HC Deb 13 January 2004 vol 416 cc647-8W
Ms Keeble

To ask the Secretary of State for International Development what assessment has been made of the impact on health standards of the strike by doctors and nurses in Zimbabwe. [146756]

Mr. Gareth Thomas

Even before the doctors and nurses went on strike three months ago, the coverage and quality of health services in Zimbabwe were being compromised by severe shortages of skilled doctors, nurses, and other professional staff. Declining numbers due to AIDS mortality and migration has led to vacancy rates of 40 per cent. for nurses, 55 per cent. for doctors, and 90 per cent. for pharmacists. Those who remained saw their standard of living drastically eroded by inflation, which now stands at 700 per cent. per annum.

During the doctors' and nurses' strike the Ministry of Health and Child Welfare attempted to limit damage by deploying military medical personnel and Cuban doctors. The doctors' strike came to an end early this month when substantial increases in salaries and allowances were agreed.

The health impacts of the strike and the ongoing human resources crisis have not been quantified, but recent trends in health status in Zimbabwe are alarming. In less than 10 years, life expectancy at birth declined from 50 to less than 35 years, and mortality among children under five rose by more than 50 per cent. HIV prevalence is currently 25 per cent. among those aged 15–49 years. There are over 3000 AIDS-related deaths per week, and more than half a million children have been orphaned by AIDS.

Ms Keeble

To ask the Secretary of State for International Development what assessment has been made of the request by the UN Office for the Co-ordination of Humanitarian Affairs for non-food aid for Zimbabwe. [146757]

Mr. Gareth Thomas

The UN Office for the Coordination of Humanitarian Affairs (OCHA) recently released an update on the UN Consolidated Appeals Process in Southern Africa. DFID agrees with OCHA's assessment that while food shortages remain the most immediate humanitarian concern in Zimbabwe, other factors affecting and threatening the basic needs of the Zimbabwean people should not be underestimated or neglected. These include the crippling effect of HIV/AIDS on households and communities, the lack of agricultural inputs, and the rapid decline of basic social services such as health care and education.

DFID is committing approximately £35 million to Zimbabwe this financial year in support of both food and non-food initiatives through UN agencies and other channels. Approximately £28 million is going towards humanitarian relief programmes, including some support to subsistence farmers to enable them to plant food crops to feed themselves, and the provision of safe and clean water to vulnerable urban populations. Our other main programmes help to tackle the HIV/AIDS crisis, and support the health sector. No funding goes through the Government of Zimbabwe to ensure the funds are not abused.