(4 years, 9 months ago)
Lords ChamberMy Lords, gender equality is and will continue to be a top development priority. Girls and women across the world are held back by systematic and entrenched inequality and discrimination; the noble Lord raised some specific examples. Despite leaving the European Union, we will of course continue to work with our friends in Europe to ensure that these girls and women are kept safe.
My Lords, I co-chair the APPG on Nutrition for Growth. As my noble friend will be aware, malnutrition adversely affects young girls, children and women. Will she assure me that the upcoming Tokyo summit will be funded and that we will continue our leadership role in this key area?
My Lords, the UK is a leading player in global health and nutrition forms a big part of that. We recently had debates on its importance. We continue to support the Government of Japan in organising the Tokyo summit and we will play a leading role in it.
(4 years, 9 months ago)
Lords ChamberMy Lords, I thank the noble Lord, Lord Collins, for securing this timely and important debate. As the House is aware, we have spoken about nutrition on two recent occasions in this Chamber. The first was in the context of taking an integrated approach to UK foreign policy and development; the second was about weaving nutrition across DfID’s portfolio. I will continue on that theme, but it is the intersectional and foundational nature of nutrition that makes it so important.
I will start by talking about Gavi, the vaccine alliance, which is hosting its replenishment conference in London in June this year. Gavi aims to raise $7.4 billion from international donors to immunise an additional 300 million people between 2021 and 2025, saving up to 8 million lives. UK civil society organisations are calling for Her Majesty’s Government to retain or increase their share of Gavi funding, which is roughly 25%. I support that ask. Ensuring full coverage of all WHO-recommended vaccines will make the world a safer and more prosperous place.
However, if the UK is to spend such a large amount of money on vaccinations, it is only right that steps are taken to ensure that investment is as impactful as possible. It is well known that malnutrition reduces the efficacy of vaccines. While some vaccines may still work on a malnourished child, the timing, quality and duration of responses may be impaired. Likewise, malnutrition is often caused by vaccine-preventable diseases; additionally, malnourished people are far more likely to die from these. In short, vaccinations and nutrition are two sides of the same coin.
To accelerate action on ending preventable deaths and improving people’s health and economic prospects, the Government must invest ambitiously in Gavi, but also at N4G. In addition, they should take steps to align their objectives in both areas and across health more broadly. On that point, what steps is my noble friend the Minister taking to ensure that ready-to-use, therapeutic foods and other nutrition services are included in DfID’s wider efforts to build effective health systems? What consideration will her department’s N4G pledge give to the strategy of Gavi and other health multilaterals, in order to align objectives?
My second point covers aid and trade. Too often, a country’s ability to feed its population with a healthy diet is hindered because its fruit and vegetables are too expensive for most of the population, or are exported to wealthier nations. Conversely, companies from a range of countries, including the UK, are able to flood local markets with cheap, high-sugar foods. For example, it is worth noting that the CEO of Associated British Foods was present at the UK-Africa Investment Summit last week. ABF owns the largest sugar producer in Africa, which recently received a DfID grant to implement its land rights policies. While I am wholly supportive of that work, I urge that further DfID funding should improve employment and market conditions for locally owned companies, growing food that contributes to a healthy, diverse diet. What consideration will the Minister’s N4G pledge give to private sector engagement and international trading arrangements?
As the noble Lord, Lord Collins, and the noble Baroness, Lady Walmsley, have said, the promotion of exclusive breastfeeding for six months, continued until 11 months, is the single most effective way to reduce child mortality in countries with high burdens of malnutrition. Near-universal adoption of optimal breastfeeding could prevent 823,000 child deaths and 20,000 maternal breast cancer deaths per year. As well as being extremely high in impact, breastfeeding promotion is very low in cost. Will my noble friend the Minister ensure that the promotion of exclusive breast- feeding is made a priority in the Government’s N4G pledge? Specifically, will she commit, as has already been asked, to working with partners to ensure better enforcement of the International Code of Marketing of Breast-milk Substitutes?
As co-chair of the APPG on Nutrition for Growth, I look forward to a strong commitment from the Government. I appreciate that my noble friend he Minister is to meet APPG members to discuss this further, but what thought has she given to the International Coalition for Advocacy on Nutrition’s request that the Government commit £800 million per year to nutrition between 2021 and 2025? I look forward to hearing about a really ambitious pledge from the Government.
(4 years, 10 months ago)
Lords ChamberMy Lords, the UK has been a proud global leader on nutrition since hosting the summit in 2013. Since 2015 we have reached more than 60 million women, adolescent girls and young children with nutrition services in 25 countries. The noble Lord is right to point out the advantage of the new OECD policy marker. Indeed, the UK worked with donors and other Governments to develop the guidance for that marker and supported its adoption at the OECD. The new marker gives a big improvement in our ability to track aid spending on nutrition. We are exploring options to ensure that we use that policy marker to its best effect in DfID.
My Lords, the Government are doing some excellent work on nutrition and there is a very expert team in DfID. I co-chair the APPG on Nutrition for Growth and, as my noble friend the Minister knows, there is to be a summit in Tokyo later in the year. Will she agree to meet me and other members of the APPG to discuss Her Majesty’s Government’s commitments to the summit?
My Lords, I pay tribute to the work of my noble friend and the noble Lord, Lord Collins, in co-chairing the APPG, an important body. Our current commitments to nutrition will come to an end in 2020, so the Tokyo Nutrition for Growth summit in December will really be a key moment in making sure that progress continues. We have bold ambitions for the summit. We are working closely with the Government of Japan to ensure that it is a success. We are looking to strengthen health systems, to come up with longer-term funding and to ensure that Governments, donors and businesses take positive action to improve access to nutritious and sustainable diets. I would be delighted to come along to the APPG with officials to provide further briefing.
(5 years, 3 months ago)
Lords ChamberWe are the leading donor for regional preparedness and will certainly be working with Rwanda to ensure that it is firmly on the agenda.
My Lords, as has already been said, it is important to control the spread of Ebola. Can my noble friend say whether local schools are closed in eastern DRC? Would that help to reduce the spread of this infection?
I thank my noble friend for that question. Of course, as I said, we are doing all we can to reduce infection. Unlike in Sierra Leone, schools in the affected area currently remain open; so far, they have not been identified as a major source of transmission. In west Africa, we saw that school closures could have many negative and long-lasting effects on children and the surrounding communities. As the noble Lord, Lord Collins, pointed out, schools are actually a way in which we can educate people on this. Our support for UNICEF helps to fund infection prevention and control work in schools near confirmed cases. While the ultimate decision to shut schools rests with the Government of the DRC, it is something that the UK monitors closely.
(5 years, 4 months ago)
Lords ChamberWhile I cannot give out the figures, I can say that 54 local authorities can access a database developed by local government with funding from the Home Office. It is called NRPF Connect and allows for online checks and information sharing, enabling the Home Office to identify local authority-supported cases and prioritise them for conclusion. There is communication between the Home Office and local authorities.
My Lords, some of these children will be rough sleepers. Will the Minister address the accusation that the Rough Sleepers’ Support Service is being used as a secret service?
I thank my noble friend for referring to that accusation. I have heard it before: it was raised in your Lordships’ House the other day. It is not a secret service. Officials are working with partners to ensure that effective referral processes are established and that rough sleepers will always be made aware of how information collected on them will be shared and used.
(5 years, 4 months ago)
Lords ChamberI say to the noble Lord, as I think I said the other day, that someone who is a victim of modern slavery, which may well include those who have been raped—these people are exploited to an insufferable degree—should be treated first and foremost as a victim. The abuse and trauma they have suffered should be dealt with first and foremost. However, it is also true that other issues may be involved, such as immigration control. Quite often, in a number of cases, that immigration control will in and of itself protect the victim, because the whole picture will come out. But I reassure the noble Lord that, if someone comes forward who is a victim of modern slavery, they will be protected and treated as a victim first and foremost, and will get all the support they need.
My Lords, I totally concur with the comments made by the noble Lord, Lord Paddick. I have two questions. First, is it correct that it is mostly Chinese women who are detained? Secondly, I agree that these kinds of modern slavery cases should not sit with the Home Office, because the issues of immigration, modern slavery and vulnerable people interlink. There are some real sensitivities and we need to do a lot more than just trade statistics. These are individuals with real issues and problems and they need help and support.
My noble friend asked whether it was mostly Chinese women who are detained. I do not think that we can give an answer to that—I do not have the statistics before me. However, we can all see in our day-to-day lives examples of where modern slavery may be going on, and in some cases those people are Chinese. On the claim that this should not sit with the Home Office, I am not sure where my noble friend thinks it should sit. The whole point of the national referral mechanism is that it is a multiagency mechanism which keys into NGOs and other agencies, all of which are there to support the victim and help them to move on from what has been terribly traumatic.
(5 years, 4 months ago)
Grand CommitteeMy Lords, I thank my noble friend the Minister for her excellent opening speech and for the opportunity to speak in this important debate. It is always difficult to follow the noble Lord, Lord Bird, because he is so passionate and enthusiastic, but I will do my best.
I will focus my remarks on nutrition, which underpins the success of the SDGs as a whole. Good nutrition is the foundation of good health and human capital. It is essential for the development of a strong immune system, without which the efficacy of all other health interventions is dramatically reduced. I begin by acknowledging the Government’s leadership on nutrition. The UK Government held the first ever Nutrition for Growth summit here in London in 2013. The summit raised $24 billion over seven years to help end malnutrition. The commitments made have saved and transformed the lives of millions, but those commitments expire next year when the next summit takes place in Tokyo. The Tokyo summit is a huge opportunity. To reflect its importance, we have set up an APPG on Nutrition for Growth, which I co-chair with the noble Lord, Lord Collins of Highbury, to buoy the Government’s leadership as the summit approaches. At our recent launch event, DfID’s director-general for policy, Richard Clarke, acknowledged nutrition as one of DfID’s “best buys”. He is patently correct, and that is the reason I am so supportive of investing in nutrition.
Let us take the case of Fatima Babanne as an example. Fatima is from a remote and fragile part of northern Nigeria. She has three children and another on the way. With limited local employment opportunities, she struggles to afford the healthy diet that she and her family need. Following an assessment, Fatima has enrolled on to DfID’s child development grant programme, which gives her a monthly cash income of 4,000 Nigerian naira—approximately £8—and a place on an education course about health and nutrition. Fatima uses her grant to buy healthy food and saves a small amount each month to start a millet-grinding business, which now generates 10,000 naira—£21—profit per month.
As a result of DfID’s small intervention, Fatima has been economically empowered and her children will develop healthy immune systems, so vaccines and other health measures will be as effective as possible. Good health will improve these children’s chances of getting a good education and gaining meaningful employment as adults. This in turn will strengthen the Nigerian economy, promote stability and help the country become a valued trading partner and ally with Britain on the global stage.
Nutrition cuts across all aspects of sustainable development. With that in mind, I will finish with three recommendations, which have nutrition at their core but would improve the impact of UK aid overall. First, this debate comes at the beginning of a year-long period of health-financing moments. Last week, the Government announced significant support for the Global Fund to Fight AIDS, Tuberculosis and Malaria. Replenishment of both Gavi, the Vaccine Alliance, and the Global Polio Eradication Initiative will follow soon, and the Nutrition for Growth summit will take place next summer. Each of these moments represents an opportunity to accelerate progress on global health but only if each moment is supported and considered part of a single structure, built brick by brick. Failing to fully support any one brick compromises the overall structure. The UK should invest ambitiously and equitably at every moment, certainly at Nutrition for Growth, to get maximum impact from each investment.
Secondly, nutrition needs to be more effectively integrated across all aspects of DfID’s work. Food and agricultural systems and climate resilience programmes are all needed to ensure that nutritious food can grow and reach the people who need it. Education programmes about nutrition are important so that people are aware of what constitutes a diverse, healthy diet. We have seen recent issues regarding diet in the UK, obesity and its effect on cancer. Economic growth programmes are important so that people can afford that diet. All the teams within DfID need knowledge of nutrition and its impact and should work closely and harmoniously with its nutrition team.
Lastly, I started my contribution to this debate by congratulating the Minister on her department’s leadership on nutrition, and I shall finish by encouraging her department to maintain that leadership and utilise it. It is important to improve global collaboration and country ownership of nutrition. The World Bank estimates that an additional $7 billion per year is needed to meet global targets on stunting and wasting. The UK cannot plug this alone—it should not seek to—but it can encourage other Governments, particularly those with high burdens of malnutrition, to do more. One way of doing this would be by making their support for Nutrition for Growth known as early as possible to indicate to others that this initiative is worth supporting.
I congratulate the Minister on her department’s work and encourage her to ensure that it is maintained. I look forward to hearing how she intends to do that. She will certainly have my support in all her endeavours.
(5 years, 4 months ago)
Lords ChamberI appreciate the noble Lord’s question because it goes to the heart of what we are trying to do—to protect vulnerable children and to ensure, so far as possible, that they come to this country through recognised routes. I spoke to him last week and he will know that we are now consolidating some of those routes to allow one route for vulnerable children and adults to come here. As to our commitment to resettling 20,000 vulnerable people from the MENA region under the VPRS and VCRS, by 2020 we will have resettled 23,000 of them, which is over the commitment we originally intended.
My Lords, what are the Government doing to ensure that refugee children are safeguarded once they are in the UK? There have been press reports that we could do more.
(5 years, 6 months ago)
Lords ChamberMy Lords, I welcome the action the Government are taking in both secondary and primary schools, in hospitals and, in the future, within police settings. Can my noble friend say what DfID is doing about the young girls and women who have to use home-made products such as rags, plastic and paper when they are menstruating? It would be helpful to know what contribution the Government are making in this area.
I thank my noble friend for that question. In her prior role as Secretary of State for International Development, the Minister for Women and Equalities placed great emphasis on this issue, recognising the awful situations my noble friend describes, and moved to lead a global action campaign to end period poverty by 2030 in line with the global goals. It kick-started an allocation of up to £2 million for small and medium-sized charities working on period poverty in DfID’s priority countries. It also builds on the proud record of the UK’s work that is already under way to tackle period poverty globally, and the range of initiatives that different organisations are leading here at home.
(6 years ago)
Lords ChamberMy Lords, I beg to move that the House be resumed. In moving this Motion, I suggest that the Committee begin again not before 8.17 pm.
My Lords, it has been decided that the break will be 45 minutes.
House resumed. Committee to begin again not before 8.17 pm.