USAID Funding Pause

Brian Mathew Excerpts
Tuesday 10th June 2025

(3 days, 13 hours ago)

Westminster Hall
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Brian Mathew Portrait Brian Mathew (Melksham and Devizes) (LD)
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I beg to move,

That this House has considered the USAID funding pause and its impact on UK international development.

It is a pleasure to serve under your chairship, Mrs Hobhouse. I thank everyone who has come this morning either to participate or to observe. Although a decision about an American Government Department’s funding may seem distant in geography, it is dangerously close in consequence. The recent cuts to the United States Agency for International Development—USAID —by President Trump on his first day in office pose a grave risk to millions of people around the world, as well as to global stability. I believe they are either a mistake and a blunder, or a cruel and cynical ploy for popularity that will result in harm and suffering for the poorest on the planet.

The implications for our aid programme are threefold. First, the UK has effectively lost a key partner in aid, and one with which we have done great work in the past. Secondly, the sheer scale of the USAID cuts means that the gaps in funding cannot be filled by other donors, especially as almost all Governments, including our own, are now following the US example and reducing their aid spend to put more into their militaries. Thirdly, it could be argued that we, and indeed the world, should have seen this coming; we had become too reliant on the USA.

Having said that, I find it indefensible for the UK to follow suit and cut aid in an attempt to raise funds for increasing defence spend.

Rachel Gilmour Portrait Rachel Gilmour (Tiverton and Minehead) (LD)
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My hon. Friend is making some compelling points. Does he agree that the crucial point is that if Britain retreats from our role as a leader in international development, we not only undermine our unique soft power but leave vital regions exposed, ceding ground to the increasing assertiveness of hostile powers and geopolitical rivals?

Brian Mathew Portrait Brian Mathew
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I completely agree with my hon. Friend, and I will cover many of those points. I find the cut totally indefensible and counterproductive. Apart from the soft power that our aid programme offers, it is a betrayal of principles we hold dear: reducing poverty and assuring global security.

On a personal note, aid cuts hit close to home for me. For much of my career I have worked in international aid, primarily in water, sanitation and hygiene, working to give people across Africa and the developing world access to clean drinking water, safe sanitation and good hygiene. Those simple things are vital to health, survival and prosperity.

According to WaterAid, the UK’s annual budget for WASH has already been cut by approximately 82%, from a high of £206 million per year down to a critical low of just £37 million a year in 2022. Further cuts are likely to this most vital of sectors. Such cuts will hardly dissuade potential refugees from coming to our shores; they may even drive those refugees towards us if life becomes increasingly intolerable as a result of climate change, war and famine.

One impact of USAID cuts is growing hunger. Globally, almost 50% of all deaths among children under five are attributed to malnutrition. The USAID-funded famine early warning system—FEWS NET—the gold standard for monitoring and predicting food insecurity, went offline in January because of Trump’s cuts, leaving organisations without a key source of guidance on where and when to deploy humanitarian aid. At the same time, other USAID cuts have led to feeding programmes themselves coming to an abrupt end. For example, therapeutic feeding centres in Nigeria have been closed, as have community-run kitchens in Sudan, at a time when famine threatens millions in that country. Meanwhile, thousands in Haiti have lost access to nutritional support. We are told that USAID emergency food rations are now rotting in warehouses.

The supply of HIV treatments and medication has been severely disrupted. The UNAIDS executive director has warned that if funding is not replaced, an additional 6.3 million AIDS-related deaths are expected over the next four years. We were likewise warned by a senior World Health Organisation staff member during the recent International Development Committee visit to Geneva that, with AIDS again running rampant, it is likely that drug-resistant variants of tuberculosis will now multiply and become a risk to us all, even in the developed north.

When healthcare systems are hit, sexual and reproductive health is often one of the first casualties.

Laura Kyrke-Smith Portrait Laura Kyrke-Smith (Aylesbury) (Lab)
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The hon. Gentleman is making an excellent speech. I have been in contact with the International Rescue Committee, my former employer, about the impact that the USAID cuts will have on it. It is estimated that the cuts to that agency alone will mean that 280,000 people in Yemen will lose access to primary care, mental healthcare and reproductive healthcare, and 3,000 people in Lebanon will be left without education. That is devastating not just in terms of the humanitarian impact; we need to think about it in terms of our own stability and security. It means diseases left unchecked, which cross borders and become pandemics, and it means young people left without education and opportunity and at risk of further marginalisation and radicalisation. Does he agree with that analysis?

Brian Mathew Portrait Brian Mathew
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I thank the hon. Member for her comments, and I will continue with more figures that emphasise those points.

During the 90-day freeze, an estimated 11.7 million women and girls have been denied modern contraceptive care. The Guttmacher Institute estimates that that will lead to 4.2 million unintended pregnancies and 8,340 women and girls dying from pregnancy and childbirth complications.

Alice Macdonald Portrait Alice Macdonald (Norwich North) (Lab/Co-op)
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I fully agree with the hon. Gentleman about the impact that the cuts will have on women and girls. Does he agree that, as well as continuing to support women and girls through aid from this country, we must stand up for women’s and girls’ rights internationally? We have seen them rolled back in the past. That is why it is so important that we continue to do what we can to stand up for women, for example in Afghanistan, where their rights are being eroded every single day.

Brian Mathew Portrait Brian Mathew
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I completely agree with the hon. Member. An ActionAid project in Zambia safeguarding women from sexual exploitation was forced to close almost overnight.

Oxfam says that, thanks to the cuts to USAID, 95 million people could lose access to basic healthcare, potentially leading to 3 million preventable deaths a year, and 23 million children could lose access to education. When services collapse and diseases can spread unchecked, people lose hope, and they do not stay put. Migration pressures rise, conflicts hit new boiling points and markets react. As covid taught us all too well, deadly viruses such as Marburg and Ebola could leap from remote villages to our high streets in a matter of weeks, especially when the staff to deal with them have been given stop orders and removed from frontline duty.

We are already seeing other powers whose interests do not align with ours begin to fill the gaps left by USAID. China and Russia are expanding their influence in regions where western credibility is weakening. Just last week, some of us on the IDC heard from an official in the Burma/Myanmar freedom movement that USAID’s withdrawal has happened at the same time as China has made quick inroads to prop up the military and curry influence in its efforts to get hold of rare earth minerals from that troubled country.

The United Kingdom has long prided itself on being a force for good in the world. Our work and leadership with British aid has not only saved lives but championed the best of our British values: fairness, the rule of law, health, education and opportunity across the globe. That is soft power in its most tangible form, and it is worth its weight in gold—and, more importantly, in lives and livelihoods. Sadly, we have made our own aid cuts recently, from the 0.7% GNI commitment down to 0.5% and then 0.3%. The reality is that with so much being spent on hotels for asylum seekers, instead of allowing them to work and pay their way while their status is determined, as little as 1% of UK GNI is now being spent on genuine aid.

We know what to do. We know that investing in WASH makes sense. We know that investing in girls’ education reduces child marriage, improves economic outcomes and reduces inequality. We know that investing in pandemic preparedness, vaccine infrastructure and vaccine research protects not just vulnerable people around the world, but our NHS and public health here at home. International development is therefore smart policy. It reduces the risks that we would otherwise spend billions more to contain. What should we do? We must reaffirm our commitment to restoring the 0.7% target and publicly commit not to just the rhetoric of aid, but to actually doing it—and doing it well.

The withdrawal of USAID has created a moment of reckoning; the world is watching and the vulnerable are waiting. I will end by paraphrasing President John F. Kennedy in his special message to Congress on foreign aid on 22 March 1961. We are aware of our obligations to the sick, the poor and the hungry, wherever they may live. It will both befit and benefit us to take this step boldly, on which will depend substantially the kind of world in which we and our children shall live. It is time for us to stand up and be counted.

Wera Hobhouse Portrait Wera Hobhouse (in the Chair)
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I remind Members that they should bob if they wish to be called. I will call the Front Benchers at 10.28 am. It looks like all Members will get to speak if they stick to six or seven minutes.

--- Later in debate ---
Brian Mathew Portrait Brian Mathew
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I thank everyone who has spoken today; I am minded of the words of Jo Cox, who said that there is more that unites us than divides us. If we look back to the formation of the original Overseas Development Administration, that was under a Labour Government, as was the Department for International Development. But it was under the Lib Dem-Conservative coalition that the 0.7% of GNI was reached, so we have much to be proud of in terms of what we have done and what we need to do. The hon. Member for Norwich North (Alice Macdonald) mentioned the “Make Poverty History” speech by Nelson Mandela in Trafalgar Square. I was there, right at the front of the crowd. It was a proud day indeed.

I will end with another quote from JFK, because I think it is important to focus our minds. We choose to do the right things

“not because they are easy, but because they are hard”.

We need to stand up for aid and for people. Let us focus our minds on that and not just on rhetoric. The buck stops not just in Washington, but here.

Motion lapsed (Standing Order No. 10(6)).