World AIDS Day 2017

Stuart C McDonald Excerpts

Tuesday 5th December 2017 Westminster Hall

[Stuart C. McDonald (Cumbernauld, Kilsyth and Kirkintilloch East) (SNP)]

It is a pleasure to see you in the Chair, Mr Hollobone. I congratulate the hon. Member for Cardiff South and Penarth (Stephen Doughty) not only on introducing the debate, but on his speech and his ongoing work with the all-party parliamentary group.

It is extraordinary to believe that with political will we could achieve the sustainable development goal of ending the AIDS epidemic, to all intents and purposes, by 2030. As others have said, however, and as the recent campaign has highlighted, “It ain’t over”. Success is a long way from being a certainty. Indeed, to get close we will all need to up our game, as it seems that the 2020 interim target is likely to be missed. As the statistics cited by the hon. Gentleman illustrate, the scale of the progress gives us grounds for optimism, but the scale of the remaining challenge is formidable.

Some key obstacles are pretty predictable in the context of international development. One is, of course, money, with the Joint United Nations Programme on HIV/AIDS predicting that a $7 billion annual funding gap needs to be filled by 2020 if we are to get back on course. In fact, we seem to be going in the wrong direction. A second obstacle, which other hon. Members have highlighted, is attitudes. Epidemics will flourish where fear and prejudice stop people receiving the services that they need to live healthy and productive lives. Horrifyingly, there remain HIV criminalisation laws in no fewer than 72 countries.

Now more than ever we need a detailed strategy, and careful and generous funding—so where is the UK in all this? Undoubtedly, the UK has an immensely strong track record, and has been a world leader, particularly through its founding role and contributions to the global fund. However, there are genuine concerns that it has been losing its relentless focus and leadership role, so it is welcome that this debate has provided an opportunity to air those concerns.

There have been concerns about a decline in funding for certain HIV and AIDS projects, including cuts to direct funding for civil society organisations, which are so important in overcoming stigma and prejudice. There has been an overall shift away from bilateral programmes and HIV-specific projects. I accept that the Government will offer justification for that, which does have some reason behind it. Moving disease-specific programmes into wider sexual health or health and development programmes can, if done well, be more effective and sustainable. However, done badly it can undermine the work towards the goal. For example, among the clear challenges of such an approach is the problem of assessing exactly how much we are spending and what impact it is having. The hon. Member for Cardiff South and Penarth highlighted the example of the HIV policy marker, which seems rather opaque.

Over the last couple of years, as other Members have said, we have been without specific position papers or strategies to help assess priorities and the UK’s impact. Finally, there is a concern about a lack of ministerial presence and leadership at international meetings and summits.

There is no doubt that what DFID seeks to do is good and welcome—supporting country-led and integrated responses that meet the holistic needs of target populations—so why not say that loudly and boldly with a strategy? At the very least, be more explicit about HIV and AIDS policy goals in frameworks. Why not make funding more transparent, and the assessment of progress towards clear goals more robust? Why not once again play a robust, outspoken leadership role? The opportunity is there to meet the 2030 goal, and for the UK to be pivotal to that achievement. Let us grasp that opportunity.