HC Deb 16 December 2002 vol 396 cc560-1W
Mrs. Spelman

To ask the Secretary of State for International Development what the(a) total volume and (b) proportion was of EU aid spent on HIV/AIDS in each of the last five years, in pounds sterling, broken down by region. [87068]

Clare Short

An average of £36.4 million per year has been spent by the EC on HIV/AIDS support in each of the last five years. This works out as less than 1 per cent. of the total EC development budget.

Figures are not readily available for individual member states of the EU other than the UK. For the UK, bilateral expenditure on HIV/AIDS related work in developing countries is shown in the table.

UK expenditure on HIV/AIDS related work as a percentage of total bilateral aid expenditure (£ million)
Financial year HIV/AIDS spend Percentage of bilateral aid total
1997–98 38 4
1998–99 45 4
1999–2000 75 6
2000–01 125 9
2001–02 200 13

Mrs. Spelman

To ask the Secretary of State for International Development what her Department is doing to help(a) children in developing countries orphaned due to AIDS and (b) child-run households as a result of AIDS. [87084]

Clare Short

Today, more than 14 million children under 15 years of age have lost one or both parents to AIDS; 11 million of them in sub-Saharan Africa. The implications are enormous—these children will grow up without parental supervision, support or care, many without an education, and alienated from society. Many will become vulnerable to exploitation, abuse and discrimination. Families, communities and NGOs are struggling to provide support.

Working at the national level, we aim to ensure that orphaned and vulnerable children's issues are at the centre of national policies and budget planning, allocation and expenditure. In Zambia we are supporting UNICEF on a nationally co-ordinated community response aiming to protect children's rights, increase their access to social services (including health and education and psychosocial support) and combating stigma. We recognise that much more needs to be done to tackle this crisis and will continue to work at the regional and international level to support greater awareness and response to the escalating situation.

Mrs. Spelman

To ask the Secretary of State for International Development what assessment her Department has made of the effect HIV/AIDS in developing countries will have on meeting the millennium development goals. [87069]

Clare Short

HIV/AIDS is already having a catastrophic impact on sub-Saharan Africa and in other parts of the world prevalence is expanding rapidly. The epidemic will have a serious effect on the millennium development goals:

On the poverty goal: household expenditure rises as more is spent on health care and funerals-just as incomes are falling.

On the education goal: HIV threatens teacher supply and can reduce primary enrolment (especially of girls to help with domestic tasks and care of family members).

On poverty and food security: HIV threatens agricultural productivity, can reduce household food consumption by 15–30 per cent., and could kill a quarter of the agricultural work force in worst-affected countries by 2020.

On child and maternal health: HIV is increasing mortality directly through infection, and indirectly through lack of adult carers; overburdened health systems are reducing access to health care.

DFID's response to date has seen an increase in HIV/AIDS related expenditure from £38 million in 1997–98 to over £200 million in 2000–02. We are supporting work to strengthen health systems and to develop comprehensive HIV/AIDS prevention, care and mitigation programmes. We are also supporting the development and implementation of national strategies to combat the epidemic. DFID's support is part of a collective international response and includes significant support to the global fund to fight AIDS, TB and Malaria (GFATM).

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