Tokyo Nutrition for Growth Summit

Chris Law Excerpts

Thursday 2nd December 2021 Westminster Hall

[Chris Law (Dundee West) (SNP)]

It is a pleasure to serve under your chairmanship, Mr Bone. I thank the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) not only for securing this debate, but for making very eloquent and powerful arguments in the run-up to the Tokyo Nutrition for Growth summit next week. I thank all Members who have spoken. It seems that we are breaking out into consensus, and I hope to hear a consensual reply from the Minister.

For many of us, our first and fundamental understanding of international development, and our moral obligation as global citizens to provide assistance to the poorest and most vulnerable in the world, will have been shaped by stories and images of children who did not have the well-nourished, healthy life that we took for granted. We see pleas, both on television and in newspapers, almost every day for support from our citizens for those most in need. Those of us old enough remember the horrific images from the mid-1980s of many children starving to death, which led to an international outcry. We all watched the Band Aid concert, which raised hundreds of millions worldwide to help people in Ethiopia.

The simple fact is that a healthy diet is a fundamental human need—in fact, it should be a right. That is something even the youngest child can understand, but as we debate this issue today, halfway through the United Nations decade of action on nutrition, the UN has sombrely concluded that the world is not on track to achieve sustainable development goal 2, which is zero hunger by 2030, or on track to meet global nutrition targets. Sadly, it is not on track to meet some of the other sustainable development goals, either.

In fact, the number of undernourished people has increased by over 50%, from 633 million to 957 million—almost a billion—in the past three years alone. Pause to consider that number for a second: that is one in seven people on Earth. Let us be in no doubt: this is a global crisis. That increase should shame us all, and today this Chamber is clearly sending the Government the message that they must reaffirm their commitment to global nutrition—not through vague platitudes from the Minister at the end of this debate, but through concrete and evidenced action at next week’s summit.

Nutrition has a fundamental impact on the life chances of a child, even before they are born. We all know that well-nourished women have safer pregnancies and deliver healthier babies, yet one third of women of reproductive age suffer from anaemia—the leading cause of complication in pregnancy and childbirth—which increases the likelihood of miscarriage, stillbirth, low birth weight and maternal mortality. Sadly, Governments are not on track to reach the World Health Organisation target of reducing anaemia in women by 50% by 2025, despite the fact that providing iron supplements costs less than $5 per woman. Well-nourished infants and children are healthier and have stronger immune systems, making them more able to resist infection and disease. Without sufficient nutrition, children, particularly those under the age of two, are at high risk of wasting, which causes them to be too thin and to have weak immune systems. That results in development delays, disease and, ultimately, death. Tragically, as was mentioned by the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale, malnutrition is still linked to 45% of all under-five child deaths.

Similarly, in 2019, 144 million children under the age of five were affected by stunting—being too short for their age. They, too, are more susceptible to disease and infection, and are unlikely to develop their full cognitive potential. Adults who are stunted earn about 20% less than their peers, and mothers who are undernourished are more likely to have children who are subsequently stunted, perpetuating a cycle of poverty and undernutrition. If there is a point to be made here about lifting people out of poverty around the world, it is this: we are talking about a simple and affordable investment that will ensure that nations around the world can grow out of a situation in which they are regularly in need of international development. That argument, I would think, would work for even the most libertarian Conservatives in this Government.

Furthermore, good nutrition is critical to brain development and educational achievement. Well-nourished schoolchildren are more likely to stay in school, but malnourished children are, at age eight, 20% less likely to be able to read simple sentences and 13% less likely to be in the correct school year for their age. Once again, if trade is to be a key part of our development work—which I fully support—we need to make sure that young people have good access to health and education. Food will be a key part of that. Only then will they be able to trade their way out of their current situation and be prosperous like those in other nations in the western world.

Ensuring good nutrition is therefore critical to preventing disease, reducing unnecessary death, and enabling people to reach their full potential. Nutrition is recognised by Nobel economists as the most effective development intervention. That makes it all the more regrettable that it has been neglected, and that malnutrition is on the rise. It is therefore fundamentally vital—I cannot emphasise this enough—that the UK Government recommit to reaching over 50 million children, women, and adolescent girls with nutrition-relevant programmes by 2025. Those in this Chamber have said that with one voice. The Department for International Development was able to exceed that commitment between 2015 and 2020, so there should be no reason why the FCDO could not do likewise.

Covid-19 has had a devastating impact on global nutrition, with rates of malnutrition soaring due to the pandemic. The disruption to economic, health, development and educational systems has meant that livelihoods have become more fragile, and has exacerbated existing inequalities. How can someone provide a broad range of food for their family when lockdowns and economic instability have meant that they have lost their job and income? How can they receive nutritional supplements when their country’s healthcare system is overwhelmed with covid patients, or when aid workers cannot reach them because of border closures? How can they receive their one healthy meal a day when the school that they go to is closed?

The impact has been catastrophic. Between 2020 and 2022, an additional 3.6 million children are predicted to become stunted, and 13.6 million children are predicted to become wasted. This will cause over a quarter of a million more children under five to die from malnutrition. That is 225 children dying every single day—these could be our children. Will the Minister commit today to conducting an impact assessment on how covid-19 has affected, and will continue to affect, rates of malnutrition in FCDO partner countries?

Nutrition is even more important in the context of covid-19, as good nutrition is essential to maintaining a strong immune system, as was noted by my hon. Friend the Member for Glasgow North (Patrick Grady). Conversely, malnutrition is the leading cause of ill health and death worldwide, increasing the risk of developing severe covid symptoms, and therefore possibly reducing the efficacy of covid vaccines. The impact of covid should have made the UK’s investment in nutrition more important, not less—the impact of covid should have made all of the UK’s aid spending more important.

However, what did we see from this UK Government in response? We saw the very opposite. We saw the Prime Minister, the Chancellor and the Cabinet abandon their obligation to leave no one behind, abandon any notion of building back better, and abandon the UK’s role as a leader—let us be clear—in international development by reneging on the cross-party manifesto commitment to spend 0.7% of gross national income on ODA. The term “global Britain” would be funny if it was not so tragic.

Rather than step up to help the world’s poorest and most vulnerable when they needed it the most, the Government stepped away and made an ideologically motivated death-sentence cut. The pandemic forced hundreds of millions of people into hunger and malnutrition, but at a time when people needed strong immunity more than ever, UK aid for nutrition-specific programmes plummeted by—wait for it—70%, from £118 million in 2018 to just £37 million this year. Despite nutrition being central to the FCDO’s development priorities, less than 1% of the UK budget is spent on nutrition-specific programmes. Withdrawing support from these life-saving nutrition programmes severely compromises the effectiveness of UK aid, including in priority areas such as covid, global health security and, fundamentally, girls’ education. Studies have repeatedly demonstrated the importance of good nutrition for human immunity and vaccine efficacy. Well-nourished girls are more likely to stay in school, succeed in their studies and delay their first pregnancy.

The tragedy of the “global Britain” approach is that the Government knew that they would be undermining this work. Their own equalities assessment concluded that these cuts would negatively impact girls’ education, harm wider efforts to advance gender equality, disrupt disability-inclusive development and diminish the ability to reach those furthest behind. It was not done without knowledge in advance. Nevertheless, they pressed ahead with this callous cut regardless. Let us be clear that these cuts have consequences: they kill. Therefore, this UK Government have blood on their dirty little hands.

I will demonstrate an example of this. In evidence given to the International Development Committee, of which I am a member, along with my colleague from the Labour party, the hon. Member for Ealing, Southall (Mr Sharma), witnesses from UNICEF spoke of their UK aid-funded nutrition programme in South Sudan, which was cut this year by 75%, from £20 million to £5 million. What does that mean on the ground? It means that an additional 73,000 children with severe wasting may not be reached and now face the highest risk of death. These cuts stand in stark contrast with every other G7 country, which have increased their aid contributions over the past year. It is no wonder that they have done this; we have been living through covid and we all know what that has meant. It is something that every country on earth is experiencing—we are not unique. It is the Scottish Government who have pledged to increase their international development fund by 50%. Let me be crystal clear: Scotland wants no part of the UK Government’s abdication of responsibility, and sees international development very differently.

This Conservative Government have abandoned the UK’s role as leader in international development in favour of following the manifesto commitments of the UK Independence party and the Brexit party. The upcoming Nutrition for Growth summit cannot fall short in the same way that the Education for Development summit did this summer. Rose Caldwell, chief executive of Plan International UK, said that the UK had failed in its duty as co-host after the summit failed to reach its target by a staggering $1 billion.

As the host of the original Nutrition for Growth summit in 2013, which was supported by cross-party unanimity when David Cameron brought it forward, the UK should have tremendous convening power. If the UK Government wish to restore their credibility on the world’s stage in any shape or form, they must deliver a strong pledge next week to catalyse commitments from other donors. It is essential that the UK increases aid for nutrition-specific programmes and, at the very least, returns to the original 2015-20 levels and commits the necessary £120 million per year over the next five years.

The Nutrition for Growth summit is a rare opportunity for ambitious change. It is not too late. The UK Government, and Governments across the world, cannot let down those most in need yet again.