Sexual and Reproductive Health and Rights: Overseas Aid
Debate between Dan Poulter and Sarah Champion(1 year, 4 months ago)
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Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
Will the hon. Member give way?
Dr Poulter
I thank the hon. Member for giving way. She is making a good speech, and I congratulate her on securing the debate. One area that the Royal College of Obstetricians and Gynaecologists has focused on in the past, and rightly so, is the high rates of maternal and new-born baby morbidity and mortality in many low and middle-income countries, particularly in Africa. Will the hon. Member address that point and make some suggestions to the Minister about how Britain can better support that agenda through its aid strategy and improve safety around pregnancy and childbirth?
Sarah Champion
I will indeed cover that, and also benign gynaecological conditions, which are another major killer for women. I congratulate the hon. Member on all his work on global health over the years. He continues to be an advocate in this place.
UK aid has contributed significantly and meaningfully towards ensuring that all women and girls can access their sexual and reproductive health and rights, and we should all be proud of that track record. RCOG members in Pakistan who had been providing training as part of the UK’s women’s integrated sexual health—WISH—programme reported dramatic increases in access to safe abortion care, post-abortion care and family planning by those who participated in their schemes. However, the decision to cut ODA threatens to stall or even reverse that progress around the world.
WISH is supposed to be the Government’s flagship sexual and reproductive health programme, but even that is not safe from the cuts. MSI Reproductive Choices had its funding under the WISH programme slashed by 78%. My Committee has also heard that a three-year health programme for the most marginalised communities in Bangladesh received a £1.1 million cut to its £2 million budget two years in, with no notice whatsoever. A direct grant in Ghana, which was providing safe birth, child health and psychoeducation for pregnant women and mothers through building new maternal health self-help support groups and outreach clinics, received a 25% cut.
The Government are not putting their money where their mouth is. The most recent data shows that bilateral spending on SRHR decreased by more than 50% from £515 million in 2019 to £242 million in 2021. The Minister is aware that it is not good enough, and I am aware that he is trying to change it, so I look forward to hearing more about that in his remarks.
Estimates by the Guttmacher Institute suggest that the cuts could already have resulted in 9.5 million fewer women and girls having access to modern methods of contraception, 4.3 million more unintended pregnancies, 1.4 million more unsafe abortions and, as the hon. Member for Central Suffolk and North Ipswich (Dr Poulter) said, a possible 8,000 more avoidable maternal deaths.
Countries with the greatest need for SRHR funding and programmes have been hit the hardest by the cuts, and within those countries, the most marginalised are often the most affected. Professor Friday Okonofua, an obstetrician and gynaecologist based in Benin City, Nigeria, said in RCOG report that it is the most marginalised people who are reliant on donor-funded services. In Nigeria, where nearly 80% of health payments are out of pocket, the loss of funding from the UK Government has only widened this dire gap in services.
Making donations towards SRHR in humanitarian crises is welcome, but not enough. UK support must be in the form of sustained programming that delivers against the UK’s commitments to the UN sustainable development goals, and promoting the health of women and girls must be the backbone of international development. As RCOG recommends, will the Minister commit to restoring funding for SRHR, and spend £500 million each year for the next three years on SRHR programming and supplies?
RCOG is calling on the Government not only to restore investment in SRHR, but to strengthen their global advocacy on SRHR by investing in new and existing global partnerships and collaborations. The UK’s financial commitment to the Family Planning 2020 initiative had a significant impact on the global funding landscape for SRHR. It contributed to enabling an additional 24 million women and girls to access family planning services. I ask the Minister again to make a financial commitment to the Family Planning 2030 initiative, so that we can continue the programme’s success.
Only by linking our national actions to global goals and commitments can we hope to achieve truly universal access to SRHR for every woman and girl. As well as being one of the largest donors of support for SRHR supplies, the UK has been one of the most progressive in its advocacy. RCOG is calling on the Government to strengthen their global advocacy on SRHR by championing stigmatised issues such as abortion care. That is something I care about deeply, particularly as abortion rights are being rolled back around the world. I was proud that the UK co-led a statement at the UN General Assembly last year on the importance of respecting the bodily autonomy and SRHR of women and girls. It has also been reassuring to see the UK Government commit to prioritising safe abortion care as part of their commitment to supporting SRHR in the women and girls strategy.
Mainstreaming safe abortion services and post-abortion care is essential to reduce maternal morbidity and mortality. Unsafe abortion remains one of the world’s leading causes of maternal mortality. The risk of dying from an unsafe abortion is highest for women in Africa, where nearly half of all abortions happen in potentially dangerous circumstances. In his response, will the Minister say how the Government plan to champion safe abortion care in their programming, and in nations’ universal healthcare plans, as part of an effort to strengthen health systems?
We have seen the success of telemedicine in early abortion care in the UK. Guidance from RCOG, the World Health Organisation and other authorities on clinical standards affirms that telemedicine is a safe and effective delivery model for expanding access to abortion care. RCOG has encouraged the FCDO to invest in telemedicine and in self-management of abortion in settings where that can offer safe additional pathways to increased access. As RCOG has suggested, I would like the UK Government to champion the prioritisation of women’s and girls’ gynaecological health needs on the global health agenda.
Middle East Peace, Security and Development and UNRWA
Debate between Dan Poulter and Sarah Champion(2 years, 5 months ago)
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Sarah Champion
My friend, the hon. Gentleman has wise words. I am proud to be the MP for Rotherham and to be the Chair of the Select Committee on International Development. We have done a lot of inquiries on the subject of UN practice—on sexual exploitation by its staff, on misuse of funds and on racism in the sector. In such a vast organisation, of course there will be some rotten apples, but when those failings are highlighted it is inexcusable that they are not rooted out and safety measures put in so that such issues never happen again. As the hon. Member rightly says, one rotten apple taints the whole barrel. The UN does amazing work, but it is a big organisation and some people feel emboldened to make ridiculous personal comments that damage everybody.
The British Council, which recently signed a co-operation agreement with UNRWA, has granted the British Council’s international school awards to 80 UNRWA schools during the past two years, with many others having gained this recognition previously. The World Bank has confirmed that UNRWA students are on average one year ahead of their peers in public schools in the region. MOPAN—the Multilateral Organisation Performance Assessment Network—of which the UK is a member, recognises that UNRWA is a “competent, resilient and resolute” organisation.
UNRWA was created more than 70 years ago by the United Nations General Assembly. The UK voted in favour of its formation and has since approved the renewal of UNRWA’s mandate every three years. In establishing UNRWA, the UN General Assembly recognised that continued assistance for the relief of the Palestinian refugees was necessary
“to further conditions of peace and stability”.
UNRWA has carried out multitudes of positive work in the middle east in the absence of a political solution between the Israelis and the Palestinians. It has already educated more than 2 million children, and today creates significant livelihood opportunities through its construction projects throughout the middle east. UNRWA’s provision of human development services and humanitarian relief provides an anchor of stability in a troubled region.
Of the nearly 6 million Palestinian refugees living in the middle east, more than 2.6 million live in poverty. As the number of refugees falling into poverty continues to rise, UNRWA faces increased demands on its services. Refugees are increasingly reliant on UNRWA for the education of their children, their health and their livelihood.
Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
As the hon. Lady highlights, we on the International Development Committee have investigated these issues. She has rightly highlighted key problems in Palestine, but, more generally, some of the cuts to the aid budget, particularly to health and education, were arbitrary and have had a real impact on people’s lives. Can we urge the Minister to look again at some of those decisions?
Sarah Champion
I fully support my fellow Committee member and thank him for repeatedly raising his concerns about this issue. The forthcoming budget that goes alongside the development strategy is due in the next month, and it very much seems that global health will be the biggest casualty. The concerns that he raises are right. There does not seem to be a joined-up strategy on the impact of the cuts. If the Minister could outline that, it would help us all to understand the Government’s logic.
The impact of UNRWA breaking down because of donors such as the UK continuing to significantly decrease or stop its funding is unimaginable. Have the Government considered the consequences for millions of people in the middle east if the cuts cause significant reductions in UNRWA’s services? UNRWA has the expertise; it has proven effectiveness and can provide its services much cheaper than any other UN agency. Let me be frank: if people are left with no healthcare, no education and no job, what does the Minister think will happen to them?
The world already has a formidable tool to provide support to people in the form of UNRWA. Why would we want to weaken our own investment in it to the point of hundreds of thousands of people feeling they have no future? More needs to be done to work with the organisation. Of course, as we have outlined, UNRWA is not perfect—nothing is—but the Government’s cuts are threatening its capability to deliver support to a vulnerable population in the middle east. We need to maintain trusted relations with the people of Israel, Palestine, Jordan, and Lebanon. Palestinian refugees are a key constituency for peace in the region in terms of their number, socio-political relevance, and the refugees’ personal stake in the search for a lasting solution.
Without UNRWA, we risk destabilising the region further and emboldening those who do not share our belief that the best way to bring peace and stability to the region is through a political resolution to the conflict. The millions of people who access UNRWA’s services would be forced to turn elsewhere to survive. If we are to remain committed to our vision of two states, surely we should provide support to UNRWA, which has proved itself a reliable partner by which the international community can address the refugee constituency. Although it is non-political, UNRWA’s presence and role have been recognised as having significant implications for regional security and stability.
The Prime Minister has consistently highlighted that girls’ education is his top priority for UK aid. UNRWA directly supports that objective by operating one of the largest school systems in the middle east and providing primary education to over a half a million students, 50% of whom are girls. Gender parity in school enrolment was obtained in the early 1960s at UNRWA schools—long before any other country in the region. UNRWA is providing government-like services such as elementary and preparatory education, and, through that commitment to sustainable development goal 4, is playing its role as a major contributor to the 2030 SDG agenda.
It is clear that UNRWA is essential for the stability of that volatile and fragile region, so will the Minister explain the substantial cuts in UK funding to UNRWA, despite Ministers telling the House for years how excellent UNRWA’s services are? Why are the Government slashing funding to this essential and efficient organisation? Will the Government carry out an analysis of the impact of the funding cuts on UNRWA? Is there any plan to reinstate our financial support to previous levels, and what discussions has the Minister had with other potential donors to encourage them to back UNRWA? If the UK cannot or will not sufficiently support UNRWA, we have to ask: do we not have a responsibility towards these people? Is not stability in the middle east what we are aiming for, and why are we not doing all we can to achieve it?
Select Committee on International Development
Debate between Dan Poulter and Sarah Champion(3 years, 10 months ago)
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Sarah Champion
I thank my hon. Friend and fellow Committee member, and I completely agree. We need to see the broader perspective on this, and unless we deal with and prevent violence against women and girls in all its forms, these examples of where it pops up—whether it is violence in war or violence towards aid workers—will just keep on happening. The Government have great strategies in place for this, but they need to embed them in all their work.
Dr Dan Poulter (Central Suffolk and North Ipswich) (Con) [V]
Since concluding our inquiry, the scale of the reductions to UK aid have become much clearer. Does the Committee Chairman agree that the Government must ensure that cuts do not lead to aid delivery partners and contractors reducing operational standards and leaving women and girls at increased risk? How can the Government ensure that their tenders for aid projects, and bids in reply, require effective provision for spending on safeguarding?
Sarah Champion
I thank the hon. Gentleman for his question and for his work on the Committee. At the moment only 0.3% of Government funding goes specifically to women and girls’ projects, so I share his concern that with a third now taken away from the aid budget they will be the ones really let down by this system. I urge the Government to stop that. They have to embed safeguarding in every aspect of their work and make sure they fund aid organisations to do the same. This is not a bolt-on. This is not additional. Safeguarding the most vulnerable people on the planet must be funded and must be core to everyone’s work.