Oral Answers to Questions

Debate between Desmond Swayne and Jeremy Lefroy

Wednesday 17th December 2014 Commons Chamber

[Mr Swayne]

We have a deepening democracy fund through which we are providing support for those elections next year. With respect to the advance of Government forces, we are providing intelligence and direct tactical training to the Nigerian army. The elections themselves must be a matter for the Nigerians, but we are providing the funding and the technical support.

[Jeremy Lefroy (Stafford) (Con)]

We heard recently in the all-party group on malaria and neglected tropical diseases, which I chair, of a very important DFID programme to counter severe malaria in northern Nigeria. Can my right hon. Friend assure me that this programme will be continued and that efforts by Boko Haram to stop such development work will not be countenanced?

[Mr Swayne]

We are increasing our spend in northern Nigeria. Indeed, 60% of our spend in Nigeria is in the north-eastern areas, so I can give my hon. Friend that assurance.

Health Systems (Developing Countries)

Debate between Desmond Swayne and Jeremy Lefroy

Thursday 11th December 2014 Westminster Hall

[Mr Swayne]

As I said, there are 468 key isolation beds. We are supporting more than 100 burial teams—both the logistics and training, and their fleet. That has had a remarkable impact on the incidence of the disease. As I said in an earlier debate, people are almost most infective once they are dead. Removing bodies and dealing with local burial customs has been one of the main drivers of the disease. In the western part of Sierra Leone, in which a third of the population lives, we are achieving 100% burial within 24 hours, which will make a key difference.

Of course, the criticism will be made that we acted too late; that we should have spotted the problem earlier. Hindsight is the most exact of sciences, but when the Committee went to Sierra Leone in June, it was not obvious that the problem was going to be of the scale we have now discovered. Actually, in January DFID had already begun refocusing our effort in Sierra Leone to deal with the emerging problem. In July and August we started to pump in more money to deal with that. I was making telephone calls, I think in the latter part of July, to the chief officers of UNICEF, the Office for the Co-ordination of Humanitarian Affairs and the World Health Organisation to try to ginger up their response. Many of those organisations are in need of reform. I have some sympathy for the World Health Organisation, which does not have at its centre the levers of power to bring about immediate change in the regions and countries in which it operates.

Equally, we must remember what was happening in the humanitarian community at the time. First, we were distracted by the terrible events in Gaza. Then, we moved swiftly on to rescuing people from Mount Sinjar, and all the time we had the ongoing crisis in Sudan. It has been a busy playing field for humanitarian organisations and workers to deal with.

Starting from where we are now, we certainly have a proud record. Clearly, there are lessons to be learnt, but, having looked at both the reports we are considering, there is no doubt that both Sierra Leone and Liberia are among the poorest countries in the world and that they were so even before they were struck by this disaster. Our aid reflects that: Sierra Leone remains one of the largest per capita beneficiaries of UK aid. In 2010-11 it received £51 million in bilateral aid, and £68 million in 2013-14. Owing to Ebola, I anticipate that that figure will inevitably fall next year—I suspect by about 30%—as a consequence of being unable to spend on the programmes we had identified. Of course, that will be completely augmented by the £230 million we are spending on Ebola.

I hope that 90% of our programmed spend on health will continue, but there will be instances where we will be unable to distribute bed nets in the way my hon. Friend the Member for Stafford (Jeremy Lefroy) described. There will be an effect on our programmes, but we will seek to minimise that.

[Jeremy Lefroy]

I am grateful to my right hon. Friend for giving way and for his powerful remarks. The Committee concluded that, after a period of terrible civil war, Sierra Leone had made tremendous progress and was on the cusp of being able to go much further, when the Ebola tragedy struck. Will he commit the Government to being there for Sierra Leone as it emerges from the Ebola tragedy and seeks to build on its recovery from that terrible civil war? This is not the time to give up, but to reinforce our co-operation with and support for Sierra Leone.

[Mr Swayne]

Absolutely, I give my hon. Friend that reassurance. We have already established the post-Ebola team to take that work forward once we have got on top of Ebola. Of course, it will have to consider how we develop the programme on jobs and employment opportunities.

I was as surprised as the Committee, and indeed the former Under-Secretary, at the lack of a programme for female genital mutilation, as highlighted in the report. It is not within my bailiwick to commit to such a programme, but I accept that the Department has placed great importance on that issue, as our girls’ summit earlier this year demonstrates.