Millennium Development Goals

Tom Greatrex Excerpts

Tuesday 3rd July 2012 Westminster Hall

[Mr Sharma]

I thank my hon. Friend for that appropriate intervention. I am sure that the Minister has taken note and will respond to it. I agree with my hon. Friend and share his concerns.

MDGs 2 and 3 seek universal education and gender equality. In its 2012 annual report, DFID acknowledges that to meet the target of universal primary education, efforts need to shift to the hardest-to-reach children. Education for all will not be achieved unless the current widespread exclusion of young married girls and children in extended family care, prison or work is addressed. Children who have lost both parents are 12% less likely to be in school than other children. The vast majority of children living and working on the streets do not attend school, while children in detention often have no access to formal school during their sentences. For the 13.6% of children who are child labourers, including a quarter of children in sub-Saharan Africa, combining work with school often has a negative impact on learning achievements, with long working hours preventing children from attending school at all.

International recognition of the links between child labour and education have not translated into policy change on the part of many Governments. To get education for their children, the only option for some families, who are in poverty or are far from a school, is to send their children away to live in institutions that provide education but are detrimental to their well-being in other ways. Long distances to school mean that some children have to find alternative accommodation, making them vulnerable to exploitation and abuse.

MDG 4 addresses child health. The widespread use of residential care for children under three places many children and infants at greater risk of dying young. In Russia, official statistics suggest that the mortality rate for children under four years old in residential care is 10 times higher than that of the general population. In Sudan, of 2,500 infants admitted to one institution in a five-year period, only 400 survived. There are currently at least 8 million children in residential care, with evidence to suggest a growth in this form of care in many countries in the former Soviet Union, sub-Saharan Africa and south Asia.

Finally, MDGs 5 and 6 address maternal health and combating HIV/AIDS. Ensuring that children have adequate care and protection is essential for improving maternal health and combating the spread of HIV. Preventing early marriage is essential for stemming the spread of HIV and preventing girls from becoming mothers at an early age when the risks of maternal and child mortality are highest. Trafficked children, child domestic workers and other working children often face sexual abuse. An estimated 2 million children, mainly girls, are sexually exploited in the commercial sex trade each year. Street children are often sexually active at a very young age.

Early sexual activity has profound implications for maternal and child health. Forced sex and limited power in relationships mean that girls without adequate care and protection often face early motherhood, with severe consequences for the health of both young mothers and babies. Pregnancy-related deaths are the leading cause of mortality for 15 to 19-year-old girls. Those who give birth aged under 15 are five times more likely to die than women aged over 20. Babies born to young mothers are also less likely to survive. Early and often forced sexual activity among children lacking adequate care and protection increases the risk of HIV infection. Lack of control over contraceptive use, inadequate knowledge of reproductive health, frequent sexual activity and having sex with often older husbands all result in such children being more vulnerable to HIV infection and other sexually transmitted diseases.

Children on the streets are often discriminated against by service providers and unable to access health care or advice about contraceptive use. DFID is committed to achieving education for all, including the most hard-to-reach groups. What is it doing to ensure that children who are outside parental care receive an education, and that their parents do not have to make agonising choices between schooling and care and protection?

DFID makes substantial investments in social protection programmes around the world. What is it doing to ensure that social protection reaches the most vulnerable and is designed in a way that keeps families together and does not push them apart? Through its commitment to achieving the MDGs, DFID is working to reduce child and maternal mortality and the spread of HIV. What is it doing to reduce separation from parents and deal with the abuse and exploitation that is so often the cause of dangerous early pregnancy and HIV infection?

DFID is focusing more on fragile and conflict-affected states and is working to mitigate the negative effects of climate change. What is DFID doing to ensure that, in dealing with preparedness and responses to conflict and disasters, emphasis is put on preventing families separating and on protecting children whose families are torn apart by war?

It is important that DFID ensures the development of indicators of impacts on children who are outside parental care and/or facing situations of abuse or exploitation.

[Tom Greatrex (Rutherglen and Hamilton West) (Lab/Co-op)]

Will my hon. Friend give way?

[Mr Sharma]

I am sorry, I shall continue.

DFID must invest more in appropriate, integrated child protection systems that adhere to the UN guidelines for the alternative care of children. The Prime Minister has recently been appointed co-chair of the UN Secretary-General’s high-level panel, looking at what comes after 2015 when the targets for the millennium development goals end. The first presentation of the panel’s work will be made in September.

The coalition Government recognise the importance of strong families in improving the lives of children in the UK, yet in their work in the developing world not enough is being done to keep families together. The UN is co-ordinating a global process to develop a post-MDG framework and there is an opportunity for the UK to influence the process, and the outcomes of the development of these goals, by promoting specific reference to children’s rights to care and protection in any framework and by ensuring that extra effort is made to consult hard-to-reach children, so that their voices are heard in the global debates on a framework that could shape their future. I should like the Minister to address his Department’s role in those two areas.

The post-MDG framework should include specific targets on children’s protection and care, for example, by measuring reductions in numbers growing up in large institutions, in detention, in harmful child labour, living and working on the streets, or experiencing violence, abuse or neglect in homes and schools. A consideration of children’s protective rights will also help to ensure the equitable achievement of the millennium development goals. Only through a consideration of such basic rights will it be possible to make wide-reaching and sustainable progress in efforts to alleviate child poverty, increase access to education, improve maternal and child health, and reduce the spread of HIV and AIDS.