Water Supplies (Developing World)

Lord Foster of Bath Excerpts

Wednesday 15th December 2010 Commons Chamber

[Mr Don Foster (Bath) (LD)]

After many years of campaigning on water, sanitation and hygiene, I am grateful for this opportunity to debate the topic. Far too many people in the world lack safe clean water. Globally, just short of a billion people struggle without access to it. That is more than the population of Europe. In places such as Zambia, Ethiopia, Tanzania and Mozambique, I have seen personally that when clean water is not available there are minimal opportunities for good health, gaining an education, looking after crops or animals, or developing a business. If a major part of the day is taken up with walking many miles to collect water, there is no time for a child to get an education, and no time for a parent to earn a living.

Similarly, far too many people do not have decent sanitation or hygiene provision. The figures are frightening. Whereas the number of those who lack safe water is dreadful, 2.6 billion people go without access to decent sanitation. That is twice the population of China. Without decent sanitation or hygiene, the chances of a healthy life are minimal. Diarrhoea is the biggest child killer in Africa. On that continent alone, almost a million children aged under five died from diarrhoea in 2008. Worldwide, some 1.3 million infants die as a result of diarrhoea every year. Ninety per cent. of those cases are down to inadequate sanitation, unsafe water or poor hygiene.

It is clear to me that one of the most important ways in which we can help the poorest people in the world is by providing support in the areas of water, sanitation and hygiene, collectively referred to as WASH. Many of the other targets of our aid provision—education, agriculture, business development and health—need, as a starting point, people to have access to decent water, sanitation and hygiene.

I have seen at first hand the impact that help with those facilities can make. I have seen, for example, a health clinic in the bush in Ethiopia that was almost deserted because of the improvements in the health of local people following the installation of water pumps in local villages. In many other places I have seen the impact of the excellent work done by the UK-based charity WaterAid. I have even done a bit of well building for it in Zambia.

[Fiona Bruce (Congleton) (Con)]

I thank the hon. Gentleman for introducing a debate on this important subject, on which I support him. I have to declare an interest: my father spent his entire professional career as a water engineer, building and maintaining water and sanitation projects both in the UK and in many countries abroad. Does the hon. Gentleman agree that if we are to ensure the sustainability of projects in the developing world such as those provided by WaterAid, it is essential that community groups and church groups on the ground are trained to maintain the projects commenced by voluntary organisations and ensure their continuity?

[Mr Foster]

The hon. Lady is absolutely right. Like me, she has probably seen examples of totally unsustainable aid development. In Zambia I once saw a brand-new fire engine that had been donated to Lusaka urban district council by another country. Within 24 hours nobody could use the fire engine, because its engine was designed to use a fuel that was not available in Zambia. I have seen video recorders provided by other countries with videotapes in a language that was not understood by the population. She is right: there is no point in installing a water pump without involving the villagers in learning how to maintain it and ensuring that they will be able to get parts for it. They can possibly even go further by making a small charge for the water from the pump, so that there can be paid attendants to ensure that it is well looked after and serviced, and the project is sustainable. I agree that involving local people is critical.

As I said, I have seen some excellent work by WaterAid, but many other charities such as Tearfund and Pump Aid work in the field and deserve our praise. Given the importance of that aspect of the UK’s aid work, I was pleased by the Government’s promise in the coalition agreement, which stated:

“A key aim of our aid is to make sure everyone gets access to the basics: clean water, sanitation, healthcare and education.”

Those words are encouraging, but delivering that aim will not be easy.

One of the United Nations millennium development goals is to halve, by 2015, the proportion of the world’s population without sustainable access to safe drinking water and basic sanitation. Sadly, that goal is not going to be met. According to a UN report this year, the number missing out on proper sanitation will actually grow to 2.7 billion by 2015, if current trends continue. Although the safe water target is on track globally, there are parts of the world where it will be missed by miles, not least in sub-Saharan Africa, where it is predicted that 350 million people will remain without access to safe water.

The UN report says:

“the safety of water supplies remains a challenge and urgently needs to be addressed.”

That warning becomes even more pressing in the context of climate change. The problem is not just hotter weather, causing more frequent droughts that in turn limit access to water. Climate change also disrupts weather patterns, resulting in more frequent and powerful floods. Flooding leads to overflowing latrines, contaminated drinking water, waterborne diseases such as cholera and all kinds of other sanitation problems. The problem is extremes of water shortage and water excess, and that problem will intensify as climate change continues to progress. That is part of the reason why we need to do even more.

Rather than discuss the work of my right hon. Friend the Secretary of State for Energy and Climate Change and his Department, however, I wish to concentrate on what I believe the Department for International Development can do. In recent years water and sanitation have not been given the priority that I would wish them to have. As a proportion of the UK’s aid budget, spending on water and sanitation has dwindled to just 2.2%, yet if I am right, and if water and sanitation are a vital plank in delivering all our aid goals, increasing the proportion of aid money dedicated to them would be money well spent. WaterAid made that argument powerfully in its recent submission to the Department—

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Motion made, and Question proposed, That this House do now adjourn.—(Miss Chloe Smith.)

[Mr Foster]

The argument was well made by WaterAid, and I hope the Minister has had a chance to read its submission. It considers each of the millennium development goals in turn in the context of WASH.

The first goal is to eradicate poverty. The World Health Organisation estimates that for every £1 invested in WASH, £8 is generated. That is because people save time on water collection, so they can be more productive, and WASH provision limits the number of days lost to illness.

The second goal is universal primary education, but children who are busy fetching water do not have time to go to school. The education of young girls ends up suffering the most, as that task more often than not falls to them. Sanitation also has a role to play in education. Dedicated girls’ toilets and menstrual hygiene facilities are important in making schools accessible for older girls.

DFID already knows that. It published a girls’ education strategy in January 2005, which prioritised

“non-education programmes such as clean water supply and sanitation facilities”.

There were two updates on implementing this strategy—the first in December 2006 and the second in July 2009—but when I asked the Library for further reports, I came away empty-handed. I therefore hope that the Minister can tell us what progress has been made in the year and a half since the second report was published, and that he confirms that the education of girls still an important part of his Department’s programme—which brings me neatly to MDG 3, which is to promote gender equality and empowerment.

Seventy-two per cent. of water fetching is done by women and girls. The task takes up an average of 14 hours a week—I have seen it take very much longer—and distracts girls and women from education and other potentially productive activity, such as building their economic independence. That is a significant barrier to gender equality.

The fourth goal is to reduce child mortality rates. As I have already said, diarrhoea is the biggest child killer in Africa, and 90% of cases are caused by inadequate sanitation, unsafe water and poor hygiene. Poor water quality will always undermine our investment in health. We would be horrified if our own local clinics had only dirty water coming out of the taps, or if the only water available for swallowing medication was contaminated.

Clean water is a fundamental part of health, including maternal health, which is the subject of MDG 5. WASH poverty causes the most significant health risks for women. A hygienic environment for childbirth and post-natal care will increase the survival chances of mothers and newborns.

Finally, MDG 6 is to combat HIV/AIDS and other diseases. HIV/AIDS patients require more water—up to five times as much as normal water consumers—because the most common diseases caused by AIDS are diarrhoeal and skin-related. My point is not that MDG 7 and the water and sanitation goals that I mentioned earlier should be prioritised at the expense of all the others. Rather, I believe that prioritising WASH will increase our chances of delivering on both the UK’s aid pledges and the MDGs. Until we fund WASH better, our investment in health and education will be less effective: the money will only ever achieve a part of what it could otherwise achieve.

Some progress has been made. Spending on WASH has gone up slightly in recent times, and we recently became part of the Sanitation and Water for All international global partnership. I look forward to a progress report. However, that will not be enough without more UK investment, so I am calling for two things. First, by reordering or rebalancing priorities, the Department should increase the sum spent on water, sanitation and hygiene to £600 million per annum. That would lift 100 million people out of water, sanitation and hygiene poverty.

[Fiona Bruce]

When Governments are looking to make a real difference, they invest in huge infrastructure projects. One of the challenges that they face in doing that—as opposed to what happens when charities invest smaller amounts in, say, village wells—is to ensure that the governance of those involved in partnering in those projects is sound. I would be interested in hearing the Minister’s response to that point, but does the hon. Gentleman agree?

[Mr Foster]

I entirely agree. Indeed, with the work that I have seen, particularly in Africa, I have been incredibly impressed by the way in which the various charities involved work with local communities, empowering and involving them, before ultimately moving away and leaving those local community organisations to run by themselves what has been put in place. That is important.

The hon. Lady talks about large sums, and that is the crucial point that I am trying to make. We welcome the increase in the aid budget—I will mention that briefly in my summation—but I am talking about reprioritising that money. For example, we have just increased the amount of money used to tackle malaria by £500 million. That may seem like an enormous sum going to do something important, but we know that diarrhoea causes more deaths than malaria, HIV/AIDS and tuberculosis combined, and as I said earlier, 90% of cases are caused by poor water, sanitation and hygiene. Therefore, the £600 million that I am arguing for to lift 100 million people out of that situation would be money well spent.

Secondly, water, sanitation and hygiene issues need to be mainstreamed into our wider development, public health and poverty reduction efforts. Again, that will require a big shift in thinking. We are still trying to break down the divide between sanitation and water, which is hard enough. For instance, DFID’s business plan promises that regular reports will be published on the number of sanitary facilities built or upgraded with DFID funding. Those extra data will no doubt be useful, but that promise indicates something of a silo mentality. We should not be thinking in terms of either water or sanitation. That is why I am asking for enough money to bring those things together.

However, I also think that we should go further. Such issues should become an important part of our strategies for dealing with infant mortality, maternal health and other global issues. Departmental advisers working on water and sanitation should be properly linked to colleagues working on health or poverty reduction. We should be breaking down the sectoral divides that still exist in the aid world. In all, we need a truly integrated approach—for instance, by ensuring that new schools are always built with suitable hygiene and sanitation facilities; or, as the hon. Member for Congleton (Fiona Bruce) suggested, by recognising the importance of transparency and accountability when a Government make decisions about major capital projects and services, such as their water systems. All that depends on facilitating and encouraging better co-operation between those in different sectors.

All of us in this House should be proud of the way in which our country contributes directly, and through international organisations, to help alleviate poverty and ill health in some of the poorest countries in the world. We should be proud of our commitment to increase further the money spent on aid. However, we need to ensure that we get the best possible value for that money. We need to ensure that the way in which it is spent provides the best possible route towards the reduction of poverty and ill health. That can best be done by rebalancing our aid budget in favour of water, sanitation and hygiene. A modest change in that area would reap huge rewards. I hope that my right hon. Friend the Minister agrees.