HIV and AIDS

Jeremy Lefroy Excerpts

Tuesday 10th December 2013 Westminster Hall

[Jeremy Lefroy (Stafford) (Con)]

It is a pleasure to serve under your chairmanship, Mr Dobbin. I congratulate the hon. Member for Airdrie and Shotts (Pamela Nash) on her excellent speech and her leadership in the all-party group on HIV and AIDS. I apologise that I will have to leave before the end of the debate, to attend a Select Committee hearing, but I will follow the Minister’s reply and that of the shadow Minister extremely carefully in Hansard.

I pay tribute to David Cairns, who did a huge amount of work in the House on the subject, and huge tribute to Nelson Mandela for his leadership in this area, as in so many others. It is vital that we continue the battle. I lived in Tanzania for 11 years and remember, as the hon. Lady mentioned, the stigma that attached to the disease in the late 1980s and throughout the ’90s, and the courage shown by many people who came forth and said, “Look, we have to tackle this.” For that reason, a couple of years ago when my hon. Friend the Member for Mid Derbyshire (Pauline Latham) and I visited Nile Breweries, which was conducting a programme of HIV testing and treatment for the employees, she and I decided that we would publicly take an HIV test to encourage the workers at the factory to do the same, because some remained reluctant to do so, given the stigma of even taking the test.

I want to mention four areas in which we need to reinforce what we are doing and perhaps do more. The first is funding. The hon. Member for Airdrie and Shotts has mentioned the important work of the Global Fund to Fight AIDS, Tuberculosis and Malaria, which we cannot stress enough, and I am delighted that the Minister has decided to increase its funding substantially. The hon. Lady quoted the statistics on the 29% fall in AIDS-related deaths since 2005; it is no coincidence that that is roughly the time during which the Global Fund has been operating. We see the same in malaria; I do not know the statistics for TB, but I am sure the same is true. Certainly, the number of deaths from malaria has fallen by a similar percentage during the time when the Global Fund has been operating.

The Global Fund is a hugely important multilateral fund, which has received very good ratings, for example in the multilateral aid review of the UK Government in 2010 and 2011. It is vital that we continue to support it. Certain issues have been brought up in recent weeks, and last year, but the current chief executive, Mark Dybul, is excellent and is tackling them. He is visiting the House next week and I hope to have the honour of entertaining him. I encourage other Members and colleagues to meet him. We must continue with the emphasis on maintaining and increasing funding. The Global Fund has not yet reached its target of $15 billion for replenishment. We need to encourage our colleagues internationally, in particular in Europe—Germany, France and other countries—to step up to the plate and ensure that the UK and the US can fulfil their commitments, because part of our commitment was conditional on others making commitments.

Secondly, we need to concentrate on the strengthening of health systems—the shadow Minister and I have discussed this on a number of occasions. Only through proper health systems in developing countries will we achieve the universal access to diagnosis, treatment and indeed prevention that is so vital. I am delighted that one of DFID’s new priorities is to reduce new infections in women and girls, which is only possible if we have strong health systems throughout the world. I want to hear from the Minister what DFID intends in this particular area—the Select Committee on International Development certainly hopes to launch an inquiry in the coming year.

Thirdly, as the hon. Member for Airdrie and Shotts rightly mentioned, we have to work with local groups. I am proud to say that I am an honorary member of the Kilimanjaro women’s campaign to fight against AIDS, which was launched in the early ’90s and has achieved a huge amount locally in the Kilimanjaro region of northern Tanzania and beyond, often on limited resources. The group is led by women and it works in education in support of families and the education of AIDS orphans. It did work that many other, much more substantially funded organisations were not able to do, because its work was mainly run by very committed volunteers.

DFID has an important role to play in support of such groups, not necessarily with massive amounts of funding, because sometimes the effectiveness of such groups is in inverse proportion to the amount of funding that they get. I remember one particular official group, which was substantially funded, that collapsed six months after the funding stopped, simply because it had become so reliant on it and was not prepared to continue the work once the funding stopped. It is vital that we support those groups, but sensitively, so that they are led perhaps not by expatriates going in, but by local people, supported by DFID.

Finally, there is the link made by the hon. Lady between HIV/AIDS and domestic violence and the broader issue of human rights—such as the fact that homosexuality is criminalised in, I believe, 42 out of 52 Commonwealth countries. We have to tackle such matters. Whatever might be said about us in the UK, we must take a lead. I am glad to see that the Government are doing so.

I will conclude by putting on record how important I believe it is to continue the fight. There is the tendency, as we saw with malaria in the 1950s and ’60s, once a battle seems to be largely won, to stop and relax, but it can come back with a vengeance to bite us, as with malaria in the’70s, ’80s and ’90s. We cannot give up on this. We must maintain our support, and I congratulate the Government and the hon. Member for Airdrie and Shotts on doing so.