Thoughtful experimentation is thus necessary. India is now ramping up testing, significantly (despite initial hiccups with antibody tests) but testing to learn will need careful design. Three key design principles — test potential asymptomatic super spreaders, do risk stratification (identify susceptible/ vulnerable areas/populations for testing) and make data public (after anonymising) to crowd source expertise for speed and quality of analysis — will help.
We need to recognise that instead of a single Indian Council of Medical Research strategy nationwide, states will be devising top-up strategies appropriate to their contexts and the Centre will need to support these efforts by laying out broad principles, providing technical support to states that ask, putting in place data standards for public release and facilitating procurement and supply of test kits at speed. Some of this is already in place, it needs to be institutionalised and made more transparent.
A clear understanding of what type of stimulus will be available is necessary to make the decision on when and how to restart. They also need transparent standards for continued operations. If they invest in restarting and a lockdown is announced, what support will be available to them to continue operations? Without clear answers to these questions, we will see a much slower restarting of small enterprises.
But every step the Centre is taking is doing the opposite. On April 19, the home ministry issued guidelines on standard operating procedure for movement of labour that unambiguously prevent workers from going home even as they are allowed to travel within the state to work. This sends exactly the wrong message.
There is no word on measures to protect worker rights — housing, food security, and wage protection. Instead, workers are being stripped of their right to exercise choice — you can’t go home but you must return to work (with no real protections).
Why would those who successfully made the long, arduous journey home return in these conditions? The lockdown made visible and amplified the indignities workers face, a return to work will need the government to recognise this and put in place trust building measures that protect rights and restore dignity.
Rather than issuing coercive orders, the Centre should work with states to offer workers the choice of going home and build, on a war footing, an expanded and portable social insurance architecture to protect those returning to work.
But if this is the way forward then we need to urgently move toward an appropriate institutionalised coordination mechanism between states. This should be priority number #1 for the Centre.
Responding right, like Kerala has shown, requires robust local governments actively working with the state government machinery. States across the country have recognised this. For the first time, local governments form part of state strategies. But they need to be empowered. Just as states are demanding fiscal support from the Centre, they too must finance and strengthen local governments.
At minimum, state should ensure that all committed funds under the fourteenth and fifteenth finance commissions are devolved to local governments. They should also provide a Covid-19 specific untied grant to municipalities and Gram Panchayats.
One positive fallout of the current crisis is that chief ministers (CMs) have taken on financial responsibility for the citizens of their states, while their host state has been entrusted with providing benefits.
Domicile states are also experimenting with finding ways of delivering cash to their migrant populations through mobile apps.
These emergency responses need to be institutionalised and could serve as the basis for portability.
The nature of Covid-19 outbreaks and response it commands will vary by state (and even district) placing differential financial needs, necessitating a decentralised fiscal response. The Centre ought to use its fiscal powers to ease state financial constraints by converting its schemes in to untied block grants allowing states to deploy finances according to their perceived needs.
Additionally, at least for health and social protection schemes, remove the current 60:40 fund share ratio to 100 per cent central funding. This must be supported by an institutionalised platform for deliberation and decision making with states, at the highest political level.
The inter-state council (ISC), one platform for this, should be revived urgently. Some colleagues at Centre for Policy Research and I have propose setting up an emergency council, within the fold of the ISC that enables dealing with Covid-specific financing in a more decentralised manner than the current framework of the National Disaster Management Act allows.
This is the real tragedy. It is the reality of this broken health system that legitimised the policy narrative that the world’s severest lockdown, was our only option. Despite the lockdown, I don't think we are doing anywhere near enough to ramp up our public health system and ensure preparedness.
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