Malaria and Neglected Tropical Diseases

Lord Collins of Highbury Excerpts

Thursday 7th July 2022 Lords Chamber

[Lord Collins of Highbury (Lab)]

My Lords, I thank the noble Lord, Lord Trees, for initiating this short debate on a vital subject. I too want to start on a positive note, because the Kigali summit displayed something unique and important that we should stress: it included Governments, coinciding with CHOGM, but also civil society and the private sector.

We heard clear government commitments to support the fight against malaria and NTDs, which included domestic resources, co-financing and support for innovation, from all the countries committed to that declaration. Like the noble Baroness, Lady Hayman, I would like to know what that commitment means in terms of action by this Government, so I hope the Minister can translate those words into specific actions.

We also had clear commitments from the private sector, which we should welcome, including the donation of drugs, as the right reverend Prelate referred to. Again, that is action that we should encourage and support; it is not all about government action. We also had support from trust funds and philanthropists such as Bill and Melinda Gates, who also make important contributions.

Just as important are civil society organisations and NGOs, which have made a significant commitment in the fight against malaria and NTDs. It is those sorts of commitments and programmes that we should also hear about from the Minister regarding how our Government’s commitments can translate into support for those civil society organisations.

However, as we have heard in this debate, such collective action will not deliver without the support of overseas development assistance—from all countries but, more importantly, from this country. As we have heard, progress in combating malaria has stalled in recent years despite the gains of the past two decades. In 2019 there were 229 million cases of malaria and 409,000 deaths, and it continues to take a heavy toll on pregnant women and children, particularly in Africa. The noble Baroness, Lady Hayman, is right: if this Government are going to make women and girls a priority, they need to focus on these policies. It is not just about conflict prevention.

As all noble Lords mentioned, the cuts in the UK’s ODA budget, to which I shall return, have had serious impacts. I will not repeat what the noble Baroness, Lady Hayman said but I was going to refer to the issue in more explicit detail. It was not just a question of the amount of those cuts but the speed at which they occurred. We have had repeated debates on the unnecessary harm caused by the speed of those cuts. They were not planned. I am not advocating cuts but damage was caused by immediately stopping programmes. I cannot imagine the consequences.

It is important to acknowledge the role of this country because we have been in the lead. The London declaration was an important initiative, supported by philanthropists and others. I must thank the noble Baroness, Lady Hayman, who, when I first came into this House, initiated a series of debates on the declaration. We had a sort of annual anniversary debate to monitor the progress of the commitments made.

As we have heard, however, one of the impacts of Covid has been a coming together on all NTDs to look at how collective action and cross-sectoral collaboration can help rebuild programmes—particularly on WASH and NTDs. The NTD road map, which has been referred to, set vital global targets. I want to say a few words about the importance of cross-sectoral collaboration. Through co-ordinated investment, we can have an impact across the range of NTDs as well as in terms of priorities for women and girls.

I declare an interest as co-chair of the APPG on Nutrition for Growth. Nutrition is a vital foundation activity for safeguarding women and girls and ending some of the worst diseases. Nutrition relies primarily on education and primary healthcare. Universal healthcare is a priority that this Government have led the way on but where the ODA cuts have impacted hugely. They are not programmes that one can set up one year and then take away; they need long-term investment. A lot of the activities that we have been talking about are precisely that—five, 10 or 15-year programmes. We are talking about sustainability and employing nurses and community nursing activity to go out and build sustainable development. That is vital and I hope that the noble Lord can reassure us on how we will support the road map highlighted by NTDs.

We have focused heavily not just on the physical means to deliver progress against these diseases but on the need to stress the importance of research and innovation. That is true of Malaria and many NTDs. We need to hear from the Minister about how we will continue to support that innovation through the Kigali Declaration. The Global Fund is a vital instrument for change and for pushing back these diseases. The US Government have led the way. I have asked the Minister questions on this and the noble Lord, Lord Trees referred to it. That leadership by the US needs UK support. If we do not support it, the overall amount given to the Global Fund will reduce, which is why it is vital that we continue with that commitment.

I hope, therefore, that the Minister will reassure us. I know he will say that the decision on the amount has not been made yet. We do not know who is responsible for that—things could change in days, hours or minutes. But this is such an important subject, so I hope he will take back the message that we need to support the United States to ensure that the Global Fund replenishment can continue to deliver on the targets that we agreed in 2015, with the SDGs. I hope the Minister will respond positively.