Select Committee on International Development Minutes of Evidence


Examination of Witnesses (Questions 20-39)

17 JUNE 2003

MR SUMA CHAKRABARTI, MR MARK LOWCOCK AND MS SUSANNA MOOREHEAD

  Q20  Alistair Burt: Do you find the same degree of confidence exercised by NGOs and are there any conflicts there? You might be relaxed, but you might find an NGO working very regularly in an area and feeling absolutely determined to pursue a particular policy that it really believes is right and there might be a conflict between your approach and local ownership and what an NGO would like to do if it is being driven from outside the country. Does this arise in practice or are NGOs as relaxed and mature about it as you are setting forward this afternoon?

  Mr Chakrabarti: I think this does arise and there is no point in saying that it does not. The same NGOs who have been strong supporters of this shift sometimes also would argue for a particular sector, a particular vested interest and so on. Quite understandably so, to some extent. In some cases this is what they are experts in and they may well feel that that area has not been financed well enough, that policies are not quite sorted out in that area and it is part of their role I think to raise a flag and say, Come on, you have to look at this again. I think what I would like NGOs to do more of is actually raise those issues with the countries concerned. That is also buying into the way that we are now trying to do development assistance. There is not much point always lobbying us. What I keep saying to many of our NGO colleagues is that they should lobby the government if they do not like that PRSP. It is their PRSP and that is what we are trying to finance. They should also try to persuade them that they are a very effective delivery channel. There is the whole argument about whether NGOs get squeezed out by budget support also, and I think if more NGOs actually persuaded the governments that they were an effective delivery channel then they would end up receiving the funds anyway. I think NGOs need to embrace that a bit more than they have done.

  Q21  Alistair Burt: Could you say a little about your confidence in the accuracy of statistics and evaluating Poverty Reduction Strategies, both your own sense of what it is like and could you also say a little bit about the World Bank's independent review of overall progress in Poverty Reduction Strategies and its own sense of independent evaluation.

  Mr Chakrabarti: You can see that six out of 26 of our PSA targets in the last PSA were missed and quite a few were due to data problems. They were not necessarily missed, but in the case of one, primary school enrolment, a classic, where the base line was calculated to be 75% and was actually much lower. We had assumed from the data we had from China and South Africa that there was 100% enrolment but it turns out, when the data was checked, that there were 93% and 95%. Data problems do bedevil the Department's effort. Why is that? Because poor data is characteristic of poor countries generally. Their systems are not as good as ours yet and so we are working very hard, as you know, through our bilateral efforts to strengthen data collection in a number of countries. Uganda, Tanzania, Malawi, Bangladesh and Nepal are five big programmes where we are trying to improve that. Also, internationally we have joined in with what is called PARIS-21 which is a statistical capacity building initiative. I think this has been an area we have neglected as donors over 30 or 40 years, and only recent years—because of the MDGs in many ways—we have been forced to rethink our support on statistics.

  Mr Lowcock: Let me mention a few positives and a few continuing challenges. On the positives, what the staff assessment of PRS experience to date shows is a growing sense of ownership amongst the governments concerned, stronger dialogue with civil society, a bit of progress on data collection, although frankly, as Suma was just saying, there is rather further to go on that. Challenges we are really concerned about include joining the donors up better and more realistic forecasts of future economic growth. Too many Poverty Reduction Strategies have been over-ambitious about their growth forecasts. There is another major study which has been published in the last month which has taken a longer term perspective of these sorts of issues going back to the pre-PRS period which we were involved in financing for the World Bank and others and we are just digesting the results of that. That corroborates these sorts of messages and adds a few more that we think are probably important. One is to re-emphasise the importance of supporting developing countries' own systems, especially working through the budget process and building the key institutions of the public sector. We are still digesting all of this, but it is important that there is a growing volume of evidence and experience which we can learn from and take account of as we plan for the future.

  Q22  Tony Worthington: Can I just ask about a tension we found between the World Bank and the World Trade Organisation. You listen to the World Trade Organisation and it is all about the voluntary putting forward of offers for trade and services, but then for the Poverty Reduction Strategy there has been the expectation of fairly intense liberalisation of their services. Do you sense that tension as well? Is there a role that DFID plays in that?

  Mr Chakrabarti: I am not sure I am equipped to answer that question as to whether we feel that tension. I certainly have not felt it myself whenever I have discussed this issue.

  Mr Lowcock: I do not remember it being a major issue for Poverty Reduction Strategies. I was very struck when I was in east Africa in the late 90's and up to 2001 by the impact on trade growth in the region covered by the Common Market for Eastern and Southern Africa—14 countries in eastern and southern Africa—which had some internal reduction of barriers within that group. Trade growth reached double digits in that group of countries and grew much faster than the countries trade with others outside that group. I think that because COMESA is an institution which attracts quite a lot of attention at high levels of government in that group—the heads of state all go to the annual meetings and so on—that was actually quite a powerful experience in terms of addressing reservations about trade openness because people began to see that as small markets joined up the benefits really were quite significant.

  Mr Chakrabarti: That is why in the Africa Action Plan in the G8 context the UK have put such a lot of emphasis on intra-regional trade in reducing barriers within regions as well as, of course, CAP reform and WTO as well.

  Q23  Tony Worthington: We are getting a lot of attention as MP's at the moment from the Trade Justice Movement. We point out to them in our responses coming from the Department of Trade and Industry that it is up to them, it is voluntary what service they put forward for liberalisation under the GATS process. In going round myself and in talking to NGO's they say that is all very well but you will only get your Poverty Reduction Strategy approved if you have liberalised.

  Mr Chakrabarti: I would not have said if you have liberalised.

  Q24  Tony Worthington: Or if you are intending to liberalise.

  Mr Chakrabarti: If you are intending to or have a commitment to.

  Q25  Tony Worthington: Perhaps it could be looked at.

  Mr Chakrabarti: We will send you a note on that[4]. We need to research it.

  Q26  Mr Walter: Following on from that, there is only a limited amount of money to go round, limited resources, therefore the Department has to have certain criteria for its choice of partners. The World Bank published Assessing Aid: What works what doesn't and why—in 1998—and the predominant view is that aid only works when government policies generally are good and therefore a more selective allocation of aid to good policy/high poverty countries is where you get the best results. A couple of months ago the Committee were in Washington and had a lot of discussions on the Millennium Challenge Account which does seem to be very selective in the way in which it allocates aid on the basis of liberal democracies and liberal economies, but I wonder if you could give us some steer in the way in which DFID looks at poor performers. Obviously your humanitarian assistance budget—I am just looking at the figures here—has increased from £2.5 million to £33.8 million, rising to £40 million in 2005-06. Inevitably that is going to the poorest performers because all the other policies have failed, but how did performance and poverty levels factor in the identification of the 16 key countries that you brought into the PSA?

  Mr Chakrabarti: Very strongly so. The evidence you cite is the same sort of evidence that we have used. Since that publication things have moved on a bit further and now the evidence shows that the most important thing is that the country is poor. That is your guide to allocation. It is a great bonus if it is also reforming. It is a sort of step criteria, if you like. That is why, in our resource allocation framework you will see this target which is to get to 90% of our bilateral programme focussed on the poorest countries by 2005-06. We are at 78% now so we need to move 12 percentage points to do so, that is why we are also encouraging the EU to do similarly. That is a key principle in the way we do resource allocation of our bilateral programme. The Americans have taken their Millennium Challenge Account—not all of it, part of it—and have gone for a performance bonus pool. The very best performers would get this extra money. It is an interesting idea as long as it does not impart higher transaction costs on the whole system obviously. Where does that leave us with poor performers, countries which are still poor but which do not have good policies? That has been the sort of situation that we have tried to address in a place like Nigeria. It is a very good example. One in five Africans is a Nigerian, therefore what happens in Nigeria matters for the achievement of the Millennium Development Goals in Africa. If you do not get Nigeria right then Africa is not going to hit the MDGs. The next few years, between now and 2015, donors and the Nigerian government and civil society have really got to transform Nigeria's performance. Does that mean we should stand back and just say that when they have their act together we will go and help them? Or does that mean we try to influence and engage? The Government has gone for the latter strategy, but we do not put huge sums of money into Nigeria compared with programmes in, for example, Malawi. We do not have a very good toolkit, in my view and the view of the Department, on how to work with poor performers. When you go to a performing state you are sent out with the usual toolkit which has been developed in the World Bank, in the OECD and it is the same old arguments that we have had for years, do more with civil society, do more with non-traditional providers and so on. The problems are essentially to do with the malfunction of the state and so one can certainly address some basic needs through those routes. We have set up a new team in our Policy Division to look at this, the whole question of poor performance; and how should we and other donors engage with them in a far more forensic and a far better way than we have in the past.

  Ms Moorehead: I think the first thing to say is that all countries are poor performers in some respects, this is a spectrum, not an end point. We are quite cautious about categorising countries like this and we would prefer to look for opportunities in poor performing countries. Suma made the point about arriving with the normal package. We are doing a lot of work on drivers of change in poor performing environments, so for example looking at how elites in those countries benefit from poor performers, are there ways in which we and other donors could engage with elites to try to change their minds? Are there other levers of power that we would not normally work with? In Bangladesh which is a long-standing poor performer but a country which I do not think we would ever pull out of, we have supported for years very large effective national NGOs and increasingly what we are doing is joining them up with bits of government so that what they have learned from providing primary education can inform government policy. There are cases—and you mentioned Zimbabwe—where we do have to take a decision that there is nothing we can actually do right now, but even in cases like that we need to have a much more imaginative re-entry point when the time comes. I think it is worth saying that in our portfolio of investment in poor countries we need a balance between the really, really difficult ones where it is very hard to see what we can do and the success stories, and also within the Department to get much, much better at lesson learning between them. That is something we are putting a lot of effort into so that if we know that something has worked in post-conflict reconstruction in Sierra Leone, are there useful tools coming from that which can help us in other contexts? But it is a struggle, to be honest.

  Q27  Mr Walter: I mentioned the Millennium Challenge Account because it was something that I certainly found interesting but not necessarily something I would advocated, but it is very much a carrot approach rather than a stick approach. In some of the poorest countries—you mentioned the elites in those countries—the carrot is really of no interest. How can you start to persuade and cajole those people into better governance, into better organisation of their economy? If you simply say that you are not going to support them because they are poorly governed, then it is the poorest people who suffer. Somehow you have to strike that balance, and I just wonder how pro-active you feel that you as a Department can be in that.

  Ms Moorehead: We have done a lot of work recently on trying to understand better longer-term political change. One of the things that we found is that even in countries that appear to have no agents of change, to have no reformers, an elite will be very diversified. There will be the elite that are really benefiting from the current situation and those who do want to work either with other bits of civil society or with us. We are looking at ways of making all our overseas staff much better equipped to make those political economy assessments and to work much better with other donors as well. I think this is an area where DFID does have a comparative advantage. We are very fortunate in the quality of advisory staff that we have and we should try to move donors away from making snap decisions about what they see as a carrot or a stick. There are some countries where there are no carrots for the poor.

  Q28  Hugh Bayley: I hope it is helpful if we make comments to you about how we feel the process of accountability could be improved, as well as you making your comments to us. I was struck by your response to Alistair Burt's question about data. I agree with you that data are extremely important; they are a way to measure performance. However, data are a means to the end of measuring performance; they do not contribute to the performance. You used the example of the difficulty you have in measuring primary school enrolment because of data problems, but I felt that when you gave your explanation of why you are below target on meeting that part of the Public Service Agreement, you commented solely on the data problems and not on what is actually happening in schools. What matters is bums on seats or slates on knees or however you describe it in Africa. Although you obviously need to explain what it is that the figures record—otherwise we do not know—in cases where it is difficult to tell what the figures record because of inconsistency and the way they are collected then I would have thought that either as a footnote or perhaps as a main report with the comments on the data as a footnote, you need to say what you are doing. For example, in Nigeria we have expanded our primary education programme from four states to eight states or whatever it might be—so that we can see where progress is being made. How do you measure the impact of funds spent through budget support?

  Mr Chakrabarti: To answer the data point, I fully agree with you. I am not using the data problems to mask performance; we are off course on those six targets. The fundamental reasons are not to do with data, they are to do with performance generally, and we will hopefully next year have a better presentation of what we are doing in trying to address those problems. As to the impact of budget support, the sort of work that Mark mentioned earlier, the joint review work that the World Bank and IMF have been doing, then within each of the major countries there is obviously evaluation work to be done now—because this is quite a new phenomenon—to see what the impact has been. But the general picture in countries with Poverty Reduction Strategies is that there has been a much faster reduction in poverty levels than in countries without that approach.

  Mr Lowcock: We have tried to say a little bit in the Report on page 108. We have basically summarised some findings from an evaluation study that we have been doing over the past two years. It has just been published. It is an independent study so it has warts and all, if you like. This is the first stage of a longer study so these are preliminary lessons and in future we would hope to be able to share with you more detailed lessons. The other thing I would just mention is that the National Audit Office have looked at this issue for themselves and for us over the last year. They have produced a study for us to basically offer advice on whether they think we are getting to grips with these things effectively and what more we need to do. That has been an extremely helpful contribution. In another report they did, also this year, on the water sector—which Suma and I went to talk to the PAC about two or three months ago—they basically endorsed the idea that in the right circumstances budget support can be the most effective means of providing assistance. They looked specifically at the Uganda case. Uganda has massively increased its expenditure through public funds on primary education, water, things to increase the growth rate, things to reduce the incidence of HIV/AIDS. That has been financed largely by three sources: firstly, growth in the economy; secondly, debt relief (which is a form of budget support, actually); thirdly, budget support of a direct sort from people like us. The early evidence we have is on the whole encouraging and reassuring, but the number of countries in which we are providing budget support is actually still relatively small—15 or so—and in many of those cases it is still too early to draw a lot of substantive conclusions. We are continuing to invest in learning the lessons and in particular tracking the impact as funds go into the budget of things that we are trying to finance the achievement of appearing at the other end, whether it is children in primary schools or drugs in clinics or more roads being rehabilitated or more wells being dug or whatever it is.

  Mr Chakrabarti: What we have from this early evidence is good evidence from a few countries; it is good but we should not overstate it. What we probably have a bit more on is process. Has the process been improved in the relationship between donors and countries? I would say that the glass is half-full. Some of the things we had hoped for have not yet transpired. We had hoped that transaction costs in many of these countries would be reduced very quickly. However, because donors have not yet ceded power to each other—they are all engaging with these countries in a particular sector instead of one taking the lead—that reduction in transaction costs has not always happened unless the country itself takes charge. Tanzania and Uganda are good examples of countries which have achieved some of that. Predictability of aid flows: we had hoped this whole process would make it much more predictable, but still some donors are attaching too many conditions which means that their financing goes up and down. They react quite often to blips in behaviour as fundamentals. But where things have really improved, it seems to me, is the allocation efficiency of government budgets. Governments in these countries now are able to allocate their funds much more in line with their Poverty Reduction Strategies and donors are much less into trying to push them into a bit of a sector and so on than they used to be in the past. Their domestic accountability has gone up significantly in this. I think the process is half full in terms of where we have got to.

  Q29  Hugh Bayley: There are two policies which interest me. The PAC, the Comptroller and Auditor Generals' Report gives a green light for this as a policy response in reforming countries, but the gap—from my perspective—is that I cannot see what it is buying state by state. I think it would be useful and I think the Department ought to be checking on what, in terms of children in primary school or reduction in maternal mortality or whatever, is being bought. That must require some better form of donor co-ordination. I guess in the case of Ghana and Uganda for example there must be half a dozen budget supporting donors.

  Mr Chakrabarti: I agree with you. I would not want to come to this Committee and argue that we have been accountable to you if we simply tell you the processes have improved. That is not much of an answer. Both sides of the table want development outcomes. We want children in school, better health care and so on. We are wanting to know, if you put money into a budget, what is it that you are buying and what are the outcomes. We have done some early work on that. The work is quite fragile so far but we want to go exactly down that route.

  Mr Lowcock: Maybe we could write to you with some of the things we have on this[5]. It is work in progress but there are some quite interesting things starting to emerge.

  Q30  Hugh Bayley: In how many cases has your Department either withdrawn or substantially cut budget support? You mentioned the case of Tanzania. In those cases what consultations or negotiations did you have with other donors? How do the recipient governments respond to try to restrict donor exit from budget support?

  Mr Chakrabarti: The five that come to mind off the top of my head are the Tanzania example you mentioned, Ghana, Uganda, Malawi and Kenya. Mark can talk about the Kenya example because he was instrumental in budget support there. Tanzania, you know about. In the others it is very much when they went off track with the IMF and World Bank on their public expenditure plans. Their whole PRSP process, the whole public expenditure process has been predicated on that agreement with the Banks. There was a fundamental shifting of policy. In doing so, we would of course have consulted with the other donors on the ground, the local consultative donors would have got together and discussed this with IMF and World Bank representative, with the government ministers and officials. Undoubtedly the government ministers in those countries would have tried to prevent exit because this would have impacted on their spending powers. In the case of Ghana when I went out there I was obviously lobbied very heavily to turn the tap back on and we made it clear that we would only do so if agreement were reached with the IMF which it thankfully now has so we have been able to re-start our programme. There are a number of cases. We do not just do this without checking to make sure things are still on track. It is still quite a small part of our overall programme because, as you say, it is focussed on good performers, really. It is only about 15% of our bilateral programme.

  Mr Lowcock: The Kenya case illustrates those principles, really. Firstly we acted in concert with the other donors, in particular the World Bank, the EC and the IMF; there was a collective view. Secondly, there was a very transparent process of dialogue between the donors and government. It was reported with tremendous accuracy in the Kenyan press. It was very clear what the concerns that the donors had were and the circumstances in which it would be possible for us to continue providing support and those in which we could not. The Kenyan government at that time made the judgment that they were unwilling to follow through on some earlier commitments that they had made and it was not that the donors introduced new hurdles, it is that the basis on which we—in that group collectively—had signed up to budget support was not followed through. The new Kenyan government, since it was selected at the end of last year, has started to get back into this dialogue and we are hopeful that before too long the conditions will re-emerge for us to get back to where we were. In the meantime, of the grant that we approved in late 1999 of £30 million, £15 million was spent and £15 million was not and that has now expired. We have to go back into a fresh negotiation—as the IMF, the EC and the World Bank do—with Kenya when we can get to that point.

  Q31  Hugh Bayley: Last year you told us about a process of selection of four states of Nigeria as ones in which you felt more confident that development funding would achieve poverty reduction goals. You had some kind of competition or trawl through states to find those partners. Afterwards you sent us a note about an exercise you had undertaken in Russia to select a number of provinces to fund on that basis. What assessment has been made about the effectiveness and impact, possibly even of the added value you have achieved by this approach.

  Mr Chakrabarti: There has not been a formal evaluation yet of the Russia process. It has only happened very recently and the new programme has just started. The Nigeria process, in effect, is being evaluated because we are just redesigning our country plan for Nigeria. One of the key questions is: Has this four state approach worked? When I talked about this last year, I talked about the two Oblasts in Russia in this competition. I was keen on it because it was another way of showing ownership of a reform programme. It is a bit like the MCA in some ways. What it is saying is that if you think so well of your reform programme, market yourself and we are happy to try to finance it. How far this can be extended is an issue, I think. In Russia what it had going for it is a federal government which is willing to let go. It is essentially going to say, okay you Oblasts, you compete. We are not going to guide the donor to which Oblast it should go. What it also has—at least in some Oblasts—is sufficient human capacity to compete, to actually put together a plan, to command credibility and implement that. In the case of India, we are also doing a Country Plan this year. We have a four state approach there too. One of the questions we will be asking ourselves is: Can we go down this route in India? I think it will be more difficult because the federal government in India prefers a much more guided approach. It wants donors in certain places; it does not want all the donors in Andra Pradesh—which is a great reforming state—it wants to spread it round. In India most of the states do have the capacity—like the Russian ones—to compete if we went down that route, if the Indian government allowed it. In Nigeria, I suspect the central government would allow some sort of competition. I am doubtful, given my experience, whether the state governments would have the capacity to perform in the competition. That is one of the reasons why we are taking another look at this. There is a sort of matrix here of issues that we need to resolve. I would like to look at it more in some of the more federal places that we are operating in. China is another one, I think.

  Q32  Hugh Bayley: Would you accept that there is a policy contradiction between what you were saying earlier about your relationship with non-reforming states. You said, Do we just wait until they reform and then help them, or do we try to help them on the reform process? In other words, you put in some capacity-building aid, some support for states where you are not going to get very good value for development assistance money. There is some policy incoherence between that on the one hand and picking those areas in which you are finding partners who can deliver and get good value for development money. If you try to do a bit of both, you do not provide for the recipient of aid the clarity that their side of the bargain is to do certain things. How do you resolve that contradiction?

  Ms Moorehead: I think India is an interesting case in point there because we have Andra Pradesh which is the reforming state that many donors like to work with. Orissa is the opposite; it is a very, very difficult environment but again we have identified some of these levers of change. What we have found in India is that precisely to stop sending these confusing messages; we probably de-centralised a little bit too far, and we need to build up our national programme more. We put a lot of energy in the last three years into building up the state level work and in the new Country Assistance Plan that we are working on at the moment, we want to devote more resources—in particular staff resources for influencing—to try to broker some of these difficult choices with the government of India. So where should DFID's focus be? How should we balance the work between the states that are reforming and going places and the hard to reach or the really poor performers?

  Hugh Bayley: I think we need to be clearer about whether we want help for everybody, a bit of equity; or whether we want best value for money in terms of reducing a Millennium Development Goal. It is a classic equity, efficiency trade off.

  Q33  Mr Walter: I want to go onto the question of technical assistance. Technical assistance seems to have gone out of fashion. I think there is a perception that it has gone out of fashion amongst the donor countries rather than the recipient countries. Some of the Committee were in Malawi last year and certainly felt there was a paucity of expertise and a lack of capacity within government ministries. I wonder whether, in terms of the way DFID looks at this, there is a case for putting capacity back into government, into ministries and agencies in those countries, particularly the ones where middle-ranking civil servants are being claimed by AIDS and other problems. Should we be giving much more priority to technical assistance than we seem to be doing at the moment? We seem to have shifted away from that.

  Mr Chakrabarti: I think it is a really interesting issue at the moment. We are debating this internally quite a lot ourselves. The Malawi case is, if you like, an extreme example where, when I last looked at this, there was a 50% vacancy rate in central government either through AIDS or people were migrating to South Africa for higher salaries. What do you do in a case like Malawi, then? Do you simply say, Carry on and try to implement those policies, despite having huge numbers of vacancies? I think in a case like Malawi you can say to their government, Here is our budget support (provided they are back on track) and you can use part of that to purchase your technical assistance. One of the reasons why the previous approach to technical assistance did not work very well was because it was essentially donor imposed technical assistance, quite often built around the projects that were donor financed and the skills were not transferred. I think a new approach, which we need to explore, is much more saying to governments like Malawi, Here is a sum of money and you are free to purchase technical assistance on the international market and manage it. The question of managing it when you already have thin resources is also an issue, I think. That is the way we are thinking about some of these examples. There are very few examples of good technical assistance over the years. There are examples I can give from our own personal experience in Botswana and others where things have worked pretty well, partly because the governments in those cases actually took charge of the assistance rather than having it donor determined. I think you are on to something we also feel is a missing area.

  Q34  Mr Walter: Are you suggesting that either you transport a bunch of consultants and sit them in the nurseries in Malawi, or are you suggesting—I am just clutching the name of a company out of the hat who run congestion charging—that Capita suddenly go into Malawi and start running ministries? What sort of solution would you be looking at?

  Mr Chakrabarti: My strong preference would be for the Malawi government to choose—it is obviously for them—people with experience of development country context not people who are inexperienced in that situation. There are people around who have had experience and who are willing to make a career of living abroad as well. I do not think it is a question of going to Capita. It is much more a market with experience that you need to focus and home in on.

  Mr Lowcock: One thing we found is that untying aid and being able to access the world market for technical assistance has had substantial benefits in terms of broadening the range of options we have and developing countries have really welcomed that. That is a step towards what Suma was talking about. When we talk to them about technical assistance they no longer think that what we are talking to them about is only suppliers from the UK. As it happens, suppliers from the UK win a lot of our competitions, but others win a small proportion of them as well. That has had an effect on helping us get better value for money because there is more competition, but also broadening the range of sources of expertise is a good thing.

  Ms Moorehead: I do not think we should underestimate the role of our own staff in this either, even though it is not technical assistance in the old sense of the term. Effective budget support needs more not fewer people, certainly in the early days. Our own staff work very, very closely with their counterparts in government and part of that process is not just to influence them but to transfer knowledge and to support them.

  Q35  Chris McCafferty: I know that you are aware that a number of members of this Committee were very concerned about the abolition of the specialist desk for Sexual and Reproductive Health in your Department restructure. I was very pleased yesterday to receive a letter from the minister indicating that the Millennium Development Goals Team will now be called Millennium Development Goals and Reproductive Health Team and that you are preparing a public policy statement on reproductive health. I wonder if you could tell the Committee a little bit more about DFID's position on reproductive health and the Millennium Development Goals.

  Mr Chakrabarti: We are absolutely committed to reproductive health as a key element of a successful Poverty Reduction Strategy. As you know—and I think the Committee knows—we wanted an MDG which was specific to that area. As you also know, we were unable to get international agreement to that, much to our disappointment. However, there are three MDGs—the health ones, HIV/AIDS, infant mortality and maternal health—which cannot be achieved without doing better on reproductive health. We focus around those MDGs and interestingly our expenditure has shot up in the last few years in this area. A couple of years ago it was around £220 million a year and I think it was under £50 million in the mid-90's. So it has shot up quite a bit. That really shows our commitment to it. In terms of the reorganisation we will reflect our interest in reproductive health in three policy teams. There is the one you mentioned. Those three MDGs that I mentioned are the hardest MDGs to hit and that is why we are focussing on that. Also the service delivery team and the HIV/AIDS team cannot succeed in their work without taking reproductive health into account. To tell you a little of our work internationally to try to influence the debate, like you we have been worried about conservative states arguing for a change in what was an internationally agreed position. We are actually pulling out all the stops at ministerial level, at senior official level, to try to influence others to hold firm. I co-chaired a meeting in Ottawa quite recently with the Canadians and the World Bank on health MDGs and this whole issue continues to play into that. We managed to keep to the agreed wording so far. We are, as a Department, heavily committed to this area. That is why we also feel we should put a public note out to make our position clear, if you like.

  Ms Moorehead: I obviously reiterate what Suma said. It is much more than a name change. Our intention in Policy Division is actually that we do more work ensuring that reproductive health issues are part of everyone's agenda than they have been hitherto. It is this perennial trade-off; it has been asked in the context of gender as well, should we have a gender unit or should we mainstream it? Our view is that we have a well-developed and very clear and focussed policy on reproductive health and the time has now come to make sure, for example, that the poor performers team looks at reproductive health in poor performing countries. The work that we do centrally is constantly reinforced by and informs what is happening in countries. We are still spending over £200 million a year bilaterally on reproductive health and HIV/AIDS. Even though there is a distinct reproductive health agenda from the HIV/AIDS one, the work that we are doing is mutually reinforcing in that sense. We did a lot of work last year on maternal mortality reduction because we were so concerned that this was one of the most off-target MDGs. Interestingly, what we found there in a cross-departmental assessment of this was that the contributions from people like engineers on this issue was vital. Communication matters if you are in labour. What we are hoping, even though it is a change, is that reproductive health will be on everybody's radar now and not simply in the traditional domain of the health and population people.

  Q36  Chris McCafferty: You have mentioned the very large increase in the sexual and reproductive health budget. Does that include spending on HIV/AIDS?

  Mr Chakrabarti: Yes, it does.

  Q37  Chris McCafferty: Given the very difficult environment that you yourself have acknowledged, how will you ensure that HIV prevention projects are not restricted by the climate which seems to be getting tighter and more difficult all the time?

  Mr Chakrabarti: By that do you mean the international climate?

  Q38  Chris McCafferty: Yes.

  Mr Chakrabarti: I think we and other like-minded donors feel the same way about this. None of us have any intention of clawing back our effort in the HIV/AIDS area despite the pressures, so we will continue. I think there are some signs that the United States has increased the amount it wants to spend on HIV/AIDS. That is greatly welcome, but there are one or two messages that go with it that are not so welcome about abstinence and so on which we know is not the way to approach this. I spend quite a lot of my time going to Washington to argue the case. We only get so far. This Committee has done the same. I think we must do that together, really.

  Q39  Chris McCafferty: I thought that I understood from statements made by the former Secretary of State that funding to UNFPA was to increase substantially, but having a look on page 128 in the Departmental Report, it rather appears that the core grant has been halved since 2000-01. Can you explain that?

  Mr Chakrabarti: Yes, I think there is a misunderstanding going on here. What has happened is that the core grant has increased. The UNFPA core grant was £15 million in 2000-01 and it has risen to £18 million since. What the figures in there show are that there was a one-off payment which was not part of the core grant to UNFPA for a supply of condoms; secondly, in one year, for our own financial management reasons, we actually paid £9 million at the end of the previous financial year. So it looks like a much higher figure went to UNFPA that year then a sudden drop, when in fact it was still £18 million for the two years.

  Mr Lowcock: For their financial years there has been this 20% increase from £15million to £18 million. As Suma says, for our internal financial management reasons we had to phase the payment for the 2001-02 year. This is something we do, to pick up Mr Bailey's point earlier, to juggle how we manage pressures during the course of the year. If there is a particular crisis that we need to respond to and it does not make a difference for a UN agency if we pay them in March or in April, as a practical matter we will take advantage of that.


4   Ev (DDR12). Back

5   Ev (DDR13). Back


 
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