• News
    • Latest news
    • News search
    • Health
    • Finance
    • Food
    • Career news
    • Content series
    • Try Devex Pro
  • Jobs
    • Job search
    • Post a job
    • Employer search
    • CV Writing
    • Upcoming career events
    • Try Career Account
  • Funding
    • Funding search
    • Funding news
  • Talent
    • Candidate search
    • Devex Talent Solutions
  • Events
    • Upcoming and past events
    • Partner on an event
  • Post a job
  • About
      • About us
      • Membership
      • Newsletters
      • Advertising partnerships
      • Devex Talent Solutions
      • Contact us
Join DevexSign in
Join DevexSign in

News

  • Latest news
  • News search
  • Health
  • Finance
  • Food
  • Career news
  • Content series
  • Try Devex Pro

Jobs

  • Job search
  • Post a job
  • Employer search
  • CV Writing
  • Upcoming career events
  • Try Career Account

Funding

  • Funding search
  • Funding news

Talent

  • Candidate search
  • Devex Talent Solutions

Events

  • Upcoming and past events
  • Partner on an event
Post a job

About

  • About us
  • Membership
  • Newsletters
  • Advertising partnerships
  • Devex Talent Solutions
  • Contact us
  • My Devex
  • Update my profile % complete
  • Account & privacy settings
  • My saved jobs
  • Manage newsletters
  • Support
  • Sign out
Latest newsNews searchHealthFinanceFoodCareer newsContent seriesTry Devex Pro
    • Opinion
    • Inclusive development

    Opinion: How to prevent the 2020s from becoming a lost decade for children

    While the direct effect of COVID-19 on children may be limited, the poorest of them will be among those worst affected as health systems and economies are strained. Kevin Watkins, CEO of Save the Children UK, discusses how to avoid a great reversal in development.

    By Kevin Watkins // 12 May 2020
    Mothers with their children at a vaccination post in Tergol, Ethiopia. Photo by: UNICEF Ethiopia / Bizuwerk / CC BY-NC-ND

    A few short months ago, we were talking about the 2020s as the “decade of delivery” for the Sustainable Development Goals. Now, we are facing a “lost decade” as the COVID-19 pandemic threatens to roll back the hard-won gains of the last 30 years. Can we prevent a great reversal in development?

    That is the question hanging over millions of the world’s most vulnerable and disadvantaged children. The health, the hopes, and, in some cases, the lives of these children are on the line — not that you would know it from the international response.

    WFP repackages efforts to reach hungry children as COVID-19 closes schools

    While the COVID-19 pandemic pushes a growing number of schools to close, the World Food Programme is developing new strategies to reach the 11.6 million out-of-school students who rely on the agency's daily lunches.

    While the direct effect of the new coronavirus on children may be limited, the poorest of them will be among those worst affected as health systems are strained and national economies nosedive.

    Take child survival. We have seen extraordinary progress: Children born today have less than half the risk of dying before the age of 5 than children born in 1990. That progress could stall. Budgets are tightening, supply chains for vaccines have been disrupted, and COVID-19 is placing new demands on health systems already struggling to cope with killer diseases.

    Modeling has provided a measure of the risks. Researchers at the Johns Hopkins Bloomberg School of Public Health have estimated the impacts of a 15% reduction in basic health system interventions over just six months. The result? Additional child deaths totaling 253,500. This is not a price we should be willing to pay.

    These are not just theoretical risks being played out on a computer screen. The world is rightly focused on this devastating viral pneumonia pandemic. But what about the pneumonia that kills 800,000 children every year — an epidemic that could be beaten with basic antibiotics costing 50 cents, simple medical oxygen, and early diagnosis? It would be an unforgivable lapse if, in combating COVID-19, we left more children to die from a disease we should have curtailed years ago.

    Vaccine campaigns are already being suspended. While the international community seeks a vaccine for COVID-19, Gavi reports that more than 13 million people will miss out on routine vaccinations. That will cost lives, which is why $7.4 billion replenishment of Gavi next month is critical.

    Rising levels of child poverty and malnutrition will compound other health threats. Children will bear the brunt of what the World Bank predicts could become the first reversal in global poverty since the late 1990s. An additional 22 million to 33 million children could be left below the $1.90 extreme poverty threshold in sub-Saharan Africa alone.

    Malnutrition is already implicated in half of child deaths. Plausible scenarios for income losses and rising food prices in developing countries could put another 7 million children at risk of stunting. Meanwhile, some 370 million are missing out on school meals — often their only nutritious meal of the day — because of school closures during lockdown.

    So how do we prevent the 2020s from becoming a lost decade for children?

    First, accept that the futures of desperately vulnerable children depend on international cooperation. Developing a COVID-19 vaccine, providing protective equipment and medical supplies, and supporting testing are our routes to an exit from the pandemic. But we also need aid finance to provide a shield against collateral damage to health systems.

    Second, act now, reflect later. With millions of children at risk of poverty and malnutrition, there is a premium on speed. Putting more money into safety nets and nutrition interventions that operate at scale is better than waiting for a humanitarian disaster. We need the equivalent of a global Marshall Plan for safety nets in the poorest countries.

    Third, put children before debt repayments. The industrialized and emerging-market nations that constitute the Group of 20 have agreed to suspend the repayments to official creditors of 76 of the poorest countries. This could save $14 billion.

    However, more than twice that amount will be paid to commercial creditors, which have so far refused requests for commensurate treatment by the International Monetary Fund and World Bank. So how about a facility — under UNICEF and the World Bank — through which waived debt service payments could be converted right now into child grants and other safety net provisions for women and children?

    Fourth, recognize that money matters. Rich countries have torn up fiscal rule books and crossed monetary policy red lines with an abandon merited by the pandemic emergency. The World Bank and the IMF should be deployed to the same effect on behalf of the poorest countries and emerging markets.

    To their credit, both institutions are providing leadership — but their major shareholders are lagging. The World Bank is front-loading $50 billion from the International Development Association for the poorest countries. But front-loading is not new money. IDA will need a supplementary COVID-19 budget.

    More broadly, at a time of low interest rates and urgent social need, the World Bank should be using its AAA credit rating to obtain money for concessional lending. New credit guarantee arrangements from rich shareholders would help.

    The IMF is expanding its financial arsenal, but shareholder conservatism remains a constraint. Developing countries urgently need liquidity. The IMF’s special drawing rights, or SDRs, are a perfect vehicle. In effect, the SDR is a reserve currency that its members can draw on without creating new debt — think overdraft without the punitive interest rates. Adding $1 trillion to the reserve and giving privileged drawing rights to developing countries would help stave off economic depression, keeping millions of children out of poverty.

    One day, historians will assess the COVID-19 legacy. It falls to us to ensure that legacy does not include a devastating setback for children who have a right to expect our best efforts in defending their hopes for a better future.

    • Social/Inclusive Development
    • Banking & Finance
    • Global Health
    Printing articles to share with others is a breach of our terms and conditions and copyright policy. Please use the sharing options on the left side of the article. Devex Pro members may share up to 10 articles per month using the Pro share tool ( ).
    The views in this opinion piece do not necessarily reflect Devex's editorial views.

    About the author

    • Kevin Watkins

      Kevin Watkins

      Kevin Watkins is the chief executive of Save the Children UK. He joined the Overseas Development Institute as executive director in June 2013. He is a former nonresident senior fellow with the Center for Universal Education at the Brookings Institution, and was previously director and lead author of the U.N.'s Human Development Report And the Education for All Global Monitoring Report. Before joining the U.N., he worked for 13 years at Oxfam. He is a visiting professor of international development at the London School of Economics and senior visiting fellow at Oxford University's Global Economic Governance Program.

    Search for articles

    Related Stories

    Food SystemsThe Trump administration's flip-flop on treating malnourished children

    The Trump administration's flip-flop on treating malnourished children

    Global healthHow Gavi is reaching ‘zero-dose’ children in conflict areas

    How Gavi is reaching ‘zero-dose’ children in conflict areas

    MalariaIs the world on track to eradicate malaria?

    Is the world on track to eradicate malaria?

    Devex DishDevex Dish: Will Trump target green groups’ tax-exempt status?

    Devex Dish: Will Trump target green groups’ tax-exempt status?

    Most Read

    • 1
      Lasting nutrition and food security needs new funding — and new systems
    • 2
      The UN's changing of the guard
    • 3
      The power of diagnostics to improve mental health
    • 4
      The top local employers in Europe
    • 5
      FfD4 special edition: The key takeaways from four days in Sevilla
    • News
    • Jobs
    • Funding
    • Talent
    • Events

    Devex is the media platform for the global development community.

    A social enterprise, we connect and inform over 1.3 million development, health, humanitarian, and sustainability professionals through news, business intelligence, and funding & career opportunities so you can do more good for more people. We invite you to join us.

    • About us
    • Membership
    • Newsletters
    • Advertising partnerships
    • Devex Talent Solutions
    • Post a job
    • Careers at Devex
    • Contact us
    © Copyright 2000 - 2025 Devex|User Agreement|Privacy Statement