22/02/2017 House of Lords


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That is the end of business in the House of Commons. We will no be


going over to the House of Lords. In a world where we will not be able to


join forces not necessarily any coherent way. A lot of our aid goes


through our relationship with the EU. What consideration has been


given to the changing attitude of the new administration in the United


States of America with regard to aid and the institutions of the United


Nations? I think these are things that we need to think about. I too


would like to thank her for would like to thank her for


initiating this debate. It follows on from the questions earlier today.


There is a consensus on the 0.7%. The reason for this consensus is


very practical. It allows the United Kingdom to support long-term


sustainable projects which really make a difference to the lives of


the clueless people on the planet. Our commitment to improve the new


nutrition of 50 million people is a good example of that. I would like


the Prime Minister to be a great thing about this in the newspapers.


It is these issues we need to focus on. I appreciate her for initiating


this debate. Good nutrition, as we appear, is the foundation for


sustainable development. Building health and resilience. 12 of the


countries -- indicators highlighted by the United Nations are key to


nutrition. Nutrition interventions promote economic development. It


every $1 invested sees $16 returned an investment.


That is the key message we should be putting into the media to respond to


some of the ridiculous arguments that have been made. Countries lose


at least 10% of their GDP because of malnutrition. It stagnates


personnel, societal and national development, that is why it is so


key to progress. As we have heard for women and girls were often the


most vulnerable to undernutrition, nutrition interventions are crucial


to support their full development potential. When you think of this


specific goal to end Hunter, a chief said security and improve nutrition


and target 22 that by 2030, end all forms of malnutrition and achieving


by 2025 international targets on wasting in children under five years


of age and address nutritional needs of adolescent girls, pregnant and


lactating women and older women. Older women are particularly


vulnerable to malnutrition and attempts to provide them with


adequate nutrition encounter many practical problems. The problems are


not well defined, ageing effects, nutrient needs, some needs increase


while others decrease. Good nutritional status reduces maternal


deaths. It improves school outcomes and contributes to delete manage and


pregnancy. It saves lives. Improving potential and promoting progress


alongside intergenerational health and prosperity. The own strip -- the


onset of menstruation in girls results in a much higher demand of


nutrients. When they do not receive the nutrients it can reach -- B2


anaemia, cause fatigue, dizziness and weight loss and reduced


immunity. Impact on maternal health is irrefutable. Micronutrients and


lack of energy during pregnancy can cause complications and


haemorrhages. Nutritional deficiencies can also contribute to


foetal birth defects and or newborn mortality. Improving nutrition


alongside good antenatal care can improve these numbers dramatically.


There is no doubt about that. Good nutrition is crucial to unlocking


the potential of women and girls across the life-cycle and giving


them the best opportunities to become active members of their


community. As my noble friend highlighted, around half of the


deaths can be attributed to underlying malnutrition.


Malnourished children are nine times more likely to die of common


childhood infections such as pneumonia and diarrhoea. It is key


to changing the prospects of many and in low income countries, 37.6%


of children under five are stunted. These children are likely to grow


into stunted adolescence. Stunted adolescent girls faced a higher risk


of pregnancy related complications and one of the leading causes of


death among the demographic. Over 2 billion people suffer from Micro


nutrition deficiencies, anaemia often the result of iron


deficiencies affects 500 million women of reproductive age and is


responsible for nearly 20% of maternal deaths in 21 countries out


of 41 with anaemia prevalent, more than one third of adolescent girls


are anaemic. Undernutrition has devastating impact on physical and


development potential of girls. Malnourished adolescents go on to


lose and then 10% of their lifetime earnings as adults, affecting the


economic development of these countries which is so vital if we


are to change and challenge poverty in our world. As my noble friend and


Baroness mentor said, we can be proud of the United Kingdom leading


role in the world in the fight against malnutrition. This


commitment was renewed in the recent bilateral development review and we


spoke about that in this chamber. Following on from the 2013, UK


hosted the inaugural nutrition for growth conference in London and met


financial commitments. 655 million for a nutrition specific


interventions and 604,000,004 interventions until 2020. As the


noble lady said, the government as part of its manifesto pledge in


2015, pledged to improve the nutrition of 50 million children


under five and adolescent girls in developing countries by 2020.


Despite this, despite these commitments, the world is not on


track to reach the 2025 global nutrition targets. These are the


issues that we need fundamentally to address. I welcome DFID plans to


improve nutrition, their target by 2020 but I urge them to commit the


government to invest a further 530 after 2020. I think DFID should


rapidly disburses 2013 commitments to nutrition and increase its


commitment to nutrition because it is that key to development. I think


?513 million of new money should be invested between 2016 and 2020


because good nutrition, as we know, has a significant impact on


improving women's economic development as well as their health.


What is needed is an integrated approach which delivers nutrition as


part of a package of wider health interventions and improves the value


for money of health investments. I hope that the Minister will support


the scaling up of nutrition specific interventions to tackle all forms of


malnutrition and the integration of these interventions into the design


and delivery of reproductive, maternal, newborn, child and


adolescent health and other health programmes. In 2015, the government


made a commitment to leave no one behind in its development programme.


DFID should ensure that nutrition, is targeted and improved for the


most vulnerable and hardest to reach. Does the noble Lord agree


that to do this DFID should produce disaggregated data for prioritising


investments with a focus on high birth, irrespective of all middle


income status and allocate resources to strengthen nutrition and national


information systems to ensure we have that proper and adequate data?


Can I join other noble Lords in paying tribute to my noble friend


for securing this debate. It is something which I know is dear to


our heart. She has devoted her professional life to this and she is


bringing her professional experience in to your lordship's has. I know


that her convening of the round table before Christmas was a very


helpful exchange of views for different officials who attended in


shaping our policy in relation to this. I also thank Lady Thornton for


her comments for her thoughtful contribution and other contributions


from the Labour benches. They rightly point out that nutrition is


the building block upon all other developments that we see. It is


crucially important as an issue, not only in sustainable development


goals but also in being recognised as a women's issue as we lead up to


the international day of women. Just as an aside in that regard, I hope


that the House will bear with me, I was disappointed we have not heard


from the Liberal Democrat benches. There is no one here from there.


Normally I would not make reference to that but because I have had


reference to extra information as to why that might be the case, I do


want to put on record this is an important issue and we should be


able to focus on an issue which is central to development and make sure


our voices are heard. Malnutrition still affects one in three people


globally. It is holding back the growth and development of people and


countries. Women affected by undernutrition are more likely to


give birth to small babies, will be disadvantaged throughout their


lives. Undernourished children are more likely to die


young. They account for 45% of under five deaths. Children have or


lifetime earnings and are more likely to have undernourished


children themselves. The economic consequences represent a loss to GDP


of 10% year-on-year whereas every pound spent has an estimated return


in increased incomes and economic growth. Therefore tackling malamute


tradition is crucial to reaching 1012 global goals, eradicating


disease, empowering, all which will only happen if their free from mild


patrician. A healthy and prosperous stable world is less likely whilst


malnutrition persists. Nutrition is a long-term development challenge


but is also an immediate humanitarian challenge. In 2017, the


world is facing humanitarian needs, with one famine in south Sudan to


clear to date and a response from this government to that but also a


call to arms for the international community to respond much more


effectively and urgently to the challenge already inside Zidane and


just around the corner in Somalia. And we believe in north-east Nigeria


and Yemen. The international community must get much more there


at the forefront of these issues but as the noble Lord said, we can be


proud of the fact that the UK is leading in this year and we support


the remarks of the Secretary of State to the international community


made today. UK aid Underground is saving lives and we call on


international community to step up their support. The longer we wait,


the higher the price humanity will have to pay. For all these reasons,


improving nutrition of women and girls is a top priority all


developing countries. For these reasons, I nutrition for growth


Summit which my colleagues referred to in 2013, that we held and pledged


programmes to back it is for these reasons in 2015 that the government


committed to the nutrition of 50 million people, women, girls and


children by 2020 globally. Deliver late -- delivering this result will


be the priority for DFID. I'm pleased to say we are on track to


that. That is thanks to the work we're doing to scale up Newt --


nutrition across the 20 priority countries that we have. We are far


from complacent in the coming months. The Secretary of State will


be launching a new UK position paper on nutrition which will set out


further accelerated and intensified action. The noble Lord invited me to


see more about what the financial resource behind that might be. He


will have to be, like me, patient to see that coming forward but I hope


it will be something that there is cross-party support on. Our new


approach will be built on the latest evidence which shows clearly that is


a basic package of things that need to be done to most effectively


tackle malnutrition which includes that a and zinc supplements for


children. Maternal micronutrient supplements, breast-feeding


promotion, education and around complimentary feeding and specific


management of acute malnutrition, the most life-threatening form of


malnutrition. The emphasis is on focusing on girls and boys under


five years as this is where malnutrition has the biggest impact


on children's future potential and can be the most easily prevented. It


is increasingly clear that for maximum impact we need to focus on


adolescent girls, both for their own benefit and to prevent malnutrition


in future generations. We need to ensure that the wider portfolio,


Bute health, water or agriculture programmes are addressing


malnutrition at the same time as hitting other objectives.


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