Contribution
It is a pleasure to serve under your chairmanship, Mrs Hobhouse. I declare my interest as co-chair of both the APPG on nutrition for development and the APPG on HIV, AIDS and sexual health.
This is a period of great uncertainty, not just because of what has happened in the US, but because of what is happening in the UK. Perhaps this debate is a couple of days early, because when the new Minister for International Development, Baroness Chapman of Darlington, appeared before the International Development Committee, everything was predicated on the spending review. Indeed, the Committee had to send back the Government’s response to our inquiry on hunger and sustainable development goal 2 because there was no substance in the reply, since everything was predicated on the outcome of the spending review.
I hope that tomorrow we will get certainty. I do not expect the Minister to be able to advance anything specific today, but it is important that we have that certainty, because uncertainty is one of the worst features affecting our ability to plan and to combat the issues that we face globally. Obviously, the US has contributed enormously to that uncertainty. It is still not clear what is happening in the US, and that is why I welcome the fact that the International Development Committee will soon visit Washington and New York. It will be a fact-finding visit, so that we can ascertain exactly what the approach is, and whether Mr Musk’s departure means anything for how these matters will be dealt with.
I do not want to dwell too much on regret about the American situation. I think that we have to move on, as others have said, to a new debate about the future model of development. The Government, through the Minister for International Development, have indicated that that is their view, but again, there have not been many clues as to exactly what that might mean. We have heard about a realignment of existing multilateral organisations; it is not clear to me what that means. What I am clear on is that the UK should continue to contribute significantly to Gavi, the Global Fund and Unitaid, because those are multilateral organisations that deliver on their own specific objectives but also provide a backbone for health services in many poorer countries. Without those interventions, there would not be a health service being offered at all, so it is vital that we continue.
Cutting mid-way through programmes is always chaotic. One of the most shocking things that I heard in recent evidence to the International Development Committee was about a US cut during the overwhelming of Goma in the Democratic Republic of the Congo. We heard that the radio system, which was operated by volunteers, had to be switched off during that attack. That meant that people could not hear where the attack was coming from and where to go to be safe. I think that everybody who heard that evidence, from the guy who had to do that, understood how hard it was—and it was the direct consequence of a cut.
I want to focus on nutrition and give some key facts. A billion women and girls suffer from malnutrition, which impacts their health, productivity and economic futures. Malnutrition is a leading killer, responsible for one in five maternal deaths and nearly half of child deaths under the age of five. Malnutrition costs the global economy more than $1.6 trillion annually in lost productivity and potential. US aid cuts could lead to 1 million children with severe and acute malnutrition losing access to treatment annually. But it can be—and it has been—different. We know that for every $1 invested, $23 is returned to the local economy. Investing in nutrition is not charity, and it is not even the moral thing to do; it is a strategic decision and investment, and the UK, US and other funders should continue to do it.
The UK Government are being asked to invest £50 million in the child nutrition fund. The UK has historically been a leader in the funding of child nutrition interventions. In both 2022 and 2023, the UK committed £6 million to the fund, which has high-impact, cost-effective malnutrition solutions. With the funding crisis caused by US cuts, the ask is now £50 million.
I hope that on the IDC’s visit to the US, we will find out more about what is happening with HIV/AIDS, because there are competing suggestions about whether the US will return to funding. The hon. Member for Norwich North (Alice Macdonald) alluded to women and girls; one of the most important messages we have to get across is that in sub-Saharan Africa, it is women and girls who are most affected by HIV, and it is important to continue funding there.
I also agree with the hon. Member about the importance of science and innovation as we move forward in this new development world. I had the opportunity to visit the John Innes Centre outside Norwich, as well as Rothamsted Research in Harpenden, where a huge amount of research is going ahead. The research and scientific leadership that the UK can offer might be the replacement for the financial leadership we offered in the past.