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All countries need vaccines but not all can produce them. Vaccine production is highly specialised, subject to comparative advantages, and concentrated in few countries, making trade a vital means to deploying vaccines broadly. Keeping markets open by reducing tariffs, streamlining trade-related processes at and behind the border while ensuring better co-ordination of logistical processes will be key to ensuring timely access to vaccines for all. This note discusses trade and trade policy considerations underpinning access to the final and intermediate goods needed to effectively produce, deliver and administer COVID-19 vaccines. It focuses on the international aspects of the vaccine supply chain, discussing the sourcing, production, distribution and need to expedite international border crossing and transportation (including in the context of the cold supply chain).

Spanish

Science, technology and innovation (STI) have played a key role in responding to the COVID-19 pandemic and the unprecedented socio-economic crisis it has triggered. This paper explores how the pandemic affected STI in 2020, including how STI was mobilised to provide vaccines, treatments and innovative (often digital) solutions to address “social distancing”. The paper also reviews the quick and agile STI policy responses implemented across countries to stimulate research and innovation activities to find solutions to the pandemic. Moreover, the paper covers STI policies that targeted universities, research centres, innovative businesses and entrepreneurs most affected by the crisis. It also raises key debates on the effectiveness of such policies. Follow-up work will leverage more and better data to improve this early assessment of the impacts of the crisis and STI policy responses.

In OECD countries, socio-economically disadvantaged groups tend to consume less nutritious food, leading to suboptimal health outcomes, including obesity. Contributing factors include low levels of income and education; time-poor single parent households; and the prevalence and accessibility of fast food restaurants. More broadly, food insecurity also remains a problem in OECD countries, with Indigenous Peoples being particularly vulnerable. Foodbanks run by non-governmental organisations provide emergency food assistance, sometimes using food recovered as part of food waste policies; however, the sustainability of this approach is contested. Understanding the role that socio-economic and demographic factors play in determining household food purchases and consumption is limited by inadequate and irregular food data collection, including on the prevalence of food insecurity. Lack of data is also hampering evaluation of the effectiveness of policies in addressing the needs of particular socio-economic and demographic groups.

With most students around the world having experienced remote learning over the past year because of the COVID-19 pandemic, the importance of teachers and schools has become all the more evident. Temporary school closures underline how richly students benefit from being in school with their teachers and classmates. Positive, High-achieving Students? What Schools and Teachers Can Do pinpoints some of the factors that make an effective teacher and school.

French

The International Early Learning and Child Well-being Study puts a spotlight on how children are faring at 5 years-of-age. Children’s early well-being and learning are primary determinants of their later outcomes in schooling and in adulthood. Yet children’s development during their early years remains one of the most neglected areas of international research in education. As a consequence, the international evidence countries can draw on to inform their policy approaches for children’s early learning is sparse. The International Early Learning and Child Well-being Study has been developed and designed to fill this gap. Education systems that prioritise evidence on children’s actual needs and who learn from other countries’ achievements and challenges will be more successful in giving every child a strong early start, thereby building more successful and equitable systems.

Health systems continue to adapt to cope with the COVID‑19 pandemic. Much focus has been placed on the scaling-up of hospital capacities. However, the pandemic is also deeply affecting the health of many people who are not infected by the virus. People living with chronic conditions are not only highly vulnerable to complications and death from COVID‑19, but they are also suffering from disruptions to their regular care routines. The COVID‑19 crisis demonstrates the importance of placing primary health care at the core of health systems, both to manage an unexpected surge of demand and to maintain continuity of care for all. Strong primary health care – organised in multi-disciplinary teams and with innovative roles for health professionals, integrated with community health services, equipped with digital technology, and working with well-designed incentives – helps deliver a successful health system response. The innovations introduced in response to the pandemic need to be maintained to make health systems more resilient against future public health emergencies, and able to meet the challenges of ageing societies and the growing burden of chronic conditions.

French

Les systèmes de santé ne cessent de s’adapter pour faire face à la pandémie de COVID‑19. D'importants efforts ont été déployés pour favoriser la montée en puissance des capacités hospitalières. Pour autant, la pandémie a aussi des répercussions importantes sur l’état de santé de nombreuses personnes qui ne sont pas infectées par le virus. Les individus qui souffrent de maladies chroniques présentent non seulement un risque accru de complications et de décès en cas de contamination à la COVID-19, mais ils voient également leurs protocoles de traitement habituels bouleversés. La crise du COVID‑19 montre à quel point il est essentiel de placer les soins primaires au cœur des systèmes de santé, à la fois pour pouvoir faire face à une augmentation soudaine de la demande et pour préserver la continuité des soins pour tous. Des services de santé primaires performants – organisés autour d’équipes pluridisciplinaires avec des rôles nouveaux pour les professionnels de santé, en coordination avec les services de santé de proximité et avec l’appui des technologies numériques et d’incitations appropriées – participent à l’efficacité du système de santé. Les innovations mises en place pour faire face à la pandémie doivent être pérennisées afin de renforcer la résilience des systèmes de santé en cas de nouvelles crises sanitaires et d’être à même de relever les défis associés au vieillissement démographique et au poids croissant des maladies chroniques.

English

From “traditional” software to cloud services and Internet of Things (IoT) devices, our economies and societies are increasingly reliant upon “smart products” that contain code and can connect to each other, e.g. through the Internet. Such products are vulnerable to cyber security risk, and economic factors often play a major role in their relative ‘insecurity’. This report discusses how policy makers can address key challenges that prevent smart products from reaching an optimal level of digital security. Increasing transparency and information sharing, promoting co-operation (including at the international level), and ensuring the duty of care of supply-side actors (e.g. through the principles of security-by-design, security-by-default and responsible end-of-life) are important avenues for policy action. Policy makers can leverage many tools to achieve these objectives, from public procurement, certification and multi-stakeholder partnerships, to labels and ex ante legal requirements.

Economies and societies are increasingly reliant upon “smart products” that contain code and can connect to one another, e.g. through the Internet. Recent cyber-attacks such as Mirai, WannaCry, NotPetya and SolarWinds have underlined that the exploitation of vulnerabilities in smart products can have severe economic and social consequences. Such attacks increasingly threaten users’ safety and well-being, as well. This report shows that economic factors play an important role in the relative “insecurity” of smart products. It develops an analytical framework based on the value chain and lifecycle of smart products, and applies the framework to three case studies: computers and smartphones, consumer Internet of Things (IoT) devices and cloud services. It demonstrates that complex and opaque value chains lead to a misallocation of responsibility for digital security risk management, while significant information asymmetries and externalities often limit stakeholders’ ability to behave optimally.

School heads in public institutions are required to work on average 7-8 hours a day, as is the case for most office-based jobs. The hours worked and the list of tasks and responsibilities vary widely across countries. On average across OECD countries, they earn more than teachers and other full-time tertiary-educated workers. However, more than half of school heads in the OECD countries are not satisfied with their salary and feel quite stressed due to heavy administrative workloads and responsibilities other than leadership and management.

French

This paper analyses ‘mission-oriented innovation policies’ (MOIPs), a new type of systemic intervention that a growing number of countries has implemented in order to tackle mounting societal challenges. These policies aim to alleviate some of the most prevalent weaknesses within many national systems of innovation, notably the lack of holistic strategic orientation and policy co-ordination, and fragmented policy mixes. This paper leverages a dedicated analytical framework to systematically explore the challenges and opportunities that these policies present at initiative and country levels. In doing so, it provides a better understanding of the different ways in which governments design, fund and coordinate MOIPs, and contributes to broadening the range of options available to either improve or initiate this policy approach. This paper complements the MOIP Online Toolkit (https://stip.oecd.org/stip/moip), the OECD knowledge platform on MOIPs.

Recent technological developments linked to secure messaging and traceability present an opportunity to address certain challenges in international and domestic payment systems. From an international perspective, foreign exchange markets remain costly and relatively less efficient than domestic payment systems. From a domestic perspective, the decline in the relative importance of cash in most economies reflects changes in consumers’ preferences, which questions the future of money and payment infrastructure. Against that background, private initiatives falling outside of current regulation, such as stable coins and other virtual assets, are associated with several risks and opportunities and have fueled the debate on the opportunities for central banks to issue new form of digital public currency. This note reviews those different propositions and examine their implication for the international and domestic payment systems.

As the roll out of coronavirus (COVID-19) vaccines begins, this policy brief asks how to ensure vaccines for all. In doing so, it examines the case for multilateral approaches to access and delivery, maps key challenges, and identifies priority actions for policy makers. The absence of a comprehensive approach to ensure vaccine access in developing countries threatens to prolong the pandemic, escalating inequalities and delaying the global economic recovery. While new collaborative efforts such as ACT Accelerator and its COVAX initiative are helping to bridge current gaps, these are not enough in circumstances where demand far outstrips supply. Based on the current trajectory, mass immunisation efforts for poorer countries could be delayed until 2024 or beyond, prolonging human and economic suffering for all countries. Policy actions to support equitable vaccine access in developing countries include: (i) supporting multilateral frameworks for equitable allocation of vaccines and for crisis response, resilience and prevention; (ii) highlighting the role of development finance; and, (iii) promoting context-driven solutions.

The impacts of laws and regulations on competitiveness have strong implications for OECD economies, as they can lead to unforeseen negative externalities and considerable regulatory costs for businesses and citizens. Nevertheless, the use of regulatory policy to assess the impacts of regulations on competitiveness has seldom been examined. This paper fills this gap by reviewing OECD members’ regulatory impact assessment (RIA) frameworks and the extent to which the competitiveness effects are currently appraised. It categorises regulatory impacts on competitiveness into three strongly interrelated components – cost competitiveness, innovation, and international competitiveness – and builds upon the OECD’s expertise to examine how regulations affect each component of competitiveness in turn. In doing so, the paper proposes a more complete structure that regulators can use to define and assess the competitiveness impacts of regulation as part of their RIA processes framework.

This paper uses firm-level data analysis to assess the extent, and the economic and policy implications of state-owned enterprises (hereafter SOEs) in the shipbuilding sector. Even though the available data appears to be limited in certain respects, one of the paper’s key findings demonstrates that SOEs occupy a significant share in global ship completions, but are likely to operate with lower profitability rates and to be more highly leveraged than private enterprises. This report also presents a number of guiding principles to assess SOEs’ behaviour and their potential impact on the shipbuilding market, such as good corporate governance frameworks and the principle of competitive neutrality. To provide a concrete comparative analysis of SOEs and their private counterparts, the paper examines a case-study comparing the Chinese central state-owned enterprise CSIC and its private counterpart Yangzijiang Shipbuilding.

The landscape of health services delivery is undergoing significant transformation from fragmented and disease-centred toward integrated and people-centred care. Health workers find themselves at the centre of this transformation that demands from them commensurate changes in the skill-set employed in day-to-day practice, among other challenges. The paper identifies transversal (core) skills that are becoming increasingly crucial for all front-line health workers to reap the potential benefits of people-centred care, such as better patient and population outcomes, higher productivity, and higher retention/job satisfaction combined among the workers themselves. These transversal skills include interpersonal skills, such as person-centred communication, interprofessional teamwork, self-awareness and socio-cultural sensitivity, as well as analytical skills, such as adaptive problem solving to devise customised care for individual persons, system thinking, openness to continuous learning, and the ability to use digital technologies effectively. Recognising the need to prepare health professionals for meeting the dual challenges of technically and emotionally complex healthcare workplace is a prerequisite to building and maintaining resilient and resourceful health workforce. This paper provides also a brief overview of skills assessment methods and tools that could be used to evaluate the effectiveness of health workforce policies and suggests a skills assessment strategy to evaluate the impact of reforms on the skills and performance of health workforce.

Only a small number of companies, located in a few countries, have specific technological expertise in wind turbine manufacturing. New quantitative analysis shows this expertise to be a significant driver of trade in wind turbines. Moreover, countries’ wind power generation efficiency is shown to depend on access to higher quality wind turbines available in international markets. Trade in wind turbines thus provides access to technologies with a level of efficiency that cannot be replicated domestically in importing countries. These results have important policy implications: i) barriers to trade in wind turbines are also barriers to the dissemination of key environmental technologies which are not otherwise widely available; ii) trade-discriminatory measures can also negatively impact non-manufacturing job creation in the renewable sector, as this relies on the continuous deployment of wind energy, which in turn depends on access to high quality turbines from international markets; and iii) policies should not focus on the creation of national champions, but rather on ensuring that domestic firms can apply their specific capabilities to new opportunities in the global value chains of renewables industries.

The paper provides a comparative analysis of the regulatory impact assessment (RIA) systems of the six Western Balkans administrations, showing how they have been used to ensure evidence-based lawmaking and EU law transposition. The regulatory and methodological frameworks, institutional set-ups and arrangements for RIA and EU law harmonisation, including government planning, EU accession negotiations and transposition, have been systematically analysed to identify the strengths and weaknesses of national systems and practice and to share knowledge and good practices. Key policy recommendations have been provided to address major shortcomings and improve the national systems of regulatory policy making.

This paper examines how local-level policies can strengthen entrepreneurship and innovation in the region of Cambridgeshire and Peterborough in the United Kingdom. It investigates the quality of the local entrepreneurship ecosystem for generating innovative start-ups and scale-ups and the regional conditions for generating positive industry transitions by supporting the strategic sectors of life sciences, information technologies, agri-tech and advanced manufacturing. Key areas of focus are on skills development, entrepreneurship development and knowledge exchange for local economic development. A number of policy recommendations are offered based on the analysis together with international inspiring policy practice examples.

The Coronavirus pandemic has put extreme pressure on public health services, often delivered at the local and regional levels of government. The paper focuses on how countries made changes to the configuration of federalism during the first wave of the pandemic. These changes typically have involved the centralisation and decentralisation of certain health-related activities, as well as the creation of new coordination and funding mechanisms. Specific tools that have been used include an enhanced role of the executive branch (“executive federalism”), the use of centres of government for vertical coordination, as well as the introduction of unique state-of-emergency laws. New horizontal coordination arrangements have also emerged with the more decentralised approaches. The strengths, weaknesses and implementation risks of various approaches are analysed using country examples.

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