UN: Sustainable Development Goals

Baroness Barker Excerpts

Tuesday 16th June 2015 Lords Chamber

[Baroness Barker (LD)]

My Lords, I, too, thank the noble Lord, Lord McConnell—my fellow VSO volunteer—for introducing this debate. I have come recently to international development and, frankly, it is a vast, complex picture to try to understand. I want to echo in part the words of the right reverend Prelate the Bishop of St Albans, but also the message from the noble Viscount, Lord Ridley, which I took very much to heart, about trying to identify those things that are strategic, sustainable and make sense. It always strikes me in international development that there are people with great hearts who are motivated by seeing local problems and issues, trying to work at a strategic level and battling time and again—not with a default position that they think that money is endless but with a lack of data about what works. All of us in these debates are trying to help our Government to work towards a position of having the maximum influence in these very important discussions over the next few months.

I want to talk about HIV/AIDS and ageing, two issues that concern me. In HIV, the concentration and focus brought about by the existence of the millennium development goals have made a true difference. The number of people accessing treatment now is 13.6 million. It was 1 million 10 years ago. In 2013 there were 2.1 million new infections, compared to 3.4 million in 2001. In 2013 there were 1.5 million AIDS deaths, compared to 2.3 million in 2005. This is not perfect but in dealing with the AIDS pandemic the international community has registered a considerable success and we need to tell our fellow citizens in this country, who are sceptical about the benefits of international aid, that this is an important development. As we know from the scientists, if we cannot beat HIV/AIDS in Africa, we are never going to conquer it here.

That said, we have not met all the targets on HIV/AIDS. The zero draft of the outcomes document has a very ambitious target for AIDS but it is important that we refocus and make sure that there are resources behind that, because we have a very small amount of time—a number of years—within which we have to try to get ahead of the curve on HIV or else the epidemic is going to go out of control. UNAIDS has released 90/90/90 targets: by 2020, 90% of people living with HIV will know their status; 90% of those people will be accessing treatment; and 90% of those will be virally suppressed. If we can do that, we can truly begin to make the progress that we need in order to finally overcome HIV/AIDS. The opportunity to control the epidemic is finite, which is why we have to do it within the framework of international development agreements. To achieve that change, we have to deal with people who are deeply unpopular and marginalised within their own societies—those such as gay people, sex workers and so on. These are the people to whom their own Governments find it difficult to give political priority, so although it is a soft touch for us politically it is important that we stick with the programme.

One other important thing to mention on HIV/AIDS is that we need to keep up the focus on research and development. Much of the success that has happened over the last 15 years has come about because of the development of generic drugs. The cost of those drugs has plummeted. That has come about because manufacturers in different parts of the world have been able to benefit from research done by countries in the West, which they usually kept to themselves to maximise their profits. But through the intellectual pooling arrangements we have enabled a sharing of intellectual property, which has had a profound impact on the development of new drugs. On trade agreements, too, it is important that low and middle-income countries should have those trade flexibilities which enable them to provide generic versions of medicines to their populations. That is unbelievably important in places such as India and the whole of southern Africa, where, again, if we do not contain the virus it will be a public health disaster of unlimited proportions for the whole world.

On the subject of ageing I simply say that, at the moment, there are more than 868 million people aged over 60. By 2050, there will be more than 2 billion and we will have reached the unimaginable point where there will be more people aged over 60 than children under 15. That in itself must have an extensive impact on all sustainability and on health systems. I reiterate the point that I made to the noble Baroness the other day: that in all these negotiations, our Government should press for the generation of more age-related and gender-specific data so that we can begin to drill down into the patterns of what is happening. Older women need to be included in those targets for gender equality, as they are just as likely as younger women to be subject to violence. The noble Lord, Lord Rea, was also right to say that non-communicable diseases fall disproportionately on older people, and if we do not include them in this we will never make an impact on them.

The noble Viscount, Lord Ridley, is right that this could be a bit like a Christmas tree. We could put so many baubles on it that it falls over. None of us wants to do that. We all want to make sure that the analysis is correct and that the data generated enable our Government, and other Governments, to make that informed assessment about what is most effective and how we could all make limited resources go further to reduce poverty.