Thank you for all your comments. I have tried to focus my response around the main themes you raised. I know it?s quite long but you provided such a breadth and depth of comments, I wanted to try to do justice to them.
We started this discussion to talk about what we can do for mums and for children in developing countries. This followed the launch by the PM and I of an International Health Partnership in September.
You gave me lots of food for thought on a wide range of topics. Do have a look on our website for more in-depth information about DFID?s ongoing work in all these areas: www.dfid.gov.uk And if you have any further specific questions, please feel free to contact our Public Enquiry Point at [email protected]
Douglas
Rt. Hon. Douglas Alexander
Secretary of State for International Development
- Health
Health workers
You asked about how we can reduce the negative effects of the so-called ?brain drain?. The UK operates a code of practice for international recruitment of health workers. This means that the UK government does not actively recruit from countries that do not want to lose their skilled staff. Last year some private sector employers also opted into the code.
Unused medicines
Some of you asked about how we can use more donated medicines. They can really help but if they are not known to local health professionals or delivered in the wrong doses they can do more harm than good. Our policy is to support drugs donated through individual agreements between the donor and country.
I agree we need to ensure money and medical supplies are not diverted by corruption or mismanagement. In early 2008, DFID will begin pilot operations of Medicines Transparency Alliance: a scheme aimed at introducing greater transparency in the procurement and distribution of medical supplies.
Medical Research
We support research and development into diseases such as Malaria. And in Kenya, DFID has committed £47.4 million for social marketing of insecticide treated nets (ITNs). We aim to reach 60% coverage of children under five and 40% coverage of pregnant women by the end of 2007, by selling 11.1 million nets at highly subsidised and affordable prices
- Promoting women?s rights
As a father who is incredibly proud of his three year old daughter I am particularly conscious that the face of poverty in developing countries is overwhelmingly female. I agree with the point many of you raised: empowering women must be a key priority for us all, and it is a fundamental part of DFID?s work.
Girls? education
DFID has committed £8.5 billion to support education in developing countries over the period 2006/7-2015/16. In Nigeria DFID contributed £26 million to a girls? education project in 6 northern states which has increased girls? enrolment by 10-15% in just one year. Each additional year girls spend in school, is estimated to boost her eventual wages by 10-20 per cent.
Providing an income
DFID supports four large micro-finance projects specifically designed to help give more women an income and an additional ten projects providing loans and financial services to both men and women. An example is the Kashf foundation in Pakistan which has 125,000 female customers.
Violence against women
We consider this a critical area to address and have a number initiatives aimed at tackling violence. For example, earlier this year we committed £3.2m to UNIFEM?s programme to support women?s engagement in peace-building and prevent sexual violence in conflict and post-conflict situations, working in Afghanistan, Haiti, Liberia, Rwanda, Timor Leste, and Uganda. In Sierra Leone, we are providing support to strengthen Family Support Units in the Sierra Leone Police, which were established to respond to incidents of sexual, physical and emotional abuse of women and children. They will investigate such cases, bring perpetrators to justice and facilitate healing and reintegration of survivors.
- Population in developing countries
There were a number of points made on this, so let me set out my views:
99% of population growth will take place in developing countries ? this growth will create new pressures, particularly on water, on basic services such as education and health, on agricultural land, and in town and cities.
That said, the Government does not try to control population in the UK and neither should we overseas. We want people to make informed choices in their lives, including the number of children they have. DFID is helping to provide this information in developing countries, as well as supplying around 150 million condoms per year.
On a wider level, we support increased education, better health, greater equality and improved reproductive health ? these policies offer individuals and families both choice and opportunity.
- Debt cancellation
Thanks to the efforts of debt campaigners (and I think quite a number of you were part of this campaign), 22 countries, including 18 African countries, have now had all debts to the World Bank, International Monetary Fund and African Development Fund cancelled under the Multilateral Debt Relief Initiative. They have also received 100% debt cancellation from the UK and many other governments and other creditors.
Nine other countries are already receiving interim relief and will get full debt cancellation when they reach the required standards (demonstrating that the savings will be used for poverty reduction). A further 12 countries remain eligible for Heavily Indebted Poor Countries (HIPC) debt relief.
The UK meets and exceeds its commitments under HIPC and provides 100% debt cancellation. We have also written off nearly all old aid loans. In Uganda and Zambia, debt relief has helped make possible the removal of user fees for health care. In Tanzania, debt relief has helped provide primary education for over 96% of children.
- Climate Change
As many of you pointed out, it will be the world's poorest people - who are least responsible for the problem - who will be hardest hit by climate change. And people in developing countries have the least resources to deal with the impact. For example, as much as 70% of people in Africa rely on farming. And scientists are telling us that by 2020, climate change could reduce some farming harvests in Africa by 50%! What will this mean for people's lives and livelihoods?
So for me, climate change is more than an environmental or an economic issue - it's inherently a development challenge. We must really do all we can - as governments, citizens and businesses alike - not only to prevent dangerous climate change but also to help poor countries prepare for the impacts.
- Trade
Several of you asked about our trade policies. DFID aims to realise the UK?s long-term vision: a world trading system that is fair as well as free, with greater prosperity for developing and developed countries. Gordon Brown asked me to chair the Cabinet Committee on trade policy and make sure our policies on aid, debt reduction and trade policy fit together. We are determined to ensure the Economic Partnership Agreements (EPAs) between the EU and developing countries meet developing countries interests.
I know you discussed how and where clothes are made. I think people want to be confident that when they get dressed in the morning, it?s just their clothes that have been stitched up ? not the workers that have made them. DFID has provided nearly £2m to the Fairtrade Foundation since 1997. Its great to see a 50 percent rise in sales of Fairtrade products from 2005 to 2006
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Privatisation
Some of you raised concerns about privatisation. I believe that it is principally the private sector that creates economic growth. But the state's capacity to shape the incentives and opportunities for private sector development is also crucial. Sustainable growth means the state must create a favourable climate for business, but in ways that operate in the interests of society as a whole. We judge the success or failure of any privatisation - of infrastructure, roads, water or power - will depend on the political/economic governance capacity and willingness to regulate in the best results for both sustainable economic growth and the interests of all, including poor and vulnerable people. That is how we look at privatisation.
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Fighting corruption
I take this very seriously. DFID is working constantly to ensure that UK aid is used for the purpose intended. Strict accounting, procurement and auditing procedures are required for all UK aid programmes. Where necessary, independent auditors track expenditure, and technical staff strengthen management arrangements and oversight. All allegations of corruption are investigated and, if necessary, corrective action taken.
Secondly, the UK is helping governments to investigate and deal with alleged corruption through the courts ? especially where money has flowed through UK jurisdictions. The UK Serious Fraud Office has provided legal assistance to court cases in a large number of countries including Zambia, Malawi and Sierra Leone. In Zambia, DFID supported the country in a case against former President Chiluba: the Judge ordered £26 million to be seized and returned to Zambian people.
Thirdly, DFID always assesses both our government and civil society?s commitment and actions to reduce corruption when deciding how to provide aid and what safeguards are required. We are now regularly reviewing the ?quality of governance? in making decisions about the provision of aid.
And fourthly, we are taking action to reduce the scope for international bribery and money laundering and to promote better codes of conduct for international businesses and public contracting.
- Rights-based development
A number of members also point to the concept of rights-based development ? in particular, Amartya Sen?s definition of poverty. DFID is committed to working with a range of partners, and Sen?s work on freedoms underpins our understanding of poverty and how we tackle it.
In fact, Mr Sen?s work is mentioned in two key DFID publications ? the ?Making Governance Work for Poor People? white paper published last year, and in the related publication ?Governance, Development and Democratic Politics.? (Both these documents are available on our website).