David Mundell

I am grateful to you for stepping into the Chair, Ms Jardine. I was due to chair this debate, but that would have meant that I was unable to contribute, which I very much wanted to do. Given the restricted time, I do not want to rehearse the discussions that we had with Baroness Chapman in the International Development Committee earlier in the week. Like the hon. Member for Milton Keynes Central (Emily Darlington), whom I congratulate on securing the debate, I want to say that a contribution to Gavi and the Global Fund is not charity but a strategic investment by the United Kingdom. Although we have to deal with the reality that, as Baroness Chapman set out, the cuts are happening, we have to make the case about what should happen in that environment. I have always believed that aid spending should have maximum impact and maximum returns. Moreover, it should be in keeping with public expectations of food in bellies and shots in arms, and the Global Fund and Gavi deliver both. As the hon. Member for Southgate and Wood Green (Bambos Charalambous) said, Gavi has immunised more than 1 billion children, reducing vaccine-preventable child deaths by 70% in the 78 low-income countries in which it operates. That is 18.8 million lives saved and children growing up healthy, going to school and contributing to their communities, which is a huge impact. The Global Fund has saved an estimated 65 million lives since 2002. It has cut the combined death rate from AIDS, TB and malaria by 61%. These are staggering achievements and they should not be discounted. Gavi and the Global Fund are two of the most successful and impactful health programmes in history. They clearly meet the requirement for maximum impact and return, but they are possible only because of sustained, co-ordinated international investment. Alongside Unitaid, they are part of a habitat of organisations that have sustained progress in our understanding of diseases, and our ability to deploy medicines and improve health systems. I join the hon. Member for Milton Keynes Central in encouraging the Minister to sustain the existing contributions to both Gavi and the Global Fund. He will be aware that in the last Parliament, I lobbied my own Government very hard to get that £1 billion into the Global Fund. Let us keep it at that at least, and keep the contribution to Gavi. These programmes make a difference.