Select Committee · International Development Committee

FCDO’s approach to sexual and reproductive health

Status: Closed Opened: 7 Mar 2023 Closed: 21 May 2024 19 recommendations 5 conclusions 1 report

The International Development Committee report into the FCDO's approach to sexual and reproductive health has now been published and found that since 2020 the UK has slashed aid spending on sexual and reproductive health and rights (SRHR), with a devastating impact on women and girls. Existing project budgets were cut or cancelled entirely, often with …

Clear

Reports

1 report
Title HC No. Published Items Response
First Report - The FCDO’s approach to sexual and reproducti… HC 108 25 Jan 2024 24 Responded

Recommendations & Conclusions

7 items
4 Recommendation First Report - The FCDO’s approach to s… Accepted in Part

Continue support and restore discretionary funding for key multilateral SRHR organisations to pre-pandemic levels

Multilateral organisations are sometimes best placed to act and implement aid programming on sexual and reproductive health. The UK has historically been a key donor to multilateral organisations working on sexual and reproductive health. Evidence to the Committee has shown the benefits of both bilateral and multilateral funding. The FCDO …

Government response. The FCDO partially agrees, acknowledging the importance of multilateral organisations and outlining its current support. However, it states it cannot commit to a set level of financial contribution or restore discretionary funding to pre-pandemic levels, preferring to assess funding based …
5 Recommendation First Report - The FCDO’s approach to s… Accepted in Part

Ensure FCDO meets UNFPA Supplies Partnership funding commitment and restore UNFPA core funding

The Committee is pleased to see the FCDO’s continuing commitment to family planning as a core part of its work on sexual and reproductive health, including the provision of safe and legal abortion services. However, the FCDO’s abrupt and sudden cuts to SRHR programmes directly led to the reduction in …

Government response. The FCDO partially agrees, stating it has returned funding to the UNFPA Supplies Partnership to 2019 levels (£60m in 2022 and 2023). However, it is unable to restore core funding to the UNFPA to pre-Covid-19 levels, though it is increasing …
7 Recommendation First Report - The FCDO’s approach to s… Accepted in Part

Publish annual key targets and achievements for FCDO's EPD and HSS approach papers

The FCDO’s approach papers on ending preventable deaths of mothers, babies and children by 2030 (EPD) and health systems strengthening (HSS) show a positive step in the right direction. However, in the absence of key targets for progress or regular updates, it has proved difficult to assess the effectiveness of …

Government response. The FCDO will publish an Ending Preventable Deaths (EPD) narrative report in 2024 with progress, and will report against key EPD indicators through existing mechanisms like the FCDO Outcome Delivery Plan, rather than establishing a new annual reporting framework.
8 Recommendation First Report - The FCDO’s approach to s… Accepted in Part

Calculate and justify minimum bilateral ODA for WASH, ensuring integrated SRHR programmes

Access to clean water and the provision of adequate sanitation and hygiene reduces the risk of maternal and newborn mortality. In complementarity to its approach on SRHR spending, the FCDO should calculate and justify a minimum bilateral ODA percentage that it must spend on WASH to reach its development targets. …

Government response. The FCDO partially agrees, committing to an integrated approach for WASH and SRHR and detailing its £18.5 million WASH Systems for Health programme. However, it rejects setting a minimum bilateral ODA percentage for WASH, citing the need for budget flexibility.
9 Recommendation First Report - The FCDO’s approach to s… Accepted in Part

Calculate minimum ODA for training health personnel and invest in health infrastructure in LMICs

The involvement of trained health personnel and access to adequate health care facilities for maternal and newborn health improves health outcomes for the mother and child. The FCDO should support the strengthening of healthcare systems by prioritising investment in the development of health infrastructure, particularly WASH infrastructure. The FCDO should …

Government response. The government agrees to support healthcare systems, training, and WASH infrastructure through existing and new programmes like WISH Dividend and the new WASH Systems programme. However, it explicitly rejects setting a minimum percentage of ODA for health personnel training, citing …
13 Recommendation First Report - The FCDO’s approach to s… Accepted in Part

Integrate female genital schistosomiasis care into UK SRHR programming with education and WASH.

Female genital schistosomiasis is a painful and debilitating but treatable condition affecting up to 56 million women. FGS is best tackled through an integrated approach with wider SRHR programming, as well as with other areas of programming such as education, WASH and HIV and AIDS. The UK should integrate female …

Government response. The FCDO partially agrees, noting existing research support and integration efforts for FGS with HIV/SRHR services via UNAIDS. It commits to including FGS treatment in the forthcoming WISH Dividend program where feasible and will explore further integration into SRHR programming.
21 Recommendation First Report - The FCDO’s approach to s… Accepted in Part

Ensure FCDO SRHR programmes include dedicated budget, targets, and disaggregated data for disabled people.

People with disabilities may face additional barriers to accessing SRHR programmes and providing services to people with disabilities may often take additional resources. Consequently, organisations implementing development programmes may be disincentivised from reaching marginalised groups as programmes are often required to show that they have reached as many recipients as …

Government response. The FCDO partially agrees, committing to embed disability inclusion by 2030 and ensure new SRHR programmes like WISH Dividend disaggregate data, have targets, and dedicated budgets. However, they state it is not possible to disaggregate data for all SRHR programming …

Oral evidence sessions

3 sessions
Date Witnesses
12 Sep 2023 Rt Hon Andrew Mitchell · Foreign, Commonwealth & Development Office View ↗
4 Jul 2023 Alessandra Aresu · Humanity & Inclusion, Alice Welbourn · Salamander Trust, Dr Camilla Ducker · WHO HQ, Representative for the FGS Integration Group (FIG), Dr Tsitsi Chataika · CBM UK, Kirsty Smith · CBM UK, Ms Fionnuala Murphy · Frontline AIDS, Saskia Perriard-Abdoh · Kaleidoscope Trust View ↗
23 May 2023 Asenath Mwithigah · Orchid Project, Caroline Guinard · MSI Reproductive Choices, Dr Milly Kaggwa · Population Services International, Dr Sebastian Taylor · Royal Colleges for SRHR, Mr Matt Jackson · United Nations Population Fund (UNFPA), Tinebeb Berhane · ActionAid Ethiopia View ↗