Monica Harding

It is indeed an honour to serve under your chairship, Mrs Hobhouse, and I thank my hon. Friend the Member for Melksham and Devizes (Brian Mathew) for securing this important debate. Since the new US Administration took office in January, President Trump and Elon Musk have gutted USAID—the world’s foremost dispenser of humanitarian funding and expertise, through which America saved the lives of many of the world’s poorest people. Trump’s budget proposals to Congress for the coming fiscal year reduce foreign assistance spend by almost 85%, all while the need for it increases. In a deadly year, when 120 armed conflicts raging across the globe, the number of people suffering from acute food insecurity has nearly tripled in six years, from 135 million in 2019 to 340 million today. The nation that previously built development’s architecture has largely disappeared almost overnight. There is an urgent need for someone to step up and assume the convening and facilitating role that America once played. Many looked to Britain, and in that month, when we all held our breath, we were blindsided instead by this Labour Government cutting development spending to its lowest level this century. It is difficult to fully comprehend the scale of the cuts to USAID or their impact. In 2024, America spent roughly $70 billion on international development. Its contribution represented 40% of all humanitarian aid recorded that year. But it is not just the money. Every other country, international NGO and development body relies on the humanitarian architecture that America built and supported. It was America that funded much of the most valuable data collection, which determined where other countries directed their resources. NGOs I have spoken to explained how American-funded analysis often provided the early warning system for looming hunger crises. Frequently it was money from the Americans that paid the administrative costs and overheads of NGOs working on the ground. That has been dismantled. The world is already paying a heavy price for Trump’s and Musk’s decision to break American development leadership. Since the cuts, Boston University has been running a mathematical model of their likely toll. The model estimates that more than 300,000 people have died already, two thirds of them children. Every hour, the model believes, around another 100 people die. One can watch the number tick up almost in real time. A leaked memo originating with USAID estimated that the cuts would result in 200,000 children each year being paralysed by polio, that 1 million cases of severe acute malnutrition, which often results in death, would go untreated and that malaria would claim an additional 166,000 lives. There is a humanitarian catastrophe unfolding before our eyes. Millions of the world’s poorest people, including the poorest children, have lost lifesaving medical care because of those cuts. Perhaps the heaviest blow of all has fallen upon the global effort to fight HIV and AIDS. The President’s emergency plan for AIDS relief, credited with saving 26 million lives in the last two decades, received a 90-day stop work order in January. The Trump Administration have now asked Congress to claw back money, some already allocated to PEPFAR. As a result, the global HIV response has been severely disrupted. Modelling by the Burnet Institute estimates that it will result in a 25% drop in funding for the global HIV response, and as many as 2.9 million excess HIV-related deaths by 2030.