high risk of lost government revenues. Forty-one (74.5%) of the 55 countries with CCRI data are at high risk of climate change. Thirty-one countries with data on both (56.4%) are at high risk of both climate change and revenue losses. Most countries at high risk of both are located in sub-Saharan Africa. This shows that countries most in need of resources lose money to arguably preventable leaks in government revenue.

DISCUSSION:

Higher-income countries and global actors can adopt policies and practices to ensure that they do not contribute to human rights abuses in other countries. Highlighting the impact of a failing global economic model on children's economic and social rights and one which increases their vulnerability to the climate emergency could help drive the transition towards a model that prioritises human rights and the environment on which we all depend.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Taxes / Developing Countries Type of study: Prognostic study Limits: Child / Humans Language: English Year: 2022 Document Type: Article Affiliation country: Bmjpo-2022-001518

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Taxes / Developing Countries Type of study: Prognostic study Limits: Child / Humans Language: English Year: 2022 Document Type: Article Affiliation country: Bmjpo-2022-001518