(4 years, 5 months ago)
Lords ChamberTo ask Her Majesty’s Government what assessment they have made of the impact of the COVID-19 pandemic on global progress towards the United Nations Sustainable Development Goals.
[Inaudible.] It is clear, however, that Covid-19 poses yet further challenges to reaching the sustainable development goals by 2030 and that urgent action to accelerate progress is required. The UK is committed to this aim. To date, we have provided £769 million of UK aid to the international response and we are co-leading work through the UN Financing for Development work stream on sustainable recovery.
My Lords, this pandemic has proved the importance of the global goals. Sadly, last year’s Voluntary National Review was evidence that the SDGs were not prioritised by the top level of government, despite David Cameron’s early leadership role in their establishment. What practical and institutional steps are the UK Government taking to ensure that the SDGs are at the centre of their plans to “build back better” at home and internationally post Covid?
My Lords, I can assure the noble Lord that the sustainable development goals remain central to the Government’s plans, both internationally and domestically. We remain strongly committed to responding to Covid-19 and, in parallel, it is of course important to consider how we will recover. The SDGs are an important lens to help shape policies that will help us build back better from Covid-19 both here in the UK and in our international work.
(4 years, 5 months ago)
Lords ChamberMy Lords, we are supporting many international funds to ensure equitable access for all who need it. We support the Access to COVID-19 Tools Accelerator, which is the global call to action to accelerate development of a vaccine. We also support the recently formed Covax facility partnership, which is actively taking part in discussions on its mechanism and structure. Under the accelerator, Covax brings together international partners and Governments, and has the potential to ensure that a vaccine is accessible and affordable.
My Lords, Gavi is a success story, and the Government’s commitment to it is great, but Gavi can ask more of pharmaceutical companies. MSF recently made three recommendations to secure equitable access, including: requiring pharmaceutical companies to sell Covid vaccines at cost; boosting transparency, which we do not have enough of at the moment; and ensuring that civil society organisations have a meaningful role in distribution. What steps are the Government taking on these three recommendations?
My Lords, the work in this area is being led by the Vaccine Taskforce in the UK, which will ensure that the work being done in the UK to find a vaccine complements and supports global efforts. I will come back to the noble Lord in writing on the three specific points that he raised.
(4 years, 6 months ago)
Lords ChamberI certainly agree with the noble and learned Lord that we must make sure that the information provided to people is correct in order to help them save lives. I mentioned our project with Unilever, which aims to reach 1 billion people with the correct information about how best to protect themselves from Covid.
I congratulate the Government on the Gavi replenishment—a great example of international co-operation delivering on a vital health initiative. WASH is an important ingredient in delivering SDG 6, as well as our objective of universal health coverage. What are the noble Baroness, the Government and DfID doing to ensure that we lead and get other countries to invest in WASH projects?
I am grateful to the noble Lord for bringing up Gavi, which was a great success last week, and which brought the world together to raise over £8.8 billion for essential vaccinations. As he says, improving access to water and sanitation is its own development goal; safe water and sanitation are critical to public health and are necessary elements of universal health coverage. It is also good value for money, and we encourage other donors and indeed the World Bank to continue investment. It estimates that for every £1 spent there are economic benefits worth over £4. Therefore, we target our aid well to vulnerable countries. Between 2011 and 2015, we helped 64.5 million people get access to water and sanitation. We will continue this work and continue to encourage other partners to invest.
(4 years, 6 months ago)
Lords ChamberTo ask Her Majesty’s Government what representations they have made to the government of the USA regarding their response to the ongoing protests in support of the Black Lives Matter movement, following the death of George Floyd, and what are they doing to address racism, discrimination and injustice experienced by those here in the UK.
My Lords, as one of America’s closest allies, we join the American people in their grief. We condemn George Floyd’s death and trust that justice will be done. The violence we have seen is very alarming; the right to peaceful protest is an essential part of any free society. The protests are a reminder that, despite decades of progress, we must listen and learn from communities that face discrimination and work together to put an end to such injustices.
I thank the Minister and agree with her that, irrespective of the actions of a small minority, we must defend the fundamental democratic right of peaceful protest. George Floyd’s murder has rightly triggered international condemnation. The voices we have seen on the streets in the US, here and globally need to be not only heard but acted upon. For too many people, racism and discrimination are an everyday experience in work, health and public life. What is the United Kingdom doing to ensure that the call of the United Nations Human Rights Council on systematic racism is acted upon not only by the US but by all nations, including us?
My Lords, I agree that there is injustice that needs to be tackled. We are tolerant and open, but more can always be done to help people realise their potential. There is a lot to what the marchers are saying; action is needed across the board as part of the levelling-up agenda. That starts with education and job opportunities, but there are also health disparities that need to be addressed, as Covid has shown.
(4 years, 7 months ago)
Lords ChamberMy Lords, my thanks, like those of the noble Lord, Lord Holmes, go to all those workers—in the United Kingdom and across the world—who are on the front line during this pandemic.
While the priority must be to tackle the health emergency caused by Covid-19, our short-term response needs to be global and to anticipate the longer-term consequences around the world. Global health efforts to achieve the SDGs and other health targets on, for example, HIV/AIDS, TB and malaria have been shaken by the Covid-19 pandemic, as the noble Baroness, Lady Hayman, warned. For pandemic responses to be effective, they must place communities and civil society at the centre, uphold and promote human rights, and, as the Minister said, seek to put the furthest behind first.
I welcome the United Kingdom being at the forefront of the search for a vaccine and the development of effective Covid-19 vaccines and treatments, but steps must be taken to ensure that the NHS and patients worldwide can benefit. In Oral Questions this afternoon, the Minister reiterated the UK’s commitment to the WHO access to Covid-19 tools accelerator. Last week, I met the UNITAID executive director, who explained how it had rapidly leveraged its expertise and portfolio and joined the accelerator. It is really important that we continue these global efforts.
As we have heard, the majority of Covid research and development is publicly funded. However, the Government have not set out their plans on how equitable access will be achieved. As the noble Baroness, Lady Sheehan, asked, will the Government go beyond the rhetoric on equitable access and examine legally binding public-interest conditions on all UK funding? What assessment has the UK has made of the Costa Rican proposal for the WHO to create a global pool of rights in technologies for the detection, prevention, control and treatment of Covid-19?
The UK’s Gavi pledge and its call on others to do likewise at the Global Vaccine Summit on 4 June is welcome, but, as the Minister reminded us, challenges remain. Global immunisation rates are stalling, and 19.4 million children—78% of whom live in Gavi-supported countries—still miss out on basic vaccines. How will the Government work with Gavi to ensure that its next strategic period includes efforts to improve access to affordable vaccines and ensure sustainable transition from Gavi support?
We know that good nutrition is needed for vaccines to be effective. The Global Nutrition Report published last week against the backdrop of Covid-19 highlighted that progress on nutrition is too slow. For many, the threat of hunger and malnutrition is far greater than the virus itself. The executive director of the World Food Programme recently told the Security Council that Covid-19 would cause a famine of “biblical proportions”. Wendy Morton told the Commons that every percentage point contraction in global GDP from Covid-19 will lead to an additional 4 million stunted children. Anne-Marie Trevelyan said last week that the UK continued to work closely with Japan to ensure that the Tokyo Nutrition for Growth Summit secures new commitments to nutrition. Does the Minister agree that to pledge early will encourage others to do likewise?
As the noble Baroness, Lady Sheehan, said, Imperial College recently reported that if, as a global community, we are able to maintain
“the most critical prevention activities and healthcare services for HIV”
and TB, we can minimise the impact of the Covid epidemic. What assessment have the Government made of the impact on the HIV response of Covid-19 and the international Covid-19 response? For example, what steps are the Government taking to protect marginalised and criminalised populations at this time of heightened risk?
At the end of 2018, 70.8 million people had been forcibly displaced from their homes by violence, conflict and persecution—a number that likely increased in 2019. Covid cases being reported last week in areas such as Cox’s Bazar are a warning. NGOs there are working hard to increase access to handwashing and hygiene kits in really incredible circumstances.
What has DfID done at this week’s World Health Assembly to put WASH, in particular, at the centre of the global response to and investment in Covid-19? A global network of community-based responses that respond to and reflect local needs is our best chance of ensuring that men, women, boys and girls in vulnerable settings are able to access the information, services and assistance they need.
My noble friend Lord McConnell made the point very strongly about education in the global response. The UK has committed £5 million to the Education Cannot Wait fund, but at present, only DfID and the LEGO Foundation have made pledges to ECW in response to Covid-19. What steps is the Minister taking to encourage other donors and Governments to make further financial commitments to Education Cannot Wait?
The UN Secretary-General has recognised the impact of Covid-19 on older persons by stressing that they have the same rights to life and health as everyone else. The UK signed a statement of support for his policy briefing on older people. Can the Minister tell us how the UK is putting this commitment into action?
Finally, the UK must lead the global efforts for debt relief and supporting ceasefire initiatives. Can the Minister explain how the Government are encouraging international institutions to do this, and particularly, as a member of the P5, how is the United Kingdom supporting the UN Security Council’s global ceasefire resolution?
The IMF and the G20 have taken important steps on debt relief. However, the Jubilee Debt Campaign estimates that bonds and other private external debt payments for 77 of the poorest countries will total at least $9.4 billion from May 2020 to December 2020. Is the UK exploring legislative options to protect countries from being burdened by private debt?
As this debate has highlighted, coronavirus is not only a health emergency but an economic and social one. As I have mentioned, we have already seen large-scale food insecurity, increases in deaths due to other health problems such as HIV and malaria, and clampdowns on human rights. Is the Minister satisfied that DfID has properly assessed the risks of “pivoting resources towards Covid-19”, as the Secretary of State put it, as a failure to do so risks a spike in other serious health, social and economic emergencies?
(4 years, 7 months ago)
Lords ChamberI can assure that the noble Baroness that it is. We are deeply concerned about the potential second wave of locusts coming into east Africa. We are working with other donors to support UN agencies, the Red Cross and NGOs to respond to coronavirus, and with the FAO on locusts. That includes helping the world’s poorest countries to access critical medical supplies, including PPE.
My Lords, I welcome Monday’s pledge by the UK of £250 million at the virtual EU summit to boost public research funding for a new Covid vaccine. What steps are the Government taking to ensure that any vaccine developed using UK public money will be accessible by and affordable for all?
My Lords, in fact, the UK co-hosted that summit along with the EU and we are absolutely committed to the WHO Access to Covid-19 Tools Accelerator to make sure that new vaccines are accessible by everyone.
(4 years, 7 months ago)
Lords ChamberMy Lords, as the noble Baroness says, older people will be disproportionately impacted, and sadly that includes widows. We are working with our humanitarian partners to ensure that the most vulnerable, including older women and widows, are reached and supported.
I want to pick up the theme of the secondary impact of Covid-19, particularly the lessons we may have learned from things such as Ebola. It is not just the increase in domestic violence but the isolation of women and girls and their access to education—all those things are big secondary impacts. One thing we are clear about is that a health-only response will not be sufficient. We need to engage and promote behavioural change and social change measures. That means supporting civic society and civil society. I congratulate the rapid response facility on its efforts, but access to that is a bit limited at the moment. Can the Minister tell us more about how we will reach and build civil society to ensure that women, and particularly women’s groups, can protect and advocate for themselves?
I agree with the noble Lord that we must address both the primary and secondary impacts. I am particularly concerned about education. Ensuring that vulnerable girls can continue to learn and return to school after this crisis is vital. I also agree with the noble Lord that we must do what we can to support civil society and NGOs. He referred to the rapid response facility. We are also reprioritising our programmes within countries and working with civil society and women’s rights organisations to deliver those programmes.
(4 years, 8 months ago)
Lords ChamberBaroness Boycott. No? Lord Collins of Highbury.
A key element of nutrition-sensitive spending is universal health coverage, which is vital to building resilience to such pandemics. It is likely that the Nutrition for Growth summit will be delayed. Can the Minister assure the House that, if this year’s summit is delayed, she will ensure either that the Government pledge early, or will ensure a continuation of nutrition finance at current levels for another year to avoid a cliff edge in such financing at the start of 2022?
The noble Lord is right to highlight that global commitments on nutrition financing are indeed ending this year, and I agree with him that this continued investment is needed to prevent and treat malnutrition, particularly as countries face worsening levels of malnutrition in the face of Covid-19. We are looking carefully at the options for the UK commitment now that both the Olympic pledging event and the main Nutrition for Growth summit have been postponed, and we will provide an update on our plans when we are able to. Yesterday, the World Food Programme reported that Covid-19 could push 265 million people into acute hunger by the end of this year, so maintaining our commitment to nutrition is more important than ever.
(4 years, 9 months ago)
Lords ChamberMy Lords, I thank the Minister for repeating the response to that Urgent Question. In the other place this afternoon, my right honourable friend Emily Thornberry recalled British aid efforts to help the people of Iran during a humanitarian crisis. She asked the Minister to join her in making a plea to the Iranian Government to see Nazanin Zaghari-Ratcliffe as one of those innocent people in a humanitarian crisis whom they have it in their gift to save. She also hoped that the Minister would make a solemn commitment that if Iran acts with compassion, we would not forget our obligations to act with fairness and justice in resolving the other issues of dispute between our countries.
Unfortunately, it is not only Nazanin who is suffering in Iranian prisons today. There is Aras Amiri, who in 2018 was sentenced to 10 years, or Anoosheh Ashoori, sentenced to 12 years in 2019—and there are many others. Can the Minister offer an update on any of these cases? In particular, can she confirm whether concerns about Covid-19 have been raised by the families of other dual nationals imprisoned in Iran?
My Lords, we have been in close touch with the Iranian authorities to urge them to secure a temporary release on medical grounds for Mrs Zaghari-Ratcliffe, while her release remains a top priority for the Government. Of course, the welfare of all British nationals imprisoned in Iran is a top priority and we will continue to lobby for the temporary release of all detainees in Evin Prison.
(4 years, 10 months ago)
Lords ChamberTo ask Her Majesty’s Government, following the sinking of a boat carrying Rohingya refugees in the Bay of Bengal, what steps they are taking to assist Rohingya refugees in Bangladesh.
My Lords, I was deeply saddened by the tragic loss of life following the recent capsizing of a boat in the Bay of Bengal. We are monitoring the situation closely. The UK is a leading donor to the Rohingya crisis response in both Bangladesh and Myanmar. In Bangladesh, our assistance includes the provision of food, healthcare, shelter, counselling and care for sexual violence survivors, and protection for vulnerable groups, including women and children. Our support has reached more than 1 million refugees and host community members.
I thank the Minister for that response. I certainly agree that DfID’s commitment to the Rohingya in Bangladesh has been tremendous. On Tuesday, along with the noble Lord, Lord Crisp, I met postgraduate students from Oxford who did a study on hepatitis C in Cox’s Bazar. The conditions they portrayed were stunning. How much of the Government’s £87 million funding package will be directed toward reproductive and sexual health services, as well as targeting high rates of hepatitis C among the refugees? Will the Government also commit to a whole-society approach to longer-term investment for not only refugees but the host community?
My Lords, the long-term plan must be that the Rohingya are able to return home, but those returns must be voluntary, safe and dignified. In line with the UN, we do not believe that the conditions are currently in place, not least because of the recent terrible fighting in Rakhine state. The noble Lord highlights the case of hep C; I look forward to reading the report that he referred to. We are supporting healthcare in the camps. More than 500,000 medical consultations have been provided for refugees and host community members, including on reproductive health for women and girls, but as the crisis becomes more protracted, we need to ensure that we remain one of the leading donors and work with the Government of Bangladesh to come up with longer-term planning for the whole of the Cox’s Bazar district. The local communities have been very generous in hosting so many refugees; we must ensure that our help goes to those communities too.