Andrew Mitchell, Minister of State for Development and Africa, responds to an adjournment debate on the UK’s contribution to the Global Fund which funds the fight against AIDS, tuberculosis and malaria.
The Minister of State, Foreign, Commonwealth and Development Office (Mr Andrew Mitchell)
I congratulate the hon. Member for Liverpool, Walton (Dan Carden) on securing this debate. It is a pleasure to respond on behalf of the Government. Let me say at the outset how much we appreciate the work of the Global Fund’s executive director Peter Sands and his team, whom I saw recently in Geneva. He, along with others, has significantly reformed the Global Fund, with which I was involved 10 years ago. It is now going from strength to strength. As the hon. Gentleman said, this spending is among the very best of the development expenditure that the British taxpayer generously provides.
Given the impacts of the pandemic and Russia’s barbaric attack on Ukraine, the UK’s aid budget currently sits at about 0.55% of gross national income. That equated to more than £11 billion in 2021, and we are proud to remain one of the world’s biggest aid donors. Over the past 18 months, the UK has acted decisively and compassionately to help the people of Ukraine and Afghanistan to escape oppression and conflict and to find refuge in the UK. We report all aid spending in line with the OECD rules, which allow funds to be spent on food and shelter for asylum seekers and refugees during their first year in the UK. That point was raised by the hon. Gentleman.
This support has put significant pressure on the aid budget, which is why the Treasury has agreed to provide an additional £2.5 billion of official development assistance over two years. Even with that extra money, we are having to make difficult decisions to manage our aid spending this year and next. Our decisions and approach to spending are guided by the international development strategy. That means focusing our work on the priorities set out in the strategy, including women and girls and global health, both of which the hon. Gentleman cited with approval. We will do this in a way that maximises the positive impact we can have, and our ability to respond to crises.
Organisations such as the Global Fund remain essential partners for the achievement of our goals. The UK joined with others to create the Global Fund because we refused to accept the loss of millions of lives every year to AIDS, TB and malaria— diseases that are both preventable and treatable. The fund’s achievements are nothing short of extraordinary. Over the last 20 years, it has saved 50 million lives, cut the death rate from those three diseases by more than half, invested billions in healthcare systems, and played a crucial role in the protection of key populations and women and girls—a point made by the hon. Gentleman towards the end of his speech.
The UK is an important partner in the Global Fund’s success. We are its third largest donor. We have contributed more than £4.5 billion to the fund to date, and we continue to back its vital, life-saving work. In November, I announced our significant contribution of £1,000 million to the fund’s seventh replenishment. This will support critical programmes through to 2025, helping us to get back on track to end AIDS, TB and malaria. The UK’s pledge will help to save an estimated 1.2 million lives, while preventing 28 million new cases and infections. Not only will that funding help the diagnosis, treatment and prevention of those three diseases, but it will boost work to tackle the stigma and discrimination that are driving the epidemics, reaching 3 million people in key populations through prevention programmes. It will help community workers to find those at greatest risk, and it will be used to invest in innovative research and development work. That includes tackling the growing resistance to drugs and insecticides that threatens the fight against malaria.
We have invested about £400 million in product development partnerships, harnessing the best of British scientific excellence to fight diseases of poverty, and our £500 million investment in Unitaid supported innovations that cut the cost of the best paediatric HIV medicines by 75%. As I made clear in the international development strategy, we will continue to push for multilateral reform, including greater collaboration between health agencies at global, country and local level. The UK remains a determined leader, not only through our financing but through our valuable country partnerships, our expertise and our power to convene others. We are pleased that the Global Fund and Unitaid have been building on their partnership.
The Global Fund is key to our strategy to end the preventable deaths of mothers, babies and children. The majority of its investment is in Africa, where a child dies every minute of malaria and where one in three pregnant women risks catching malaria, putting them and their baby at risk. It also invests in strong and inclusive health systems. One third of the UK’s contribution to the Global Fund will help to support and strengthen formal and community health systems, improving data tracking, getting medical supplies to clinics in remote areas and helping community health workers to meet the needs of their local communities.
Building on the experience of the fight against covid-19, the Global Fund supports work to prepare for and respond to pandemics. For example, it invests in building laboratory networks that were the bedrock of the covid-19 testing programmes. The fund raised $5 billion in two years to fight covid, leading work in lower-income countries on diagnosis and treatment. But this is about more than money to fight diseases; it is about addressing wider global challenges, from conflict to climate change.
Dan Carden
The Minister and I agree that the Global Fund is a very good thing. We have had two years of progress, increased testing and reduction in diseases, and in the end we are hopeful of eradicating those diseases for good. Will the Minister continue to watch that progress? At the minute, statistics suggest that we are sliding backwards—something we cannot afford to do. If that is what the evidence suggests this year and next year, will he push for more funding? Will he also touch on the point about the United States’ match funding, which makes this such a good investment for the FCDO?
Mr Mitchell
The hon. Gentleman is absolutely right to point out the huge benefits of the generous offer from the United States, which, along with Britain, has been one of the two core countries for the Global Fund. On his request that I keep this spending and the results under review, he may rest assured that I certainly will.
The Global Fund has kept health services going in conflict zones from Afghanistan to Ukraine. It has provided $25 million in emergency funding to Ukraine, which has been used to deploy doctors and mobile clinics. It has supported healthcare for those suffering from climate-related disasters in Pakistan and Somalia.
Addressing gender and human rights barriers is an integral part of the Global Fund’s strategy for the next five years, ensuring that life-changing services are available for all, regardless of gender, age, sexual orientation or income. Some 60% of the Global Fund’s investments go towards protecting women and girls. The UK continues to champion those values in all our work. As the hon. Gentleman indicated, today we celebrate International Women’s Day, and this morning we published our strategy, which puts women and girls at the heart of pretty much everything the Foreign Office does. We will stand up for them at every opportunity, work with our partners who do the same and counter any rollback in women’s rights and freedoms around the world.
Charlotte Nichols
Will the Minister give way?
Mr Mitchell
I am very sorry, but I am about to run out of time.
We are increasing our ambition, because threats to gender equality are mounting and because women and girls continue to be at particular risk from diseases such as HIV and malaria. Over the next year, global leaders will come together for UN high-level meetings on universal health coverage, tuberculosis, and pandemic preparedness and response. The Global Fund is an important partner to the UK in helping to advance those priorities.
To conclude, we have no doubt of the huge importance and value of the work of the Global Fund. We will fulfil our sixth replenishment pledge. This is an outstandingly successful partnership, which is why the Foreign Secretary, the Chancellor and I very carefully considered our £1,000 million pledge to the seventh replenishment, for all the reasons that the hon. Member for Liverpool, Walton has set out so eloquently.
We balance the needs of the fight against AIDS, tuberculosis and malaria against the many other demands on the aid budget, guided by the priorities of the international development strategy. We can all be proud of our commitment and the difference this pledge will make to millions of people around the world, helping to end those three diseases that shatter lives and to build a better, safer world for all.
The hon. Gentleman asked me about the discussions on transparency with the Home Office. A new cross-Whitehall committee, co-chaired by myself and the Chief Secretary to the Treasury, will bear down on the quality of ODA spent throughout the Whitehall system. He asked about discussions with the Treasury on these matters and on ODA generally. I assure him that, short of camping under the Chancellor of the Exchequer’s bed, I could not lobby more than I am.
Finally, I shall give way to the hon. Lady, because there is one minute left.
Charlotte Nichols
The Minister has outlined brilliantly all the great things the Global Fund does, but as we have cut our replenishment funding, has the Department made an assessment of what that loss will mean, in terms of the inability to meet some of this need?
Mr Mitchell
We look incredibly carefully at the results our taxpayers are buying with their contribution. The contribution we have made of £1,000 million is a significant one, given the constrained circumstances that we and others around the world find ourselves in. We have made a contribution at that level for precisely the reasons set out by the hon. Lady and the hon. Member for Liverpool, Walton, in what I think you will agree, Madam Deputy Speaker, has been a most interesting and illuminative debate.