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That is the end of business in the House of Commons. We will no be | :00:00. | :00:13. | |
going over to the House of Lords. In a world where we will not be able to | :00:14. | :00:22. | |
join forces not necessarily any coherent way. A lot of our aid goes | :00:23. | :00:30. | |
through our relationship with the EU. What consideration has been | :00:31. | :00:39. | |
given to the changing attitude of the new administration in the United | :00:40. | :00:48. | |
States of America with regard to aid and the institutions of the United | :00:49. | :00:53. | |
Nations? I think these are things that we need to think about. I too | :00:54. | :01:01. | |
would like to thank her for would like to thank her for | :01:02. | :01:09. | |
initiating this debate. It follows on from the questions earlier today. | :01:10. | :01:25. | |
There is a consensus on the 0.7%. The reason for this consensus is | :01:26. | :01:33. | |
very practical. It allows the United Kingdom to support long-term | :01:34. | :01:35. | |
sustainable projects which really make a difference to the lives of | :01:36. | :01:41. | |
the clueless people on the planet. Our commitment to improve the new | :01:42. | :01:46. | |
nutrition of 50 million people is a good example of that. I would like | :01:47. | :01:54. | |
the Prime Minister to be a great thing about this in the newspapers. | :01:55. | :01:59. | |
It is these issues we need to focus on. I appreciate her for initiating | :02:00. | :02:13. | |
this debate. Good nutrition, as we appear, is the foundation for | :02:14. | :02:19. | |
sustainable development. Building health and resilience. 12 of the | :02:20. | :02:30. | |
countries -- indicators highlighted by the United Nations are key to | :02:31. | :02:38. | |
nutrition. Nutrition interventions promote economic development. It | :02:39. | :02:48. | |
every $1 invested sees $16 returned an investment. | :02:49. | :02:56. | |
That is the key message we should be putting into the media to respond to | :02:57. | :03:03. | |
some of the ridiculous arguments that have been made. Countries lose | :03:04. | :03:11. | |
at least 10% of their GDP because of malnutrition. It stagnates | :03:12. | :03:17. | |
personnel, societal and national development, that is why it is so | :03:18. | :03:22. | |
key to progress. As we have heard for women and girls were often the | :03:23. | :03:28. | |
most vulnerable to undernutrition, nutrition interventions are crucial | :03:29. | :03:31. | |
to support their full development potential. When you think of this | :03:32. | :03:41. | |
specific goal to end Hunter, a chief said security and improve nutrition | :03:42. | :03:48. | |
and target 22 that by 2030, end all forms of malnutrition and achieving | :03:49. | :03:56. | |
by 2025 international targets on wasting in children under five years | :03:57. | :04:02. | |
of age and address nutritional needs of adolescent girls, pregnant and | :04:03. | :04:10. | |
lactating women and older women. Older women are particularly | :04:11. | :04:16. | |
vulnerable to malnutrition and attempts to provide them with | :04:17. | :04:21. | |
adequate nutrition encounter many practical problems. The problems are | :04:22. | :04:27. | |
not well defined, ageing effects, nutrient needs, some needs increase | :04:28. | :04:34. | |
while others decrease. Good nutritional status reduces maternal | :04:35. | :04:41. | |
deaths. It improves school outcomes and contributes to delete manage and | :04:42. | :04:49. | |
pregnancy. It saves lives. Improving potential and promoting progress | :04:50. | :04:51. | |
alongside intergenerational health and prosperity. The own strip -- the | :04:52. | :04:59. | |
onset of menstruation in girls results in a much higher demand of | :05:00. | :05:03. | |
nutrients. When they do not receive the nutrients it can reach -- B2 | :05:04. | :05:09. | |
anaemia, cause fatigue, dizziness and weight loss and reduced | :05:10. | :05:16. | |
immunity. Impact on maternal health is irrefutable. Micronutrients and | :05:17. | :05:25. | |
lack of energy during pregnancy can cause complications and | :05:26. | :05:32. | |
haemorrhages. Nutritional deficiencies can also contribute to | :05:33. | :05:39. | |
foetal birth defects and or newborn mortality. Improving nutrition | :05:40. | :05:44. | |
alongside good antenatal care can improve these numbers dramatically. | :05:45. | :05:47. | |
There is no doubt about that. Good nutrition is crucial to unlocking | :05:48. | :05:54. | |
the potential of women and girls across the life-cycle and giving | :05:55. | :05:57. | |
them the best opportunities to become active members of their | :05:58. | :06:03. | |
community. As my noble friend highlighted, around half of the | :06:04. | :06:09. | |
deaths can be attributed to underlying malnutrition. | :06:10. | :06:11. | |
Malnourished children are nine times more likely to die of common | :06:12. | :06:16. | |
childhood infections such as pneumonia and diarrhoea. It is key | :06:17. | :06:23. | |
to changing the prospects of many and in low income countries, 37.6% | :06:24. | :06:30. | |
of children under five are stunted. These children are likely to grow | :06:31. | :06:35. | |
into stunted adolescence. Stunted adolescent girls faced a higher risk | :06:36. | :06:42. | |
of pregnancy related complications and one of the leading causes of | :06:43. | :06:46. | |
death among the demographic. Over 2 billion people suffer from Micro | :06:47. | :06:52. | |
nutrition deficiencies, anaemia often the result of iron | :06:53. | :06:57. | |
deficiencies affects 500 million women of reproductive age and is | :06:58. | :07:01. | |
responsible for nearly 20% of maternal deaths in 21 countries out | :07:02. | :07:09. | |
of 41 with anaemia prevalent, more than one third of adolescent girls | :07:10. | :07:15. | |
are anaemic. Undernutrition has devastating impact on physical and | :07:16. | :07:21. | |
development potential of girls. Malnourished adolescents go on to | :07:22. | :07:25. | |
lose and then 10% of their lifetime earnings as adults, affecting the | :07:26. | :07:31. | |
economic development of these countries which is so vital if we | :07:32. | :07:35. | |
are to change and challenge poverty in our world. As my noble friend and | :07:36. | :07:45. | |
Baroness mentor said, we can be proud of the United Kingdom leading | :07:46. | :07:51. | |
role in the world in the fight against malnutrition. This | :07:52. | :08:01. | |
commitment was renewed in the recent bilateral development review and we | :08:02. | :08:07. | |
spoke about that in this chamber. Following on from the 2013, UK | :08:08. | :08:16. | |
hosted the inaugural nutrition for growth conference in London and met | :08:17. | :08:24. | |
financial commitments. 655 million for a nutrition specific | :08:25. | :08:29. | |
interventions and 604,000,004 interventions until 2020. As the | :08:30. | :08:36. | |
noble lady said, the government as part of its manifesto pledge in | :08:37. | :08:44. | |
2015, pledged to improve the nutrition of 50 million children | :08:45. | :08:52. | |
under five and adolescent girls in developing countries by 2020. | :08:53. | :08:59. | |
Despite this, despite these commitments, the world is not on | :09:00. | :09:04. | |
track to reach the 2025 global nutrition targets. These are the | :09:05. | :09:12. | |
issues that we need fundamentally to address. I welcome DFID plans to | :09:13. | :09:19. | |
improve nutrition, their target by 2020 but I urge them to commit the | :09:20. | :09:31. | |
government to invest a further 530 after 2020. I think DFID should | :09:32. | :09:36. | |
rapidly disburses 2013 commitments to nutrition and increase its | :09:37. | :09:41. | |
commitment to nutrition because it is that key to development. I think | :09:42. | :09:49. | |
?513 million of new money should be invested between 2016 and 2020 | :09:50. | :09:54. | |
because good nutrition, as we know, has a significant impact on | :09:55. | :09:59. | |
improving women's economic development as well as their health. | :10:00. | :10:04. | |
What is needed is an integrated approach which delivers nutrition as | :10:05. | :10:10. | |
part of a package of wider health interventions and improves the value | :10:11. | :10:16. | |
for money of health investments. I hope that the Minister will support | :10:17. | :10:23. | |
the scaling up of nutrition specific interventions to tackle all forms of | :10:24. | :10:29. | |
malnutrition and the integration of these interventions into the design | :10:30. | :10:35. | |
and delivery of reproductive, maternal, newborn, child and | :10:36. | :10:38. | |
adolescent health and other health programmes. In 2015, the government | :10:39. | :10:45. | |
made a commitment to leave no one behind in its development programme. | :10:46. | :10:52. | |
DFID should ensure that nutrition, is targeted and improved for the | :10:53. | :10:57. | |
most vulnerable and hardest to reach. Does the noble Lord agree | :10:58. | :11:03. | |
that to do this DFID should produce disaggregated data for prioritising | :11:04. | :11:08. | |
investments with a focus on high birth, irrespective of all middle | :11:09. | :11:15. | |
income status and allocate resources to strengthen nutrition and national | :11:16. | :11:22. | |
information systems to ensure we have that proper and adequate data? | :11:23. | :11:33. | |
Can I join other noble Lords in paying tribute to my noble friend | :11:34. | :11:39. | |
for securing this debate. It is something which I know is dear to | :11:40. | :11:43. | |
our heart. She has devoted her professional life to this and she is | :11:44. | :11:48. | |
bringing her professional experience in to your lordship's has. I know | :11:49. | :11:54. | |
that her convening of the round table before Christmas was a very | :11:55. | :11:59. | |
helpful exchange of views for different officials who attended in | :12:00. | :12:04. | |
shaping our policy in relation to this. I also thank Lady Thornton for | :12:05. | :12:14. | |
her comments for her thoughtful contribution and other contributions | :12:15. | :12:18. | |
from the Labour benches. They rightly point out that nutrition is | :12:19. | :12:25. | |
the building block upon all other developments that we see. It is | :12:26. | :12:33. | |
crucially important as an issue, not only in sustainable development | :12:34. | :12:36. | |
goals but also in being recognised as a women's issue as we lead up to | :12:37. | :12:46. | |
the international day of women. Just as an aside in that regard, I hope | :12:47. | :12:51. | |
that the House will bear with me, I was disappointed we have not heard | :12:52. | :12:55. | |
from the Liberal Democrat benches. There is no one here from there. | :12:56. | :13:00. | |
Normally I would not make reference to that but because I have had | :13:01. | :13:06. | |
reference to extra information as to why that might be the case, I do | :13:07. | :13:11. | |
want to put on record this is an important issue and we should be | :13:12. | :13:16. | |
able to focus on an issue which is central to development and make sure | :13:17. | :13:20. | |
our voices are heard. Malnutrition still affects one in three people | :13:21. | :13:25. | |
globally. It is holding back the growth and development of people and | :13:26. | :13:29. | |
countries. Women affected by undernutrition are more likely to | :13:30. | :13:34. | |
give birth to small babies, will be disadvantaged throughout their | :13:35. | :13:37. | |
lives. Undernourished children are more likely to die | :13:38. | :14:02. | |
young. They account for 45% of under five deaths. Children have or | :14:03. | :14:06. | |
lifetime earnings and are more likely to have undernourished | :14:07. | :14:07. | |
children themselves. The economic consequences represent a loss to GDP | :14:08. | :14:10. | |
of 10% year-on-year whereas every pound spent has an estimated return | :14:11. | :14:12. | |
in increased incomes and economic growth. Therefore tackling malamute | :14:13. | :14:16. | |
tradition is crucial to reaching 1012 global goals, eradicating | :14:17. | :14:20. | |
disease, empowering, all which will only happen if their free from mild | :14:21. | :14:26. | |
patrician. A healthy and prosperous stable world is less likely whilst | :14:27. | :14:31. | |
malnutrition persists. Nutrition is a long-term development challenge | :14:32. | :14:35. | |
but is also an immediate humanitarian challenge. In 2017, the | :14:36. | :14:43. | |
world is facing humanitarian needs, with one famine in south Sudan to | :14:44. | :14:47. | |
clear to date and a response from this government to that but also a | :14:48. | :14:52. | |
call to arms for the international community to respond much more | :14:53. | :14:58. | |
effectively and urgently to the challenge already inside Zidane and | :14:59. | :15:04. | |
just around the corner in Somalia. And we believe in north-east Nigeria | :15:05. | :15:09. | |
and Yemen. The international community must get much more there | :15:10. | :15:14. | |
at the forefront of these issues but as the noble Lord said, we can be | :15:15. | :15:20. | |
proud of the fact that the UK is leading in this year and we support | :15:21. | :15:30. | |
the remarks of the Secretary of State to the international community | :15:31. | :15:34. | |
made today. UK aid Underground is saving lives and we call on | :15:35. | :15:38. | |
international community to step up their support. The longer we wait, | :15:39. | :15:42. | |
the higher the price humanity will have to pay. For all these reasons, | :15:43. | :15:46. | |
improving nutrition of women and girls is a top priority all | :15:47. | :15:52. | |
developing countries. For these reasons, I nutrition for growth | :15:53. | :15:56. | |
Summit which my colleagues referred to in 2013, that we held and pledged | :15:57. | :16:07. | |
programmes to back it is for these reasons in 2015 that the government | :16:08. | :16:13. | |
committed to the nutrition of 50 million people, women, girls and | :16:14. | :16:18. | |
children by 2020 globally. Deliver late -- delivering this result will | :16:19. | :16:23. | |
be the priority for DFID. I'm pleased to say we are on track to | :16:24. | :16:29. | |
that. That is thanks to the work we're doing to scale up Newt -- | :16:30. | :16:33. | |
nutrition across the 20 priority countries that we have. We are far | :16:34. | :16:40. | |
from complacent in the coming months. The Secretary of State will | :16:41. | :16:44. | |
be launching a new UK position paper on nutrition which will set out | :16:45. | :16:49. | |
further accelerated and intensified action. The noble Lord invited me to | :16:50. | :16:55. | |
see more about what the financial resource behind that might be. He | :16:56. | :17:01. | |
will have to be, like me, patient to see that coming forward but I hope | :17:02. | :17:07. | |
it will be something that there is cross-party support on. Our new | :17:08. | :17:11. | |
approach will be built on the latest evidence which shows clearly that is | :17:12. | :17:16. | |
a basic package of things that need to be done to most effectively | :17:17. | :17:20. | |
tackle malnutrition which includes that a and zinc supplements for | :17:21. | :17:26. | |
children. Maternal micronutrient supplements, breast-feeding | :17:27. | :17:34. | |
promotion, education and around complimentary feeding and specific | :17:35. | :17:38. | |
management of acute malnutrition, the most life-threatening form of | :17:39. | :17:43. | |
malnutrition. The emphasis is on focusing on girls and boys under | :17:44. | :17:47. | |
five years as this is where malnutrition has the biggest impact | :17:48. | :17:52. | |
on children's future potential and can be the most easily prevented. It | :17:53. | :17:58. | |
is increasingly clear that for maximum impact we need to focus on | :17:59. | :18:06. | |
adolescent girls, both for their own benefit and to prevent malnutrition | :18:07. | :18:11. | |
in future generations. We need to ensure that the wider portfolio, | :18:12. | :18:20. | |
Bute health, water or agriculture programmes are addressing | :18:21. | :18:22. | |
malnutrition at the same time as hitting other objectives. | :18:23. | :18:35. | |
Subtitles continue later this evening. | :18:36. | :18:42. |