HC Deb 26 January 2004 vol 417 cc20-2W
Mr. Woodward

To ask the Secretary of State for International Development what support he provides to programmes in the Great Lakes region of Africa that educate HIV-positive men about treatment for their condition. [149911]

Hilary Benn

DFID is supporting work on HIV in Rwanda, Burundi and the DRC. Our support to Burundi and Rwanda through the International Partnership against AIDS in Africa (IPAA), totalling £4.15 million for Burundi and £2.95 million for Rwanda over a three-year period, includes support for the education of HIV-positive men.

In the DRC, we have been supporting projects run by Médecins sans Frontières and Population Services International (PSI), which also cover the education of HIV-positive men. We plan to further increase our support to the fight against HIV/AIDS as an identified priority in DFID's recently published Country Engagement Plan for the DRC.

Dr. Tonge

To ask the Secretary of State for International Development what discussions he has had with(a) non-governmental organisations and (b) the UN concerning provision for AIDS orphans in Africa. [149819]

Hilary Bean

Meeting the needs of the growing number of orphans and vulnerable children in Africa is a challenge that the Department for International Development is determined to address effectively. DFID is continuing its work and discussions with the United Nations Joint Programme for HIV/AIDS (UNAIDS) and the United Nations Children's Fund (UNICEF) who are co-ordinating other development agencies and NGOs to develop: treatment programmes to prolong the lives of parents; free access to education and enhanced support to the families and communities caring for orphans and vulnerable children.

DFID is working with NGOs in a number of countries. In Zimbabwe, DFID is providing support for orphans and vulnerable children and child headed households through its NGO feeding programme. In addition, a bilateral programme with the Zimbabwe Red Cross and John Snow International is providing food to households affected by AIDS (including child-headed households) and some orphanages. We are also starting work with a faith-based organisation in South Africa (the Church of the Province of Southern Africa) to reduce stigma, improve home-based care and care for orphans and vulnerable children.

The launch of the UK's "Call for Action on HIV/ AIDS" (On World Aids Day 1 December 2003) marked the first step in the intensification of this Government's efforts to tackle HIV/AIDS. On World Aids Day I hosted a meeting with NGO's on the UK's "Call for Action" and a new UK Strategy for HIV/AIDS. The issue of how to respond to the growing number of orphans and children made vulnerable by AIDS was raised during this meeting. We will be consulting further with NGOs on this important issue as part of our consultation process for the UK Strategy planned for publication in July 2004.

Dr. Tonge

To ask the Secretary of State for International Development what plans he has for ensuring the adequacy of healthcare systems in countries likely to(a) obtain and (b) use antiretroviral drugs for treatment of AIDS. [149858]

Mr. Gareth Thomas

DFID is committed to increasing access to treatment as part of a comprehensive response to HIV/AIDS, and welcomes the WHO/UNAIDS target to get three million people on treatment by 2005. The UK will provide £12.5 million to the World Health Organisation in 2003–04 to support its work, including '3 by 5'. We have supported WHO to make the strengthening of health services a key part of their strategy to reach the '3 by 5' target. As treatment programmes are expanded it will be essential to invest in health systems in order to ensure that services for HIV, including voluntary counselling and testing and the provision of treatment, and other health services, are of good quality and accessible by poor communities and particularly women. This includes better co-ordination of public, private and NGO treatment initiatives. We also support community involvement in health service delivery as a well-informed civil society has been shown to be essential in the sustainability of comprehensive health systems.

DFID has provided £1.5 billion since 1997 to the strengthening of health systems in developing countries and we see this as an essential element of the response to the HIV/AIDS epidemic. We are working with partners to build sound healthcare systems as the cornerstone of efforts to accelerate progress to achieve the Millennium Development Goals; to improve maternal and child health and reduce the impact of HIV and other major communicable diseases. The UK was a prime mover in setting up the High Level Forum on Health MDGs, which was held in Geneva in January 2004 and at which developing and donor countries discussed concrete actions to increase health service capacity to meet international development goals. DFID also supports the integration of HIV/AIDS into wider health sector policies and national poverty reduction strategies.