Gavi and the Global Fund

Sam Rushworth Excerpts

Thursday 15th May 2025 Westminster Hall

[Sam Rushworth (Bishop Auckland) (Lab)]

I thank my hon. Friend the Member for Milton Keynes Central (Emily Darlington) for securing this debate. I am here to speak on behalf of my constituents who have asked me to call on the Government to continue Britain’s global leadership in fighting and eradicating killer diseases. That requires a commitment not only to ongoing investment in the Global Fund, Gavi and Unitaid, but to leading other nations to do likewise.

There is often far too much doom and gloom about international aid and what it has achieved. Let us remember that in 1991, one in five children born in sub-Saharan Africa died before they reached their fifth birthday. Today that is one in 16, which is still too many. As many know, I spent a portion of my life living in sub-Saharan Africa, including as a schoolteacher. My own eyes have wet my pillow at night because one of my students died from a preventable illness, because they were not able to access the treatment that they needed. When I multiply that by the millions of children who have had that fate, I think what a tragic loss that is for the world.

Let us be clear: a child born in a Gavi-supported country is 70% less likely to die from a vaccine-preventable disease before their fifth birthday. The Global Fund has saved 65 million lives. As impressive as that is, there is also the investment that this brings to Britain by supporting British science. I say to the Minister: let us not roll back the progress of a quarter of a century.

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[Wendy Morton]

The hon. Gentleman is absolutely right that Gavi has the ability to pull in many different donors, but perhaps the specific questions following the ODA cut should be directed to the Minister. Gavi is a good example of how partnership can deliver for the benefit of the most vulnerable.

Conservative Governments made significant interventions that contributed to the UK’s reputation as a global health leader. In 2015, we pledged £1.44 billion to Gavi over five years, and in 2020, when we hosted the global vaccine summit, we committed a further £1.65 billion. During the last two Global Fund replenishments, we pledged £1 billion in 2022 and £1.46 billion in 2020. Those pledges to Gavi and the Global Fund were just one part of our leadership and efforts to strengthen global health, and an incredibly important one at that.

I note from responses to my written questions that Ministers are often quite keen to highlight our record on global health, but I would like to take this opportunity to ask some questions about the Government’s record to date. Following the reduction in ODA to 0.3% of GNI, I ask the Minister: what does global health now look like from the strategic level of the Foreign, Commonwealth and Development Office? It would be helpful to know where the priorities are and whether the Government plan to continue the emphasis on multilateral NGOs such as Gavi and the Global Fund, or whether other models are to be considered.

Although the approach to global health may be changing under this Labour Government, the replenishment periods for Gavi and the Global Fund are rapidly approaching—in fact, Gavi’s is literally weeks away. I would therefore welcome some clarity from the Minister on the discussions he has had with representatives of both funds and other donor nations. I want to press him a little about the absence of any UK pledges to date. I have previously had no luck getting an answer on that through my written questions, so I will have another go today. Has he considered the impact of the UK’s apparent delay in pledging on our international reputation and our standing as a leader in global health?

[Sam Rushworth]

Does the right hon. Lady agree that the UK’s track record on this has been quite impressive, given that other countries frankly punch below their economic weight, so this is not just about the UK’s contribution but about the role we play in ensuring other countries shoulder the burden?

[Wendy Morton]

The hon. Gentleman is absolutely right, and I recall that during the last replenishment, there were many conversations going on to encourage other countries and partners to step up to the plate. The UK’s leadership had a real impact at that time. In a similar vein, what is the potential impact on other countries’ pledges? Is the Minister thinking about making a reduced commitment or no pledge at all? Rather than ongoing uncertainty, it would help other donors and NGOs to know what the UK is doing, so that they can plan.

The Minister will be aware that there is a range of financial instruments available to him. One is the international finance facility for immunisation, through which £590 million of our £1.65 billion pledge in 2020 was distributed. IFFIm accelerates the delivery of vaccines by making the money from long-term Government donor pledges available immediately, allowing Gavi to vaccinate more individuals, faster. I would be grateful if the Minister updated us on any discussions he has had with Gavi and with IFFIm about its potential use to front-load any UK commitments.