Global Malnutrition: FCDO Role

David Linden Excerpts

Tuesday 8th December 2020 Westminster Hall

[David Linden (Glasgow East) (SNP)]

I beg to move,

That this House has considered the Foreign, Commonwealth and Development Office’s role in tackling global malnutrition.

It is, as ever, a pleasure to serve under your chairmanship, Mr Davies. I thank the Backbench Business Committee for granting the application in my name and that of the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell). We originally sought the debate pre-lockdown as co-chairs of the all-party parliamentary group on nutrition for growth. The group has been campaigning now for almost two years for the UK Government to make a strong early pledge on nutrition for growth, with the reliable multi-year funding and policy reforms that will increase the impact of the FCDO’s work.

To be honest, I rather hoped that the campaign would be complete by now. The N4G summit was supposed to take place this month, and we hoped that the UK would have pledged early. The summit has understandably been postponed by a year as a result of the pandemic. In the meantime, however, UK commitments on nutrition expire at the end of 2020, just as covid-19 is causing malnutrition cases to skyrocket.

Up to 10,000 more children are predicted to die because of undernutrition each month in 2020 than was predicted pre-covid-19. Stunting, which before the pandemic affected one fifth of children under the age of five, is set to rise dramatically unless urgent action is taken. Therefore, we are not where we wanted to be at this stage, but that is understandable. Covid-19 has disrupted the FCDO’s work in the N4G process in a way that none of us could have foreseen. We did meet the Minister back in May, and she assured us that progress was being made. I hope that, in response to today’s debate, she will be able to demonstrate some of the steps that her Department is taking.

Nutrition is a foundational investment in people. A child who suffers malnutrition in their early years is less likely to develop a strong immune system and, as a result, is more likely to fall ill and, indeed, to die. As well as costing lives, malnutrition holds people back. A child who is more likely to fall ill will get less from their education and is therefore less likely to meet their economic potential in adulthood.

In regions such as east Africa, where almost 40% of children suffer from stunting, countries are held back by malnutrition as they haemorrhage money on avoidable healthcare costs and lost workforce productivity. Indeed, the World Bank estimates that malnutrition costs some countries up to 11% of GDP each year.

In his speech addressing the cuts to the official development assistance budget, the Foreign Secretary set out his Department’s priorities. I argue that nutrition is central to each one and I therefore hope that it will remain a priority. Let us look first at climate change. Climate change adversely impacts food systems, but food systems also emit 20% to 30% of global greenhouse gas emissions, so the Foreign Secretary will need to look at reforming food systems to become both climate-smart and nutrition-sensitive.

Secondly, on covid-19, we have all been thrilled by the news of the vaccines, the administering of which started this morning. However, vaccines are often less effective on malnourished people. An article in The Telegraph, which I must confess I am not an avid reader of, confirmed that that is likely to be the case with any covid-19 vaccine. Malnutrition is also a risk factor for developing severe covid-19 symptoms.

Thirdly, on girls’ education, malnutrition disproportionately affects girls, and it is estimated that malnourished children are 19% less likely to be able to read at the age of eight and 13% less likely to be at the appropriate grade for their age. Put simply, the Government cannot meet their objectives on girls’ education without prioritising nutrition.

Fourthly, on resolving conflicts and alleviating crises, conflicts and malnutrition mutually reinforce each other. It is no coincidence that 80% of stunted children live in conflict zones, so any UK aid programmes in a fragile context must invest in long-term nutrition improvement.

Finally, on the issue of strengthening accountability and value for money, according to the Independent Commission for Aid Impact, nutrition is one of the most cost-effective development actions with significant economic returns. If the Minister wants to invest in proven high-impact interventions that represent excellent value for money, nutrition is very much a safe bet. The fact that nutrition is so foundational is what makes it so important, but it also makes it a challenge to invest in. Nutrition is relevant to health, education, agriculture, economic development and climate. Without processes in place to ensure that nutrition is embedded into the Department’s work in those areas, there is, I am afraid, a real risk that nutrition becomes everyone’s problem, but no one’s responsibility.

There are numerous cost-free steps that the Minister could take to ensure that nutrition is more effectively embedded across the FCDO’s work. First, will she re-commit to reach 50 million women, adolescent girls and children with high impact nutrition interventions over the next four years? Secondly, will she implement the policy marker for nutrition across all relevant parts of the FCDO’s work, and set percentage targets for its work in other areas to meet nutrition outcomes? Thirdly, will she ensure that at least £680 million-worth of FCDO spend in other areas is adapted to include nutrition outcomes?

Such changes would embed nutrition into the FCDO and improve value for money across the piece. However, basic nutrition financing is also important. Reliable multi-year funding for Governments and implementing agencies would allow them to plan and maximise value for money and impact. We call on the Government to pledge at least £120 million each year to nutrition-specific interventions between 2021 and 2025. That is less than the Government spent on nutrition in 2017-18, but is ambitious enough to make meaningful progress. Will the Minister agree to that financial pledge today, or at least set a timeline for when she will make a financial pledge?

I will wrap up by saying that the UK has been a global leader in tackling malnutrition. As a Scottish nationalist MP, it is not my modus operandi to routinely praise the UK Government, but this issue is far too important for party politics. It was the UK Government that hosted the first Nutrition for Growth summit in 2013—the most successful global nutrition summit ever. Governments, non-governmental organisations and the private sector pledged more than £17 billion to end malnutrition, representing a 33% global uplift in nutrition spending, and rates of malnutrition have steadily decreased ever since.

The UK can be immensely proud of its record on nutrition. Its leadership has galvanised others and meaningfully changed the lives of millions of people around the world, making us all safer and better off, so I hope the Minister can demonstrate that the UK’s commitment to leadership will not wane at a time when it is more needed than ever. I look forward to her summing up on behalf of the Government.

[Philip Davies (in the Chair)]

It might be helpful if I tell colleagues that I plan to get to the Front-Bench speakers at no later than 10.30 am. I am not setting a formal time limit. I have six people looking to catch my eye, so, as a guide, if they take eight minutes each, I will not have to impose a limit. I call Christian Matheson.

--- Later in debate ---

[David Linden]

I thank everyone for the strong cross-party representation that there has been in the debate. No fewer than five political parties have contributed to a Westminster Hall debate. When our minds are sometimes on other issues, that is not insignificant.

I thank the hon. Member for Cardiff South and Penarth (Stephen Doughty) for referring to Lord Collins of Highbury. He has been a stellar champion in the other place and helpful to me and the hon. Gentlemen in the work that he does in the all-party parliamentary group.

All Members have put on record the need for the multi-year financial pledge. I very much welcome what the Minister said about her commitment to attending the Canada summit. I hope that the UK Government will take the opportunity to make an early pledge.

We heard excellent contributions, starting with that from the hon. Member for City of Chester (Christian Matheson), who spoke about his regret at the reduction of the target from 0.7% to 0.5%. I hope that the UK Government will clarify when we will return to a target of 0.7%. The right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) spoke about the financial costs of malnutrition at £3.5 trillion. I have often thought that in order to explain to Ministers why the issue is so important, we should sometimes cite the economic cost. The right hon. Gentleman was right to say that the financial cost is staggering. He said that for every £1 invested, we get £16 in return.

The hon. Member for Belfast South (Claire Hanna) is no longer in the Chamber, but she spoke about her experience of working in this field for 10 years and about working on the issue in Stormont. She was right to refer to the concerns of the World Food Programme about the prospect of a famine of biblical proportions. She also questioned how the UK Government’s recent move ties in with their commitment to a global Britain.

My hon. Friend the Member for North Ayrshire and Arran (Patricia Gibson) was right to quote the former Prime Minister, David Cameron—not someone I would normally quote in the House of Commons. I was struck by the tweet that he put out on the day of the spending review when he said that we share this planet with some of the poorest people in the world and now is not the time to turn our backs on them.

The hon. Member for Stockport (Navendu Mishra) spoke about his experience on the DFID Select Committee and his regret that it has been abolished. Because of a malfunction with my hankies—hon. Members will see that I am falling apart with a cold—I had to leave during the speech of the hon. Member for Strangford (Jim Shannon), and I apologise to him. He was right to speak about a moral obligation and reminded us that many people across the world will not enjoy a Christmas dinner.

I say to the House—this point will not be lost on those watching in Scotland—that these days there is little to unite Members from the Scottish Conservative party and the Scottish National party, but the fact that the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale and I have managed to put our parties’ politics on domestic issues and the constitution aside to campaign on nutrition should send a strong message to the Government. The biggest thing that divides me and the right hon. Gentleman is his belief that the UK and Scotland are somehow better together. I will never agree with him on that, but we can all agree that when it comes to the issue of vaccines in tackling malnutrition, we are very much better together.

When we applied for this debate, I thought about how it was not a covid-related issue—“My goodness; how will this look in Westminster Hall?”—but on the day when vaccines are being rolled out across the United Kingdom, we are reminded of the importance of good nutrition, so the timing could not have been better. I say to the Minister that we should not look at this issue in silos as we go forward. Let us tackle it as a team and make sure that we understand how vaccines and nutrition go hand in hand. That is why it is so important that we get a multi-year funding pledge. If the Minister commits to that, she will have the support of the whole House and every party in here.

Question put and agreed to.

Resolved,

That this House has considered the Foreign, Commonwealth and Development Office’s role in tackling global malnutrition.