Cutting development spending now would be self-defeating

In a globalised and interdependent economy, we all stand to benefit from development spending.

While the Chancellor was delivering his Autumn Statement to a packed House of Commons, I was visiting immunisation services at a rural health centre on the foothills of Kilimanjaro in Tanzania. I saw for myself how UK development funding was being spent on the ground. Rural women had travelled with their children for miles to this remote clinic so that they might, through a simple vaccination, avoid life-threatening disease. The Autumn Statement provided an opportunity for some to ask the Chancellor to stop ring-fencing funding for international development. “Charity”, they say, “begins at home”. This has an obvious resonance in the current economic climate. However, it is a message which fails to recognise the value of development funding which goes beyond a simple handout and makes it an investment not just in the future of the otherwise impoverished but in our own future too.

The UK has a proud record in international development and can rightly claim to be a global leader in promoting effective, cost-efficient and innovative support to countries in the developing world. From the Labour governments of Blair and Brown, to the current coalition, international development is one of the areas of policy that we can be most proud. UK funding is helping to save lives, eradicate poverty and build healthy, economically vibrant communities across the world. We all stand to benefit from that in this globalised and interdependent economy.

I am here in Tanzania to participate in a global health partners’ forum being hosted by the Tanzanian Ministry of Health in partnership with the GAVI Alliance. The purpose of my visit is to meet parliamentarians from around the world, from both donor and recipient countries, and to foster greater political will for the introduction and sustainability of vaccine programmes to prevent pneumonia, diarrhoea, cervical cancer and rubella. Whilst here, we will take part in a series of debates and workshops and will meet with global health leaders, technical experts and civil society organisations. We are visiting urban and rural immunisation centres and clinics and meeting the very people that the UK taxpayer is helping to support through the availability of vaccines. Their gratitude for the UK’s contribution to GAVI for this life-saving initiative is humbling.

The theme of the conference is to explore ways to accelerate results, innovation, sustainability and equity in the field of immunisation. Taken in isolation, pneumonia - one of the leading killers of children under five in the developing world - is responsible for more than 1.3 million child deaths every year. By utilising a unique market shaping model, the GAVI Alliance aims to help avert 500,000 deaths by 2015 and 1.5 million future deaths by 2020. The story is much the same with diarrhoea, where effective vaccines are being used to tackle the leading cause of diarrhoeal disease. Diarrhoea is estimated to kill around 450,000 children every year - that’s nearly 1,200 children every day. These deaths are preventable and UK support is playing a vital role in making that happen.       

GAVI ought to need no introduction, nevertheless, it remains the too often unsung heroine of unified global action on development. Earlier this year I was back in Ghana, the country of my childhood, to witness the dual roll-out of pneumococcal and rotavirus vaccines against pneumonia and diarrhoea.  GAVI was once again a welcome partner to local action on immunisation.

GAVI is a truly unique organisation. It brings together civil society, vaccine manufacturers, Governments and the private sector to use innovative finance mechanisms to secure significant development outcomes. One of these mechanisms is the International Finance Facility for Immunisation (IFFIm), which I worked on with Gordon Brown during my time at the Treasury. GAVI has since become a byword for the successful and cost-effective delivery of international development, to the extent that David Cameron last year committed a further £814 million to support GAVI’s work.   

For those who continue to doubt the benefits of a sustained, long-term commitment to development funding, I would suggest they look at Tanzania to see the difference that UK funding is making to individual lives and communities. This difference is being repeated across the world. The cost of preventable disease, not just in human terms but in its destructive impact on overall health costs and wasted economic potential, is glaringly obvious in a country where women will walk miles with their babies on their backs to ensure a healthy life for a child. Our hard-earned taxpayers' money helps guarantee a healthy future for more children the world over. As a result, our world becomes a better place and the lives of those who share it with us become safer and more prosperous. That is surely worth a line in the Autumn Statement.

Former Labour cabinet minister Paul Boateng chairs a meeting of global health leaders in Tanzania.

Paul Boateng, a former British high commissioner to South Africa, MP, cabinet minister and civil rights lawyer, is a member of the House of Lords and a trustee of the Planet Earth Institute

Photo: André Spicer
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“It’s scary to do it again”: the five-year-old fined £150 for running a lemonade stand

Enforcement officers penalised a child selling home-made lemonade in the street. Her father tells the full story. 

It was a lively Saturday afternoon in east London’s Mile End. Groups of people streamed through residential streets on their way to a music festival in the local park; booming bass could be heard from the surrounding houses.

One five-year-old girl who lived in the area had an idea. She had been to her school’s summer fête recently and looked longingly at the stalls. She loved the idea of setting up her own stall, and today was a good day for it.

“She eventually came round to the idea of selling lemonade,” her father André Spicer tells me. So he and his daughter went to their local shop to buy some lemons. They mixed a few jugs of lemonade, the girl made a fetching A4 sign with some lemons drawn on it – 50p for a small cup, £1 for a large – and they carried a table from home to the end of their road. 

“People suddenly started coming up and buying stuff, pretty quickly, and they were very happy,” Spicer recalls. “People looked overjoyed at this cute little girl on the side of the road – community feel and all that sort of stuff.”

But the heart-warming scene was soon interrupted. After about half an hour of what Spicer describes as “brisk” trade – his daughter’s recipe secret was some mint and a little bit of cucumber, for a “bit of a British touch” – four enforcement officers came striding up to the stand.

Three were in uniform, and one was in plain clothes. One uniformed officer turned the camera on his vest on, and began reciting a legal script at the weeping five-year-old.

“You’re trading without a licence, pursuant to x, y, z act and blah dah dah dah, really going through a script,” Spicer tells me, saying they showed no compassion for his daughter. “This is my job, I’m doing it and that’s it, basically.”

The girl burst into tears the moment they arrived.

“Officials have some degree of intimidation. I’m a grown adult, so I wasn’t super intimidated, but I was a bit shocked,” says Spicer. “But my daughter was intimidated. She started crying straight away.”

As they continued to recite their legalese, her father picked her up to try to comfort her – but that didn’t stop the officers giving her stall a £150 fine and handing them a penalty notice. “TRADING WITHOUT LICENCE,” it screamed.


Picture: André Spicer

“She was crying and repeating, ‘I’ve done a bad thing’,” says Spicer. “As we walked home, I had to try and convince her that it wasn’t her, it wasn’t her fault. It wasn’t her who had done something bad.”

She cried all the way home, and it wasn’t until she watched her favourite film, Brave, that she calmed down. It was then that Spicer suggested next time they would “do it all correctly”, get a permit, and set up another stand.

“No, I don’t want to, it’s a bit scary to do it again,” she replied. Her father hopes that “she’ll be able to get over it”, and that her enterprising spirit will return.

The Council has since apologised and cancelled the fine, and called on its officials to “show common sense and to use their powers sensibly”.

But Spicer felt “there’s a bigger principle here”, and wrote a piece for the Telegraph arguing that children in modern Britain are too restricted.

He would “absolutely” encourage his daughter to set up another stall, and “I’d encourage other people to go and do it as well. It’s a great way to spend a bit of time with the kids in the holidays, and they might learn something.”

A fitting reminder of the great life lesson: when life gives you a fixed penalty notice, make lemonade.

Anoosh Chakelian is senior writer at the New Statesman.