Alice Macdonald

It is a pleasure to serve under your chairship, Ms Jardine. I thank my hon. Friend the Member for Milton Keynes Central (Emily Darlington) for securing this debate. Let us be honest: most of the public do not know what Gavi or the Global Fund are, but they do know the lifesaving power of vaccinations because they, like all of us, will have benefited from them when they were children, as will their children. But we know that for too many children around the world, those lifesaving vaccinations are not available. In these debates we must remember that people’s lives are at the heart of the issue. I worked for Save the Children for many years, and I saw at first hand the impact of immunisations and the progress that has been made. Some of that is at risk in the light of what is happening around the world, so this is a really important debate. We have covered many of the areas that I want to talk about, but 1.5 million children continue to die from vaccine-preventable diseases. That is more than the population of Cyprus—an entire island of children dying every year. Vaccination and ending AIDS, tuberculosis and malaria are not only the right thing to do but, as we have heard, in our national interest and the smart thing to do. Vaccinations stop disease reaching our shores. They help to support healthy and prosperous nations, and they help to prevent future pandemics. They are also vital in the context of climate change, as many of the world’s deadliest diseases are susceptible to climate change, which increases the risk of them spreading. Tackling those diseases is best done—with best value for the British taxpayer—through Gavi and the Global Fund. We know we have to maximise our aid budget at this difficult time and invest it in the right things that will deliver the best value for the British taxpayer. Investing in Gavi and the Global Fund is therefore simply a no-brainer. I asked the Minister earlier this week if investing in women and girls remained a priority for this Government, and I was reassured by his answer. I then raised that with the Minister for International Development at the International Development Committee, and we heard that the approach is more about mainstreaming gender equality—women and girls were not listed as one of our three top priorities. Although I accept that we can mainstream gender, I hope that the Minister will reply on how we will ensure that women and girls remain at the heart of programmes such as Gavi and the Global Fund. Every week, 4,000 adolescent girls and young women between 15 and 24 become infected with HIV globally, and 3,100 of those infections are in sub-Saharan Africa. As we look at our aid budget, we know it has to be focused on tackling extreme poverty, and Africa is one of the areas that we need to focus on.