Global Malnutrition: FCDO Role

Wendy Morton Excerpts

Tuesday 8th December 2020 Westminster Hall

[The Parliamentary Under-Secretary of State for Foreign, Commonwealth and Development Affairs (Wendy Morton)]

Let me start by saying that I am really grateful to the hon. Member for Glasgow East (David Linden) for having secured this morning’s debate, and to all right hon. and hon. Members for their contributions. I thank everyone for their recommendations and the thoughts they have shared this morning regarding our future approach, and I am deeply grateful to all those who are working tirelessly on this vital issue. I am reminded of the APPG meeting that we held earlier in the year. I am also reminded by my right hon. Friend the Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) of the many visits that I have made to Africa over the years with Project Umubano, where I have seen at first hand some of the work that is taking place—not just through Government projects, but through civil society organisations and other groups—to tackle a range of issues, including hunger and malnutrition.

Tackling malnutrition continues to be of importance for this Government. Between April 2015 and March 2020, the UK Government reached more than 55 million young children, adolescent girls and women in the poorest countries with nutrition support. I was pleased to see that the Independent Commission for Aid Impact recently commended us on our work, and noted that the UK had undoubtedly underestimated its reach and impact. Preventing and treating malnutrition remains fundamental to achieving the Government’s commitment to end the preventable deaths of mothers, newborns and children by 2030.

Malnutrition is the underlying cause of almost half of all child deaths and one in five maternal deaths. Even before the coronavirus pandemic, progress to reduce malnutrition was already far too slow, particularly across Africa and south Asia. There is concrete evidence that the indirect effects of covid-19 are increasing malnutrition risk and threatening to reverse the gains that have been made. My Department, the FCDO, is closely monitoring the effect on nutrition. Many countries are reporting significant disruptions to key nutrition services, particularly breastfeeding support, delivery of vitamin A and iron-folate supplements, and treatment for acute malnutrition. Those disruptions will undermine the nutrition of the most vulnerable women and children in the world, and increase the number of people who die.

At the end of 2019, 135 million people in 55 countries and territories already faced acute food insecurity. Experts have estimated that as a result of the pandemic, acute malnutrition has increased by 14%, resulting in an additional 125,000 child deaths. Good nutrition is central to health, educational outcomes and poverty alleviation. A two-year-old who has received the basic nutrients they need in their early years is 10 times more likely to overcome the most life-threatening childhood diseases. They are also set to remain in school four years longer than their undernourished counterparts and to go on to earn more and have healthier lives and families. Every £1 invested to prevent malnutrition brings returns of £16 in increased productivity, so it is imperative that steps are taken to stop the current deterioration and to help countries get on track to achieve the 2030 target to end malnutrition in all its forms.

The UK Government are addressing this global challenge in three major ways. First, we are prioritising and continuing foreign investment in essential nutrition services, with a focus on countries experiencing the greatest shocks, including the impacts of covid-19. This includes highly cost-effective interventions such as breast-feeding support and acute malnutrition treatment in countries such as Somalia, South Sudan, Yemen and Ethiopia. We are also supporting programmes to deal with the chronic drivers of malnutrition in countries such as Zambia and Malawi. I personally made sure that our support to the Power of Nutrition financing facility was prioritised, so that this essential initiative can continue to save lives and avert malnutrition in countries such as Tanzania and Liberia.

Secondly, in September, the Foreign Secretary appointed the UK’s first special envoy for famine prevention, Nick Dyer. This is a clear signal that this Government are not prepared to look away as conflict, climate shock and the coronavirus pandemic put millions at risk of large-scale food insecurity and malnutrition. Alongside this, we launched a £119 million package of support to avert famine and food insecurity, which included a new five-year £30 million partnership with UNICEF to transform how acute malnutrition is prevented and treated. This will enable at least 4.3 million children each year in Africa and Asia to access essential nutrition services.

Thirdly, turning to Nutrition for Growth and the Canada event, to which many Members have referred to today, we remain firmly committed to working with the Government of Japan as they prepare for the next Nutrition for Growth summit. 2021 will be an important year for galvanising action to address malnutrition and I look forward to joining the Government of Canada at their event on 14 December to launch the Year of Nutrition for Growth. I am grateful for their leadership and support on this important issue. However, it is very clear that the scale of the global nutrition challenge needs a wide and diverse coalition of support. It cannot and should not only fall to Japan, Canada and the UK to deal with this global challenge. An essential part of our role is making the case to broaden the support base. It is incumbent on our partner Governments, the private sector and the multilateral system also to step forward. Nutrition investment is fantastic value for money, as many Members have highlighted.

The House will be aware of the difficult decision that the Government announced recently to reduce the aid budget to 0.5% of gross national income. I am conscious Members have raised this point during the debate. I have to say this was a difficult, but temporary decision. It is our intention to return to the 0.7% target as soon as the fiscal situation allows. In 2021, we will remain one of the most generous G7 donors, spending more than £10 billion to fight poverty, tackle climate change and improve global health. We will also do aid better across Government; even though the budget is smaller, we will deliver it with greater impact for every £1 that we spend. Some 93.5% of UK aid will come under FDCO leadership—

[Stephen Doughty]

I do not doubt the Minister’s personal commitment on these issues, which she has shown over many years. Obviously, what we have heard about the aid cut is deeply concerning. I have some doubts that the cut is temporary, particularly given the scrapping of the relevant legislation, but I asked the Minister a specific question about the International Development Act 2002. Will she rule out changes to that Act, because it is the focus in that Act that ensures that our aid is spent, by whatever Department, on the most crucial challenges, such as nutrition and hunger?

[Wendy Morton]

I know that the hon. Gentleman will seek to press me on this matter. I reiterate that we will remain one of the most generous G7 donors, even though we will spend 0.5 % of our GNI rather than the 0.7%, and as soon as the fiscal situation allows, we will revert to 0.7%. It is a temporary reduction.

I still have a bit of time left, so I want to respond to one or two more specific points raised by hon. Members. One was the link between covid-19 and nutrition. It is an important secondary impact for us all to be aware of. Malnourished people are likely to be more severely affected by covid-19, and the wider impacts of covid-19 are predicted to increase malnutrition, particularly across Africa and Asia. Over the past year, nutrition services have been prioritising many FCDO country programmes, including in Ethiopia, Somalia, Zambia and across the Sahel, to help to reduce the negative impacts of the pandemic. We have also supported Governments in the Scaling Up Nutrition movement to adapt their own responses.

Some Members raised the issue of vaccines in this debate, and I think it is important to recognise that malnourished children have been shown to have a less effective response to some, but not all, vaccines. Clearly, averting malnutrition is a sensible strategy to underpin any vaccination programme.

Girls’ education was mentioned by several Members, including the hon. Member for Stockport (Navendu Mishra). The UK is a global leader when it comes to girls’ education. Helping poor countries to provide 12 years of good-quality education, particularly for girls, is a top priority for this Government. We know that for children to learn they need the right nutrients, and that malnutrition disproportionately affects women and girls, preventing many girls from attending school and hindering the potential of those who do. I recall on some of my visits to Africa actually teaching in schools and visiting schools and seeing the difference that a child having had something to eat could make to their ability to learn.

The hon. Member for Strangford (Jim Shannon) touched on partnership working. Let me assure him that we work with a range of partners to deliver our nutrition programmes. In countries such as Nigeria, we work very closely with faith-based groups to ensure that we reach those in need.

[Jim Shannon]

If those church groups and charity groups that do very specific physical work in some of the countries that I mentioned want to be partnered with Government officials to ensure that that happens, is it possible for the Minister to give me some contacts, or give us all contacts, whereby we could perhaps bring them together?

[Wendy Morton]

I undertake to respond to the hon. Gentleman directly on that very specific point.

During the debate, we have raised the situation in various countries around the world that are experiencing food shortages and challenges with nutrition. I want to pick up on a couple of specific places. One is the Sahel, where our support will provide nutrition screening to 526,250 children and mothers in that region. That will include emergency malnutrition response treatment for almost 26,000 children with severe acute malnutrition. Yemen is a country that was specifically mentioned by several Members. As my right hon. Friend the Foreign Secretary warned in September, Yemen has never looked more likely to slide into famine. Food prices in some areas have risen by 20% since the start of 2020. The UK has shown leadership and responded to the crisis. We have committed £200 million this financial year, including an extra £30.8 million in new funding for famine prevention in September. That takes our total commitment to more than £1 billion since the conflict began in 2015. This financial year, we are providing the World Food Programme with £58 million to provide vital food assistance, meeting the immediate food needs of more than 500,000 Yemenis each month.

Preventing and treating malnutrition will remain a core part of what we do, given its vital contribution to health and wellbeing as well as to education and to ending poverty. I will be happy to update the House again on our approach to malnutrition in 2021, prior to the Tokyo Nutrition for Growth summit. There remains no doubt that addressing malnutrition in the poorest countries of the world is the right thing to do. Even in these difficult times, we will endeavour to do what we can to reach those most at risk. The real power of the new Foreign, Commonwealth and Development Office is that we can now tackle global challenges like this by combining our world-leading aid expertise with our diplomatic strength. In doing so, we will still be able to help millions of people escape the terrible impact of malnutrition.