Taxing Flavors Squeeze ‘Juice’ Industry

Ethiopia’s juice manufacturers confront formidable economic challenges following the reclassification of their products as flavoured beverages, which has led to them being burdened with hundreds of millions of birr in back taxes.

Last year, upon request from the Finance Ministry, the Ethiopian Food & Drug Administration (EFDA) conducted research that concluded all the juice manufacturers in the country were producing flavoured drinks, which entails a 25pc excise tax levy.

The declaration spurred the Ministry of Revenues to seek back taxes and penalties from 10 manufacturers dating back four years, a move that has unsettled the beverage industry subsector already grappling with input shortages.

Temesgen Takele, the Ministry’s excise tax liability and audit services coordinator, says they are responsible for collecting taxes on any item deemed taxable by the Finance Ministry.

“We could only go back four years,” he told Fortune.” Still, only a few have come to report.”

Excise taxes were introduced four years ago on items deemed harmful to public health, like sweets, alcohol, and cigarettes, as well as those categorized as a luxury, like bottled water and flavoured drinks.

Abraham Rega, legal advisor at the Ministry of Finance, contends that the manufacturers should have already been paying excise taxes as their products could not be classified as ‘juice’.

“There is no way around not paying,” he told Fortune.

According to the Institute of Ethiopian Standards(IES), juice production needs to include at least 30pc fruit pulp, a concentrate comprised of both the fibre and juice from fruit processing.

The Association of Ethiopian Beverages Manufacturing Industries has pleaded with the Ministries of Industry, Finance and Revenues to reconsider the reclassification and subsequent excise tax over the past two months.

Ashenafi Merhed, the association’s general manager, foresees the imminent closure of the 15 semi-operational factories. Ten have already terminated operations over the few years due to mounting input shortages and lack of access to foreign currency.

“The Authorities are completely misunderstanding it,” the general manager told Fortune.

Ashenafi claims that meeting the 30pc requirement is impossible without local pulp manufacturers or sufficient access to foreign currency for imports. He says some manufacturers already use 15pc imported pulp, which he believes should prevent them from being categorized as flavoured drinks.

“There is a serious misconception,” Ashenafi says.

Officals from EFDA challenge the notion.

Mulatu Tesfa, head of inspection and legal enforcement at the EFDA, says no ‘juice’ manufacturer in the country met the minimum requirements to be called such despite the advertisements. He suggested that the manufacturers had intentionally swindled consumers by falsely representing flavoured drinks as juices even though the products did not meet the standards.

“There was an industry-wide false promotion,” Mulatu told Fortune.

Nursedin Redwan, general manager of Sendelet Food Processing PLC, says the company might be forced to close its 3,000 Sqm factory in Burayu, Shagaar City if the taxes are not revised.

“Not enough research went into it,” he says.

The company, which can produce around 20,000 bottles of the ‘O Mango’ juice daily, has been importing decreasing volumes of pulp due to a lack of foreign currency.

“We have lost most of our markets,” Nursedin told Fortune.”The livelihood of 100 employees is at stake”.

The Food & Beverage Institute has stepped in to evaluate the amount of nutrition derived from the current pulp requirements to save the fledgling industry.

Medhin Alemu, a researcher from the Institute, says an ongoing study might lead to the revision of the existing pulp requirements. Over the past three years, he has observed over nine manufacturers close down operations due to raw material shortages.

” We are exploring ways to reconcile nutrition standards and pulp requirements,” Medhin told Fortune.

He recalls the closure of the country’s only pulp manufacturer, africaJUICE Tibla S.C., three years ago as one of the major reasons for the input crunch for manufacturers.

“We are also looking at ways to produce pulp locally,” Medhin says.

According to a report by the United Nations Development Program (UNDP), the manufacturing sector’s share of the country’s GDP dipped by 1.5pc last year, with the closure of 450 factories that went under due to the combination of macroeconomic instability, security issues, and exogenous factors.

African Global Business PLC, manufacturer of the popular flavoured drink ‘Bon Juice’, is one of these companies as it shut down operations nine months back after eight years in business.

Gashaw Hailemesqel, the company’s general manager, says sourcing pulp became increasingly difficult as access to foreign currency seemed to dwindle by the day. He suggests that most other companies produced drinks with even less pulp and sold them at lower prices.

“It was tough to compete,” Gashaw told Fortune.

Nutrition experts applaud the government’s orientation towards employing stricter regulations over the juice industry.

Hiwot Tadesse, former food inspection director at the EFDA, says the inadequate pulp concentration could harm consumers’ health. She explains that most manufacturers would use more artificial sweeteners to compensate for the lost pulp.

“Minimum requirements are the right approach,” Hiwot told Fortune.

The expert who currently works at the World Food Program(WFP) says all the benefits of a so-called juice would vanish with the greater infusion of artificial additives. She recommends rigorous research to create a bridge between the manufacturers’ complaints and the authorities’ requirements.

“Both sides should re-evaluate working practices,” Hiwot says

Desperation at the Pump Sparks Industry Concerns

Long lines and frustration are mounting at gas stations across the country are faced with a fuel shortage triggered by a confluence of factors. The scarcity is disrupting transportation, impacting businesses, and raising worries about economic health.

Reduced supplies are a major culprit. Inefficiencies at Djibouti’s ports, the primary fuel import point, have slashed daily fuel deliveries by millions of litres, according to Derese Kotu, head of petroleum dissemination & regulation at the Petroleum & Energy Authority. Out of the demanded 2.5 million litres of benzene and 8.5 million litres of diesel, half a million litres and 1.5 million litres were reduced respectively.

With 300 trucks availed, Derese expects the next four months to be critical as demand will be higher for fertiliser distributions. Addis Abeba faces another predicament with 11pc of its supply dwindling, as it coincided with an ongoing corridor development construction that wiped out seven of its key fuel stations.

“This has exacerbated the shortage,”  said Derese.

Ethiopian Petroleum Enterprise has struggled to keep the petroleum efficiency at bay with constant disruptions at the terminal of Djibouti. Esemelealem Mihretu, CEO of Ethiopian Petroleum Enterprise  (EPSE), said a slight disruption in logistics would impose an extreme disruption to a vulnerable market. For him, the past Eid holiday had stalled progress that barely recovered from a recent flood in the ports.

“It was one after the other too quickly”, he said.

Adding fuel to the fire is a recent controversy surrounding a new quota system for fuel distribution. The system which was previously allocated based on market share now takes storage capacity and number of stations into account. It aimed at fairer allocation among 49 fuel companies, following a discussion with Authorities six months ago.

However, it was met with resistance from industry leader National Oil Ethiopia (NOC) which boasts the largest market share with 27pc. Its contenders OLA Energy and TotalEnergies follow with 15pc and 12pc shares respectively.

Derese alleges possible hoarding by dealers dismayed with the arrangement.

“Control mechanisms have to be in place,” he said.

An official from NOC who spoke to Fortune on the conditions of anonymity said while they have been strongly against the new system, allegations of hoarding were baseless.

“It’s a groundless accusation,” he told Fortune.

The executive said lower supplies have impacted its 250 stations across the country with insufficient supplies.

A Board Member at Ethiopian Petroleum Association Ephrem Tesfaye concurs. His station around the Asko area in the capital has been receiving 500,000ltr less than its 1.5 million litres demand.

“It’s going somewhere with less demand,” he said.

The problem persists 167Km away from the capital. Abdela Seid is a manager of a TotalEnergies outlet around the Assela area in the Oromia Regional State, with a monthly demand of 600,000ltr.

“It’s been a week since we received a drop,” he said.

The government is implementing measures to address the shortage. Alongside short-term measures to shield consumers from the impacts of the crisis benzene is being accessed from the depot found near the Sululta area, Sheger City, to appease the shortage transporting over 1.1 million litres of Addis Abeba daily.

However, experts suggest a long-term solution requires a more comprehensive approach, including diversifying import routes and strengthening the domestic fuel sector.

For Serkalem Gebrekiristos (PhD), a regional representative for Habitable Energy Solutions Africa Ltd, the reliance on Djibouti ports as the primary entry point for fuel imports has served to amplify the shortage. He argues a vicious cycle where depleted shares from those struggling with limited resources are redirected to others.

“Some companies should consider consolidation to strengthen their financial position to weather future crises,” he told Fortune.

Serkalem recommends a fundamental reevaluation of the regulatory framework governing the sector.

Consumers are bearing the brunt of the crisis. Taxi drivers like Daniel Zenebe spend hours searching for gas, sometimes waiting in line at multiple stations before finding fuel.

“Some of them don’t even have any,” he said.

 

 

Awash Insurance Dominates with Profit Surge, Even as the Economic Tide Turns

Awash Insurance consolidated its lead in the private insurance sector last year, registering vigorous profit growth that eclipsed its competitors — United Insurance, Nyala, and Oromia. Despite a challenging economic backdrop, Awash Insurance outperformed with a profit of 509.12 million Br, a 52.5pc increase from the previous year, outstripping United Insurance’s 327.02 million Br, Nyala’s 273.3 million Br, and Oromia’s 333.9 million Br in net profits.

Although its earnings per share (EPS) grew modestly by 10 Br to 360, this growth was less pronounced than its contenders during the same period. Its EPS lagged behind Oromia’s 430 Br and United’s 479 Br, though slightly higher than Nyala’s 354 Br.

Awash’s acting CEO Jibat Faji, attributed the dampening EPS growth to its aggressive capitalisation strategy. The company raised its paid-up capital by 47.5pc to 1.41 billion Br, nearly threefold the half-billion regulatory minimum set by the National Bank of Ethiopia (NBE) and almost double Nyala’s 830 million Br, United’s 840.5 million, and Oromia’s 870 million Br.

Abdulmenan Mohammed (PhD), a London-based financial analyst, noted that the substantial capital increase has impacted the company’s EPS. He urged the directors to consider a capitalisation policy beneficial to shareholders.

The Acting CEO, Jibat Faji, echoed this sentiment, citing the company’s strategy of bolstering its capital to align with profit growth. At the shareholders’ meeting, he stated: “We still have one of the highest EPS in the industry.”

However, at 36pc return, Awash posted an EPS four percentage points lower than United Insurance in the 2022/23 operation year.

The company’s profit surge was driven primarily by a substantial 64.1pc increase in investment returns, totalling 484.1 million Br, and a 35.4pc jump in underwriting profit to 548.88 million Br. This was supported by a 36.4pc increase in gross written premiums, which reached 2.4 billion Br. A 6.4pc drop in the amount ceded to reinsurers enhanced the company’s retention rate.

Abdulmenan praised Awash’s management for its adept handling of investments during this period.

Awash Insurance not only retained its lead among private insurers but also commands a 22.3pc market share in the life insurance segment, with nearly 60pc of its revenues stemming from motor insurance. Despite the insurance industry contributing less than one percent to the national GDP, it saw a collective net profit increase of 29pc from the previous year, reaching 3.6 billion Br.

Continuing its aggressive growth course despite losing its respected executive, Gudissa Legesse, Awash Insurance has rewarded its shareholders with returns almost 50pc higher than the banking industry offers. According to Board chairman Tadesse Gemeda, who addressed a shareholders’ assembly held at the Addis Ababa Hilton Hotel on Menelik II Avenue in October last year, the firm has maintained its strategic dominance in the general insurance market.

Awash Insurance’s gross written premium was nearly twice that of its closest competitors, with United at 1.5 billion Br, Oromia recording around 1.2 billion Br and Nyala slightly more at 1.3 billion Br. The insurance industry reported a 38pc increase in gross written premium to 22.9 billion Br, with general insurance accounting for 94pc of the premium income and life insurance generating the balance. The industry recorded a loss ratio of 59pc as net earned premiums reached 12.8 billion Br against substantial net claims of 7.5 billion Br.

Tsegaye Kemsi, one of the 456 founding shareholders, praised the company’s performance. Awash Insurance was incorporated in 1994 with a 4.9 million Br paid-up capital and appointed Tsegaye as its founding CEO before he was replaced by the late Gudina five years ago. He believes the company should focus on underwriting services in fire and life insurance, for they yield higher returns with modest risks. He argued that several motor insurance claims are either fraudulent or exaggerated.

The acting CEO disclosed that motor insurance claims constituted most of the total claims; consistent with industry-wide figures, this segment contributed around 52pc of the premium income at a loss ratio of 69pc.

Tsegaye called for updated risk assessment procedures and management practices to strengthen Awash’s industry leadership.

After working at the branch for a decade, where he increased its performance by 33pc this year, Binyam Binyam Gebremehdin, manager of the Gofa Branch, recognised motor insurance as the most resilient and sought-after insurance segment. Over the past year, he has observed a dip in appetite for performance guarantee bonds from new construction projects and marine insurance.

“Both construction and international trade have dipped,” he told Fortune. “But, we’re on a strong growth trajectory.”

The financial performance was also reflected in the company’s earnings from the commission, which rose by 23.2pc to 164.99 million Br, although the commission paid out to agents grew by 67pc to 102.67 million Br. However, the surge in gross written premiums and retention rates led to a notable increase in claim expenses and other provisions by 36.6pc to 836.3 million Br.

“It should ring a bell for better risk management practices,” said Abdulmenan.

According to Jibat, the rise in claim expenses was due to increasing costs for automobile spare parts for motor insurance and higher payouts for political violence and terrorism insurance.

Despite rising operational costs, which saw a 40pc increase in wages, benefits, and administration expenses to 541.64 million Br, Jibat defended these expenses, citing the company’s extensive portfolio and nationwide presence with 60 branches and 717 employees.

“It’s small compared to our size,” he argued.

Awash Insurance’s total assets saw an upturn by 36.3pc to 5.7 billion Br, primarily held in short-term and fixed-time deposit accounts worth 1.99 billion Br, 860.41 million in shares, 60 million Br in government bonds, and 366.22 million in property investments. With its capital and non-distributable reserves representing 28.6pc of its asset base and a rise in its ratio of cash and bank balances to total assets by 1.13pc to six percent, Abdulmenan observed that the firm remains a well-capitalised enterprise, substantially ahead of its peers.

Awash Insurance’s asset base is considerably higher than its peers, edging United by 2.4 billion Br, Oromia by two billion Br, and Nyala’s asset base by 1.9 billion Br.

The acting CEO disclosed plans to expand Awash’s asset base further by constructing a 32-story building in the heart of the capital’s financial district around Mexico Square, consolidating the firm’s ambitious expansion strategies.

“Our investments are still below the regulatory cap,” Jibat told Fortune.

The Key to Transforming African Health

Despite the relentless stream of bad news from around the world, there are still reasons for optimism. One notable example is the renewed push to localise pharmaceutical production in Africa, demonstrating how even catastrophic events like a pandemic can lead to positive, unforeseen outcomes.

The COVID-19 shock underscored the critical need to fund public health systems and expand access to essential technologies and preventive and therapeutic drugs. It should have served as a wake-up call for policymakers and the public worldwide. But, once the virus was controlled, wealthy countries reverted to the policies and practices that had made the initial pandemic response so unequal. No part of the world has suffered more from these extreme global inequalities than Africa.

African countries were the last to receive COVID-19 vaccines, having been crowded out by vaccine-hoarding wealthier countries and denied access to the technologies necessary for domestic production. Although Africa accounts for 18pc of the world’s population, the continent received only 3.3pc of all administered vaccines by the end of 2021. By the end of 2022, its share had barely increased to 5.5pc.

Even before COVID-19, Africa was already grappling with the global neglect of major epidemics such as Ebola, Zika, and monkeypox, as well as endemic diseases like sleeping sickness. One of the biggest obstacles to tackling these health crises is the continent’s dependence on imported drugs. Despite bearing one-quarter of the global disease burden, only two percent of medical research is conducted in Africa, and more than 90pc of the continent’s vaccines and 70pc of its medicines are imported. Of the roughly 375 pharmaceutical manufacturers operating in Africa, 15pc are locally owned, and most of these companies focus on formulations rather than the active pharmaceutical ingredients (APIs) crucial for drug production.

Fortunately, the bitter experience of COVID-19 appears to have catalysed a much-needed policy shift. During the pandemic, the Africa Centre for Disease Control & Prevention laid the groundwork for inter-governmental cooperation by bolstering collective regional responses under extremely difficult conditions. Several African governments and international organisations have recently launched initiatives to boost local pharmaceutical production and promote innovation across the continent.

The African Pharmaceutical Technology Foundation, backed by the African Development Bank (AfDB), is a prime example. This initiative aims to bolster the continent’s technological capabilities by expanding access to knowledge, building skills, and expanding product pipelines. The Foundation has pledged to invest up to three billion dollars over the next decade to develop pharmaceutical products in Africa, thereby reducing import dependence.

Another example is the Medicine Patent Pool’s mRNA technology transfer program, supported by the World Health Organisation (WTO) and the United Nations (UN). This initiative, which operates from its South African hub at the Cape Town-based biotechnology company Afrigen, aims to develop the necessary technological capacity and know-how to enable 15 low- and middle-income countries to manufacture mRNA vaccines. Initially focused on COVID-19 vaccines, the program has since expanded to other diseases prevalent across Africa and more affordable cancer treatments.

These initiatives face profound challenges, especially their reliance on voluntary technology transfers, which have proven limited scope. To access essential knowledge and force multinational companies to share their technologies, African countries must expand their use of compulsory licensing, in line with their patent laws and the Trade-Related Aspects of Intellectual Property Rights (TRIPS) Agreement. Notably, the mRNA hub in South Africa has already faced legal challenges from Moderna, itself a beneficiary of US government subsidies and patent sharing. This shows the importance of ensuring that the ongoing negotiations for a global pandemic treaty include specific provisions addressing compulsory licensing.

That said, access to knowledge alone is not enough. Given that production processes require specialised expertise, comprehensive education programs and skills training are crucial to establishing a sustainable foundation for innovation and production in Africa. This requires a broader regional effort, which African governments appear to be considering.

Another major obstacle is competition from large pharmaceutical companies. Novartis, which has previously initiated patent disputes in countries like India, has announced its intention to achieve a fivefold increase in patient outreach in sub-Saharan Africa by 2025. For localisation efforts to succeed, it is crucial to emphasise local ownership and ensure that Big Pharma does not monopolise the benefits. Multinational companies can be unreliable partners, as is evident from Moderna’s recent decision to put its planned investment in vaccine production in Kenya on hold because reduced demand makes commercial profitability less likely.

Given that Africa’s rich genetic diversity makes it a veritable treasure trove of genomic data, the risk of knowledge and data theft is a pressing concern. While the African CDC’s Pathogen Genomics Initiative was celebrated as a major achievement when it was launched in 2019, there are now valid concerns that the pandemic treaty could make these data globally accessible, potentially benefiting large pharmaceutical companies in rich countries without ensuring fair compensation for Africa.

Tellingly, foreign powers are squabbling over who should control access to this invaluable database. The challenges confronting African countries’ efforts to take control of their healthcare destiny are immense. Their determination to localise drug and vaccine production is a promising start.

 

 

A Popcorn and Copyright Policy Conundrum

For cinephiles like myself, choosing a weekend movie is a cherished ritual. This familiar routine took an unexpected turn last weekend, leading me down a rabbit hole of copyright complexities plaguing Ethiopia’s film industry.

Ordinarily, I would bypass the impersonal telegram channel of the cinema and head straight for a friendly chat with the mall manager. Our longstanding rapport grants me access to insider information, making movie selection a delightful social exchange. But, these are busy days that left the manager with precious little free time. I found myself scrolling through the Telegram channel, sifting through the weekend offerings.

Having already dismissed a few familiar titles and a marathon-length, three-hour epic, I was left with two intriguing choices: the highly anticipated “Kung Fu Panda IV” and a local film titled “Almotual.” The allure of a local production piqued my curiosity. The cinema was renowned for showcasing the latest Hollywood blockbusters, premiering them alongside their international release dates.

Habitual caution urged me to consult Rotten Tomatoes, the online arbiter of cinematic merit. Reviews for “Kung Fu Panda IV” proved favorable, though not quite reaching the stratospheric heights of its predecessors. While the animated spectacle and slapstick humor of the franchise were undeniably appealing, the “young adult” demographic targeting felt slightly off-kilter for my tastes.

This hesitation nudged me towards “Almotual.” Ethiopian cinema had gifted me with some truly remarkable experiences in the past. However, the industry also had its share of pitfalls – repetitive storylines, a reliance on a handful of familiar actors, and production values that occasionally left me wanting. Unfortunately, the digital space offered no insights into “Almotual.” A search on Rotten Tomatoes yielded nothing, and YouTube, usually overflowing with trailers and clips, remained frustratingly silent until a video with the title materialised after relentless search. But the subsequent hour and a half of footage revealed a different film entirely – “400 Fikir.”

This was a blatant ploy by unscrupulous YouTubers, a cynical attempt to lure viewers with a newly released film’s title, only to serve up a completely unrelated movie. This deceptive tactic not only dupes viewers but also undermines the hard work of both filmmakers. The victims in this scenario are multifaceted – the creators of both films, the general public seeking genuine entertainment, and those who use social media platforms to legitimately promote their work.

By the time I reached the cinema the local movie had succumbed to the fate of a sold-out show. Left with “Kung Fu Panda IV,” I settled back in my seat, ready for a dose of animated mayhem. Fortunately, the film delivered, a vibrant action, humor, and adventure, punctuated by the audience’s collective laughter. As I immersed myself in the character’s journey, the phrase “To do the right thing!” caught my attention. I could not help but draw parallels to the real world.

Witnessing the copyright infringement with stolen content generating views and subscriptions, felt akin to daylight robbery. My concerns intensified as my thoughts drifted to a local video rental establishment I frequented. This shop boasted a seemingly bottomless trove of entertainment. From Hollywood blockbusters to Bollywood classics and Nollywood stories, to a cornucopia of Ethiopian films, the collection seemed boundless. The sheer volume of content always astonished me. If a movie was not readily available on the shelves, the resourceful young owner had an uncanny knack for conjuring it from the digital ether.

I vividly recall him filling customer flash drives with Hollywood movies at a fraction of the cost, a practice he proudly offered with a “buy two, get one free” deal. This stood in contrast to the subscription-based model of platforms like Netflix and Spotify, where creators and artists receive fair compensation for their works.

Though undoubtedly operating on the fringes of legality, this local shop offered a compelling counterpoint. In a country wrestling with economic realities, entertainment was made accessible to a wider audience who might not otherwise afford the luxury of cinema tickets or premium streaming services. The irony was not lost on me. The movies Hollywood studios might fiercely guard in developed markets were readily available here, a form of “twisted justice” perhaps, for those with limited access to global entertainment giants.

This amusement extended to the shop’s Amharic-dubbed versions of Turkish soap operas, popular amongst a significant portion of the local residents. Once, I had made a lighthearted remark about the melodramatic titles, confident that their exaggerated tragedy would lull me to sleep. The young owner’s response, a silent but potent stare, sent a shiver down my spine. Surrounded by a room full of engrossed viewers, I quickly learned the cultural significance of these dubbed stories.

It was a reminder of the complexities surrounding intellectual property in Ethiopia. Copyright laws, while established, are rarely enforced, creating a free-for-all atmosphere. The global giants of entertainment – Hollywood studios, software developers, and video game producers – have likely already reaped substantial profits from their creations in more developed markets.

The question lingers: do they deliberately turn a blind eye to piracy in a country like Ethiopia, a market with over 100 million potential customers, to facilitate initial penetration and brand recognition? Perhaps a future scenario exists where a “digital bomb” detonates, rendering pirated copies unusable.

Several years ago, a friend recounted his business trip to India, a country notorious for its readily available, albeit unauthorised, copies of books. These replicas, though printed on cheaper paper and occasionally lacking color illustrations, allowed for wider access to knowledge and stories. This system, established through agreements between Western publishers and Indian companies, offered a win-win solution.

Ethiopian authorities could explore similar copyright arrangements, allowing for the creation of more affordable versions of movies, software, and books. This approach would ensure content creators receive some form of compensation while simultaneously expanding access to knowledge and entertainment for the Ethiopian public.

Ultimately, the current state of rampant copyright infringement presents a significant obstacle to progress. Integration with the global community demands adherence to international norms. As regulations and enforcement mechanisms tighten, our current carefree approach to intellectual property risks becoming a liability.

The World Cannot Afford to Ignore the Poorest Countries

They are home to a quarter of humanity – 1.9 billion people. They possess prized natural resources, including one-fifth of the world’s copper and gold reserves, as well as many of the rare metals essential for the transition to clean energy. Their working-age populations will expand for the next five decades amid demographic decline nearly everywhere else. Yet a historic reversal is underway among the world’s 75 countries eligible for grants and low-interest loans from the World Bank’s International Development Association (IDA).

For the first time this century, the income gap relative to the wealthiest economies is widening in roughly half of IDA countries. And while these countries are midway through what could be a lost decade, the rest of the world is largely averting its gaze. IDA countries have an extreme poverty rate eight times higher than the global average. They account for 70pc of all extreme poverty, and they are home to 90pc of people facing hunger or malnutrition. Many of their national governments, meanwhile, are paralysed, and half are either in debt distress or at high risk of it.

The flow of foreign capital has largely dried up for IDA countries. In 2022, for the first time in 16 years, private creditors took more in principal repayments than they put in via loan disbursements to IDA governments and government-guaranteed entities. Financing from foreign governments dwindled to an 11-year low. The remaining lifeline has been multilateral development banks, especially the World Bank, which provided more than half of the 26 billion dollars in loans that IDA governments received from multilateral creditors in 2022.

We are witnessing a dangerous retreat from the principles upon which much of the global economic architecture was built after World War II. Back then, the wealthiest economies wisely recognised their interest in improving the welfare of the weakest. The 17 donor countries that made their first financial contributions to the IDA in 1960 believed that accelerating “economic and social progress in the less-developed countries is desirable not only in the interests of those countries but also in the interests of the international community.”

The global prosperity that followed validated this insight. Three of today’s global economic powerhouses – China, India, and South Korea – are former IDA borrowers whose growth has transformed them into important IDA donors.

Of course, the path to prosperity is rarely linear. Progress often occurs in fits and starts, with some countries advancing and then regressing. But there is no doubt that the IDA’s consistent support for the weakest economies has done immense good for the world. In all, 36 countries that once were IDA borrowers no longer depend on it, with a dozen “graduating” in the last two decades alone. Today’s IDA countries account for a mere three percent of global GDP. Yet their economic potential is considerable, owing to the demographic dividend inherent in their population growth.

These countries will have deep reserves of young workers at least through 2070, long after working-age populations in other countries have dwindled.

IDA countries are endowed with a trove of mineral deposits crucial for the world’s transition to clean energy – including silicon in Bhutan and manganese in Ghana. Most IDA countries are also well placed to take advantage of solar energy, with long-term daily generating potential among the highest in the world. However, IDA countries will enjoy neither durable growth nor stability unless they can readily make productive jobs available for young people entering the workforce, requiring substantial investment in health and education. Lasting benefits from their natural-resource wealth will remain out of reach without government institutions capable of nimbler economic management.

Ensuring IDA countries achieve their full potential will require a concerted effort involving vigorous domestic reforms and stronger financial and policy support from abroad. South Korea, India, and China have shown that economic magic – productivity surges, incomes rise, and poverty fall – occurs when countries undertake the ambitious reforms needed to accelerate investment. Investment needs in IDA countries are immense. In some, improving access to electricity and basic sanitation facilities will require infrastructure investments exceeding 10pc of GDP.

On average, each IDA country today has succeeded at least once over the past 50 years in achieving sustained investment acceleration. But, that is only slightly more than half the average of earlier groups of IDA countries. To raise their game, today’s IDA countries will need to bolster fiscal and monetary frameworks, ramp up cross-border trade and financial flows, and improve the quality of institutions.

Global assistance will also be essential. IDA countries deserve financial support from abroad and fresh policy solutions to transition to clean energy. Already, climate change is making them pay a steep penalty for others’ sins. They also need an improved global debt-restructuring system. The current framework consigns them to an indefinite purgatory. And they need global help to tackle food insecurity, especially now that faraway international conflicts and trade disruptions have added to the problem.

In the coming decades, the world will need to summon every available reserve of economic potential to achieve universal peace and prosperity. It cannot afford to turn its back on a quarter of its people.

The Urgency of Sovereign-Debt Restructuring

Since the onset of the COVID-19 pandemic, the developing world has faced growing public-sector debt vulnerabilities. Interest-rate hikes and limited access to international capital markets have only exacerbated the problem – so much so that even solvent countries are now wrestling with liquidity challenges. The International Monetary Fund (IMF) predicts that, in the coming years, developing countries’ debt levels will remain higher than in 2019.

It seems clear that many low- and middle-income countries will continue to experience debt stress, even if they are not at risk of default.

Yet the severity of the crisis is not reflected in the agenda for global cooperation. Last year’s G20 Summit in New Delhi, for example, advanced important proposals for development finance but made little progress in addressing the over-indebtedness of low- and middle-income countries. Most crucially, the world still lacks a comprehensive debt-restructuring mechanism to deal with this widespread and recurrent problem.

The oldest existing debt-restructuring mechanism, the Paris Club, covers only sovereign debt owed to its 22 members – mainly OECD countries. Occasionally, multilateral lenders and foreign governments have adopted ad hoc responses to sovereign debt crises. For example, the United States-backed Bradly Plan, implemented after the Latin American crisis of the 1980s, helped reduce some countries’ debts and catalysed the development of a sovereign bond market for developing countries. In 1996, the IMF and the World Bank launched the Heavily Indebted Poor Countries Initiative (HIPIC) to provide a much-needed reprieve for low-income countries; this was supplemented in 2005 with the Multilateral Debt Relief Initiative, which cancelled eligible countries’ debts to multilateral creditors.

Other reactive measures have aimed to improve the restructuring process.

Following the Mexican crisis of 1994, the OECD’s G10 proposed introducing collective action clauses (CACs) in bond contracts, enabling a qualified majority of bondholders to modify the terms and conditions if necessary. In 2013, after the Greek debt crisis, the European Union (EU) mandated the inclusion of aggregation clauses for CACs in its members’ bond contracts, facilitating joint renegotiation of several issues. But despite these reforms, creditors can still build blocking majorities, owing partly to the lack of expanded CACs in roughly half of sovereign bonds issued by emerging and developing countries, and partly to the incompatibility between bond agreements and other debt contracts.

The IMF attempted but failed to create an institutional framework for sivering-debt-restructuring in 2001-03. The proposed mechanism would have allowed unsustainable external debts to be restructured through a rapid, orderly, and predictable process while protecting creditors’ rights. The overseeing body would have been independent of the IMF’s Executive Board and Board of Governors. Ultimately, the US rejected the initiative, as did some developing countries (notably Brazil and Mexico), fearing that the mechanism would restrict their access to capital markets.

During the pandemic, when public debt levels soared, the G20 and the Paris Club created the Debt Service Suspension Initiative (DSSI) for low-income countries, which stopped debt payments for 48 of 73 eligible countries from May 2020 to December 2021. Then, at the end of 2020, they endorsed the Common Framework for Debt Treatment to coordinate and provide debt relief to DSSI-eligible countries. But, so far, only three countries – Ghana, Zambia and Chad – have reached an agreement under the framework, while only one other – Ethiopia – has applied.

Fears of credit-ratings downgrades have reportedly deterred several other potential beneficiaries from participating.

There is a need for a permanent solution: an institutional mechanism for sovereign debt restructuring, preferably under the aegis of the United Nations. The IMF could also house such a mechanism, but only if the dispute-settlement body remains independent of the Fund’s Executive Board and Board of Governors, as proposed in 2003. The renegotiation framework should call for a three-stage process of voluntary renegotiation, mediation, and arbitration, each with a fixed deadline.

However, even if agreed upon, a statutory mechanism would require long and complex negotiations. Thus, an ad hoc instrument is an essential complement. The UN and other entities have proposed a revised Common Framework, which should set a clear and shorter time frame for restructuring, suspend debt payments during negotiations, establish clear procedures and rules, guarantee the participation of private creditors, and expand eligibility to middle-income countries. To ensure post-restructuring stability, any agreement should include revised maturities and interest rates and debt reduction if necessary.

An alternative could be a mechanism supported by the IMF, the World Bank, or regional multilateral development banks (MDBs). In addition to providing the renegotiation framework, the presiding institution could facilitate financing, address the macroeconomic imbalances of the countries involved, and support the restructuring process. If new bonds are issued, they should have a guarantee attached, similar to the Brady bonds.

There is also the question of whether debts owed to MDBs and the IMF should be included in the restructuring processes, as was done for low-income countries in 2005. Given that these institutions are responsible for a significant share of the debt owed by highly indebted low-income countries, especially in Sub-Saharan Africa, it may be necessary to include them. If so, it would be essential to ensure a steady flow of development aid to cover their losses.

The traditional separation between official and private creditors has been complicated by new official lenders, notably China, and the rise of various debt contracts, including guarantees to private investors, separate from bonds. Future “aggregations” must encompass all obligations. Therefore, establishing a global debt registry covering all liabilities with private and official creditors is required to ensure equitable creditor treatment and enhance transparency.

Lastly, to mitigate future debt crises, the World Bank and others have suggested the widespread adoption of state-contingent bonds that adjust returns based on economic conditions or commodity prices. This would alleviate pressure on sovereign balance sheets during downturns. Over-indebted developing countries will never get the relief they need if the international community does not centre the issue on its agenda. Debt restructuring should be a top policy priority at this year’s G20 summit in Rio de Janeiro and the Fourth International Conference on Financing for Developing, which will be held in Spain in 2025.

 

Overcoming the Development-Project Implementation Gap

This week’s World Bank spring meetings will kick-start the replenishment of the International Development Association (IDA) – the largest source of development finance for the world’s poorest people. The event cannot come soon enough. With extreme poverty, climate change, and a worsening debt crisis jeopardising progress toward the United Nations Sustainable Development Goals (SDGs), IDA is more important than ever.

For many recipient countries, IDA often represents the only reliable, sustainable source of development finance. For donors, it offers good value for money: for every dollar mobilised through IDA, recipient countries receive around four dollars to support their development. But, as governments seek an ambitious replenishment of IDA’s resources this year, we must maximise the impact of IDA dollars already in circulation.

With up to two-thirds of those living in extreme poverty expected to reside in fragile and conflict-affected countries by 2030, successful implementation of IDA-supported development projects in challenging contexts is vital. But, as new research by the International Rescue Committee (IRC) shows, disbursing IDA funds to projects that positively affect people’s lives must overcome major barriers. During one recent IDA cycle, around 50pc of its financing commitments in conflict-affected, least-developed countries were not disbursed. The IRC’s research highlights limited institutional capacity, especially in conflict-affected countries.

Such gaps can be explained mainly by the World Bank’s low-risk threshold and an operating model that works primarily with and through national governments. This model can lead to project delays and suspensions, especially in conflict-affected countries, not least because of limited institutional capacity and a lack of relevant expertise and experience.

This highlights a crucial point. Too often, discussions about development goals like the SDGs focus on two gaps—in financing and policy—while failing to recognise the implementation gap. But finance and policy alone cannot overcome implementation bottlenecks; technical assistance and other support are also vital. This is a crucial focus of the United Nations Office for Project Services (UNOPS), which I have led for precisely one year.

UNOPS runs operations in over 80 countries on behalf of the UN system and global partners, such as the World Bank. Most of our work takes place in fragile and conflict-affected settings, and we are a major channel for implementing IDA-financed projects, among other humanitarian, development, and peace-and-security initiatives. We also help recipient governments make the most of the IDA funds they receive, working alongside other UN agencies to accelerate project delivery, overcome delays, and ensure the intended results.

Our experience, particularly in conflict zones, demonstrates the overwhelmingly positive impact IDA funds can have when we get implementation right. In South Sudan, for example, IDA and UN agencies worked together to implement a project focused on increasing poor and vulnerable households’ access to temporary income opportunities. Since then, the security situation has improved sufficiently to begin handing full ownership of projects – reaching over 420,000 people across 10 counties – back to the South Sudanese government and local communities.

In Mozambique, UNOPS is working alongside the World Bank and the national government to restore basic services for 680,000 people internally displaced due to the conflict in the country’s north or hosting displaced communities and returnees.

In Yemen, where the Bank cannot work through the government, the World Bank, with IDA financing, has worked with UN partners on the ground to deliver access to basic services. One project, implemented by UNICEF, the World Health Organization (WHO), and UNOPS, provided health and nutrition services to more than eight million Yemenis at more than 2,000 locations and by relying on mobile outreach teams. Such engagement helps preserve pre-crisis human capital gains and a degree of institutional stability, both essential to the eventual post-conflict recovery.

This capacity to implement projects even in crisis-affected areas, including conflict zones like Yemen, is essential to deliver on the SDGs. But so are efforts to prevent crises. These are particularly cost-effective interventions: for every dollar invested in prevention, around 16 dollars are saved in the long term. With any intervention, timing is key. As the World Bank has pointed out, investing in IDA funding early is imperative, especially in fragile contexts.

The World Bank’s newly expanded Crisis Preparedness & response Toolkit promises to help countries respond to emergencies, from conflict to climate-related disasters, and prepare for future shocks. For example, it includes measures allowing governments to reallocate up to 10pc of undisbursed World Bank financing toward emergency response. This, together with other tools and welcome changes under the Bank’s evolution and reform agenda, offers much-needed flexibility to countries in crisis.

This week’s World Bank spring meetings offer a valuable opportunity to reflect on the IDA’s critical role as a source of hope for those most in need – and commit to enhancing its impact even further. That means not only replenishing its resources but also recognising and addressing implementation gaps.

Borderless Care Lucrative Rise and Its Global Footprint

The rise of medical tourism, a phenomenon where consumers travel beyond their national borders to seek medical treatments, is reshaping the global healthcare industry. Rooted in the liberalisation policies of the World Trade Organization’s (WTO) General Agreement on Trade in Services, the trade in health services has transformed into a booming global market, characterised by a robust flow of medical professionals, patients, and technology across borders.

Data on the size of people travelling from Ethiopia to destinations of advanced medical facilities is hard to come by. A recent estimate by the International Medical Travel Journal put it at an annual average of 10,000. A cost analysis by experts at the Ministry of Health (MoH) discovered that the cost of annual outflow from Ethiopia due to medical tourism exceeds 100 million dollars.

Medical tourism often encompasses a broad spectrum of treatments. But, it is most commonly sought for specialised procedures not available or prohibitively expensive in the patient’s home country. The industry is fueled by the availability of advanced medical procedures abroad with cost differentials, personal recommendations, and the appeal of combining treatment with tourism. Countries like Thailand, India, and Singapore, as well as regions such as Dubai Health Care City, have positioned themselves as hubs for medical tourism, blending high-quality medical care with attractive tourist packages.

These destinations market themselves aggressively, claiming superior medical facilities and competitive pricing, which often includes the cost of a vacation.

The motivations driving medical tourism are manifold. For many, long wait times and the unavailability of certain medical treatments at home push them to seek care abroad. Others are lured by the lower costs associated with procedures in foreign countries. A heart bypass surgery that costs 144,000 dollars in the U.S. might cost only 25,000 dollars in Malaysia. Some medical tourists are attracted by the high standards of care offered in these destinations, often accredited by international organisations, which provide an added layer of reassurance.

Despite the personal benefits experienced by medical tourists, the phenomenon raises systemic questions. The influx of medical tourists can strain local health systems. Hospitals may prioritise high-paying foreign patients at the expense of local populations, potentially leading to longer waits and increased costs for residents.

The economic impact of medical tourism on a destination country can be profound. It generates direct revenue from the health services provided and boosts related sectors such as hospitality, transport, and other tourism-related industries. This creates jobs and contributes to overall economic development. However, the growth is not without its constraints. Local businesses may struggle against well-established medical tourism facilities, and cultural and language barriers can detract from the experience of international patients.

The demographic profile of medical tourists is diverse, cutting across various socio-economic groups. The diversity, however, can exacerbate inequalities in healthcare. Affluent patients can afford to travel and pay out of pocket for high-quality treatment abroad, while poorer segments may lack access to basic healthcare services at home and abroad.

Recognising the potential pitfalls of medical tourism, some source countries have started to explore partnerships with medical facilities overseas to provide their citizens with more healthcare options while managing costs. Such collaborations might offer a partial solution to the long waiting lists in domestic hospitals and could act as a form of outsourcing, extending national health services across borders.

Destinations renowned for medical tourism are not only marketing themselves as mere locations for medical care but are evolving into comprehensive healthcare cities. For instance, Dubai Health Care City and Singapore’s biomedical hubs are examples of places where the integration of medical care with biotechnological innovation is promoted. These centres are not just healthcare destinations but also innovation hubs, contributing to advancements in medical science.

Governments play a crucial role in the medical tourism industry. They promote their healthcare sectors abroad and ensure that the influx of foreign patients contributes positively to national healthcare systems. Medical tourists can reinvest revenue into the public health system, enhancing infrastructure and services that benefit both local and international patients.

However, the growth of medical tourism must be managed carefully to avoid widening health disparities or undermining local healthcare provision. It is essential for governments to engage in comprehensive policy planning, involving various sectors including health, trade, and tourism, to ensure that the benefits of medical tourism are balanced against the need to provide equitable, high-quality healthcare for all citizens.

As medical tourism continues to expand, it will be increasingly important for policymakers to navigate these complex dynamics, ensuring that the pursuit of health as wealth benefits both local and foreign populations equally. This approach will require careful regulation, informed public debate, and international cooperation to safeguard the interests of all stakeholders in the global healthcare equation.

 

Hunger’s Grip on Mothers, Children of Addis Abeba

I witnessed a scene that left me heartbroken at the health centre. Several mothers were on the line to get their children vaccinated, their faces etched with worry and their bodies visibly thin. They did not seem to have recently given birth. Their malnourished state raised a red flag – they would not have the reserves to breastfeed their newborns effectively.

Meanwhile, the cries of infants filled the air, their distress echoing the now-familiar “NEH” sound I learned during pregnancy researches. It signifies hunger in babies under four months. These full-term babies, supposedly over a month old, resembled premature newborns – tiny and frail. Approaching the mothers, I began a conversation.

The mothers confessed they could not feed their babies because they were starving. This raw honesty left me speechless, a wave of shock washing over me. Hunger, a cruel reality I could not fathom, gripped these mothers and their infants. The women sometime go days without food. When they get something, portions were meager, insufficient to nourish both them and their breastfed babies, who needed feeding every few hours.

The presence of only two fathers – mine and another man – stood out. Deprived of basic sustenance, the women had come alone for pre-vaccination process and wait in long lines.  Tears welled up in my eyes as I contrasted their situation with my own – the careful planning to ensure my well-being during breastfeeding. My heart ached for these mothers and their children. I could not imagine the agony of not being able to provide for a hungry baby, the pain of a mother unable to feed her own flesh and blood.

Medical professionals warn that food deprivation, especially during pregnancy and postpartum, can have devastating consequences for children. Stunted growth, wasting syndrome, and even life-threatening health complications lurk as potential threats. This preventable tragedy can also cause lower cognitive skills, poor academic performance, and chronic diseases, hindering a child’s potential and trapping families in a cycle of poverty.

The role of balanced nutrition for expecting mothers and breastfeeding mothers, including micronutrient supplements is unparalleled. A mother’s nutritional well-being is paramount for her child’s lifelong health and cognitive development. Failing to meet the nutritional needs has wide-ranging consequences, impacting them physically and mentally. The devastation extends beyond families, affecting the entire nation by hindering the development of its human capital.

UNICEF data paints a grim picture. Since 2020, the number of malnourished pregnant and breastfeeding women has risen from 5.5 million to 6.9 million in Ethiopia and 11 other countries, designated by UNICEF as the “World’s epicenters of hunger.”

Globally, over a billion women and adolescent girls suffer from malnutrition, leaving them underweight, stunted, and anemic. This crisis, compounded by gender inequality, continues to worsen, eroding the limited progress made in recent decades. Unequal access to nutritious food disproportionately affects girls and women. In 2021, 126 million more women faced food insecurity compared to men, a staggering increase of 49 million from the previous year.

Nutrition is the bedrock of a nation’s health and development. Ethiopia’s low ranking on the cognitive skill index can be partly attributed to the lack of access to essential nutrients.

Ensuring access to basics requires a collaborative effort from leaders and the global community. Expanding social feeding programs for the most vulnerable populations could be a life-saving intervention. Fulfilling this fundamental need has the power to break the cycle of poor health and poverty, saving generations to come.

Untapped Potential of Online Commerce

A young woman residing in Addis Abeba, found herself captivated by the potential of online platforms to transform lives and unlock new economic opportunities. Armed with unwavering determination and a keen eye for a niche market, she embarked on a journey that would defy convention and rewrite the rules of entrepreneurship, driven by a passion for cosmetics and a desire to create her own path.

The woman approached a local cosmetics shop in her neighborhood with a bold proposition to leverage the power of digital channels to reach a wider audience. She offered to sell their products through a Telegram channel she would meticulously manage, with a modest markup to generate a sustainable profit.

Impressed by her entrepreneurial spirit and clear vision, the cosmetics shop owner readily agreed to her proposal. With no initial capital to invest, she relied solely on her resourcefulness and the power of social media. She quickly garnered a loyal following on her channel. Customers were drawn in by the convenience and reliability of her service, along with the quality of the carefully curated cosmetics she offered.

Understanding the importance of a seamless transaction process and efficient logistics, she leveraged Telebirr, Ethiopia’s mobile money platform, to facilitate secure and effortless payments with her customers, then partnered with local bike messengers to deliver orders directly to customers’ doorsteps.

In a remarkably short time, the informal e-commerce venture blossomed into a thriving online shop, generating substantial profits and gaining recognition within the local community. What started as a humble endeavor born out of passion and ambition morphed into a testament to the boundless opportunities waiting for those bold enough to embrace innovation and take calculated risks.

Ethiopia is now witnessing a digital renaissance. Technological advancements are shaping its economy, nurturing entrepreneurship, and creating a vibrant digital space. Over the past decade, the transformation with digital platforms playing a pivotal role in driving economic growth and empowering individuals.

A journey that began with smartphones became ubiquitous with simultaneous expansion of internet infrastructure fueled its revolution. The emergence of platforms has been a game-changer, offering consumers unprecedented access to array of products and services. Companies with online market place and food delivery services that are at the forefront, providing convenient experiences.

However, amidst this burgeoning space, hurdles in fully tapping the potential of digital space exist. Until 2023, only one website was legally registered with an e-commerce license in the country leaving out the current online markets unrecognised by the Ministry of Trade & Regional Integration. Limited internet penetration, particularly in rural areas, remains a significant barrier. Logistical constraints and inadequate infrastructure in certain regions, can also hinder timely and efficient deliveries. A lack of widespread digital literacy prevents some from fully embracing online shopping platforms.

However, these are not insurmountable. There lies vast opportunities for innovation and growth. While informal online retail sales currently account for a fraction of total transactions in the country, the potential for expansion is immense with young and tech-savvy population that are comfortable embracing digital solutions.

“I’m not here to be insulted, man.”

Taye Astqesellasie, minister of Foreign Affairs, responded to a protestor who heckled him last week inside an international venue in Geneve, Switzerland. The meeting was called for pledges to raise funds from the international community to pay for emergency humanitarian assistance for millions of displaced Ethiopians due to drought, floods, conflicts and wars.