All Party Parliamentary Group on Population, Development and Reproductive Health

ALL PARTY PARLIAMENTARY GROUP ON POPULATION, DEVELOPMENT AND REPRODUCTIVE HEALTH

ANNUAL REVIEW OF ACTIVITIES 2011/2012

Annual Review 2011/2012

CONTENTS Page

FOREWORD 5

COMMITTEE MEMBERS AND STAFF 6

NEW GROUP MEMBERS APRIL 2011 - MARCH 2012 8

APPG PD&RH AIMS AND OBJECTIVES 10

PARLIAMENTARY ACTIVITIES 11 APPG on PD&RH Committee Meetings 11 APPG on PD&RH Parliamentary Briefing Meetings 11 Non APPG on PD&RH Briefing Meetings 22 European Meetings 28 European Parliamentary Forum on Population and Development European Non Governmental Organisations for Sexual and Reproductive Health and Rights, Population and Development Study Tours 30 General Written Briefings 32 General Collaboration, Meetings and Correspondence 40 Meetings Communications Campaigns Consultations

Press 48

Parliamentary Statements, Legislation, Petition Responses, Debates, EDMs and Questions 51 House of Commons 51 Written Ministerial Statements Legislation Petition Responses Debates Early Day Motions Oral Parliamentary Questions Written Parliamentary Questions

House of Lords 73 Oral Ministerial Statements Written Ministerial Statements Legislation Debates Oral Parliamentary Questions Written Parliamentary Questions

CONTENTS continued

APPG ON PD&RD – DFID MEETINGS/CORRESPONDENCE AND PUBLICATIONS 80 DFID and APPG on PD&RH meetings DFID and APPG on PD&RH correspondence DFID publications

INTERNATIONAL FUNDING TO FAMILY PLANNDING/SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS AND HIV/AIDS 88

INTERNATIONAL CONFERENCES 97 Action for Global Health meeting, Paris, France G8/G20 Parliamentarians Conference, Paris, France UCL Population Footprint conference, London, UK Family Planning Conference, Dakar, Senegal Wellcome Trust Multipurpose Technology conference, London, UK RCOG and RCM FGM meeting, London, UK

SUPPORT AND COLLABORATION WITH OTHER APPGs 100

APPG ON PD&RH HEARINGS 101 Child Marriage, “A Childhood Lost”, 2012 Maternal Morbidity, “Better off Dead?”, 2009 Return of the Population Growth Factor– Its impact upon the MDGs, 2007/2009 Linking Sexual and Reproductive Health and HIV/AIDS, “The Missing Link”, 2004 FGM, 2000

APPG PD&RH PUBLICATIONS 106 Activity Reports Hearings/Surveys/Reports

ACCOUNTS 108

ACRONYMS 109

APPENDIXES 111

FOREWORD

As the chair of the UK All-Party Parliamentary Group on Population, Development and Reproductive Health (the Group) and now treasurer of the European Parliamentary Forum on Population and Development, I am pleased to report that the Group has had an active and successful 2011 - 2012, with increased UK political and financial support, especially to family planning (FP) but also to sexual and reproductive health and rights (SRHR) in general.

The Group continue to scrutinise and hold the UK accountable to its political and financial promises, including this year’s new Strategic Vision for Girls and Women, country operational plans and the 2010 Framework for Results for improving reproductive, maternal and newborn health in the developing world.

A meeting was held with Andrew Mitchell MP, then Secretary of State for International Development, in March 2012 to discuss the UK’s international leadership on FP and SRHR. The Government has pledged to enshrine in law that 0.7% of Gross National Income (GNI) will be spent on Official Development Assistance (ODA) from 2013.

For the third year in a row the UK is Europe’s greatest donor of population assistance, spending 6.35% of ODA in this area. The majority of DFID’s country plans are strong on empowering women and girls through FP and SRHR services and information, the exceptions being Afghanistan and Nepal which has been challenged via parliamentary questions (PQs), in debates, at meetings and at receptions.

The Group has also been active in Parliament on Female Genital Mutilation and stressed the need for increased UK leadership for FP and SRHR to ensure population stabilisation through choice and sustainable development in the lead-up to the G8/20 and Rio+20 conferences. Five new parliamentarians have been recruited this year from all parties via one-to-one briefing meetings, receptions and conferences.

Press activities have increased this year, with Group coverage in the Independent, The Guardian, the Sun, Metro (London), The Star, The Lancet, BMJ and several political magazines. Interviews were broadcast on BBC One Planet, BBC Radio Sheffield and BBC Radio 2.

We will continue to recruit new members this year and hold the Government to account for its promises through parliamentary questions, debates, meetings, articles, conferences and study tours.

Baroness Jenny Tonge Chair APPG on PD&RH

COMMITTEE MEMBERS AND STAFF The All Party Parliamentary Group on Population, Development and Reproductive Health’s (the Group) committee is active in planning and running the Group's business.

Chair Baroness Jenny Tonge (LD)

Vice Chairmen Geoffrey Clifton-Brown MP (C) Richard Ottaway MP (C)

Secretary Baroness Flather (XB)

Treasurer Lyn Brown MP (L)

Officers Baroness Gould (L) Lord Rea (L) Heather Wheeler MP (C)

Baroness Massey (L) Baroness Thomas (LD)

Parliamentary and Ann Mette Kjaerby Policy Advisor

Parliamentary Katharine Dow Researcher and Administrator

Address Little College Street Room 103, Fielden House, House of Lords Westminster SW1P 3SH UK Tel: 07791082036 E-mail: [email protected] Website: www.appg-popdevrh.org.uk

NEW GROUP MEMBERS APRIL 2011 - MARCH 2012

The Group continue to engage and recruit new parliamentarians via individual targeted briefing meetings, SRHR/FP and international development report launches, receptions, conferences, meetings and study tours.

Letters have also been sent to all parliamentarians showing an interest in SRHR/FP and international development, inviting them to join the Group.

Please find enclosed introductory letters sent as appendix 1

New Group Members

Patricia Glass MP (L) Patricia Glass MP has been Parliamentary Private Secretary to Maria Eagle MP, Shadow Secretary of State for Transport, since 2011. She was elected as a councillor on Lanchester Parish Council in 2007. She worked in senior positions in local education authorities for 25 years before being elected an MP in 2010 to Northwest Durham. She has been a member of the Education Select Committee since 2010. Outside of the UK, she is interested in Africa and Eastern Europe.

Cathy Jamieson MP (L) Cathy Jamieson is MP for Kilmarnock and Loudoun and has been Shadow Economic Secretary since 2011. She was Deputy Leader of the Scottish Labour Party from 2000 to 2008 and Interim Leader in 2007 and 2008. She has been chairing the Co-operative Party parliamentary group since 2011. Her professional background is in social work and advocacy for young people in residential care. She has been a member of various select committees, including the Environment, Food and Rural Affairs Select Committee from 2011-12 and her political interests include the voluntary sector, fighting poverty and children. Her key geographical interests are Cuba, Palestine, Western Sahara and Tibet.

Caroline Lucas MP (Green) Elected as the UK’s first Green MP in 2010 for Brighton Pavillion, Caroline Lucas MP was Leader of the Green Party from 2008 to 2012. Prior to that, she worked in various roles for the charity Oxfam. She has been a member of the Environmental Audit Select Committee since 2010. Her key political interests include gender, food safety, development aid, poverty and the environment. Countries of interest include Burma, Palestine and Tibet.

Anas Sarwar MP (L) Anas Sarwar is MP for Glasgow Central and has been Deputy Leader of the Scottish Labour since 2011. Since 2010, he has been a member of the select committees on International Development and Arms Export Controls. His key political interests include foreign policy and international development. Before being elected in 2010 he worked as a dentist.

Baroness Jenkin (C) Baroness Jenkin is founder and co-chair of Women2Win, which aims to get more Conservative women elected to

Parliament. She is also chair of Conservative Friends of International Development. She was introduced as a peer in 2011.

APPG PD&RH AIMS AND OBJECTIVES

Aims To ensure the full implementation of the International Conference on Population and Development (ICPD) Programme of Action (PoA) with specific reference to stabilising the world’s population through ensuring choice and sustainable development

Objectives • To raise the profile of population, and sexual and reproductive health and rights including FP in Parliament and internationally;

• To provide parliamentary backing to the Secretary of State for International Development (SS for ID) in his negotiations with the Treasury with a view to increasing the UK Official Development Assistance (ODA) to 0.7% of Gross National Income (GNI), with 10% allocated to the ICPD PoA;

• To keep under review population trends and sexual and reproductive health and rights programmes/policies/legislation nationally and internationally;

• In consultation with government departments, international agencies and non- governmental organisations (NGOs), to assess how this country might respond to requests from outside for support and to press for action by Parliament and the Government;

• To study the results of research into the causes and consequences of population changes and the effect that access to comprehensive sexual and reproductive health services has on population and draw these to the attention of both Houses of Parliament;

• To increase awareness of the interdependence between countries, with reference to poverty reduction, women’s equality, access to sexual and reproductive health and rights (SRHR) services, environment, consumption and pollution and the impact of legislation, policies and practices of one country upon others.

PARLIAMENTARY ACTIVITIES

APPG on PD&RH Committee Meetings The Group organised 7, but held 6, committee meetings between April 2011 and March 2012.

24 th May 2011 – cancelled 21 st June 2011 12 th July (Annual General Meeting (AGM)) 8th September 2011 13 th December 2011 7th February 2012 20 th March 2012

Please find enclosed agendas and committee meeting minutes as appendix 2

At the AGM on 12 th July, Baroness Jenny Tonge was re-elected chair, Geoffrey Clifton-Brown MP and Richard Ottaway MP joint vice-chairmen, Baroness Flather and Jenny Willott MP joint secretaries, Lyn Brown MP Treasurer and Heather Wheeler MP, Lord Rea, Baroness Gould, Baroness Thomas and Baroness Massey officers. In March 2012 Jenny Willott MP had to resign as she was appointed Assistant Government Whip.

Kari Mawhood worked in her capacity as the Group’s part time secretary-administrator for 5 years but resigned in September 2011 following her successful application to become Debbie Abrahams MP’s full time parliamentary assistant.

Katharine Dow was appointed in January 2012 as the Group’s new researcher/administrator.

Please find enclosed job description for new researcher/administrator as appendix 3

APPG on PD&RH Parliamentary Briefing Meetings 13 Parliamentary meetings/receptions were co-organised by the Group this year, where members were briefed on topical population, family planning (FP), reproductive and maternal health and international development (ID) issues in support of parliamentary advocacy.

APPGs on International Development: A drop-in networking event for parliamentary staff, 19 th May 2011, HoC, London The above event allowed parliamentary staff to informally meet and network with other staff interested in international development and foreign affairs as well as those who work for APPGs focused on these areas, to find out more about what they do, how they can support staff in their role and how staff can become more involved in setting the agenda in areas that interest both themselves and their MPs, whilst enjoying a glass of wine and nibbles.

Sam Hardy of Bond said a few introductory words of welcome. The APPGs on International Development booklet, listing all APPGs working on these issues, was available for staff to pick up. The event had a turnout of around 90 staff.

Please find enclosed invitation with RSVP list as appendix 4

Population, child marriage and family planning briefing meeting, 21 st June, HoC, London Members attended above briefing meeting where Professor Malcolm Potts, University of California Berkley, introduced members to child marriage and its links to population growth. Child brides were discussed and debated. Numerically, child brides are suffering the biggest denial of reproductive rights at present. Girls are often not consulted about their marriages and in northern Nigeria, for example, the mean age of marriage is 14 ½ years old. This means the

11 girls are effectively sexual slaves with no time to develop or have any autonomy over their lives before they start having children themselves. They are also at greater risk of fistulae and maternal mortality, infant mortality rates are higher and the population gap decreases - meaning generations are closer together. Only a fifth of countries are driving world population growth and a slowing won’t be seen unless there is an increase in the generation gap. The issue of child brides should be addressed within a human rights framework. There are three key scenarios in which child marriage takes place:

• The law prohibits child marriage but is not followed (e.g. parts of India) • The law prohibits child marriage and is enforced (e.g. Ethiopia) • There is no law prohibiting child marriage (e.g. Niger who won’t buy into Maputo Agreement to raise the marriage age)

In northern Nigeria colleagues in international development are working to find space for girls to meet and talk before marriage and educated Nigerian women are advocating on this issue. It may be that conditional cash transfers may be an option for increasing the numbers of girls who stay in school, Professor Potts said.

Reference was made to the lack of investment in women and disappointment surrounding DFID’s country plan for Afghanistan having no family planning/maternal health budget line.

Reference was also made to making misoprostol available at grassroots level to prevent post partum haemorrhage. 3,000 women in rural Afghanistan have taken part in a trial with misoprostol and there have been no problems. Malcolm Potts said that misoprostol will make a huge impact on maternal mortality and morbidity if disseminated to scale. Getting the pill off prescription was also discussed.

Please find enclosed full minutes of meeting as appendix 5

Joint APPG on Human Rights and Group meeting on the new UNFPA and Center for Reproductive Rights (CCR) Report: Family Planning from a Human Rights Perspective, 6th July, HoC, London Members attended above report launch and briefing meeting. Melissa Upreti, Regional Director for Asia, CRR presented its findings which link the right to contraceptives to the human rights framework. She argued that this new report is an important tool that can help us use human rights standards, and national constitutions and laws, to remove the obstacles adolescents and women face in accessing contraceptives.

215 million women around the world want to postpone their next pregnancy but are not using modern contraceptives, either because they don’t have access to them or because their families object. This unmet need for family planning results in millions of unwanted pregnancies, unsafe abortions and maternal deaths.

The new report provides practical guidance for activists, scholars, United Nations (UN) agencies, NGOs, governments and other actors who work in the area of SRH so they can integrate a human rights perspective into programmes and policies on contraceptive information and services.

This new paper is a reminder that access to family planning is founded on international human rights. The development of the report was supported by United Nations Population Fund (UNFPA), the Center for Reproductive Rights and the law firm White & Case.

Please find enclosed invitation with front cover and contents page of report as appendix 6

World Population Day reception, 11th July 2011, HoL, London The Group co-hosted the World Population Day (WPD) reception with the International Planned Parenthood Federation (IPPF) and 16 SRHR co-sponsors. The 2011 WPD theme was: ‘7 Billion Reasons’ in connection with the 7 billionth birth expected in October 2012.

This annual event brought together SRHR advocates, ministers, peers, MPs, donors, embassies, the Department for International Development (DFID) and SRHR organisations.

Please find enclosed invitation as appendix 7

Stephen O’Brien MP, Parliamentary Under-Secretary of State for International Development (PUSS for ID), was the keynote speaker. He reiterated DFID’s support for SRHR/FP and emphasised that the Coalition Government does not support programmes that coerce individuals and couples to have fewer children. Population control, in the sense of government edicts and targets on fertility levels, has no ethical place in contemporary rights-based development policy making. Secondly, he said that DFID will not shy away from talking about population – about global population growth and its impacts. The Coalition Government continue to work on plans for improving reproductive, maternal and newborn health in developing countries. They will start to close the gap for family planning because it is what women say they need; because it saves women’s and children’s lives; because it can help us reach the Millennium Development Goals (MDGs) and because it offers incredible value for money .

Please find enclosed selection of speeches as appendix 8

To raise the profile of WPD, members entered the ballot for an oral Parliamentary Question (PQ) in the House of Commons (HoC) and Viscount Craigavon tabled a question in the House of Lords (HoL).

Diana Johnson MP was successful in the HoC ballot, however due to time constraints instead received a written reply as follows:

Diana Johnson: To ask the SS for ID what steps his Department took to mark world population day on 11 July 2011.

Mr O'Brien: On world population day I spoke at a reception organised by the All Party Parliamentary Group on Population, Development and Reproductive Health.

UNFPA are using this year’s population day to launch “7 billion actions” ahead of the world population reaching 7 billion on 31 October. Dr Babatunde Osotimehin, executive director of UNFPA will visit DFID next week to discuss the issues.

Viscount Craigavon HoL PQ follows:

Viscount Craigavon: To ask Her Majesty's Government what priority they are giving in international development to population issues and to reproductive health and rights.

Baroness Verma: My Lords, the UN estimates that the world's population will pass 7 billion this October. Most of the growth will be in high-fertility developing countries. Meeting the need for family planning and maternal and new-born health services would help avert 390,000 maternal deaths and over 50 million unintended pregnancies. The Government are playing a leading role and will enable at least 10 million more women to use modern methods of family planning by 2015.

Viscount Craigavon: My Lords, I am grateful for that positive Answer from the noble Baroness. Does she accept that it is very important to address the unmet need of more than 200 million couples who would like to be able to use contraceptive methods but do not have them available? Does she agree that

13 funds invested in this field provide a return many times over, not only financially but also, more importantly, in terms of human well-being?

Baroness Verma: My Lords, the noble Viscount is right. If we fail to respond to the unmet need for family planning, the consequences of rapid population growth will impact on us all. Reducing unplanned births and family size would save on public sector spending on health, water and social services and reduce pressure on scarce natural resources. Reducing unintended pregnancies particularly among adolescents in developing countries would improve their educational and employment opportunities. This would contribute to improving the status of women, increasing family savings, reducing poverty and inspiring economic growth.

Baroness Tonge: The noble Baroness will know that Afghanistan, in particular, has faced civil war and political unrest for many decades. Forty-two per cent of the population live on less than $1.25 a day and three in five children are malnourished. Nevertheless, the fertility rate is 6.6 births per woman, many of them very young girls. With a rapidly rising population, only 15 per cent of women in Afghanistan can access contraception. Will she ensure that our Government's programme to Afghanistan reflects these facts and prioritises maternal health and family planning?

Baroness Verma: I am most grateful to my noble friend for raising these issues. She is aware that at the heart of our programmes is the maternal health of women and girls. We have focused on ensuring that they receive education and the services that improve their own well-being. But this is also about ensuring that there are rights to access; if they are not available, they cannot be accessed. Therefore, through our programmes, we are pushing to ensure that they know where to get what they need.

Lord Hughes of Woodside: My Lords, while agreeing entirely with the sentiments expressed by the noble Baroness, can she say how much money has been spent, and how much increased money is to be available, to provide contraceptive services?

Baroness Verma: My Lords, the noble Lord will be aware that our programmes put women and girls at the heart of being able to access education, healthcare and maternity health. This is not about individual budgets but about programmes being delivered and making sure that part and parcel of our delivery is access to family planning.

Baroness Jenkin of Kennington: My Lords, can my noble friend confirm that aid is most successful when targeted, science-based, practical and measurable?

Baroness Verma: My noble friend is absolutely right, and that is why we have a relentless focus on results and achieving value for money. I would like to give two examples. Every year, nearly 2 million children die from vaccine-preventable diseases, so I am proud that this Government have pledged to vaccinate more than 80 million children over the next five years. Of course, she is also right that it is through education and research, and through ensuring that our aid is delivered in a focused and targeted way, that we will be able to receive the sort of results that we are looking for, and I hope that we will succeed.

Baroness Flather: My Lords, can the Minister tell me how DFID is counteracting the influence of the Vatican in this area? As we all know, the population of Italy has dropped like a ton, so they are not bothered about this issue, but it does affect developing countries.

Baroness Verma: My Lords, faith organisations play a very important part in working to ensure that we are able to give choices to women and girls on when and how they have their babies. It is not about the Government issuing edicts on how family planning should be accessed but about encouraging choice, so that women are able to make that choice and, it is hoped, have better control over their lives.

Lord Anderson of Swansea: My Lords, the effect on family spacing and women's rights is fundamental, but, surely, also important is the effect of the growth in population on soil erosion, on deforestation, and on conflict over resources in so many countries. Why is it, then, that international donors and aid agencies are so coy about mentioning population increase as a factor in development?

Baroness Verma: I am not sure that I can agree with the noble Lord. Agencies accept that population growth is an issue and that it is through targeted programmes that we are going to achieve the reduction in birth rate that we need. But it is also about ensuring that those women and girls have options and are able to access family planning means, rather than us forcing Governments into taking action. This is not a place for Governments; this is for women to have choice and education.

Baroness O'Neill of Bengarve: Is the Minister aware that there is very good empirical evidence of the limitations of choice-based family planning initiatives, such as those that were extensively trialled under the Bush Administration, and is she prepared to put DFID's commitment behind services that are not entirely choice-based but actually provide access to the sorts of contraception that young women need if they are to attain independent lives?

Baroness Verma: I will repeat that it is about choice; it is about being able to educate girls and women about what is available to them in their countries. We as a Government cannot dictate how people access family planning: they must be able to make the choices for themselves. But it is also about being able to tell them that through better healthcare and planning they will have less need to have more babies as, often as not, more babies are born is because of the belief that many of them will die.

Baroness Kinnock of Holyhead: My Lords, is the Minister aware that the newly independent state of South Sudan has the highest maternal mortality rate in the world, and that in a population of 8 million there are only about 10 midwives-and this when 3,000 midwives are needed to ensure safe motherhood? How will DFID ensure that the Government of South Sudan's five-year health sector development plan prioritises the urgent need for obstetric care?

Baroness Verma: The noble Baroness is absolutely right. The onus will be on all donor countries to support South Sudan, particularly through its transient stages of being the newest country on the planet. Again, it is about partnership work and ensuring NGOs and donor countries work closely. It is also about ensuring that our programmes are targeted towards and reach those who we feel most need the help.

The Group also disseminated a press release with the title: ‘A world of 7 billion people is a challenge say MPs’.

Please find enclosed press release as appendix 9

The annual reception is an excellent opportunity to network with embassy representatives and others. This year’s Cote D’Ivoire Embassy representative, Mory Diarassouba, made enquiries about their national APPG on PD&RH. Contact details were forwarded.

Please find enclosed communications as appendix 10

Plan UK and Interact Worldwide briefing meeting: Too young to wed: child marriage, population growth and maternal health, 11 th October 2011 Marie Staunton, Chief Executive Officer Plan UK, and Katie Tong, Head of Programmes, Interact Worldwide briefed members on child marriage at this event. Marie Staunton presented Plan UK’s new report findings on child marriage: Breaking vows: Early and forced marriage – Girls’ education.

10 million girls under the age of 18 marry every year and one in seven girls in developing countries is married by their 15 th birthday. The SRH of married girls is significantly poorer than that of their unmarried counterparts. Girls and women who marry early and with little or no schooling often have limited awareness of their rights and lack the confidence to negotiate safer sex, with consequences for FP and their health. Girls under the age of 15 are five times more likely to die in pregnancy and childbirth than girls over the age of 20. With the UK Government about to launch a 2-year cross-departmental forced marriage action plan for the UK and overseas, this meeting considered what more should be doing to join up child protection, maternal mortality and girls’ education agendas in developing countries in order to protect the right of girls and young women to choose when and whom they marry. 15

Please find enclosed invitation with front cover and contents page of Plan UK report as appendix 11

As a follow up to the meeting, the Group sent a letter to the SS for ID, Andrew Mitchell MP encouraging the UK Government to draw attention to the need for greater international efforts to end child marriage at the upcoming Commonwealth heads of government meeting in Perth.

Please find enclosed communications as appendix 12

APPG on PD&RH Press luncheon - 7th Billion’s Birth, 24 th October HoC, London The Group committee decided to increase press activities this year to engage new parliamentarians. As part of the increased press work Richard Ottaway MP and his researcher Genevieve Hutchinson published a paper entitled: ‘Sex, Ideology and Religion – 10 Myths about world population growth’. The paper was launched on 24 th October with a luncheon supported by the Group for targeted press.

Various champions were contacted pre luncheon to be keynote speakers including: David Attenborough, Andrew Marr, Zeinab Badawi, Boris Johnson and William Hague MP, SS for Foreign Affairs. Zeinab Badawi agreed to speak at the event, however had to send her apologies on the day due to unforeseen circumstances.

The following editors were in attendance: Ben Quinn, The Guardian BMJ representatives for Zosia Kmietowicz Maria Cheng, Associated Press Pam Das, Lancet Lucy Burns and Mark Williams, BBC - One Planet Programme

The luncheon and interviews attracted press coverage in the British Medical Journal (BMJ) online, the Lancet and the BBC World Service.

Please find enclosed luncheon invitation with press release as appendix 13

Richard Ottaway MP also received publicity in The Economist.

Please find enclosed article as appendix 14

The paper was disseminated extensively following the launch to all MPs/Peers, SRHR NGO press lists as well as DFID’s and the Foreign Affairs Select Committee’s press lists.

Numerous positive feedback was received on the publication, which was forwarded to the author Richard Ottaway MP.

Please find enclosed sample letters/e-mails as appendix 15

An oral PQ was secured in October 2011 by Richard Ottaway MP on world population, which made reference to his newly published report as follows:

Richard Ottaway: What steps his Department is taking to meet the consequences for developing countries of a growing world population.

The SS for ID Mr Andrew Mitchell: Britain is extending to at least 10 million more couples the availability of contraception, so that women can choose whether and when they have children. We are also boosting programmes in health and education with a particular focus on girls and women.

Richard Ottaway: The world’s population will go past 7 billion this week, with profound effect. We have millions living in poverty, shortages of food and water and inadequate health provision. Does the Secretary of State agree that one root cause of that is the unmet demand for contraception from some 200 million women living in sub-Saharan Africa?

Mr Mitchell: My hon. Friend, who knows a good deal about this matter, is absolutely right. Indeed, I have been reading a pamphlet that he published—within the past two days, I believe—entitled “Sex, Ideology and Religion”, which is a treatise on population. He refers to the 215 million women who want, but have no access to, contraception. The Government are directly seeking to tackle that, not least in respect of the extra 10 million women. That is a good start, but we will do more over the next four years.

Joint APPG on Maternity and Group meeting: A debate on the MDGs with a focus on women’s health, 25 th October 2011 Lord Winston, HoL, Professor John Cleland, London School of Hygiene and Tropical Medicine (LSHTM) and Dr Shane Duffy, Maternity Worldwide presented solutions to achieving MDG5, which is to reduce by three quarters, between 1990 and 2015, the maternal mortality ratio and to achieve, by 2015, universal access to reproductive health, at this briefing meeting.

Up to 358 ,000 women die each year in pregnancy and childbirth. Most of these women die because they have no access to skilled routine and emergency care. Some 215 million women who would prefer to delay or avoid pregnancy still lack access to safe and effective contraception. It is estimated that satisfying the unmet need for FP alone could cut the number of maternal deaths by almost a third. The UN Secretary-General's Global Strategy for Women's and Children's Health aims to prevent 33 million unwanted pregnancies between 2011 and 2015 and to save the lives of women who are at risk of dying of complications during pregnancy and childbirth.

This joint meeting address the work needed in the UK to contribute to achieving MDG 5.

Please find enclosed invitation as appendix 16

University College London (UCL) Institute for Global Health and Population Sustainability Network climate change reports launch, 7 th November 2011 Caroline Spelman MP, SoS for Environment, Food and Rural Affairs, was contacted to be keynote speaker at above event, however she sent her apologies.

Please find enclosed communications with Caroline Spelman MP, SoS for Environment, Food and Rural Affairs as appendix 17a

Julia Bunting, Reproductive, Maternal Health and HIV Team Leader, DFID; Anthony Costello, UCL and Karen Newman, Population and Sustainable Network (PSN) spoke at the briefing meeting for the launch of UCL’s Population Footprint report on human population growth and global carrying capacity at the UCL & Leverhulme Trust Symposium in May and PSN’s report of the International Policy Symposium and Ministerial Dialogue held the previous year, on the connections between population dynamics, reproductive health and climate change.

Both reports were well received and networking followed official speeches.

Please find enclosed invitation and briefing notes with front and contents pages of reports as appendix 17b

Karen Newman, PSN; Baroness Jenny Tonge; Julia Bunting, DFID and Anthony Costello, UCL

White Ribbon Alliance - Dreams for my daughter campaign photo-shoot, 25 th January 2012, HoC, London Katy Clark MP, Jenny Willott MP and Baroness Flather, all Group committee members, agreed to a photo-shoot in preparation for the White Ribbon Alliance (WRA) International Women’s Day (IWD) exhibition with the title: ‘Dreams for my daughter’. The launch of this photography exhibition was part of their 2011 Women of the World (WOW) Festival at Southbank on IWD on 8th March. You magazine ran a 6 page feature the Sunday before.

Mothers and fathers the world over have dreams for their daughters. For love and happiness, for fulfilment and equality, for peace and prosperity, but in all too many countries their daughters still have little option but to follow an age old pattern: forced into early marriage and risking death to give birth. Launched for the 100th IWD on 8 March 2011, the Dreams for my daughter exhibition was a global campaign by WRA for Safe Motherhood.

Please find enclosed invitation to the exhibition as appendix 18

Katy Clark MP said: “We should be ambitious in the dreams we have for our daughters and truly believe that another world is possible. It is only through our mothers, grandmothers and great- grandmothers fighting for a better world that we have seen the advances which we now enjoy. Let's dream of a world where famine and war are part of our history, where all girls have access to good education and the financial independence to make their own choices to follow their different paths.”

UK SRHR network briefing meeting, 7 th February 2012, HoC, London Members of the SRHR network briefed members on current SRHR issues and concerns in preparation for the Group’s forthcoming annual meeting with Andrew Mitchell MP, SS for ID and advisors on 20 th March 2012.

Leo Bryant, Chair of the SRHR network noted the unprecedented level of support for FP and SRHR in government currently.

Marie Stopes International (MSI) have been selected to receive core funding from DFID as a programme partnership agreement (PPA). Civil society has also been granted £65million for FP and safe abortion, especially in Africa and Asia, and two research consortiums had been funded under the banner of reproductive, maternal and newborn health (RMNH).

The RMNH framework was discussed including the mechanism for country offices to tender for service provision. Countries so far involved included Democratic Republic of Congo (DRC), Ghana, India, Kenya, Malawi, Zimbabwe, Zambia, Pakistan, South Africa and Sierra Leone. It was pointed out that while most country offices fund service delivery, South Africa had retained funding within government provision for health system strengthening rather than putting it out to tender for specialised services.

DFID galvanising the international community around FP and SRHR was discussed, as was DFID’s announcement of a ‘golden moment’ on FP - an event with the highest political priority set to attract high profile leaders. Andrew Mitchell MP, Prime Minister (PM) David Cameron, Hillary Clinton and Bill and Melinda Gates had all been engaged. A new funding initiative for FP will be announced and international buy-in will be sought. Input has been requested from the reproductive, maternal and neonatal health community.

Sarah Fisher, PSN, briefed members on Rio+20, the key points of which are summarised below:

• Rio+20 UN Conference on Sustainable Development, 20-22 June 2012 Rio de Janeiro; • 20 year follow up to landmark 1992 UN Conference on Sustainable Development ‘the Rio Earth Summit’; • Set to be a key influence of the post-2015 / post-MDG international development framework; and • Extremely limited focus on population dynamics, and no reference to family planning or SRHR in the zero draft of the outcome document at present, nor in the suggested focus of the Sustainable Development Goals proposed for development.

Recommendations and focus for action points

• UK delegation should be led by Prime Minister David Cameron, or Secretary of State Andrew Mitchell MP to ensure high-level, strong political leadership and commitment; • Population dynamics and increased investment in family planning programmes that respect and protect human rights must be part of the Rio+20 consensus, including the outcome document; • Engagement with DEFRA and DFID to promote this focus by UK delegation, including collaboration with the DFID Reproductive Health Team; and • Continued promotion of Population and Climate Change Alliance (PCCA) document providing recommended text and suggested revisions on population and family planning for the outcome document - 27 Feb is the deadline for member state written submissions for next round of informal negotiations on outcome document.

Aoife Nic Charthaigh spoke briefly and noted that Interact Worldwide is currently focusing on adolescents, which may be an opportunity to push concern about child marriage. She also noted that two Countdown 2015 factsheets had been published which focussed on unmet need and child health. She reported from conversations with representatives of other agencies at the DFID announcement that some are still concerned about the language of the population debate and that it can still be interpreted as instrumental rather than about promoting the right to choose.

Please find enclosed invitation with full minutes of meeting as appendix 19

Joint APPG on Sexual and Reproductive Health and Group briefing meeting on pro- choice activist Merle Hoffman’s memoir, Intimate Wars: The Life and times of the woman who brought abortion from the back alley to the boardroom , 27 th March 2012, HoC, London Merle Hoffman, an award-winning journalist, activist and women's healthcare pioneer, briefed members on her newly published memoir on abortion in the USA. In 1971, she founded Choices Women’s Medical Center, one of the US’ first ambulatory abortion centres, which today is one of the largest and most comprehensive women's medical facilities in the USA. A deeply personal account of the politics surrounding reproductive rights, Intimate Wars contextualizes the wars women fought to control their bodies. In her frank and courageous presentation Merle Hoffman examined her own complex history, including career gains and losses, her own abortion, and a surprising later in life decision to become a mother. Following her presentation was a discussion surrounding her book and the current political climate regarding women’s issues in the USA and UK.

Please find enclosed invitation and notes from meeting as appendix 20

Joint Aspen Institute, APPG on Global Health and Group briefing meeting: International Women’s Day Policy Dialogue: Investments in Family Planning – Social and Economic Dividends, 8th March 2012, HoL, London Stephen O’Brien MP, PUSS for ID and members of The Global Leaders Council for Reproductive Health, Mary Robinson, Ambassador Jan Eliasson, Ms Phumzile Mlambo‐Ngcuka, Joy Phumaphi, Dr Fred Sai and Vaira Vike ‐Freiberga briefed members on the importance of investing in FP to ensure social and economic dividends. Questions from the floor followed with a lively discussion. Baroness Jenny Tonge managed to announce the Group’s future child marriage hearings at this briefing meeting in connection with Mary Robinson’s mention of and passion for the subject.

Please find enclosed invitation with press release and publicity as appendix 21

International Women’s Day event - ‘Mums Café’, 8th March 2011, HoC, London The Group co-organised the ‘Mum’s Café’ stall in the Portcullis House Atrium again this year with WRA, raising awareness of IWD and global maternal health.

The Café provided an opportunity for MPs to drop-in for a ‘cuppa’, talk with staff about the WRA and Group activities to save women’s lives and have a photograph taken.

The following MPs dropped-in for a chat and photo opportunity:

Diane Abbott MP Chi Onwurah MP Caroline Flint MP Claire Perry MP Martin Horwood MP Jim Sheridan MP Richard Howitt MEP Eleanor Laing MP Huw Irranca-Davies MP Neil Parish MP Joan Walley MP Pauline Latham MP David Amess MP David Miliband MP

Paul Flynn MP Baroness Jenny Tonge

All visiting parliamentarians were sent a draft press release with their photo for local press.

Please find enclosed press release sent with photos with other communications as appendix 22

Diane Abbott MP at Mums’ Cafe Caroline Flint MP at Mums’ Cafe

David Miliband MP at the Mums’ Cafe Charles Kennedy MP with the ‘tea ladies’

A Group press release was also disseminated to all press lists.

Please find enclosed press release as appendix 23

IWD was celebrated and highlighted in both Houses as usual via IWD debates. In the HoL Baroness Verma moved that the House took note of IWD 8th March and the contribution of women to economic growth.

Several Group members participated. Of particular interest was Baroness Jenkin’s speech. HoL extract follows:

“.by simply investing in sexual and maternal health, which we all take for granted, a woman's life can be transformed. A thousand women die giving birth every single day and these deaths globally cost $15 billion each year. With the correct access to information, family planning and maternity care, these women can take charge of their own lives.”

Please find enclosed IWD briefing sent to Baroness Jenkin as appendix 24

Non APPG on PD&RH Briefing Meetings Group members and staff attended 16 external FP/SRHR briefing meetings this year.

APPG on Peru and Womankind Worldwide meeting, Women’s empowerment: A Latin American case study, 4th April 2011, HoC Members attended above briefing meeting on women’s empowerment in Peru. Women from Peru talked about the challenges they face and the achievements they have fought for – focusing on their experiences of working on issues such as violence against women (particularly in the context of the armed conflict that ended in 2000), women workers’ rights and HIV/AIDS.

Despite Peru being a ‘middle income country’, women continue to face great difficulties: cultural attitudes limit women’s access to power and resources and the gap between rich and poor continues to grow, with women being amongst the poorest. Women also continue to suffer violence and abuse. During Peru’s 20-year civil war, sexual violence was used systematically as a weapon. Today, violence against women continues at shocking levels– a survey of Peruvian women aged 15-49 found that over 40% of women have experienced physical violence.

Speakers at the event included Rosa Ascencio and Aleida Chacaltana from FEPROMU, a federation of women’s organisations established in 1989, which operates throughout Peru. FEPROMU carry out diverse work on women’s rights that range from economic empowerment, violence against women and women’s workers rights to HIV and AIDS prevention. Jessenia Casani and Romy Garcia from DEMUS, an organisation that has been working on combating human rights violations against women for more than 20 years, also spoke at the event.

Please find enclosed invitation as appendix 25

APPG Great Lakes Region briefing meeting: A Million Women Rise - a presentation of findings from the world march for women in DRC, HoC, 4th May 2011 Assistant attended above briefing meeting on behalf of the Group. The Million Women Rise (MWR) coalition presented the findings of their recent trip to the DRC during the Third International Action of the world march of women that involved women from 48 countries and notably an estimated 1500 women from all over Africa. In advance of the DRC presidential elections planned for the end of the year, this meeting addressed the realities of sexual and gender-based violence for Congolese women as well as strategies for ending impunity for these crimes. Speakers included Sabrina Qureshi, founder of MWR and member of London Women’s International League for Peace and Freedom (WILPF), Marie-Louise Pambu, co- founder of Common Cause UK, Marie-Claire Faray, Vice-President of UK WILPF and member of Common Cause UK and Jane Gregory, Vice Chair of Rape Crisis (England & Wales).

The MWR Coalition is a diverse group of individual women and women representatives who are united by their outrage at the continued daily, hourly, minute-by-minute violence enacted against women worldwide.

Please find enclosed invitation as appendix 26

Sex and Relationships Education Council launch, HoC, 16 th May 2011 Advisor attended above event. The newly established Sex and Relationships Education Council was launched which involved the following NGOs: Education Trust, Save Sex for Marriage, Life, Love Wise, Silver Ring, Rights to Life, Value Aid and Parents Forum.

David Burrowes MP welcomed attendants and read out a letter from the SS for Education sending his apologies. NGOs present signed up to the document: ‘Saving sex for marriage’ –

22 some reiterated their support to stop children having sex education in schools also as detrimental to all children at all ages, as it is too explicit according to the new council.

John Hayes MP, Minister for State for Further Education, Skills and Lifelong Learning attended the launch and gave his full support for the anti-choice campaign and members’ work.

Reference was made to the latest Ofsted report 2010 stating that Personal Social Health Education was good however sex education was poor and not well taught. Reference was also made to young people being lured into youth clubs on their way home from school to be forced to listen to family planning advice against their wishes. According to council members, parents felt helpless and it needed to be stopped.

Please find enclosed invitation and notes from the meeting as appendix 27

Henry Jackson Society lecture by George Shultz, 24 th May 2011 Geoffrey Clifton-Brown MP attended above lecture. Adele Hayutin Ph.D. of Stanford Center on Longevity presented information on the change in working-age population, 1990-2010.

Over the past 20 years, the fastest growth in working-age population occurred in Africa, the Middle East and Asia. Worldwide, the working-age population increased by 40%, or 1.3 billion, with 95% of that growth occurring in less developed countries. Asia accounted for two-thirds of worldwide growth and Africa 20%.

Please find enclosed information circulated as appendix 28

Window on Widows: Vital role of widows in development, 21 st June 2011 Assistant attended above event on behalf of the Group. Panellists included Karen Brewer, CEO, Commonwealth Magistrates' and Judges Association & Trustee, Widows Rights International; Jane Opolot, Founder, Women of Purpose Uganda; Iqan Fadaei, UK youth caucus CSW and Zarin Hainsworth, Founder, Naserian Tanzania; Trustee WRI.

The briefing was on the theme of the 55th session of the UN Commission on the Status of Women (CSW) in Feb/Mar 2011: “The elimination of all forms of discrimination and violence against the girl child”. The event was organised by Widows Rights International and supported by numerous women’s organisations.

Please find enclosed invitation as appendix 29

Family Planning Association (FPA) and Brook summer reception, 22 nd June 2011 Members attended above reception with Anne Milton MP, Minister for Public Health as the keynote speaker with Dr Gabriel Scally, Regional Director of Public Health (South West), FPA; Julie Bentley, CEO, FPA and Simon Blake, CEO, Brook.

The reception was an important networking opportunity and FPA and Brook shared their plans for working together to ensure that SRH for both young and older people remains an important policy priority.

Please find enclosed invitation with accompanying letter as appendix 30

WRA and Commonwealth Parliamentary Association (CPA) working lunch to discuss: Accountability: how can parliamentarians help to realise commitments to women and children? With Nepalese and Ugandan MPs, 5 th July, HoC, London Members attended above working lunch to discuss parliamentary accountability. Dr Arzu Rana Deuba MP, Nepal; Beatrice Rwakimari, Uganda; Baroness Jenny Tonge and Baroness Shreela

Flather spoke about their commitments in Parliament to women and children. A discussion followed.

Please find enclosed invitation with Baroness Jenny Tonge’s briefing notes as appendix 31

New Zealand High Commissioner farewell dinner to Dr Gill Greer, 8th September 2011, London Members attended Dr Gill Greer, outgoing Director General of IPPF’s, farewell dinner at the New Zealand High Commission. Mr Derek Leask, High Commissioner of New Zealand and Ms Trish Stevenson hosted the farewell dinner.

Please find enclosed invitation with correspondence as appendix 32

FPA and Brook meeting: How can we defend women’s choice? 12 th September 2011, HoL, London Members attended above meeting. Kate Green MP, Baroness Gould, Baroness Barker and Baroness Tonge discussed the urgent and concerning increase in anti-choice activity in and outside of Parliament and how MPs and Peers can work together to defend women’s right to choose in the UK and abroad.

Please find enclosed invitation as appendix 33

UNFPA State of the World Population Report launch, 26 th October 2011, the Royal Society, London Baroness Jenny Tonge, Baroness Shreela Flather and advisor attended above annual State of the World Population (SWOP) launch. This year’s report title was: ‘People and possibilities in a World of 7 Billion.’ The press release read: ‘Additional investments in youth needed as world population tops 7 billion.’

UNFPA ED Dr Babatunde Osotimehin said at the launch: “With planning and the right investments in people now—to empower them to make choices that are not only good for themselves, but also for our global commons—our world of 7 billion can have thriving sustainable cities, productive labour forces that fuel economies, and youth populations that contribute to the well-being of their societies”. The 7 billion milestone “is a challenge, an opportunity and a call to action.”

The report was launched in more than 100 other cities worldwide with good press coverage. All committee members received a copy of the report with its press release.

Please find attached invitation to the launch, with front cover of the report and contents page, together with its press release as appendix 34

APPG Colombia briefing meeting on: Women and Gender violence in the Colombian Conflict: what can UK Parliamentarians do?, 8 th November 2011, HoC, London Advisor attended above briefing on behalf of the Group. The event gave MPs,peers and others the chance to hear from and enter into a discussion with Colombian expert Claudia Mejia Duque, Director of Sisma Mujer and Programme and Advocacy Manager of ABColombia, Louise Winstanley, on women and gender violence in the Colombian conflict. This subject was particularly important as President Santo and his delegation of ministers were visiting the UK as a guest of the UK government in late November 2011.

Please find enclosed invitation as appendix 35

Guardian International Journalism award with MSI, 17 th November 2011, Royal Academy of Arts, London Baroness Shreela Flather and advisor attended above journalism award. This was the fourth year the competition, which was the brainchild of MSI and supported by Barclays and GlaxoSmithKline, designed to improve awareness, commitment and support for international efforts to reduce poverty and promote development by motivating new and existing journalists to bring international development stories to life and put them on the news agenda. Networking followed the awards ceremony.

Please find enclosed invitation and covering letters as appendix 36

APPG Afghanistan briefing meeting, 23 rd November 2011, HoL, London Advisor attended above meeting on behalf of Baroness Jenny Tonge to discuss the proposed Afghan-EU Women’s Parliamentary Network activities. The meeting was held in the Lord Speaker’s Room chaired by Baroness Vivien Stern. Action Aid co-organised the event and Selay Ghaffar, a prominent women’s rights activist in Afghanistan and ED of Humanitarian Assistance for the Women and Children of Afghanistan (HAWCA), was the keynote speaker. The forthcoming Bonn conference was discussed at length – so far the only confirmed Afghan woman delegate to the conference was Selay Ghaffar. Action Aid circulated their paper: ‘A just peace? The legacy of war for the women of Afghanistan’.

Please find enclosed communications as appendix 37

Royal College of Midwives (RCM) launch of Parliamentary Panel and 1 st Annual State of Maternity Services report, 23 rd November 2011, HoC, London Advisor attended above launch on behalf of the Group. It was an opportunity for members and staff of both Houses to meet National Health Service (NHS) midwives and get up-to-date information about maternity services in England, Scotland, Wales and Northern Ireland.

An Early Day Motion (EDM) had been tabled the previous day to pay tribute to the work of midwives in the NHS.

Please find enclosed invitation with front and contents page of the publication as appendix 38

EDM by Dan Rogerson MP reads:

“That this House pays tribute to the work of midwives in ensuring women have a safe and secure childbirth; recognises the pressures facing all those who work in maternity units, particularly in the context of a sharply rising birth rate; supports the right of women to choose where they give birth; and calls on NHS trusts to ensure there are adequate midwife numbers in their hospitals.”

The EDM received 92 signatures.

Helen Grant MP and Plan UK meeting: Outlawing the In-laws: Learning from international experience: should forced marriage be a criminal offence?, 28 th November 2011, HoC, London Members attended above event chaired by Ritula Shah, BBC Radio 4 World Tonight. The event was organised in connection with the third anniversary of the Forced Marriage (Civil Protection) Act. Helen Grant MP, Marie Staunton, CEO of Plan UK and Jasvinder Sanghera, director and founder of Karma Nirvana discussed whether criminalisation would support efforts to prevent early and forced marriage.

Please find enclosed invitation as appendix 39

COMMAT and Time Plus Talents – conversation for collaborative change, 5 th December 2011, London Baroness Jenny Tonge attended above meeting organised to develop a broader, more informed constituency of committed, influential stakeholders who will work to ensure that SRHR are central to the next global development framework. The meeting brought together a small group of influential people from North and South, with commitment and expertise related to SRH and other fields, such as human rights, climate and the environment, young people, women’s rights, HIV and AIDS. Together they also brought a wide range of connections with civil society including NGOs, academia, professional organisations and the private sector, as well as governments and multilaterals.

Please find enclosed invitation with executive summary of meeting as appendix 40

APPG Zambia meeting with Minister with responsibility for Africa in Foreign and Commonwealth Office (FCO), 6th December 2011, HoC, London. Members attended above meeting with Henry Bellingham MP, PUSS for Africa. Henry Bellingham MP, PUSS for Africa discussed his Department’s role in Zambia following his return from the country from discussing strengthening bilateral relations and trade links. Members were debriefed on the outcome of this visit.

Please find enclosed invitation as appendix 41

APPG on Maternity launched Sands report on Preventing Babies’ Deaths: What need to be done?, 18 th January 2012, HoC, London Researcher attended above launch on behalf of the Group. Anne Milton MP, PUSS for Public Health was the keynote speaker at the reception. 6,500 babies dies just before during, or soon after their birth every year in the UK. More babies die during this period of their early lives than at any other stage of childhood. The report highlighted the fact that many hundreds of babies’ deaths could be avoided and recommendations were made on how this could be done.

Please find enclosed invitation with a copy of front and contents page of the report as appendix 42

APPG on AIDS meeting – Nobel Peace Prize winners Lyemah Gbowee and Frank Kushiga, 30 th January 2012, HoC, London Advisor attended above meeting on behalf of the Group which was chaired by Pauline Latham MP. Ms Gbowee was given the award for her work mobilising women across ethnic and religious divides to end the decade-long Liberian civil war. Frank Mugisha had campaigned tirelessly for the rights of sexual minorities in Uganda, being one of the leading advocates fighting against the proposed introduction of an “anti-homosexuality bill” which would have imposed the death penalty for homosexuals in Uganda. One year ago, his friend and colleague David Kato was tracked down and murdered in his own home because of his sexuality. Unfortunately Ms Gbowee was unwell and unable to brief members, instead Maurice Tomlinson a l egal advisor on marginalised groups who has been involved in HIV/AIDS and LGBTI activism in Jamaica for over 12 years, talked about human rights in his country and the abuse of lesbian and gay people by the police.

Please find enclosed invitation with bio of Maurice Tomlinson as appendix 43

IPPF Development Debate: Women’s empowerment and sustainable development – have we failed?, 30 th January 2012, The Royal Society, London Members attended above debate with presenter and broadcaster Zeinab Badawi as the moderator. Key note speakers were: Leymah Gbowee, Liberian peace activist and 2011 Nobel Prize winner, Stephen O’Brien, PUSS for ID, Gry Larsen, SS for Foreign Affairs, Norway and Tewodros Melesse, Director General (DG), IPPF.

Please find enclosed invitation as appendix 44

Orchid Project FGM event, 6 th February 2012, HoC, London Members attended above reception in connection with the International Day against Female Genital Mutilation/Cutting (FGM/C). Lynne Featherstone MP, Minister for Equalities, a champion for tackling violence against women and girls overseas, acted as the host with the Orchid Project, which works to end FGM/C.

Please find enclosed invitation as appendix 45

APPG Pro-life briefing on ‘post abortion syndrome’, 6 th March 2012, HoC, London Researcher and numerous pro-choice MPs attended above anti-choice event. Priscilla Coleman spoke on her latest findings on the ‘post abortion syndrome’. This study purported to show a causal link between abortion and subsequent mental health problems. The Guttmacher Institute and University of California had however concluded that the study had fundamental analytical errors that rendered its conclusions invalid. Priscilla Coleman was fiercely challenged in her findings by academics in the room.

Please find enclosed invitation with Guttmacher update as appendix 46

WRA Dreams for my Daughter reception and exhibition launch, 8 th March 2012, London Katy Clark MP and researcher attended this evening reception and exhibition to celebrate IWD and Women of the World festival at the Southbank Centre. The festival ran from IWD 8 th March – 11 th March 2012.

Please find enclosed invitation as appendix 47

Joint APPG Global Health and Africa meeting: ‘The changing roles and skill mix of health workers globally, with particular reference to Sub-Saharan Africa and the UK’, 13 th March, HoL, London Baroness Jenny Tonge attended above oral evidence session, which was chaired by Alun Michael MP. Members took evidence from Dr Mubashar Sheik, ED, Global Health Workforce Alliance; Professor Anne Mills, Vice Director and Professor of Health Economics and Policy, LSHTM; Professor Chris Lavy, University of Oxford; Dr Peter Carter, Chief Executive, Royal College of Nursing (RCN) and Dr Daghni Rajasingham, Royal College of Obstetricians and Gynaecologists (RCOG). The remit of this review of the evidence session was to look at the evidence and discuss with witnesses in order to comment on the opportunities for skill mix changes, the obstacles to innovation and the need for more research.

Baroness Jenny Tonge made recommendations for members in attendance to look at the Group’s Maternal Morbidity Hearing Report, ‘Better Off Dead?’ as it makes reference to and recommendations on maternal health and skill mix. All members present were sent a copy of the report as requested.

Please find enclosed papers circulated at meeting, list of people in attendance, invitation to evidence session and WHO and Global Health Workforce Alliance publication on mid-level health provider’s front cover and contents page as appendix 48

APPG on AIDS meeting on Mother to Child Transmission with mothers2mothers, 15 th March 2012, HoC, London Advisor attended above meeting on behalf of the Group. The roundtable discussion was hosted by Baroness Kingsmill. Dr Mitch Besser, Medical Director and founder of mothers2mothers and Mpho Mbhele, Mentor Mother, mothers2mothers gave a summary of the organisation’s work and a discussion followed.

Please find enclosed invitation as appendix 49

European Meetings European Parliamentary Forum on Population and Development (EPF) Collaboration between the Group, EPF and its member organisations as well as other regional parliamentary networks continues to be strong.

Parliamentary advocacy activities have been shared on-line, discussed over the phone and at meetings.

Of particular interest this year has been collaborative work surrounding Council of Europe (CoE) Hearings on sex selection and resolution: ‘Advancing women’s rights worldwide and democratic trends in Europe: turning challenges into opportunities’ and UK CoE members, the launch of the San Jose Articles in EU Parliaments, recruitment of new members, study tours and national work-plans, AGMs and Group guidelines.

Sandra Osborne MP, a long standing member of the Group, is now on the UK CoE Migration, Refugees and Population committee and has become more involved in SRHR/FP issues.

Please find enclose correspondence as appendix 50

A circular was circulated this year from the EPF, encouraging APPGs on population and development to contact individual country International Parliamentary Union (IPU) delegates supportive of SRHR to table amendments to the IPU Parliamentary Assembly March – April 2012: Resolution “Access to health as a basic right: the role of parliaments to addressing key challenges to securing the health of women and children”.

The UK Group was successful in setting up a briefing meeting with UK IPU delegates Lord Rennard and Lord Faulkner to discuss the amendments on SRHR and gained their support.

Please find enclosed IPU draft resolution, amendments with communications as appendix 51

EPF meetings, conferences, consultations and study tours that UK members and advisor have been involved with this year can be found under the headings: APPG on PD&RH parliamentary briefing meetings, conferences and study tours.

EPF work, supported by the Bill and Melinda Gates Foundation on enhancing parliamentary leadership on RH/FP, was evaluated this year. As part of this external evaluation the Group was contacted and responded to questions via e-mail and telephone interviews were held with evaluators: Jim Coe, Elena Lucchi and Jeremy Smith.

Please find enclosed communications as appendix 52

Baroness Jenny Tonge remains Vice-President of EPF and attended committee meetings on 15 th May 2011 in Paris, France; 30 th September 2011 in Tbilisi, Georgia and 9 th February 2012 in Brussels, Belgium.

Members received technical briefings at above meetings and shared and discussed national, regional and global parliamentary activities.

EPF conference for European APPG Secretariats, 15th – 16th December 2011, Bordeaux, France Advisor attended the annual parliamentary secretariat retreat organised by EPF to discuss parliamentary advocacy relating to ICPD PoA, the G8/G20 and MDGs. The meeting was joined by UNFPA representatives, regional parliamentary networks, European civil society network

28 representatives and other partners with a stake in parliamentary advocacy. National as well as regional cooperation and parliamentary advocacy, stakeholder mapping, communication and advocacy techniques were of particular interest.

Please find enclosed agenda with participant list as appendix 53

Advisor presented the Group’s press strategy and activities in collaboration with EPF press officer Eddie Wright with the aim of encouraging other APPGs to increase national press activities.

Please find enclosed outline of presentation and communications as appendix 54

European Non Governmental Organisations Collaboration between European SRHR NGOs and the Group remains strong and important. Events and campaigns continue to be co-organised with both national and international SRHR NGOs.

European Non Governmental Organisations (EuroNGOs) e-mail lists and website ensure that advisor, researcher and Group members are updated on new and relevant FP and SRHR campaigns and advocacy, in support of UK parliamentary activities.

Information of particular interest to members has been circulated via e-mail or standard mail throughout the year.

UK parliamentary activities of importance and interest to other APPGs have likewise been disseminated on the EuroNGOs email list. For example the new child marriage hearings were publicised on the list-serve in March 2012 which ensured a wide dissemination and written evidence submissions from around the globe.

Two surveys and one evaluation were undertaken by EuroNGOs and its members this year. The Group completed both surveys and the evaluation.

One of the surveys was on future collaboration between EuroNGO members, the other survey was an information-gathering exercise on country positions on SRHR undertaken by the Finnish APPG on P&D. The external evaluation was on EuroNGOs’ work and impact by an external consultancy which included an online questionnaire.

Please find enclosed communications as appendix 55

EuroNGOs Annual General Meeting and workshop, 12th – 14 th October 2011, Warsaw, Poland Advisor attended the EuroNGOs AGM. This annual meeting remains an excellent platform for sharing experiences, networking and obtaining information on new SRHR campaigns and advocacy activities in Europe as well as further afield.

This year’s conference was titled: ‘Future Perspectives on Development Cooperation – Putting SRHR on the Right Track’.

The event was an opportunity to discuss how to better position SRHR in global development agendas, especially as the deadlines for achieving the MDGs and the ICPD PoA approach.

Please find enclosed EuroNGO AGM programme as appendix 56

123 participants from 34 countries from Europe, Africa, America and Asia gathered together, welcomed by EuroNGOs member the Polish Federation for Women and Family Planning,

Federacja na rzecz Kobiet i Planowania Rodziny.

Participants, including partners from Southern SRHR youth networks and representatives from UNFPA and the donor community formulated concrete strategic advocacy actions and identified partnerships for work towards 2014 - 2015 and beyond.

The conference, opened by Ms Ann Svensén, RFSU, Sweden, Chair of the EuroNGOs steering committee and Ms Wanda Nowicka, Polish Federation for Women and Family Planning, Poland, officially started on 13 October with a keynote speech by Ms Zdzislawa Janowska, Member of the Polish Parliament, Chair of the Parliamentary Group on P&D.

During a “sofa session”, compelling speeches were delivered by insightful personalities and experts on SRHR, public health and poverty reduction including: Prof. Thomas Pogge, professor of philosophy and international affairs, Yale University, USA; Prof. Dr Gita Sen, professor of global health and population, Harvard School of Public Health, USA; Dr Gorik Ooms, department of public health, Institute of Tropical Medicine, Antwerp, Belgium; Ms Alanna Armitage, director of Geneva Office, UNFPA and Ms Vicky Claeys, regional director, IPPF EN.

In the afternoon of 13 October, through the World Café conversational method, participants discussed and brainstormed on five key themes: macro-economic influences on health/SRHR, universal access to health care, funding, fundamental human rights principles and strategic coalitions.

On 14 October, the Conference continued with three parallel interactive working sessions on “Strategic Options for NGOs”, “Opposition” and “Human Rights Council developments related to SRHR, with a specific focus on the UPR process”. Presentations from the conference can be accessed through the following link: http://www.eurongos.org/Default.aspx?ID=26055

A strategy workshop preceded the EuroNGOs AGM: "How to advocate for SRHR when aid is decentralised? Finding advocacy strategies targeting donors at embassy level" hosted by RFSU. Advisor attended the workshop. All presentations from the workshop can be accessed through the following link: http://www.eurongos.org/Default.aspx?ID=27589

Please find enclosed programme for the workshop as appendix 57

Study Tours Rwanda, 18 th – 23 rd July 2011 David Morris MP and Pamela Nash MP, two new UK MPs, participated in the EPF study tour to Rwanda with five other parliamentarians from Australia, Germany, Slovakia, Sweden and the European Parliament.

In preparation for the study tour IPPF representatives and the Group advisor met and briefed members in Parliament. During the week-long field visit MPs were introduced to the situation of young women and adolescent girls in Rwanda. It was hosted by ARBEF, the Rwandan Association for Family Welfare (IPPF Member Association) and was carried out as part of the European Alliance on Vulnerable Girls.

The visit aimed to discover the everyday experience of Rwandan girls given the socio-cultural pressures they face and the various initiatives that are being carried out to help and protect them. Using a cross-sectoral approach, the delegation examined their situation in terms of security and protection, economic welfare, access to basic services and participation and empowerment. Studies on girlhood in developing countries and post-conflict environments reveal that girls are relatively “invisible” in programmes for women and young people, although

30 they play a major role in building peaceful communities and sustainable development. The parliamentary delegation’s visit therefore focused on the disparities faced by girls in access to welfare services and resources, highlighting policies, programmes and practices that consult with girls and address their interests. The delegation met with members of the Rwandan Parliamentarians’ Network on Population and Development, the Rwandan Women’s Parliamentarians’ Forum, as well as the Rwandan Minister for Gender and Family Promotion and the Rwandan First Lady.

Following the tour the participants agreed on a powerful shared statement, in which they “commit to work as legislative leaders to mobilise support and legislative action to ensure education, health, dignity and rights for girls all around the world in the shortest possible time”.

They described the experience as “inspirational”, saying that it left them with two deep convictions: “When we all invest in girls, everyone wins”, and “that the achievements of Rwanda are a genuine model for all of Africa”.

Since their return from the study tour, both members have been invited to all Group events and have attended some. The Group is hoping that both members will take an active role in Group activities. Pamela Nash MP is already the chair of the UK APPG on AIDS.

Please find enclosed study tour programme as appendix 58

Indonesia, 21 st – 27 th August 2011 Heather Wheeler MP, a new officer of the Group, participated in the EPF Indonesia study tour with five other members from Austria, Belgium, Ireland, Portugal and Cyprus. The focus of the tour was FP and RH, showcasing Indonesia as having a good track record for a successful FP policy. The study tour was hosted by Indonesian Forum of Parliamentarians on Population and Development (IFPPD) and UNFPA Indonesia, and was made possible through the generous support of the Countdown 2015 Europe and UNFPA Geneva office.

The study tour placed an emphasis on field project visits in urban and rural settings. In Jakarta, study tour participants held meetings with Indonesian MPs, Government officials, UNFPA and other donor agencies. In Yogyakarta participants then visited integrated community health posts and public health centres. The centres provide free of charge RHS and supplies as well as nutrition to the local population. They also visited the temporary shelters for the people affected by the eruption of the Merapi volcano and met with NGOs, such as PKBI (Member Association of IPPF) and Rifka Annisa, which provides services and counselling to young people and women who have experienced domestic violence.

Participants learned that while Indonesia has a successful track record for its FP policy (including effective state leadership and cooperation with religious leaders), most of the services are geared towards married couples and not young single people. Additionally, due to recent reforms and regionalisation, the expertise that the central government used to possess in population matters has often been lost at the regional and local levels. As a result the country is facing fast population growth that can threaten its poverty reduction strategies. They also learned that the rates of maternal mortality in the country are persistently high and that Indonesia still hasn't adopted coherent guidelines on midwifery. Members of Parliament noted that while Yogyakarta represents one of the best examples in providing FP services to the population, more efforts will need to be made to scale up the success throughout the country. Additionally, they stressed that advocacy efforts on behalf of civil society need to be ongoing and internationally supported to ensure the continuation of the successful FP policy after regionalisation and guaranteeing support to the more disadvantaged areas of the country.

Heather Wheeler MP has become an active officer of the Group this year.

Please find enclosed study tour programme and article as appendix 59

Bangladesh, 18 th – 24 th March 2012 Virendra Sharma MP was enrolled to participate in the EPF Bangladesh study tour, however due to unforeseen circumstances had to send his late apologies. The Group is hoping that Virendra Sharma MP will have the opportunity to participate in future study tours.

General Written Briefings 4th April 2011: Baroness Jenny Tonge received briefings on the new NHS Bill and SRHR.

Please find enclosed briefings as appendix 60

6th April 2011: All members received a link to the UK’s new report on humanitarian aid led by Lord Ashdown with a summary of SRHR/FP references in the report.

Please find enclosed communications with report front and contents page as appendix 61

7th April 2011: All members received DFID’s new ‘Strategic Vision for Girls and Women: stopping poverty before it starts’.

Please find enclosed communications as appendix 62

May 2011: All members received a copy of the Group’s May 2011 newsletter.

Please find enclosed newsletter as appendix 63

11 th May 2011: All members received information on UNFPA’s new report entitled, ‘Population Dynamics and Poverty in the Least Developed Countries: Challenges and Opportunities for Development and Poverty Reduction’.

Please find enclosed communications with report front and contents page as appendix 64

12 th May 2011: Baroness Jenny Tonge received information on US President Obama’s pro-choice record from Catholics for Choice.

Please find enclosed communications as appendix 65

13 th May 2011: Committee members received an IPPF press release on the newly appointed Director General, Mr Tewodros Melesse.

Please find enclosed press release as appendix 66

13th May 2011: Baroness Jenny Tonge received information on the UK Human Rights Act 1998.

Please find enclosed communications as appendix 67

19 th May 2011: Baroness Shreela Flather received a copy of’Trends in maternal mortality, 1990 to 2008: Estimates developed by WHO, UNICEF, UNFPA and The World Bank’, as requested.

Please find enclosed communications as appendix 68

31 st May 2011: Baroness Jenny Tonge received information on a consultation on HMG’s strategy to achieve cross-Whitehall agreement on priority countries or regions where UK intervention would be both effective and necessary.

Please find enclosed communications as appendix 69

1st June 2011: All members received information on Britain’s aid programmes up to 2015.

Please find enclosed communications as appendix 70

6th June 2011: Baroness Jenny Tonge was sent the Guardian article on how pro-choice campaigners come together to fight back against attempts to chip away at established abortion rights.

Please find enclosed communications as appendix 71

10 th June 2011: Viscount Craigavon was sent information about the newly established Sex and Relationships Education Council.

Please find enclosed communications as appendix 72

14 th June 2011: Committee members received an article, ‘Are the world’s women disappearing?’

Please find enclosed article as appendix 73

15 th June 2011: Select members received UNFPA’s press strategy in support of WPD question.

Please find enclosed press strategy as appendix 74

15 th June 2011: Committee members received a copy of a Sun article which reports Bill Gates saying: “Getting population growth down is critical in terms of whether a country can ever feed itself, educate itself, have stability and preserve the environment.in response to DFID hosted Global Alliance for Vaccines and Immunisations (GAVI) conference in London.”

Please find enclosed communications as appendix 75

17 th June 2011: Baroness Jenny Tonge received a briefing on oral contraceptives availability over- the-counter or direct from pharmacies globally prepared by International Consortium for Emergency Contraception.

Please find enclosed communications as appendix 76

17 th June 2011: Committee members received a copy of UNFPA’s Executive Director Babatunde Osotimehim’s interview in The Sun organised by the Group in collaboration with London Media.

Please find enclosed communications as appendix 77

21 st June 2011: All members received information on the state of the World’s Midwifery 2011 report from UNFPA on 20 th June 2011.

Please find enclosed communications as appendix 78

24 th June 2011: All members received a briefing on Merck and contraceptives.

Please find enclosed briefing as appendix 79

24 th June 2011: All members received an article on contraceptive boosts for poor countries following the Reproductive Health Supplies coalition conference in Addis Ababa.

Please find enclosed article as appendix 80

27 th June 2011: Baroness Jenny Tonge received an article on Nadine Dorries MP’s amendment to abortion regulations.

Please find enclosed article as appendix 81

33 28 th June 2011: Baroness Jenny Tonge and Baroness Shreela Flather received an article, ‘Indians pay surgeons to turn girls into boys’.

Please find enclosed briefings as appendix 82

28 th June 2011: Committee members received a summary of recent HoC and HoL PQs and debates on SRHR/FP as requested at committee meeting.

Please find enclosed communications as appendix 83

28 th June 2011: Baroness Jenny Tonge received a briefing on FGM for Baroness Rendell’s debate on the issue on 30 th June.

Please find enclosed briefing as appendix 84

29 th June 2011: Committee members received up to date information on DFID’s AIDS and Reproductive Health Team, as requested.

Please find enclosed communications as appendix 85

30 th June 2011: All members received a briefing on UK Aid Match.

Please find enclosed communications as appendix 86

4th July 2011: Baroness Jenny Tonge received a briefing on FP and Famine in the Horn of Africa in support of HoL debate on 6 th July.

Please find enclosed briefing as appendix 87

6th July 2011: Geoffrey Clifton-Brown MP received list of MP/Peers that had recently joined the Group.

Please find enclosed list sent as appendix 88

8th July 2011: Viscount Craigavon received briefings on cost benefit analysis of investing in FP and SRHR and other up to date information in support of HoL WPD question.

Please find enclosed communications as appendix 89

11 th July 2011: Diana Johnson MP received UNFPA press release, ‘Challenges, Opportunities and Action in a World of 7 billion’ and follow up oral PQs in support of her HoC PQ on WPD.

Please find enclosed communications as appendix 90

12 th July 2011: Select members received follow up PQs for Diana Johnson MP’s HoC PQ on WPD.

Please find enclosed communications as appendix 91

14 th July 2011: All members received a copy of Richard Ottaway MP and Baroness Jenny Tonge’s letter published in the Guardian on FP being key to the fight against famine.

Please find enclosed communications as appendix 92

19 th July 2011: Committee members received Claire Provost’s Guardian article on population growth.

Please find enclosed article as appendix 93a

25 th July 2011: Lord Steel received a briefing on abortion in preparation for his Kenya presentation on FP and Population for the 15 th – 16 th September 2011 Kenya conference: ‘the lives and health of women in Kenya are worth preserving with the new constitution’. 34

Please find enclosed communications as appendix 93b

25 th July 2011: Baroness Jenny Tonge received UNFPA press release on its lifesaving support for mothers’ needs in the Horn of Africa.

Please find enclosed press release as appendix 94

3rd August 2011: All members received information and link to the House Magazine July 2011 edition with a comprehensive guide on UK APPGs and reference to page 45 with a question and answer session on the Group.

Please find enclosed communications as appendix 95

5th August 2011: Baroness Jenny Tonge received copy of article on ‘UN Women - their new strategy and the omission of safe abortion’.

Please find enclosed communications as appendix 96

5th August 2011: Lord Steel received follow up information on abortion and unsafe abortion in Sri Lanka in support of his talk in Kenya.

Please find enclosed communications as appendix 97

1st September 2011: All members received IPPF press release on their new Director General, Mr Tewodros Melesse.

Please find enclosed communications as appendix 98

5th September 2011: All members were sent a copy of the Independent article on women in Afghanistan and FP – following interview with Baroness Jenny Tonge and which made reference to the Group.

Please find enclosed communications as appendix 99

5th September 2011: All members received an MSI press release and briefing on independent counselling amendment to the Health and Social Care (HSC) Bill.

Please find enclosed communications as appendix 100

6th September 2011: Baroness Jenny Tonge received a briefing on ‘17 reasons to oppose the NHS Bill’.

Please find enclosed communications as appendix 101

6th September 2011: Lyn Brown MP received a copy of MSI’s briefing on the independent counselling debate, as requested.

Please find enclosed communications as appendix 102

7th September 2011: Select members received a briefing on population and food security in support of intervention on Food Security and Famine prevention in Africa on 15 th September. Lyn Brown MP had a successful intervention which read:

Lyn Brown: The population of Ethiopia has grown fourfold in the past 50 years. The populations of Somalia and Kenya have grown threefold and fivefold respectively. Between one quarter and one third of the married women in that region would like to avoid or delay pregnancy. I understand that there are an estimated 76 million unwanted births a year. Will access to modern contraception be part of the Government’s plan? 35 Mr Mitchell: It absolutely is. I wrote to the hon. Lady about that in June. She is entirely right: it is outrageous that less than 25% of women in sub-Saharan Africa have access to contraception. A prime part of the Government’s development policy is to try to ensure that up to 10 million couples I was talking about the importance of food security and of people being able to feed themselves. At the end of last week, I visited an extremely important project, run by Britain and the World Food Programme, that seeks to build food security in Karamoja in northern Uganda. It encapsulates the old proverb, “Give a man a fish and he will eat for a day; teach him to fish and he will be able to feed himself.” We are engaged in a project that hitherto has spent £28 per person on securing food aid. Over the next three years we will spend £33 per person. As I saw for myself, that food security is developing well. In 2009 more than 1 million people in Karamoja were receiving food aid and the region was suffering from deep food insecurity, but by the end of this year we believe the figure will be below 140,000.

In looking at that programme we saw all the things that need to happen, as my right hon. Friend the Member for Gordon knows so well. We saw effective irrigation, the harvesting of water through reservoirs, families growing food for themselves and market traders turning up on the sites where that food is being grown and buying the surplus. We saw feeder roads developing and warehouses springing up, which is very important. That is the way ahead to ensure that deep food insecurity is tackled. That is what we have been doing in Ethiopia, and the approach has helped to ensure that Ethiopia, Kenya and Uganda are not now experiencing famine.

Please find enclosed communications as appendix 103

8th September 2011: Baroness Jenny Tonge and other committee members received a briefing on votes for Nadine Dorries MP’s amendment on abortion counselling.

Please find enclosed communications as appendix 104

9th September 2011: All members received UNFPA State of the World Population Report press launch invitation for 26th October 2011 at the Royal Society.

Please find enclosed communications as appendix 105

15 th September: Lyn Brown MP received information on population figures as requested in preparation for HoC PQ on 16 th September.

Please find enclosed communications as appendix 106

16 th September 2011: Baroness Jenny Tonge was informed of Lyn Brown MP’s intervention in the HoC debate on food security and famine prevention in Africa.

Please find enclosed communications as appendix 107

26 th September 2011: Committee members received UN Department of Public Information 64 th NGO conference briefing held 3 rd – 5th September 2011 in the lead-up to Rio+20.

Please find enclosed communications as appendix 108

4th October 2011: Committee members received an invitation to Oxford University Population lectures October – December 2011 entitled, ‘Is the planet full?’

Please find enclosed communications as appendix 109

24 th October 2011: Baroness Jenny Tonge received a briefing on countries with fertility decline in Africa.

Please find enclosed communications as appendix 110

25 th October 2011: Baroness Shreela Flather received an extended briefing on who voted against Nadine Dorries MP’s counselling amendment to HSC Bill.

36 Please find enclosed communications as appendix 111

26 th October 2011: All members received UNFPA press release on its SWOP Report 2011: ‘Additional Investments in Youth Needed as World Population Tops 7 Billion’.

Please find enclosed communications as appendix 112

28 th October 2012: Committee members received a copy of the Huffington Post and the Lancet articles on population.

Please find enclosed communications as appendix 113

28 th October 2011: Baroness Jenny Tonge received a Centre for Reproductive Rights map on abortion laws around the world.

Please find enclosed communications as appendix 114

28 th October 2011: Lyn Brown MP received information and briefings on anti-choice activities including EPF and Catholics for Choice presentations on the issue.

Please find enclosed communications as appendix 115

31 st October 2011: Geoffrey Clifton-Brown MP received a briefing on global birth rates per year as requested following the 7 billion photo-shoot at St Thomas’ Hospital.

Please find enclosed communications as appendix 116

31 st October 2011: All members received a briefing on DFID’s ‘Choices for women in a world of 7 billion’.

Please find enclosed communications as appendix 117

11 th November 2011: All members received an invitation to the Royal Geographical Society’s lectures on adapting to an urban future.

Please find enclosed invitation as appendix 118

14 th November 2011: All members received copies of PSN Population and Climate Change summary report and UCL Population and Climate Change Policy briefing.

Please find enclosed communications as appendix 119

17 th November 2011: All members received a copy of the Guardian article on Nadine Dorries MP and her free range attack on women’s reproductive rights.

Please find enclosed communications as appendix 120

17 th November 2011: All members received a voting analysis of Nadine Dorries MP’s anti-choice amendment to HSC Bill which follows:

368 voted against the amendment (plus 2 tellers) so 370.

Of these: 115 were Conservative 1 was Green 211 (including 2 tellers) were Labour 41 were Liberal Democrat 2 were Plaid Cymru Of the Conservative MPs, 64 were newly elected in 2010 and 51 were members before the 2010 election. Of the Labour MPs, 56 were newly elected in 2010 and 155 were members before the 2010 election. Of the Liberal Democrat MPs, 7 were newly elected in 2010 and 34 were members before the 2010 election. 37

MPs who voted in favour of Nadine Dorries MP’s amendment:

118 voted in favour of her amendment (plus 2 tellers) so 120.

Of these:- 96 were Conservative 11 were Labour 3 were Liberal Democrat 10 were from the Northern Ireland parties (DUP, SDLP, ALL & Ind)

Of the Conservatives MPs 49 of the 96 were newly elected in 2010 and 47 were members before the 2010 election.

Of the Labour MPs, 4 of the 11 were newly elected in 2010 and 7 were members before the 2010 election.

APPG on PD&RH member analysis is that nearly all (30 of 40) voted against the amendment, Bob Blackman MP was the only group member who voted in favour of Nadine Dorries’ amendment.

Those who were not present were:- Peter Bottomley MP Alan Duncan MP Nigel Evans MP Dominic Grieve MP Diana Johnson MP David Morris MP Virendra Sharma MP Caroline Spelman MP

Plus John Bercow MP, who as Speaker cannot vote!

17 th November 2011: Baroness Gould received information about Nadine Dorries MP’s 10 Minute Rule Bill.

Please find enclosed communications as appendix 121

22 nd November 2011: All members received a Guardian article on the Independent Commission for Aid Impact.

Please find enclosed article as appendix 122

23 rd November 2012: All Members received RCOG’s new guidelines for termination of pregnancy.

Please find enclosed communications as appendix 123

24 th November 2012: Bob Blackman MP received a summary briefing on DFID ODA in India as requested.

Please find enclosed communications as appendix 124

25 th November: All members received a briefing on FP and Rio+20 in support of oral DFID PQs on 1st December 2011 and HoL International Development debate on 1 st December.

Please find enclosed briefing as appendix 125

26 th November: Viscount Craigavon received a briefing on DFID support to UNFPA and MDG 5 and 6 in support of oral PQs HoL on 1 st December 2011.

Please find enclosed communications as appendix 126

30 th November 2011: Committee members received information on UK pledges of £35 million for FP to UNFPA. 38

Please find enclosed communications as appendix 127

1st December 2011: All members received a hard copy of ‘Euromapping 2011’ with a covering letter.

Please find enclosed communications and extracts of particular interest as appendix 128

9th January 2012: All members received a hard copy of the Group’s annual activity report April 2010 – March 2011.

Please find enclosed communications as appendix 129

10 th January 2012: Select members received DFID’s Opposition January newsletter.

Please find enclosed communications as appendix 130

16 th January 2012: All members received information about Nadine Dorries MP’s 10 Minute Rule Bill 2nd reading and protest outside Parliament on the Bill.

Please find enclosed communications as appendix 131

17 th January 2012: All members received a summary of the UK’s National Institute for Health and Clinical Excellence (NICE) guidance on caesarean section.

Please find enclosed communications as appendix 132

25 th January 2012: All members received a copy of Bill Gates’ annual letter. This year’s letter reviewed progress in tackling global poverty and looked at the priorities for the year to come. It examined how the latest innovations – in seeds, vaccines, AIDS drugs, and contraceptives – are lifting millions out of poverty worldwide. Page 15 – 17 were of particular interest to members as they referred to FP/population and reproductive health.

Please find enclosed communications as appendix 133

30 th January 2012: All members received information on the adopted Parliamentary Assembly Council of Europe (PACE) resolution, Rapporteur being Nursuna Memecan from Turkey’s Liberals: “Demographic trends in Europe: Turning Challenges into Opportunities.”

Please find enclosed communications as appendix 134

8th February 2011: Baroness Jenny Tonge received information on DFID’s forthcoming ‘Golden Moment’ on FP.

Please find enclosed communications as appendix 135

13 th February 2011: Baroness Jenny Tonge received background information in support of a Euromapping presentation in the Spanish Parliament.

Please find enclosed communications as appendix 136

13 th February 2012: Baroness Jenny Tonge received a briefing on cervical smears in the UK in support of HoL oral PQ.

Please find enclosed communications as appendix 137

16 th February 2012: Baroness Jenny Tonge received a briefing on FGM in support of HoL oral PQ.

Please find enclosed briefing as appendix 138

39 22 nd February 2012: Baroness Jenny Tonge received follow up information from the Guardian International Development achievement award.

Please find enclosed communications as appendix 139

27 th February 2012: Committee members received a copy of Ben Quinn’s Guardian article on Nadine Dorries MP and counselling for abortions.

Please find enclosed communications as appendix 140

29 th February 2012: Baroness Jenkin, Baroness Gould and Baroness Massey received a briefing on the contribution women can make to economic growth if they have access to FP/RH services for the IWD debate on 1 st March 2012.

Please find enclosed briefing as appendix 141

7th March 2012: Select HoC members received a briefing on the contribution women can make to economic growth if they have access to FP/RH services for the IWD debate on 8 th March 2012.

Please find enclosed communications as appendix 142

14 th March 2012: Baroness Jenny Tonge and Baroness Benjamin received a briefing on FP and Rio+20 with follow-up PQs in preparation for oral PQs on the topic.

Please find enclosed communications as appendix 143

16 th March 2012: All members received an article on the USA and UK strategy to beat food insecurity in Africa, with reference to the importance of ensuring improved maternal and child health.

Please find enclosed article as appendix 144

21 st March 2012: Committee members received information on video conferences in Parliament as requested.

Please find enclosed communications as appendix 145

22 nd March 2012: Committee members received list of liberal democrat (LD) MPs and peers, noting who is and who isn’t a member of the Group, as requested.

Please find enclosed communications as appendix 146

General Collaboration, Meetings and Correspondence The Group continue to campaign and advocate for the full implementation of the ICPD PoA, with an increased focus on FP and population this year.

Enquiries to and about the Group and its parliamentary activities have been dealt with daily via e-mails and the phone. Many have been directed to the Group’s website.

Collaboration continues with a variety of national and international SRHR and general stakeholders including:

UNFPA; IPPF; MSI; WRA; Women and Children First UK, UK SRHR Network, Population Sustainability Network, Plan UK, Oxfam, Royal Society, Action for Global Health (AfGH), Save the Children, Interact Worldwide, UK professional associations and colleges, academic institutions, national, regional and international APPGs on population and development; APPGs on international development in the UK, US trusts and foundations.

40 Meetings UNFPA The Group has communicated regularly throughout the year with UNFPA staff. Of particular interest this year have been communications surrounding the DFID Select Committee’s inquiry into private foundations and their visit to UNFPA’s Head Office in New York.

UNFPA has provided numerous technical briefings upon request with short time limits and the Group completed UNFPA’s 2011 Global Survey on ICPD 2014.

Please find enclosed sample communications as appendix 147

Most importantly, members had their first formal meeting with UNFPA’s new Executive Director Dr Osotimehin Babatunde in July 2011 to discuss Group activities and his vision for the organisation.

IPPF The Group had regular communications and meetings with IPPF staff during the year. Several IPPF inquiries were responded to including information on Nadine Dorries MP’s anti-choice activities in Parliament. The Group has also been involved in several IPPF surveys and interviews were set up with members to discuss IPPF’s new advocacy strategy.

Several briefing papers on pertinent SRHR issues were received from IPPF with short notice in support of HoC and HoL debates.

Please find enclosed sample communications as appendix 148

MSI The Group communicated and met regularly with MSI staff during the year. Several briefing papers pertinent to SRHR issues were received from MSI with short notice in support of HoC and HoL debates.

Please find enclosed sample communications as appendix 149

White Ribbon Alliance The Group communicated and met on several occasions with WRA staff to discuss collaborative activities including the Mums’ Café at the atrium of Portcullis House to celebrate IWD. WRA has been actively involved in the Group’s child marriage hearings.

Please find enclosed sample communications as appendix 150

Women and Children First (UK) WCF underwent a strategic planning exercise this year. The Group was consulted and involved which included the completion of a survey and telephone interviews in February 2012.

In the beginning of 2012 the Group supported the production of WCF parliamentary briefing packs on FP/SRHR which were very valuable for the targeted one-to-one briefing meetings with new interested parliamentarians.

Please find enclosed briefing pack with list of MPs who received a one-to-one briefing as appendix 151

SRHR Network The Group communicated regularly with the chair of the SRHR Network, Leo Bryant, as well as individual member organisations. Minutes of SRHR Network meetings kept the Group up to date on UK NGO advocacy.

A briefing meeting was held between the Network and Group members immediately prior to the Group’s annual meeting with DFID to inform members of current NGO concerns (further information can be found under parliamentary briefing meetings). 41

Other communications related to anti-choice parliamentary activities and the call for creative work about motherhood from the International Museum of Women, San Francisco, USA and DFID’s forthcoming FP summit.

Please find enclosed sample communications as appendix 152

Liberal Democrat Party The LD office requested a summary of Baroness Jenny Tonge’s Group activities which was completed and forwarded. The Group also held a meeting with the LD secretariat to discuss the possibility of hosting a maternal health side event at the autumn Party conference. Discussions are ongoing.

Please find enclosed summary of activities sent as appendix 153

HealthProm The Group communicated and met with a HealthProm representative to share information on SRHR actors and discuss a possible briefing meeting with MPs on the subject of health financing with particular reference to highly technical neonatal equipment verses general preventive and neonatal care.

Please find enclosed sample communications as appendix 154

Plan UK The Group communicated and met with Plan UK representatives this year to discuss a possible briefing meeting on child marriage which was subsequently organised (further information can be found under parliamentary briefing meetings).

Please find enclosed sample communications as appendix 155

David and Lucile Packard Foundation The Group communicated and met with David and Lucile Packard Foundation representatives Sara Seims, Margot Fahnestock and Paul Rosenber to discuss a possible briefing meeting on new research demonstrating the impact on meeting the unmet need for FP and the development of new SRHR/MH indicators.

Please find enclosed sample communications as appendix 156

Oxfam The Group communicated and met with Oxfam representatives this year to discuss health financing, a Ghana study tour, DFID’s SRHR budget and future collaboration.

Please find enclosed sample communications as appendix 157

Royal Society The Group communicated and met on several occasions this year with the Royal Society team to discuss collaboration surrounding their ‘People and Planet’ publication and launch in April 2012. A parliamentary briefing meeting was organised immediately following the launch (further information can be found under parliamentary briefing meetings).

Please find enclosed sample communications as appendix 158

Parliamentary Office of Science & Technology The Group communicated and met with Stuart Basten, an interim editor for Post-Notes to discuss population topics for future editions. The first population Post-Notes will be published later this year.

Please find enclosed sample communications as appendix 159

42 James Birch – Advisor, APPG on Agriculture The Group communicated and met with James Birch this year to discuss Organisation for Economic Co-operation and Development (OECD) DAC codes in fragile states in response to written PQs on the subject.

Please find enclosed sample communications as appendix 160

Anna Rabin - MSc Student Advisor met with MSc student Anna Rabin to discuss her MSc as requested.

Please find enclosed communications as appendix 161

Allie Morse Advisor met with Canadian maternal health consultant Allie Morse who was travelling through London en route to Africa. Information on UK SRHR organisations and advocacy was shared as requested.

Please find enclosed sample communications as appendix 162

Population Media Centre Richard Ottaway MP met with William N. Ryerson, President, Population Media Centre to discuss population issues. The Group provided UK SRHR contacts as requested.

Please find enclosed sample communications as appendix 163

Action for Global Health The Group communicated regularly throughout the year with AfGH team members and other APPG secretariats involved in international health. Discussions particularly revolved around health and the forthcoming Rio+20 conference.

The Group also agreed to be involved in an AfGH evaluation exercise in September 2011 on joint parliamentary activities.

Please find enclosed sample communications as appendix 164

Rio+20 SRHR NGOs The Group communicated and met regularly this year with European SRHR NGOs involved in the Rio+20 process to collaborate on parliamentary advocacy. Numerous oral and written questions were tabled during the year and meetings were requested with DEFRA and DFID Ministers. Letters were also sent to the Prime Minister in collaboration with the Royal Society encouraging the UK Government to take a strong lead in promoting the linkages between women’s SRHR, FP and sustainable development at the Rio+20 conference.

Sample PQs follow:

Baroness Tonge: To ask Her Majesty's Government what input the Defra has had to the preparation of the outcome document of the Rio+20 UN Conference on Sustainable Development in June 2012.

Rural Affairs (Lord Taylor of Holbeach): The zero draft outcome document for Rio+20 was prepared by the UN Secretariat for the conference. It reflects submissions from nation states, political groups, businesses, NGOs and others.

The UK submitted its input to the UN both as part of the EU's submissions and individually. As the SoS for Defra is leading the UK Government's preparations for Rio+20, this process was led by Defra, working closely with other government departments.

Negotiations on the zero draft have begun and will continue until the conference in June. UK officials, including those from Defra, will continue to be active in discussions.

43 Baroness Tonge: To ask Her Majesty's Government whether the Defra will focus on the link between population dynamics and sustainable development in the lead up to the Rio+20 UN Conference on Sustainable Development in June 2012.

Baroness Tonge: To ask Her Majesty's Government whether they will use the Rio+20 UN Conference on Sustainable Development in June 2012 to promote the connection between sustainable development and FP.

Lord Taylor of Holbeach: Rio+20 is an opportunity to agree ambitious action to enable us to meet the challenge of global population growth and rising income levels, while ensuring that natural resources and ecosystems are used sustainably for our long term prosperity. The UN Secretary General's recent High Level Panel report on global sustainability highlighted the challenge of sustainably providing for almost 9 billion people by 2040, combined with an estimated 3 billion increase in the number of middle-class consumers over the next 20 years.

The Government will call for Rio+20 to promote access to effective contraceptive methods; universal access to reproductive health and FP advice; empowerment of women; and investment in education, particularly of disadvantaged children and youth, girls and young women.

Beyond Rio+20, the Government, through the Department for International Development, have committed to ensuring that at least 10 million more women in developing countries have access to modern methods of FP by 2015.

Please find enclosed sample communications as appendix 165

Communications Interact Worldwide The Group communicated regularly with Interact Worldwide this year and of particular interest were communications surrounding the health workforce, which resulted in written PQs as follows:

Baroness Tonge: To ask Her Majesty's Government what proportion of DFID’s expenditure on human resources for health in 2010-11 has been allocated specifically to meet the SRH needs of the poorest and most marginalised groups.

To ask Her Majesty's Government what proportion of DFID’s expenditure on human resources for health in 2010-11 has been allocated to youth-friendly SRH services.

To ask Her Majesty's Government what proportion of DFID’s expenditure on human resources for health in 2010-11 has been allocated to strengthening SRH community services.

Baroness Northover: Throughout our development programmes the DFID's top priority is our commitment to achieving results. Our vision is a developing world where all women are able to exercise choice over the size and timing of their families. We will double our efforts to enable at least 10 million more women to use modern methods of family planning by 2015, and prevent more than 5 million unintended pregnancies. We do not track inputs and expenditure according to the categories requested. Details of expenditure against individual input sector codes including health, reproductive health, FP, can be found on our annual publication of Statistics on International Development available at www.DFID.gov.uk. The UK's codes are based on the OECD DAC codes, which as used for reporting overseas development assistance and as a DAC member, the UK is committed to transparent reporting of development assistance in a way that permits international comparisons. All spending over £500 is published, as per the UK Transparency Guarantee. Recent analysis has estimated that 25 per cent of DFID’s expenditure on health supports Human Resources for Health.

Baroness Tonge: To ask Her Majesty's Government what is the role of education programmes funded by DFID in delivering the results outlined in its framework document Choices for women: planned pregnancies, safe births and healthy newborns.

Baroness Northover: DFID recognises that girls and women who have more years of schooling are much more likely to be able to delay their first sexual experience, to marry later, to choose whether, when and how many children to have, to use contraception and to give birth safely to healthy babies. DFID has recently announced the Girls Education Challenge which will enable up to one million more girls to be supported to complete at least one full cycle of schooling-at primary or lower secondary level. This will be in addition to our commitment to support up to 9 million children at primary school, at least half of whom 44 are girls and 2 million girls and boys at lower secondary level. For example, in Nigeria, DFID will support up to 800,000 girls at primary and 200,000 at secondary levels, as well as to train an additional 10,500 female teachers by 2019, through a combination of conditional cash transfers, scholarships for female teachers, "safe spaces" for girls and advocacy with Islamic teachers, parents and local leaders.

Baroness Tonge: To ask Her Majesty's Government what support and guidance the DFID provides to its country offices and grantees on the development of businesses cases and on value for money to ensure that reproductive, maternal and newborn health programmes and services will benefit the poorest 40 per cent of the populations in which they are based, as proposed in its framework document "Choices for women: planned pregnancies, safe births and healthy newborns".

Baroness Northover: DFID is committed to ensure that its support for reproductive, maternal and newborn health programmes reaches the bottom 40 per cent of the population in the countries in which it operates. Corporate guidance is provided to departments throughout DFID on business cases, value for money and results to support the moves to bring DFID programme planning and appraisal in line with Treasury requirements for all government departments. There is also sector-specific support to country offices on value for money (VfM) and to the development of business cases. For health, this includes internal websites that provide information and guidance on VfM methodologies, indicators, and evidence of what works across all health interventions. In addition to this, DFID is also sharing and receiving information, lesson-learning on results and VfM with/from international partners, donors and non- government organisations.

Please find enclosed sample communications as appendix 166

Bill Doult The Group communicated on several occasions with Bill Doult, a freelance writer, following the FGM debate in the HoL. Discussions surrounded the possibility of increasing FGM press coverage and how to move forward in securing a prosecution in the UK to deter perpetrators.

Please find enclosed sample communications as appendix 167

International Museum of Motherhood The Group joined the International Museum on Motherhood – MAMA Motherhood Global Partnership annual exhibition in February 2012 by adding a link to the exhibition on the Group’s website.

Please find enclosed sample communications as appendix 168

YMCA The YMCA London contacted the Group requesting hard copies of its hearing report on maternal morbidity. The YMCA was in the process of publishing a report and was looking for guidance on layout and design.

Please find enclosed sample communications as appendix 169

Population Matters The Group had regular communications with Roger Martin, chair of Population Matters and Simon Ross, chief executive, surrounding population, demographics and the Rio+20 conference as well as general press activities.

Please find enclosed sample correspondence as appendix 170

Jim Dobbin MP The Group received several enquires and request for information from Catherine Lafferty in Jim Dobbin MP’s office relating to an MPs’ study tour to China in April 2002, which the Group coordinated. The office was sent the list of people met on the study tour as well as a list of all places visited as requested.

Please find enclosed communications as appendix 171

45 Bill Dowling and Alan Johnson The Group received communications from Bill Dowling and Alan Johnson asking the Group to promote a UK population policy. They were informed that the Group aims to ensure the full implementation of the ICPD PoA and does not promote particular population or migration policies. They were directed to other UK APPGs working on migration, maternity and related issues to promote their position.

Please find enclosed communications as appendix 172

Brian McGavern Brian McGavern contacted the group and individual MPs on numerous occasions this year requesting a briefing meeting to promote his paper entitled: ‘The silent crisis’ on population growth and its impact.

Please find enclosed sample communications as appendix 173

Gavin Horwich The Group responded to numerous students this year requesting information and thoughts on SRHR and population issues. Gavin Horwich received information in support of his dissertation on FP and population policies.

Please find enclosed sample communications as appendix 174

Mr Noel Thomas and Mrs Jones The Group received numerous communications from the public including Mr Noel Thomas and Mrs Jones supporting the Group’s parliamentary and press activities. Mr Noel Thomas and Mrs Jones were particularly encouraged by Baroness Jenny Tonge and Richard Ottaway MP’s comment in the Guardian on population growth and FP.

Please find enclosed communications as appendix 175

Mrs Baird and Ms Langrish The Group received communications from Mrs Baird and Ms Langrish in support of the Group’s work in response to Baroness Jenny Tonge’s intervention in the HoL debate on the Horn of Africa and her interview on Radio 4 on the subject of famine, population growth and FP.

Please find enclosed communications as appendix 176

Christine McCafferty The Group remained in contact with Christine McCafferty, previous long standing chair of the Group, throughout the year. She kindly agreed to be involved in IPPF’s strategic advocacy evaluation via a telephone interview. Christine McCafferty continues her involvement in the field of SRHR and was sent briefings as requested relating to gender-based violence legislation and policies in the UK and Uganda.

Please find enclosed communications as appendix 177

The Group nominated and entered Christine McCafferty to the Guardian competition as the inspirational person of the year on International Development and SRHR.

Please find enclosed drafted summary and other select communications as appendix 178

Ed Barry – Sustainable World Initiative The Group communicated with Ed Barry, Sustainable World Initiative, an organisation addressing population and natural resources. Feedback to papers produced were given as requested.

Please find enclosed sample communications as appendix 179

46 Diane Forrester The Group on occasions receive general reproductive health questions from the public, which were either responded to or referred on to appropriate and relevant organisations. Diane Forrester for example made enquiries on frozen embryos. She was referred to the HFEA.

Please find enclosed sample communications as appendix 180

Michael Butler The Group communicated with Michael Butler, cultural manager for Canterbury Christ Church University in response to his request for an exhibition on human population growth in Parliament. If he is successful in his bid to the Wellcome Trust for a touring exhibition on Human Population Growth the Group has agreed to co-organise an exhibit in Parliament.

Please find enclosed sample communications as appendix 181

Parliamentary tours The Group organised several guided tours of Parliament for European MPs and UK NGOs including Agency for Culture Change Management (ACCM UK) upon request.

Please find enclosed sample communications as appendix 182

Campaigns USA foreign aid and abortion clause The Group in collaboration with Tom Brake MP sent a letter to President Obama, cc’d to UK Prime Minister and SS for ID urging the President to have ‘no abortion clause on all USA foreign aid – including when rape used as a weapon of war’.

Please find enclosed communications as appendix 183

Myriad and Coca Cola The Group sent letters to Myriad and Coca Cola this year requesting meetings to discuss their corporate responsibility with the aim of promoting FP within their strategies.

Please find enclosed communications as appendix 184

DFID opposition spokesperson The Group wrote to Harriet Harman MP, the opposition spokes person for International Development, requesting a meeting to discuss SRHR/FP and international development.

Please find enclosed communications as appendix 185

Consultations Foreign and Commonwealth Office consultation on HMG’s strategy to achieve cross-Whitehall agreement on priority countries or regions where UN intervention would be both effective and necessary in relation to conflict, UK The Group submitted written evidence in June 2011 to above consultation. Specific reference was made to Population Action International (PAI) publication: ‘The Security Demographic: Population and Civil Conflict after the Cold War’, 2003.

Please find enclosed communications as appendix 186

Economic Affairs Inquiry into the Economic Impact and Effectiveness of Development Aid, UK The Group submitted written evidence in July 2011 to above inquiry. Reference was made to the UNFPA and Guttmacher Institute publication: ‘Adding it Up’, which assesses the costs and benefits of contraceptive services.

Please find enclosed communications as appendix 187

47 Environmental Audit Committee’s inquiry into Rio+20, UK The Group submitted written evidence in August 2011 to above inquiry. It drew attention to population growth and sustainable development with reference to the unmet need for FP.

Please find enclosed communications as appendix 188

2nd Asian Population Association conference, Bangkok, Thailand The Group submitted an abstract to above conference in August 2012 making reference to Richard Ottaway MP’s paper: ‘Sex, Ideology and Religion – 10 myths about world population growth’.

Please find enclosed communications as appendix 189

Planet Under Pressure 2012 conference, UK The Group submitted an abstract in October 2011 to above conference in March 2012 making reference to its hearing report on population growth and its impact upon the MDGs.

Please find enclosed communications as appendix 190

Press The Group has increased it press activities this year to help engage new members.

Meetings were held with press and communications staff from EPF, MSI, IPPF, WRA, Population Matters, the Royal Society and DFID to discuss press strategies and NGO press lists were shared.

The Group prepared a flyer with its constituency, activities and contact details, which was sent to editors writing on relevant FP/SRHR issues.

Please find enclosed flyer as appendix 191

With limited resources the Group’s press strategy included trawling daily SRHR/population press articles and updates and sending the flyer, letters or comments in response to topical articles.

The Group also started disseminating press releases in connection with parliamentary events, reports and topical debates.

A targeted parliamentary press luncheon was organised in October 2011 to raise the profile of the Group in connection with the 7 billionth birth and the launch of Richard Ottaway MP’s paper: ‘Sex, Ideology and Religion – 10 Myths about World Population Growth’.

A photo-shoot was also organised at St Thomas’ Hospital in October 2011 with London Media.

The Group initiated contacts with all relevant parliamentary magazines.

The new Group press strategy resulted in increased publicity and press coverage as follows:

An interview was published in The Sun with UNFPA’s Executive Director Dr Babatunde Osotimehim organised by the Group in connection with the UCL Population Footprint conference on human population growth and global carrying capacity, 25 th – 26 th May 2011, London.

Please find enclosed article as appendix 192

The Economist published a letter by Richard Ottaway MP in June 2011, which made reference to population growth prepared in response to an article on: ‘The world’s most dangerous border’.

48 Please find enclosed letter published as appendix 193

The Guardian published a letter on 11 th July by Richard Ottaway MP and Jenny Tonge responding to articles on famine in the Horn of Africa:

Family planning is key in the fight against famine

Your editorial (7 July) was quite right to point out that disaster relief is an essential response to humanitarian crises, and that prevention of and preparation for future disasters is crucially important. However, unless we address population growth through reproductive health, the scale of relief required in the future will only increase.

Food supplies and future agricultural investment will be useless unless we also fund family planning and reproductive health programmes to relieve the pressure of ever-growing populations.

Ten years after the last drought, Ethiopia is facing another food crisis, due to drought. Other areas are similarly affected and the four countries currently threatened with famine – Ethiopia, Somalia, Kenya and Uganda – have seen their populations grow from 41 million in 1960 to 167 million. This huge growth in population cancels out any improvements in food production.

Women in the region want to delay or avoid further pregnancies, but do not have access to contraception. What funding there was has stalled in recent years. It is crucial that these women's contraceptive needs are met, together with the food aid, otherwise in 10 or 15 years' time, those children we save now will be bringing their children to feeding centres in a desperate attempt to save their lives.

Jenny Tonge , Lib Dem, House of Lords Richard Ottaway MP , Conservative APPG on Population, Development and Reproductive Health http://www.guardian.co.uk/global-development/2011/jul/11/family-planning-fight-famine?INTCMP=SRCH

Radio 2 broadcast Baroness Jenny Tonge speaking on population and famine in the Horn of Africa after the House of Lords debate on the subject in July 2011.

WRA had a blog on their website with reference to the Group’s WPD reception in July 2011.

Please find enclosed blog as appendix 194

The Group secured an interview between Baroness Jenny Tonge and the House Magazine on APPGs, which was published alongside APPG information as follows:

What is the purpose of the all-party parliamentary group? The APPG on PD&RH aims to ensure the full implementation of the International Conference on Population and Development’s Programme of Action (ICPD PoA), with specific reference to stabilising the world’s population though choice and ensuring sustainable development in the UK and abroad.

The International Conference on Population and Development’s Programme of Action of 1994 is a landmark multi-country agreement, signifying the dawn of a new era in how the world community views the interface between population and development. The overriding objective of the Cairo Programme of Action is to raise the quality of life and individual well-being, and to promote human development by recognising the complexity of interrelationships between population and development policies and programmes.

The ambitious aim is to achieve poverty eradication; sustained economic growth in the context of sustainable development; wider access to education, especially for girls; gender equity and equality; the reduction of infant, child and maternal mortality; the provision of universal access to reproductive health services, including family planning and sexual health; sustainable patterns of consumption and production; food security; human resources development; and the guarantee of all human rights, including the right to development as a universal and inalienable right and an integral part of fundamental human rights (UN, 1994 and UN, 1999).

How do you engage with ministers and other parliamentarians? Members of the APPG on Population Development & Reproductive Health engage with ministers via meetings (briefing meetings, report launches, receptions etc), parliamentary questions, early day motions, debates, party-, United Nations- and inter- governmental and other conferences, written correspondence, consultations and APPG on PD&RH hearings. Members engage with other national, regional and international parliamentarians and networks via official committee and expert briefings, meetings, national, European and international conferences and study tours.

What have you achieved since the start of this Parliament? Please visit www.appg-popdevrh.org.uk/ for further information on APPG on PD&RH activities.

What are your goals for the rest of the Parliament? The UK APPG on PD&RH will continue to recruit new UK MPs to help ensure that the UK government does all it can to protect women’s and children’s sexual and reproductive health and human rights.

What benefits do MPs and peers get from membership of the all-party group? The APPG on PD&RH, along with its network of partner organisations from across the continent – namely the European Parliamentary Forum on Population and Development – help its members to be informed about national and international population, family planning, sexual and reproductive and maternal health issues. Both organisations provide MPs with free advice, briefings ahead of parliamentary debates and trips to the field to visit projects and meet experts. Baroness Tonge is a Lib Dem peer and Chair of the Population, Development and Reproductive Health APPG

Total Politics published an article in July 2011 by Baroness Jenny Tonge entitled: ‘A call to new MPs: Putting morals at the heart of development’ which made reference to the Group’s activities.

The Independent published an article in August 2011 on maternal health in Afghanistan following an interview with Baroness Jenny Tonge.

Please find enclosed published article as appendix 195

The Guardian published a comment in September 2011 by Baroness Jenny Tonge in response to Lynsey Hanley’s article: ‘We have room on earth for you’.

Please find enclosed published comment as appendix 196

Articles were also published on population growth and FP in The Star, the Mail online, Metro (London), The Sun, Loose Women television programme following the Group’s St. Thomas’ photo-shoot with London Media on the UK’s ‘phantom’ 7 th billion’s birth.

Please find enclosed sample articles published as well as sample correspondence with St Thomas’ Hospital to set up the photo-shoot as appendix 197

BBC One Planet and BBC Sheffield both broadcast interviews with Baroness Jenny Tonge in October 2011. She spoke on the theme of the 7th billion’s birth and population growth.

The Lancet and BMJ published articles on population following the Group’s parliamentary luncheon in October 2011.

Please find enclosed articles as appendix 198

PoliticsHome published two Group articles, one in February 2012 calling for stronger protection of women with reference to FGM and one in March 2012 promoting FP in the sustainable development agenda in the lead up to the Rio+20 conference.

Please find enclosed articles as appendix 199 50

Spanish newspaper El Pais interviewed Baroness Jenny Tonge in February 2012 on UK Abortion laws following her Euromapping presentation, which resulted in Spanish press coverage on the issue.

Please find enclosed communications as appendix 200

Parliamentary Statements, Legislation, Petition Responses, Debates, Early Day Motions and Questions The UK Coalition Government has been explicit in its support for international FP and SRHR and the Group has held the Government accountable to its promises via PQs, EDMs and debates. Below you will find relevant statements, PQs, EDMs and debates including from opposition, i.e. anti-choice, MPs and peers. Full information can be found on the Group’s website.

House of Commons (HoC)

Written Ministerial Statements Conflict Resources (2011 – 2012), 5 th April 2011 Andrew Mitchell MP, SS for ID together with the SoS for Foreign and Commonwealth Affairs and the Secretary of State for Defence, informed the House about their plans for funding conflict prevention, stabilisation, and peacekeeping activities for financial year 2011-12, to increase significantly.

Please find enclosed full text as appendix 201

HIV/AIDS, 27 th October 2011 Anne Milton MP, PUSS for Health laid before Parliament the Government response to the House of Lords Select Committee’s report “No vaccine, no cure: HIV and AIDS in the UK” (Cm 8190). The report made clear the need to reduce undiagnosed HIV so people can benefit from effective treatment and to prevent HIV transmission. The HoL ad hoc Committee’s report would help to inform the Department of Health’s new sexual health policy framework planned for 2012.

Please find enclosed full text as appendix 202

Abortion Costs, 24 th November 2011 Anne Milton MP, PUSS for Health announced that there had been discrepancies between the activity figures for abortion returned to the Chief Medical Officer and the data submitted as part of the reference cost collection, which is the Department’s wider collection of NHS cost and activity data. As a result of this, and the lack of detailed information about the price NHS organisations pay to independent sector providers for the provision of abortion, they will, in future, estimate the costs to the NHS of providing abortion using the activity figures provided to the Chief Medical Officer and an average of the national tariff paid within the NHS for procedures including abortion. This is likely to overestimate total costs as they are aware that contracts with independent sector providers are generally at a lower price than the national tariff.

Please find enclosed full text as appendix 203

Nursing and Midwifery Council, 26 th January 2012 Anne Milton MP, PUSS for Health announced that she had asked the Council for Healthcare Regulatory Excellence (CHRE) to undertake a strategic review of the Nursing and Midwifery Council (NMC). With a view to further strengthening the NMC’s leadership and governance, the Department also plans to consult on re-constituting the NMC’s council to reduce its size. This is in line with a recommendation by the CHRE. The Department believes that this option now warrants consideration for the NMC.

Please find enclosed full text as appendix 204 51

International Development: Supplementary Estimates 2011 – 2012, 8 th February 2012 Andrew Mitchell MP, SS for ID announced that subject to parliamentary approval of the necessary supplementary estimate, the Department for International Development’s departmental expenditure limit (DEL) will be reduced by £13.0 million from £7,880.3 million to £7,867.3 million. The change in the Resource element of DEL arises from transfers out to other government departments, including those relating to the jointly managed conflict pool. This sits on DFID’s baseline but is shared between DFID, Foreign and Commonwealth Office and Ministry of Defence. Budget transfers relate to expenditure managed by these other government departments.

Please find enclosed full text as appendix 205

Legislation Sex Education (Required consent) Bill, 4 th May 2011 Nadine Dorries MP introduced an anti-choice ten minute rule Bill requiring schools to provide certain additional sex education to girls aged between 13 and 16, to provide that such education must include information and advice on the benefits of abstinence from sexual activity and for connected purposes.

The Bill was voted on with 67 voting in favour and 61 against, which meant the Bill would be read and debated a second time on 20 th January 2012.

Please find enclosed full text as appendix 206

Health and Social Care (Recommitted Bill) – clause 10, 7 th September 2011 Nadine Dorries MP proposed an anti-choice amendment to the above Bill making it necessary for women requesting an abortion to receive information, advice and counselling from a private independent provider that does not itself provide for the termination of pregnancies.

Concerns were raised by members with regards to delaying services, the Bill being an ill- conceived attempt to promote non-facts to make a non-case and the amendment dealing with matters that are amply covered by existing law and regulations. Members said that the RCOG already state: “Women should be given counselling according to their need—including post- abortion if she needs it. All women should be offered standalone counselling. The counselling should include: implications counselling (aims to enable the person concerned to understand thecourse of action); support counselling (aims to give emotional support in times of particular stress) and therapeutic counselling (aims to help people with the consequences of their decision and to help them resolve problems which may arise as a result)”. The Department of Health regulations also state: “Counselling must be offered to women who request or appear to need help in deciding on the management of the pregnancy or who are having difficulty in coping emotionally”. The amendments deal with matters that are amply covered by existing law and regulations.

Nadine Dorries withdrew the amendment.

Please find enclosed full text as appendix 207

Petition Responses International Development: Child Health, 3 rd May 2011 Andrew Mitchell MP, SS for ID, responded to a petition presented by Andrea Leadsom MP on behalf of staff and pupils of Hackleton Church of England Primary School, relating to child health. It urged the SS for ID to widen the Government’s approach on maternal and newborn health in the developing world to include child health. The SS for ID noted that the UK Government are, and will remain, a strong supporter of efforts to improve child health. They share the concerns of the petitioners. It is unacceptable that more than 8 million children die every year before their fifth birthday, and that over 3.5 million of these deaths are babies who die within the first 28 days of life. It is also unacceptable that a child dies every 15 seconds from dirty water and poor sanitation. DFID tackles the direct causes of child mortality, including 52 measles, malaria, diarrhoea, HIV and AIDS. Reference was also made to the new Frameworks for Results, where the UK sets out how they will:

• save 250,000 newborn babies by 2015; • support at least 2 million safe deliveries, ensuring long-lasting improvements in quality maternity services, particularly for the poorest 40%; • help halve malaria deaths in at least ten high burden countries by 2015; and • the survival of mothers is important for their children’s survival to and beyond five, as well as their development. Recent DFID-supported evidence from Bangladesh shows that a child whose mother has died has a significantly lower chance of surviving to 10-years-old.

Please find enclosed full text as appendix 208

Send our Sister to School Campaign, 27 th February 2012 Andrew Mitchell MP, SS for ID, responded to a petition presented by Ian Swales MP on behalf of pupils of Overfields Primary School, Middlesbrough urging support to the Send our Sister to School Campaign which aims to give girls the same chance as boys to benefit from education and support the international agreement to get all children into education by 2015. Reference was made to DFID raising the commitment to get all children into education by 2015 at the G20 summit in November.

Andrew Mitchell MP, SS for ID, said that the UK Government support work to achieve all the MDGs and they will make sure that aid is spent wisely to ensure that new progress is made to give poor people better access to clean water, sanitation, healthcare and education. The UK Government are also committed to making sure that every pound spent is used in the best way to benefit as many children as possible. All children should have equal access to a good quality basic education. The UK Government are working hard to deliver a better future for every child but more needs to be done and this is a shared responsibility. In order to ensure that girls have equal access to education in the future it is vital that, by 2015, the international community keeps its promise to achieve the internationally agreed target to support all children, boys and girls alike, to complete primary education.

Please find enclosed full text as appendix 209

Debates Stillbirth, 18 th May 2011 Chris Heaton-Harris MP introduced a Westminster Debate on stillbirth - a sensitive, painful subject that has a lasting effect on thousands of people each year. Reference was made to the fact that not enough is being done to support the families of stillborn children and the UK is failing to reduce the number of stillbirths that occur each year.

Simon Burns MP, Minister of State, Department of Health responded saying that the Lancet ranked the UK stillbirth rate 33rd worldwide, below many other high-income countries. Since 1999, there has been a small reduction in the stillbirth rate for England—from 5.3 per 1,000 total births, to 5.2 in 2009. However, over the past 50 years the rate has declined significantly; for example, in 1960 the figure for England and Wales was 19.8.

Reference was made to GP and Community Midwifery support available, the 2008 RCOG “Standards for Maternity Care”, which sets out clear standards for the levels of care that should be provided to help patients and families whose baby is stillborn or dies shortly after birth. Reference was also made to the comprehensive guidelines for professionals on “Pregnancy Loss and the Death of a Baby” developed by Sands—the Stillbirth and Neonatal Death Charity. For parents, the pregnancy care planner on the NHS Choices website provides information on stillbirth, to complement information provided locally, and signposts other sources of help, including Sands.

53 Forms and certificates were discussed, as were stillbirth definition and financial assistance available and the UK Government’s continued support to give the matter the highest priority, to help families who face such a devastating and terrible loss.

Please find enclosed full text as appendix 210

Conflict Prevention, 21 st June 2011 Simon Hughes MP introduced a Westminster Debate on the Government’s policy on conflict prevention. Reference was made to the newly released World Bank report, which states that poverty rates are 20% higher in countries hit by violence, so aid should target violence. A quarter of the world’s population live in states affected by conflict. The report also said that there should be far more focus on building stable government, and on justice and police, than on health and education. The report says if there is not a major refocusing of aid in this direction, then other targets on poverty, health and education will not be reached. There is far more spent on alleviating the effects of conflict than preventing it from breaking out, and conflicts tend to be repeated. Ninety percent of recent civil wars occurred in countries that had already had a civil war in the last 30 years. The report found that cycles of violence were hard to stop, for example in South Africa and Central America. In Guatemala, twice as many people are dying now at the hands of criminals than died in the civil war in the 1980s.

Henry Bellingham MP, PUSS for Foreign and Commonwealth Affairs responded for the Government, saying the Government have made their work on conflict prevention a key priority. Conflict does, of course, matter. More than 1.5 billion people live in fragile and conflict-affected states or in countries with high levels of criminal violence. Conflict and violence deprive millions of their basic rights to life and security. The economic consequences of conflict for poor countries are enormous: an average civil war—if there is ever such a thing—costs a developing country 30 years of GDP growth. Not a single fragile or conflict-affected country has yet achieved a single MDG.

Please find enclosed full text as appendix 211

Summer Adjournment (Home Office): FGM, 19 th July 2011 Jane Ellison MP raised FGM/Cutting in the Summer Adjournment debate. She said that FGM is not a religious issue; nor is it restricted to one ethnic group. It is a cultural practice prevalent in Africa, the Middle East and parts of the Far East. But behind the acronym FGM is a crime—a brutal crime perpetrated against those who are least able to protect themselves: little girls and young women. In some areas of London, about 5% of women giving birth present with signs of FGM. Those grim figures are based on the 2001 census. Given migration patterns over the last decade, these figures are likely to be much higher today. FGM is child abuse; it is that simple— yet FGM continues to grow, largely unchallenged, in British society. Since 2008, there have been more than 100 Metropolitan Police investigations into cases of FGM, but despite that, and even though FGM has been illegal since 1985, there have been no convictions to date. France has made more than 100 successful prosecutions. Figures that are now more than 10 years old suggest that the practice affects more women, in the number of new cases, than ovarian or cervical cancers—yet FGM can be eliminated, and Jane Ellison MP said that she would like to see it given the emphasis it deserves.

Please find enclosed full text as appendix 212

Food Security and Famine Prevention (Africa), 15 th September 2011 Amber Rudd MP introduced a debate on Food Security and Famine Prevention in Africa. Several members made reference to population growth and food security during the debate and inquired about the UK Government’s support for FP. Lyn Brown MP said: ‘The population of Ethiopia has grown fourfold in the past 50 years. The populations of Somalia and Kenya have grown threefold and fivefold respectively. Between one quarter and one third of the married women in that region would like to avoid or delay pregnancy. I understand that there are an estimated 76 million unwanted births a year. Will access to modern contraception be part of the Government’s plan?’

54 Andrew Mitchell MP, SS for ID, noted that he had written to the hon. Lady about the above subject in June and said that she is entirely right: ‘it is outrageous that less than 25% of women in sub-Saharan Africa have access to contraception. A prime part of the Government’s development policy is to try to ensure that up to 10 million couples who currently do not have access to contraception get it.’

Please find enclosed full text as appendix 213

Commonwealth Partners (Resources and Co-operation), 12 th October 2011 Andrew Percy MP introduced a Westminster debate on sharing resources and co-operation with Commonwealth partners. Reference was made to the Commonwealth being made up of 54 sovereign nations and containing 31% of the global population—about 2 billion people—more than half of whom are 25 or under, i.e. the Commonwealth and its population really being the future. It contains the world’s largest, smallest, richest and poorest countries, and its members span six continents and oceans, from Africa, Asia, the Americas and, of course, Europe. There are 44 Commonwealth countries in the G77, which will be an increasingly important body, and five in the G20—Australia, Canada, India, South Africa and the UK. Nineteen of the 39 African Union members are from the Commonwealth. Similarly, 10 nations in the Pacific Islands Forum are Commonwealth nations. Indeed, even two countries in the European Union—Malta and ourselves—are members of the Commonwealth. The Commonwealth is also a massive trade body, with $3 trillion of trade taking place within it each year.

World population and youth were referenced on numerous occasions during the debate.

Please find enclosed full text as appendix 214

FGM, 3 rd November 2011 Jane Ellison MP introduced a debate on FGM noting that FGM is a gross violation of girls’ human rights, and is nearly always carried out on minors. In the UK, the girls most at risk are usually aged between eight and 12, but are often much younger. FGM has been illegal in the UK for more than a quarter of a century under the Prohibition of Female Circumcision Act 1985, which was strengthened in the FGM Act 2003 by making it illegal to take a girl abroad for ‘cutting’, as FGM is often referred to colloquially. Indeed, new guidelines for prosecuting the perpetrators of FGM were published only this autumn.

As well as having the right legislation, the UK has a solid child protection framework in place which, on the whole, does a good job of protecting vulnerable children from other forms of abuse. The Government have recently published fresh multi-agency guidelines to aid professionals —for example, teachers, social workers and health workers—to identify children at risk and what steps must be taken to assist them. Despite that, all the anecdotal and medical evidence suggests that FGM is a growing, not a diminishing, problem here. FGM remains under-reported. Recent feedback from a focus group with young women who had been affected suggested that not all professionals who deal with at-risk girls are clear about what they should do.

Reference was also made to the Crown Prosecution Service (CPS) which is in the process of collecting data on the FGM cases considered for charge. Everyone campaigning on this issue recognises the deterrent impact that just one successful prosecution would have. It remains a source of astonishment that there has not been one prosecution in the UK in the past 25 years, even though, throughout that time, a growing number of African and other European countries have secured convictions.

Lynne Featherstone MP, Minister for Equalities, responded on behalf of the Government and made reference to investigating the feasibility of introducing health passports for at-risk girls as in Holland. Reference was also made to the Government recognising the need for a joined-up approach, co-ordinated by several Departments, to tackle FGM.

The Government also remain frustrated by the lack of prosecutions in the 25 years since the practice became a criminal offence. In September the CPS launched FGM legal guidance so 55 that prosecutors can better understand the background of FGM-affected communities and identify evidential challenges, so that they do not work in a vacuum, but understand the issue.

Research suggests that the most likely barrier to prosecution is pressure from the family or wider community, which makes it difficult for girls and women to come forward and notify police about what has happened to them. Victims may be too young, vulnerable or afraid at the time of mutilation to report offences to the police or give evidence in court.

Please find enclosed full text as appendix 215

Sex and Relationship Education, 25 th October 2011 Andrea Leadsom MP introduced a Westminster debate on Sex and Relationship Education urging the Government to ensure that material taught in primary schools is appropriate, not sexually explicit and not exploitative of our young children.

Members raised concerns about examples being cited of inappropriate information or resources being given to very young children. Many comments are made, but where is the evidence that this is a problem in schools? Members should have trust in teachers; the teaching profession is better educated and better resourced than it has ever been and in most UK schools, most of the time, really good work is going on, especially in primaries. Teachers, on the whole, do their best, and use appropriate resources.

Please find enclosed full text as appendix 216

HIV, 29 th November 2011 Pamela Nash MP introduced a Westminster Hall debate on HIV during the week in which World AIDS Day is marked. The HIV virus was discovered 30 years ago, since when it has claimed the lives of more than 30 million people throughout the world, including 20,000 in the UK. Over the past 20 years, there has been remarkable progress in the medication available to people living with HIV, including today’s welcome approval of a drug that will provide triple antiretroviral therapy in a single tablet taken once a day. That does not, however, diminish the fact that there is still no vaccine or cure for HIV, and more efforts must be made to prevent the transmission of the virus.

Reference was made to the House of Lords Committee on HIV and AIDS, led by the vice-chair of the all-party group and former Health Minister, Lord Fowler, which recently published a report on HIV in the UK, the possibility of legalising home-testing kits and new NHS structures for local HIV prevention work, campaigns and testing commissioned by local authorities.

Anne Milton MP, PUSS for Health, responded on behalf of the Government noting that HIV remains a serious global issue that must always be at the top of priorities. Globally, new HIV infections have fallen by 21% since 1997 and new infections have stabilised in many regions, including sub-Saharan Africa, the Caribbean and south and south-east Asia. Nearly 7 million people are on anti-retroviral treatments, which is an increase of more than tenfold in the past five years. However, nearly 8 million people still need treatment and are not receiving it. Thanks to effective treatment, in developed countries such as the UK people who are diagnosed early with HIV can expect to live to a near-normal life expectancy. As the Health Protection Agency says in its annual report, which was published today, in 2010 87% of people who were diagnosed with HIV were accessing treatment services within a month of being diagnosed and 85% were reporting an undetectable viral load within 12 months of starting treatment. That is excellent; it is not the end of the story, but it is a good start. However, the challenges remain at home and overseas. There are 34 million people living with HIV globally. In October, the Government’s response to the report from the HoL Select Committee made it clear that the Government agree with many of the Committee’s recommendations. The Committee’s report will be critical in helping to inform the Department of Health’s sexual health policy framework, which will be published next year. It will be a vital source of information and current evidence. The Department of Health is considering the findings of the final report by the HPA, “Time to test for HIV”, in developing the new sexual health policy framework. That HPA report presented the findings of eight pilot projects that were funded by the Department, which assessed the 56 feasibility and acceptability of routinely offering HIV testing in general practices and some hospital settings. It showed that testing was acceptable to most patients. The Government is funding the Medical Foundation for AIDS and Sexual Health to help it to develop ways of getting GPs and primary care staff to offer HIV tests more routinely. Both the Terrence Higgins Trust and the African Health Policy Network actively promote HIV testing as part of the national HIV prevention programmes.

Please find enclosed full text as appendix 217

Pregnancy Counselling, 12 th December 2011 Gavin Shuker MP introduced a debate calling for women to have a right to independent counselling when considering having an abortion, from a source that has no financial interest in her decision. The debate followed Nadine Dorries MP anti-choice amendment introduced during the Health and Social Care Bill debate.

Anne Milton MP, PUSS for Health, responded on behalf of the Government noting that the Department of Health have been developing and looking at proposals for a consultation on the counselling options in the independent sector and in the NHS for all women considering abortion. The consultation will consider how to develop an offer of counselling that is impartial and supportive and, as part of the process, they will look at who is best placed to offer counselling. Officials have visited several counselling providers to find out more about the services that are offered in terms of the process, the qualifications that their counsellors hold, and what people should expect on booking a counselling appointment. Some organisations are abortion providers, some are services that refer people to abortion providers, and others do not make direct abortion referrals. Officials recently visited a MSI clinic and a BPAS clinic. The aim of the consultation will be to propose ways to strengthen existing counselling options for women where they are good, improve the services where they fall short and set out detailed options to achieve that goal. Reference was made to abortion rates in the UK for all ages which have remained stable, between 2007 and 2010 the abortion rate fell for those aged 24 and under, and the number of abortions overall fell. In 2007 there were just shy of 200,000 abortions, whereas in 2010 there were 189,574, which is a decrease of nearly 10,000 in the space of three years.

Please find enclosed full text as appendix 218

Millennium Development Goals, 10 th January 2012 Gareth Thomas MP introduced a Westminster debate on the MDGs asking what the Government are doing to help galvanise international action to secure a global development agreement for 2015 onwards; what they are doing to engage European Governments, not least through the upcoming EU budget negotiations and their view of the process proposals and goal ideas in circulation at the moment.

Stephen O'Brien MP, PUSS for ID, responded on behalf of the Government. He noted that securing global agreement on a framework that updates the MDGs is a major priority for the coalition Government and the SS for ID. We are now in 2012, and the Government welcome the chance to begin talking more openly about the key leadership role that the UK is playing—and will continue to play—on that agenda. Just as MDGs are at the heart of Government development policy, a successor framework should be central to all that the Government do, which means shaping it to ensure that any future global agreement reflects what is known about achieving results in the fight against global poverty. As one of the leading countries on development issues and with the legitimacy that comes from the coalition Government’s commitment to spend 0.7% of GNI on overseas development from 2013, the UK will play a leading role.

Please find enclosed full text as appendix 219

Midwife and Maternity Services, 17 th January 2012 Henry Smith MP introduced a debate on midwife and maternity services in response to the UK baby boom. Last year, a baby was born every 40 seconds—the highest number in 20 years— 57 and in certain areas of the country maternity units are under considerable pressure and midwives are working harder than ever. England has seen a 22% increase in the number of births, compared to Wales at 17%, Northern Ireland at 15%, and Scotland at 12%. The number of live births in England in 2010—the latest year for which figures are available—was well over two thirds of a million, representing an increase of 22% since 2001. Reference was made to the Royal College of Midwives’ recently published report: “State of Maternity Services”. The report looks at a number of indicators of the pressures on maternity care and the resources available to cope, and for the first time it does so for all four nations of the Union. The report finds that a significant increase in the number of births in each of the UK’s constituent parts and a trend towards older mothers are increasing the pressures on maternity services significantly. The extra workload placed on midwives by more, older women giving birth has been exacerbated by an increased complexity in their workload. The number of births to women aged 40 or over rose by more than 70% between 2001 and 2010—a level not seen since 1948. In England that has led to a substantial deficit in the workforce needed to provide a safe level of care to women and their babies. Furthermore, the existing midwifery workforce in England is ageing. We can therefore anticipate an even greater strain on services over the next 15 years, if the situation is not properly addressed. One region of England actually cut midwife numbers between 2001 and 2010. Between those years, the north-west experienced a 19% increase in the number of live births, but a reduced number of full-time equivalent midwives. Henry Smith MP called for more training of student midwives.

Anne Milton MP, PUSS for Health, responded on behalf of the Government and outlined some of the measures that the Government had taking to improve the quality of care. The Care Quality Commission’s 2010 survey of women’s experiences of maternity services found that 92% of the women surveyed rated their care during pregnancy as excellent, very good or good, 94% rated their care during labour and birth as excellent, very good or good, and 89% rated their care after birth as excellent, very good or good. 6% thought they did not get care that was good enough. That might not seem like a large proportion, but for the women concerned it is all that matters.

The Department of Health funded the “Birthplace in England” study, which was published in November last year. It provided evidence about the expected outcomes for women and their babies at “low risk” of complications. It was the first study of its type in this country, and the findings will be a very important part in shaping maternity services, as well as other linked parts of the NHS, such as ambulance services, so that every part of the system is working together. It is an extremely important body of evidence. In addition, the Government have asked the Centre for Workforce Intelligence to carry out an in-depth study of the nursing and maternity work force to determine whether we have the right skill-mix and professional teams, and whether they are able to deliver what is needed. That will start this year and will inform the future commissioning of training places.

Please find enclosed full text as appendix 220

International Development: India, 26 th January 2012 Malcolm Bruce MP, chair of the DFID Select Committee, introduced a Westminster Hall debate on International Development in India following the recent publication of a report on international development in India. The report concluded that the UK should continue to provide aid to India until 2015. India has seen remarkable economic growth over the last 25 years, but in per capita terms, the average income is still only one twentieth of that in the UK and over 400 million people still live on less than 80 pence per day.

It has been argued that because India is now classed as a middle income country, it can afford to pay for its own programmes to alleviate poverty. The inquiry found, however, that the Government of India invests significant funds in social programmes for health, education and employment and that total aid constitutes less than 0.3% of GNP. The UK’s direct contribution is only 0.03% of GDP. UK ODI to India is small in relation to the Indian economy. DFID rightly focuses on demonstration projects which can be replicated and scaled up. India’s space programme is often cited as an example of the country’s wealth and further justification for cutting UK aid. The DFID Select Committee report acknowledge that India needs a credible 58 defence policy and point out that the country’s space programme also delivers important socio- economic benefits, including mapping weather patterns and the extent of floods, both of which help development. While backing continued aid spending in India, the report makes a number of recommendations that MPs believe will improve results. The Committee is calling for more effort to be focused on the following areas: improved sanitation, tackling malnutrition and challenging social exclusion

Stephen O'Brien MP, PUSS for ID, responded on behalf of the Government and made reference to the importance of supporting emerging powers such in India. Shared history, and political and personal links, all mean that India is important to the UK and the PM’s visit so soon after the election in 2010 reflected the importance attached to the relationship.

Please find enclosed full text as appendix 221

Rio+20 Summit, 28 th February 2012 Joan Walley MP introduced a debate on the Rio+20 Summit on behalf of the Environmental Audit Committee, following its report on the preparations for the Rio+20 Summit.

Population growth and its links to social development, economic progress and environmental protection were noted by several members including Ian Paisley MP who elaborated by saying that “the fact is that those who were the poorest 20 years ago are still the poorest now, and that 20% of the population consume 80% of the world’s resources. Furthermore, 20% of the world’s poorest people do not have a decent standard of living. I hope that that we will see change for the better in Rio”

Caroline Lucas MP said: “we need to recognise that, although technology and efficiency have their parts to play, they are not going to get us there on their own. In a planet with a rising population and rising expectations, to think that efficiency gains and technology alone will get us off the collision course we are on is to be in fantasy land. We need behaviour change as well and more education on population growth—an issue that no one has put on the table yet this evening. Population is a controversial issue but it has to be part of our discussions about a sustainable future. I am talking not about anything coercive, but about education and the provision of family planning for those women who still need and want it in developing countries. I am talking about recognising that the impact of different populations is different in different places. The impact of our fewer numbers in the north is far greater than that of higher numbers in the south, but population still has to be part of the discussion. Social justice also has to be part of the discussion. The aim of meeting the needs of the present without compromising the ability of future generations to meet their needs does not apply only to the rich or those in the global north—it has to apply to every citizen. Under current trends, it looks as though there will be 9 billion people by 2050, and the real challenge we face if we are serious about a green economy is how future populations will be able to consume equally on a per capita basis and still remain within resource constraints. I suggest that that could only be feasible if we in the rich north significantly reduced our consumption patterns and our impact on the planet. We have started to make some policies based on recognising the need for constraint, starting with the Climate Change Act 2008.”

David Burrowes MP said: “...we now have 7 billion people on the planet. In 1992, the world population stood at 5.5 billion, so there has been an increase of 1.5 billion in just 19 years—an increase equivalent to the total global population in 1900. That is the amazing level of growth that is taking place. Those 7 billion people are affected by the global economic crisis, in many cases very much so, but also by the environmental crisis facing this generation and future generations. This Government, and other governments, have an excellent opportunity to make the case that we can tackle these economic and environmental challenges. The dramatically increasing population means that our natural resources cannot cope. There has been an increase of nearly 150% in real-terms commodity prices, and each year 44 million people are driven into poverty by rising food prices, with food and water scarcity causing civil unrest and war...”

59 Zac Goldsmith MP said: “according to the UN, 1 billion people live in urban squalor and more than 1 billion are described as living in conditions in which they are chronically undernourished —that is a UN Food and Agriculture Organisation figure. Between a quarter and a third of the world’s population live in a state of persistent deprivation. Just last week, KPMG produced a brilliant report—I wish I could remember the title—predicting among other things that food prices will rise by up to 90% by 2030. For most people in this country that would not necessarily be a disaster, because if we spend 5% to 10% of our budget on food, even a 100% increase would still allow some wiggle room; but for somebody living in a country where people spend 60% of their income on food, such an increase would be absolutely devastating”

Please find enclosed full text as appendix 222

International Women’s Day, 8 th March 2012 Fiona McTaggart MP introduced the annual IWD debate with this year’s theme being: “Empower Rural Women—End Hunger and Poverty”. She said: “giving power to women is one of the most effective ways of ending poverty, but it must be real economic and political power, because when women get close to power, men too often take it back. Giving power to women ends hunger, because women’s money gets spent on children.”

Numerous Members participated and numerous issues were raised including child benefit, tax credits, working hours, child care and cost, women squeezed out of the labour market, the record numbers of women being jobless, the biggest jump in unemployment being among older women aged 50 to 64—up by 20,000 in the last quarter, forced marriage including child marriage, human rights, UN Women, FGM, domestic violence, women as board members, youth and parliamentary seats held by women which is internationally, 19% and only 16 of the world’s 188 directly elected leaders are female.

Please find enclosed full text as appendix 223

Early Day Motions EDM – Free Emergency Contraception, 1 st April 2011 Frank Field MP 6 signatures

‘That this House welcomes the decision of the Welsh Assembly Government to make the morning-after pill available free from pharmacies across Wales; and calls on the Westminster Government to do likewise for England.’

Please find enclosed list of MPs signing EDM as appendix 224

EDM – Free Emergency Contraception (No 2), 4 th April 2011 Jim Dobbin MP 3 signatures

‘That this House notes the decision of the Welsh Assembly Government to make the morning- after pill available free from pharmacies across Wales; regrets that the Assembly has not taken into account the many international studies showing that widespread use of the morning-after pill does not effect rates of pregnancy or abortion, and instead encourages risky sexual behaviour among the young leading to the increased spread of sexually transmitted infections which are already running at epidemic rates in the UK and are the highest in Western Europe; and calls on the Assembly to keep a close check on the rates of pregnancy, abortion and STIs following the implementation of its scheme.’

Please find enclosed list of MPs signing EDM as appendix 225

EDM - Tea Time for Change Lobby, 13 th June 2011 Anas Sarwar MP 81 signatures

60 ‘That this House applauds the Tea Time for Change mass lobby for international development held on 9 June 2011; congratulates ActionAid, the Catholic Overseas Development Agency (CAFOD), Christian Aid, Oxfam, Save the Children and Tearfund in organising this hugely successful event and strengthening hon. Members-constituent relationships; commends their enduring commitment to fighting poverty and injustice; welcomes the Government's ring-fencing of the international aid budget and its pledge to increase aid spending to 0.7 per cent. of GNI; notes that international development can further be enhanced by pressing multinational companies to make public what they pay to governments in developing countries; further notes that financial transaction taxes have been identified as an innovative way of funding international development; and urges the Government to consider pursuing these measures through UK legislation, in the EU and at the G20 meeting in November 2011.’

Please find enclosed list of MPs signing EDM as appendix 226

EDM – Membership of the Independent Advisory Group on Sexual Health and HIV, 14 th June 2011 Fiona Bruce MP 14 signatures

‘That this House welcomes the appointment of Life UK to the Department of Health's Independent Advisory Group on Sexual Health and HIV; notes it is the first group of any kind not in favour of abortion on demand to be given such a placement; further notes the Department's comment that the appointment was made to provide balance; is concerned however that all of the 10 remaining groups represented support or provide contraceptives, the morning after pill and abortions to underage children without parental knowledge or consent; further notes that 10 groups to one could not reasonably be described as providing a balance; and calls on the Government to ignore opposition to this appointment and to consider increasing the representation from other pro-life groups in order to achieve a real balance of opinion.’

Please find enclosed list of MPs signing EDM as appendix 227

EDM - Violence Against Women and Prevention Through Education, 21 st June 2011 Jo Swinson MP 40 signatures

‘That this House is concerned that a YouGov poll for the End Violence Against Women Coalition (EVAWC) found that close to one in three girls in UK schools experiences unwanted sexual touching and that 71 per cent. of young people regularly witness sexual harassment towards girls in UK schools; believes that schools and other educational institutions have a critical role in changing attitudes towards violence against women and girls and ensuring girls are safe; recognises that every young person should receive information about equal, healthy and respectful relationships at school; and supports EVAWC's calls for the Department for Education to ensure that every school tackles violence against women and girls as a priority.’

Please find enclosed list of MPs signing EDM as appendix 228

EDM – Foetal Alcohol Syndrome, 12 th July 2011 Kelvin Hopkins MP 42 signatures

‘That this House notes with concern research carried out at the Medical Research Council's laboratory of Molecular Biology in Cambridge, which has concluded that alcohol damages DNA and can cause permanent genetic damage to unborn children; is aware that binge drinking by young women is widespread and that Britain also has one of the highest rates of teenage pregnancy in the developed world with such pregnancies often associated with alcohol consumption; believes therefore that many genetically damaged babies are being born in Britain each year, which is tragic for those children and for their families but also a growing problem for wider society; draws specific attention to comments made by Dr Ketan Patel who led the research that shows foetal alcohol syndrome leads to birth defects and learning difficulties; considers that mild exhortations to pregnant women to drink sensibly are wholly inadequate to address the problem; and calls on the Government to bring forward serious and effective measures to counter these behaviours as a matter of urgency and end this ongoing tragedy.’ 61 Please find enclosed list of MPs signing EDM as appendix 229

EDM – Send my Sister to School Campaign, 14 th September 2011 Graeme Morrice MP 35 signatures

‘That this House welcomes the Global Campaign for Education's Send my Sister to School campaign and its objective of holding world leaders to the 2015 deadline for ensuring that all children in the world have access to primary education; notes that the campaign estimates that 67 million children, the majority of whom are girls, are still missing out on school and that if current trends continue there may even be more children out of school by 2015 than there are now; further notes that this would represent a major obstacle to reducing poverty, improving general health, halting the spread of HIV and AIDS and enabling people to play a full part in their communities and nations; commends the local action that thousands of schools across the UK have taken to support the campaign; and urges the Government to work with its counterparts bilaterally and multilaterally to ensure that enough resources are committed to this vital issue to meet the 2015 deadline, including by continuing its support to the Global Partnership for Education and encouraging other donors to increase their contributions at the replenishment to be held in November 2011.’

Please find enclosed list of MPs signing EDM as appendix 230

EDM – Women and the Kenyan Constitution, 15 th September 2011 Harriet Harman MP 28 signatures

‘That this House welcomes the provision in Kenya's new constitution for one third of members of the Kenyan parliament to be women; expresses support for the Kenyan women fighting to ensure this provision is implemented and congratulates them on their work to ensure the inclusion of chapter four which guarantees equality of opportunity for men and women; underlines that only 10 per cent. of MPs in Kenya are women and, ahead of the 2012 elections, further underlines the opportunity this constitutional provision represents; calls on the UK Government to back the demands of the women in Kenya and help them achieve greater political representation; pays tribute to the vital work of UN Women in Kenya; is concerned that women and girls face particular problems including illiteracy, death in childbirth, discrimination and female genital mutilation, which is why it is important to ensure women have greater representation in parliament; and calls on the UK Government to ensure that UK aid contributes to women's empowerment.’

Please find enclosed list of MPs signing EDM as appendix 231

EDM – San Jose Articles of the Status of the Unborn Child, 10 th October 2011 Jim Dobbin MP 16 signatures

‘That this House welcomes the launch of the San Jose Articles on the Status of the Unborn Child in International Treaties and Law; further welcomes the declaration that in international law there is no right to abortion; further notes that the San Jose Articles are the work of leading international human rights lawyers, experts in international law, public health, philosophy, science/medicine, and other fields; notes that the laws of over two-thirds of all UN member states clearly recognises that unborn children deserve protection and that there is no human right to abortion whereas only 56 countries permit abortion for any reason, and only 22 of these are without restriction such as gestational period; regrets the subversive tactics of some UN agencies, non-governmental organisations and wealthier countries in bullying and manipulating nations into changing their laws on abortion by misquoting treaties; further notes these nations include the Irish Republic whose constitution protects the unborn child from conception and can boast of having the lowest maternal mortality rate in the world, eight times lower than the UK; salutes the Government and Opposition for their respect for Northern Ireland in defending their own law against abortion; and further calls on the Government to withhold support from UN officials and others who misquote treaties and international law to manipulate poorer countries and to require respect for the sovereignty of member nations on determining the law on abortion.’

Please find enclosed list of MPs signing EDM as appendix 232 62

EDM – Mumsnet Miscarriage Campaign, 11 th October 2011 Valerie Vaz MP 55 signatures

‘That this House welcomes the Mumsnet miscarriage campaign to improve the support, treatment and care women and their families receive during and after miscarriage; notes that one in four women will miscarry; calls on the Government, hon. Members and local healthcare providers to campaign for and prioritise supportive staff; and further calls for improved access to scanning, safe and appropriate places for treatment, good provision of information, effective treatment and joined-up care.’

Please find enclosed list of MPs signing EDM as appendix 233

EDM – FGM and the Working in Partnership Conference September 2011, 11 th October 2011 Valerie Vaz MP 38 signatures

‘That this House notes that an estimated 80,000 women and girls in the UK are at risk of FGM, 24,000 of whom are girls under the age of 15 years; further notes that these procedures have no health benefits and are recognised internationally as a violation of human rights; acknowledges FGM as an important public interest issue, as it physically and mentally damages young women; further acknowledges there can be serious complications with pregnancy and childbirth if a woman has undergone FGM; welcomes the work of the FGM National Clinical Group which organised the Working in Partnership conference in Birmingham on 21 September 2011; commends its encouragement of healthcare professionals (including midwives, obstetricians, nurses, and public health professionals), community workers, policy makers, police and others to work together to identify women and girls who are at risk, to support those who have already suffered and to prevent the practice of FGM; further welcomes the new legal guidance issued by the CPS; looks forward to an increase from zero of the number of prosecutions brought for offences relating to FGM; and calls for politicians, professionals and communities to work in partnership to bring an end to the practice of FGM.’

Please find enclosed list of MPs signing EDM as appendix 234

EDM – UN Report of Maternal Mortality and Human Rights, 12 th October 2011 Fiona Bruce MP 17 signatures

‘That this House notes with profound concern the recent report of the UN High Commissioner for Human Rights, Navi Pillay, on maternal mortality and human rights (A/HRC/18/27) in which she presses for the ending of all restrictions on access to abortion in every member state of the United Nations, including the removal of the requirement for any form of third party consent, by implication including that of a doctor; condemns this misuse of a once respected international organisation to promote unrestricted abortion globally; is distressed by this missed opportunity to put the real health interests of women on the international agenda; is appalled that the High Commissioner failed to highlight the forced abortion and compulsory sterilisation which women face in China, or to mention the estimated 100 million baby girls which The Economist reports have already been aborted in China and India because they are female; and calls on the Government to intervene urgently to prevent such abuse of office and of British taxpayers' money to pursue an expansionist abortion agenda which undermines the principle of the fundamental right of life, fails properly to condemn forced abortion and sterilisation and demeans women by failing to condemn the aborting of girl babies simply on the grounds of their gender.’

Please find enclosed list of MPs signing EDM as appendix 235

EDM – UN and Evidence of Deaths Due to Back-Street Abortion, 12 th October 2011 Fiona Bruce MP 9 signatures

63 ‘That this House regrets the abuse of UN funds in publishing the badly researched report of Navi Pillay, UN High Commissioner for Human Rights, demanding the end of all restrictions on access to abortion; notes that it misquotes international documents on human rights in one of its justifications, and highlights the spectre of back-street abortion deaths as the second; further notes that her document is aimed at forcing states with restrictive abortion laws to change, despite the fact that some provide first-hand evidence demonstrating the truth of statements from the late Dr Bernard Nathanson, who originally led the US abortion lobby and later told how they lied about back-street abortions (world-wide) to frighten politicians into legalising the practice; further notes that figures for Poland from the Council of Europe show that after the abortion law was tightened, maternal deaths dropped from 36 in 1994 to 23 in 2003 showing no increase in back-street operations; further notes that Chile shared this experience and that after tightening its law, maternal mortality dropped to its lowest in South America with the result that other countries in the region may follow its example; further notes that Ireland, which UN figures show has one of the lowest maternal mortality rates worldwide at one per 100,000, has also the most restrictive abortion law which provides the unborn child with complete protection compared to eight per 100,000 in the UK, which has extremely lax legislation; and calls on the Government to remonstrate with the UN for producing a document so lacking in scholarship.’

Please find enclosed list of MPs signing EDM as appendix 236

EDM – Midwifery in the NHS, 22 nd November 2011 Dan Rogerson MP 92 signatures

‘That this House pays tribute to the work of midwives in ensuring women have a safe and secure childbirth; recognises the pressures facing all those who work in maternity units, particularly in the context of a sharply rising birth rate; supports the right of women to choose where they give birth; and calls on NHS trusts to ensure there are adequate midwife numbers in their hospitals.’

Please find enclosed list of MPs signing EDM as appendix 237

EDM – World AIDS Day, 15 th November 2011 Dr Julian Huppert MP 54 signatures

‘That this House notes, 30 years on from the first officially reported cases of HIV, the importance of World Aids Day 2011 on 1 December; welcomes the significant treatment advances which mean that many people with HIV are now living long and active lives; further notes that despite this medical progress, attitudes to HIV have not moved on to the same extent, with one in three people living with HIV in the UK reporting discrimination related to their HIV status; welcomes the Government's recognition of the damaging effect of stigma; further notes that the Government has provided much needed and welcome support to tackle stigma relating to mental health; and calls on the Government to take similar action to address HIV-related stigma, developing an explicit and strategic plan to reduce HIV-related stigma as an integral part of our national response to the epidemic.’

Please find enclosed list of MPs signing EDM as appendix 238

EDM – Mental Health Outcomes of Induced Abortion, 14 th December 2011 Dr Julian Huppert MP 12 signatures

‘That this House welcomes the recent publication of the systematic review of the mental health outcomes of induced abortion by the Academy of Medical Royal Colleges and National Collaborating Centre for Mental Health; notes that the review concludes that the rates of mental health problems for women with an unwanted pregnancy were the same whether they had an abortion or gave birth; further notes that all women have the right to non-judgemental and evidence-based information on pregnancy choices; and believes that all organisations who offer advice, information or counselling to women with an unplanned pregnancy should base their information on current, evidence-based guidance produced by a professional clinical body such as the Academy of Medical Royal Colleges and National Collaborating Centre for Mental Health review, or the RCOG clinical guidance on The Care of Women Requesting Induced Abortion.’ 64 Please find enclosed list of MPs signing EDM as appendix 239

EDM – Preventing Babies’ Deaths: What Needs to be Done Report, 16 th January 2012 Virendra Sharma MP 50 signatures

‘That this House congratulates Sands, the stillbirth and neonatal death charity, on the publication of its new report, Preventing Babies' Deaths: what needs to be done; notes that 17 babies are stillborn or die before they are one month old every day in the UK and that the number of stillbirths has not changed in more than a decade; acknowledges that many hundreds of babies' deaths could be avoided; and calls on the Government to tackle the issues outlined in the report relating to public health, research, data collection, resourcing, reviewing deaths and bereavement care to help prevent all avoidable baby deaths in the future.’

Please find enclosed list of MPs signing EDM as appendix 240

EDM – International Women’s Day, 25 th January 2012 Caroline Lucas MP 34 signatures

‘That this House supports IWD on 8 March 2012; celebrates the political, social and economic advancement of women while recognising the urgent need for further movement; applauds the work of millions of people across the world in raising the issues facing women; commends the PCS campaign `speaking out, not cut out', encouraging women and men to raise their voices against attacks on jobs, pensions and pay; highlights the impact of service and benefit cuts that will take women's equality in the UK back by generations; and encourages hon. Members to raise their voices and speak out in Parliament for IWD.’

Please find enclosed list of MPs signing EDM as appendix 241

EDM – International Women’s Day (No 2), 1 st March 2012 Anne McIntosh MP 34 signatures

‘That this House recognises on IWD the achievements of women throughout the world in parliaments and politics; welcomes the increasing numbers of women parliamentarians and politicians; notes, however, with concern the continuing under-representation of women in the majority of legislatures; and commends the work of the Commonwealth Parliamentary Association UK Branch with Commonwealth and non-Commonwealth parliaments to empower women parliamentarians to represent effectively women's interests.’

Please find enclosed list of MPs signing EDM as appendix 242

EDM - Gender Abortion, 7 th March 2012 Jim Dobbin MP 29 signatures

‘That this House is seriously concerned over claims that some doctors have agreed to facilitate abortions on the grounds of the gender of unborn babies and were willing to falsify abortion notification forms to hide that fact; welcomes the recent reaction of the SoS for Health that such actions are illegal and immoral and that an investigation is being launched; and urges the SoS to ensure that the investigation encompasses the records of all abortion clinics, whether NHS or private, and gives a clear statement that such practices cannot be allowed to occur in a civilised society.’

Please find enclosed list of MPs signing EDM as appendix 243

EDM – Infanticide, 7 th March 2012 Jim Dobbin MP 19 signatures

65 ‘That this House unequivocally condemns the article by Alberto Giubilini and Francesca Minerva in the Journal of Medical Ethics, co-owned by the British Medical Journal Group and the Institute of Medical Ethics, which argues that the killing of newborn babies should be permissible in all cases where abortion is, and that both foetuses and newborn babies do not have the same moral status as actual persons and do not have a moral right to life; absolutely opposes any argument that suggests that infanticide could be permissible in law on any grounds and is alarmed that a process which encourages eugenics is now possible; and demands that the Government issues a statement rejecting infanticide for any reason including disability.’

Please find enclosed list of MPs signing EDM as appendix 244

Oral Parliamentary Questions Stem Cell Research, 4 th May 2011 Jack Straw MP at PM’s Question Time asked the PM whether he shared his anxiety about the recommendation of the advocate-general to the European Court of Justice (ECJ) for a Europe- wide ban on the patenting of stem cell research based on human embryos. And whether he agreed that were such a ban to be confirmed by the ECJ, it would have profoundly damaging effects on the UK science base and pharmaceutical industries. And whether he would say what contingency plans the Government are putting in place to minimise the effect of any such ban. The PM stated that both Houses had had extensive debates to arrive at the policy that the UK has and that it is right to try to maintain the UK as a world leader in stem cell research. Under European law, uses of human embryos for industrial or commercial purposes are exempted from patent protection. The legal opinion of the advocate-general at the ECJ on the scope of this exemption is advisory and does not bind the Court. As such, the opinion currently has no impact on British researchers, but the country should keep this position under review.

Please find enclosed Hansard extract as appendix 245

Violence Against Women and Girls, 9 th May 2011 Andrew Leadsom MP asked the PUSS for the Home Department what progress has been made on the Government’s action plan for ending violence against women and girls; and if she would make a statement.

Lynne Featherstone MP, PUSS for the Home Department stated that the action plan on tackling violence against women and girls was published on 8 March this year, and the Government have already delivered in several areas. It has provided more than £28 million of stable Home Office funding until 2015 for local specialist services, £900,000 of which has been made available until 2015 to support national help lines, and implemented legislation on multi-agency domestic homicide reviews after every domestic murder.

Please find enclosed Hansard extract as appendix 246

Overseas Aid, 19 th May 2011 Hilary Benn MP at Business Questions asked the Leader of the House if he would tell him when the Bill will be introduced to enshrine the commitment to give 0.7% of our national wealth in aid to those living in poverty, and will he explain why the PM has clearly failed to persuade his Defence Secretary that that is the right policy? Is it a sign of what the Tories really think about development? And will the Leader of the House also join him in condemning the remarks of the former head of the armed forces, Lord Guthrie, who was reported yesterday as calling for aid spending to be switched to defence, adding: “We have not got time to muck about”.

Sir George Young stated that the Government is committed to legislating on the 0.7%— something that the right hon. Gentleman’s Government never did. The new Government is the first Government in history—and, indeed in the G20—to set out clear, specific plans for achieving that 0.7% from 2013, and that commitment will be enshrined in law. That was the commitment they made and propose to keep it.

Please find enclosed Hansard extract as appendix 247

66 HIV/AIDS (Lesotho), 8 th June 2011 Mark Tami MP asked the PUSS for ID what steps he plans to take to reduce levels of HIV/AIDS in Lesotho.

Stephen O'Brien MP stated that the DFID Lesotho programme has helped to reduce the prevalence of HIV in garment factories from 37% to 27%, and they will continue to assist 40,000 factory workers. They also provide support to HIV programmes in Lesotho through UK contributions to the EU, the World Bank and the Global Fund.

Please find enclosed Hansard extract as appendix 248

UN Women, 8 th June 2011 Sheila Gilmore MP asked the SS for ID by what means he proposes to determine the level of funding his Department will allocate to UN Women.

Andrew Mitchell MP stated that DFID recently reviewed the value for money of British taxpayers’ funding to all multilateral agencies through the multilateral aid review. They will apply the same broad criteria to UN Women’s strategic plan by assessing its organisational strengths and the relevance to UK aid objectives. This approach will help to determine the level of core funding for the agency.

Please find enclosed Hansard extract as appendix 249

IVF Treatment, 8 th June 2011 Gareth Johnson MP at PM’s Question Time asked him whether he was aware that one in seven couples in the UK suffer from infertility problems, but, notwithstanding that fact, three quarters of primary care trusts do not provide the recommended three cycles of in-vitro fertilisation (IVF) treatment and will he join him in calling on all Primary Care Trusts (PCTs) to follow the NICE guidelines and provide sufficient treatment for infertile couples?

David Cameron MP and PM stated that he would certainly do that and the deputy chief executive of the NHS is writing to all primary care trusts reminding them of the NICE guidance and its recommendations. Some PCTs have worse deficits than others and have a more difficult process to follow, but he wants to ensure that everyone has access to this treatment.

Please find enclosed Hansard extract as appendix 250

HIV/AIDS, 8 th June 2011 Mark Pawsey MP asked the PUSS for ID what his policy is on tackling HIV/AIDS in developing countries.

Stephen O’Brien MP stated that the Government’s policy on HIV in developing countries is set out in “Towards zero infections: The UK’s position paper on HIV in the developing world”, published on 31 May.

Please find enclosed Hansard extract as appendix 251

Overseas Aid, 15 th June 2011 Mark Pritchard MP said at PM’s Question Time that when PM’s questions finishes, 450 children will have died from preventable disease and famine. Is it not the case that increasing Britain’s aid budget is very much the right thing to do, and will save millions of lives across the world?

The PM stated that he welcomed the support for the policy of increasing UK aid budget and meeting the target of 0.7% of GNI. There are good reasons for doing this. First, the UK Government are keeping a promise to the poorest people of the poorest countries of the world, and saving lives. Yes, of course things are difficult at home, but the UK should keep that promise even in the midst of difficulties. Secondly, the Government is making sure that the aid budget is spent very specifically on things like vaccinations for children that will save lives, so

67 the money that were announced this week will mean a child vaccinated every two seconds and a life saved every two minutes.

Please find enclosed Hansard extract as appendix 252

Female Genital Mutilation, 5 th July 2011 Kerry McCarthy MP asked the Solicitor-General what steps the CPS is taking to bring prosecutions under the provisions of the FGM Act 2003 and if he would make a statement.

The Solicitor-General stated that the CPS is due to publish new legal guidance on female genital mutilation—FGM—later this summer as part of its commitment to the cross-Government strategy on the prevention of violence against women and girls. He said, ‘I know that the hon. Lady has done a good deal to draw attention to the issue of FGM in Bristol, not least through her work with the Bristol safeguarding children board, which has raised awareness of FGM among midwives and other health professionals, the police and social workers.’

Please find enclosed Hansard extract as appendix 253

Personal, Social, Health and Economic Education, 11th July 2011 Jo Swinson MP asked the Minister of State, Department of Education when he plans to launch the internal review of personal, social, health and economic education (PSHEE) announced in the teaching White Paper.

Nick Gibb MP stated that he will announce details of the internal review of personal, social, health and economic education shortly. The Government is taking time to ensure that the review, when it starts, can identify what schools need to do to improve PSHEE while allowing teachers the flexibility to use their judgment on how best to deliver it.

Please find enclosed Hansard extract as appendix 254

ODA, 13 th July 2011 Stephen Pound MP asked the SS for ID what timetable he has set for the introduction of legislation to provide that 0.7% of GNI is spent on ODA.

Andrew Mitchell MP, SS for ID stated that the coalition Government have set out in the comprehensive spending review how they will meet the commitment to spend 0.7% of GNI as ODA from 2013. The Government has made it clear that they will enshrine that commitment in law as soon as the parliamentary timetable allows.

Please find enclosed Hansard extract as appendix 255

FGM, 15 th September 2011 Jane Ellison MP asked the Minister for Equalities what assessment she had made of the likelihood that new guidelines on prosecution of cases of FGM will increase the prospects of securing a conviction.

Lynne Featherstone MP stated that the Government are committed to eradicating FGM. The CPS’s legal guidance, which was launched last week, is an important step in preventing this horrendous practice. The Government hope that it will raise awareness of the issue and help prosecutors bring perpetrators to justice.

Please find enclosed Hansard extract as appendix 256

FGM, 11 th October Jane Ellison MP asked the Attorney-General what representations he has received on the updated guidelines issued to prosecutors by the CPS on the offence of FGM.

The Attorney-General stated that he had received no representations regarding the new legal guidance on FGM published by the CPS on 7 September 2011.

68 Please find enclosed Hansard extract as appendix 257

World Population, 26 th October 2011 Richard Ottaway MP asked the SS for ID what steps his Department is taking to meet the consequences for developing countries of a growing world population.

Andrew Mitchell MP, SS for ID stated that Britain is extending to at least 10 million more couples the availability of contraception, so that women can choose whether and when they have children. The Government are also boosting programmes in health and education with a particular focus on girls and women.

Please find enclosed Hansard extract as appendix 258

International Development Outcomes, 26 th October 2011 Nick de Bois MP asked the SS for ID what assessment he had made of the international development outcomes of the UN General Assembly and if he would make a statement.

Andrew Mitchell MP, SS for ID, stated that the focus at the UN Nations General Assembly was threefold: maintaining momentum on the girls and women agenda; driving forward the lessons of the Government’s humanitarian and emergency response review and ensuring that people focus on achieving the MDGs by 2015. Progress is being made in each area.

Please find enclosed Hansard extract as appendix 259

Forced Marriages and Honour Killings, 10 th November 2011 Douglas Carswell MP asked the Minister for Equalities (MfE) what her policy is on reducing (a) forced marriages and (b) honour killings and if she would make a statement.

Lynne Featherstone MP, MfE, stated that the Government are committed to ending the abusive practices of forced marriage and honour killings and to ensuring that victims are protected. These practices are indefensible and never acceptable, she said. The Government’s action plan to end violence against women and girls sets out its approach, which includes raising awareness, development of training for police and prosecutors, support for victims and improving the international response.

Please find enclosed Hansard extract as appendix 260

Global Health Fund, 7 th December 2011 Julie Hilling MP asked the SS for ID what recent assessment he had made of the work of the global fund on HIV/AIDS, tuberculosis and malaria in developing countries.

Andrew Mitchell MP, SS for ID, stated that the multilateral aid review assessed the global fund as providing very good value for money, but also concluded that it could do more to maximise its potential and impact in developing countries.

Please find enclosed Hansard extract as appendix 261

Group B Streptococcus, 10 th January 2012 Philip Hollobone MP asked the PUSS for Health if she will consider proposals to introduce a national screening programme to detect group B streptococcus in pregnant women.

Anne Milton MP, PUSS for Health stated that the UK National Screening Committee is reviewing the evidence for screening for group B streptococcus carriage in pregnant women, and that the committee will review the international literature and a public consultation on the results will open in spring 2012.

Please find enclosed Hansard extract as appendix 262

69 FGM, 23 rd February 2012 Jane Ellison MP asked the MfE what steps the Government are taking to identify and safeguard girls at risk of being taken out of the UK to undergo FGM.

Lynne Featherstone MP, MfE, stated that the Government’s approach to ending FGM is set out in their “Call to End Violence Against Women and Girls”. The Government have published guidance for all front-line professions, are raising awareness among children and are supporting front-line practitioners.

Please find enclosed Hansard extract as appendix 263

Sex and Relationship Education, 27 th February 2012 John Glen MP asked the PUSS for Education when he plans to publish a report of his review of sex and relationship education.

Tim Loughton MP, PUSS for Education stated that the Government are considering sex and relationship education as part of its review of PSHEE. They are currently analysing consultation responses received online and from stakeholder engagement meetings and the evidence from national and international research. The Government intend to announce proposals for public consultation on these findings in the summer term.

Please find enclosed Hansard extract as appendix 264

UN Commission on the Status of Women, 28 th February 2012 Diana Johnson MP asked the PUSS for Foreign and Commonwealth Affairs what his priorities are for the 56th session of the UN Commission on the Status of Women.

Henry Bellingham MP, PUSS for Foreign and Commonwealth Affairs, stated that the MfE is currently in New York attending the commission. She will be pressing for more progress on meeting the MDGs, tackling violence and discrimination against women and challenging the way women are represented by the global media.

Please find enclosed Hansard extract as appendix 265

Women’s Rights, 14 th March 2012 Lyn Brown MP asked the Minister for State (MfS), DFID what proportion of his Department’s budget support was spent on projects promoting women’s rights and empowerment in the last year for which figures are available.

Alan Duncan MP, MfS stated that in DFID, they put girls and women at the heart of everything they do. DFID’s Strategic Vision for Girls and Women, launched last March, sets out four priority areas for greater action in all its 28 country programmes. It is not, however, possible to calculate the precise proportion of the budget that is spent on that.

Please find enclosed Hansard extract as appendix 266

Development Assistance, 14 th March 2012 Sheila Gilmore MP asked the SS for ID what recent progress he has made in bringing forward legislative proposals to set ODA at 0.7% of GNI.

Andrew Mitchell MP, SS for ID, stated that the coalition Government have set out how they will stand by the UK’s promise to invest 0.7% of GNI as aid from 2013. The Bill is ready and they will legislate when parliamentary time allows.

Please find enclosed Hansard extract as appendix 267

70 Written Parliamentary Questions Group members tabled a wide variety of SRHR/FP/Population written PQs this year on the following subjects, which are all available on the Group’s website:

• Abortion • Afghanistan: Females • Afghanistan: Health Services • Afghanistan: Overseas Aid • AIDS, TB and Malaria • Armed Conflict: Sexual Offences • Bangladesh • Breastfeeding • Cervical Cancer: Screening • Chlamydia: Testing • Conflict prevention • Contraception • Developing Countries: Disease Control • Developing Countries: Family Planning • Developing Countries: FGM • Developing Countries: Health Services • Developing Countries: HIV infection • Developing Countries: Marriage • Developing Countries: Maternity Services • Developing Countries: Poverty • Developing Countries: Population • Development Policy • Ethiopia: Health Services • EU Aid and International Development • Global Fund to Fight AIDS, Tuberculosis and Malaria • HIV Infection • Infant Mortality • Liberia: Health Services • LIFE • Sex: Health Education • Sex: Health Services • Sexual Health Services • Sierra Leone: Health Services • STIs: Vaccination • Streptococcus: Pregnant Women • ODA • Overseas Aid: Children • World Population Day

Other MPs tabled written PQs on:

• Abortion • Abortion: Advisory Services • Abortion: Counselling • Abortion: Israel • Abortion: Northern Ireland • Abortion: Research • Abortion: Young People • Advertising and Abortion • Bilateral Aid • Breastfeeding • Central America: HIV Infections 71 • Cervical Cancer: Screening • Childbirth • Childbirth: Neonatal Mortality • China: Family Planning • Contraceptives • Democratic Republic of Congo: Arms Control • Democratic Republic of Congo: Females • Democratic Republic of Congo: Overseas Aid • Developing Countries: Abortion • Developing Countries: Family Planning • Developing Countries: Health Services • Developing Countries: HIV Infection • Developing Countries: Infant Mortality • Developing Countries: Nutrition • Developing Countries: Syphilis • Endometriosis • Equatorial Guinea: Overseas Aid • EU Aid: Family Planning • Family Planning • Fertility: Health Services • Fertility: Medical Treatments • FGM • Foetal Alcohol Syndrome • Forced Marriages and Honour Killings • Forced Marriage Unit: Finance • Forced Marriage Unit: Manpower • Genito-urinary Medicine • Genito-urinary Medicine: Young People • Global Fund to Fight AIDS, Tuberculosis and Malaria • Gynaecology: Medical Treatment • International Assistance: MDGs • Health Education: Sex • HIV • HIV Infection • HIV Infection: Christianity • HIV Infection: EU Action • HIV Infection: Screening • Horn of Africa: Sexual Offences • Human Papilloma Virus: Vaccination • India: Overseas Aid • Infant Mortality: Research • International Women’s Day • IVF • Malawi: Overseas Aid • Maternity Services • Maternity Services: Finance • Maternity Services: Nurses • Midwives • Midwives: Manpower • Midwives: Training • Mutilation: Prosecutions • ODA • Overseas Aid • Papua: Health • Parenting Classes

72 • Perinatal Mortality • Personal, Social, Health and Economic Education • Personal, Social, Health and Economic Education: Healthy Relationships • Polygamy • Population • Population: Sustainable Development • Pregnancy and Counselling • Pregnancy: Death • Pregnancy: Obesity • Russia: Homosexuality • Sex: Health Education • Sexual Health Services • Sierra Leone: Education • Somaliland: Overseas Aid • STI • Streptococcus: Babies • Streptococcal Infections • Streptococcus: Screening • Teenage Pregnancy • Uganda: Homosexuality • Unwanted Pregnancy

House of Lords (HoL)

Oral Ministerial Statement Abortion, 24 th November 2011 Earl Howe, PUSS DoH, made a statement on abortion in response to detailed inquiries about the information provided in answer to previous PQs on the cost of providing abortions in the NHS in England. The Department concluded that it should change the methodology it uses to produce estimates of the costs of abortions as there are discrepancies between the activity figures for abortion returned to the CMO and the data submitted as part of the reference cost collection, which is the Department's wider collection of NHS cost and activity data. As a result of this, and the lack of detailed information about the price NHS organisations pay to independent sector providers for the provision of abortion, the Government will, in future, estimate the costs to the NHS of providing abortion using the activity figures provided to the CMO and an average of the national tariff paid within the NHS for procedures including abortion. This is likely to overestimate total costs as contracts with independent sector providers are generally at a lower price than the national tariff.

Please find enclosed HoL Hansard as appendix 268

DFID: Departmental Expenditure Limit, 8 th February 2012 Baroness Northover made a statement on Departmental Expenditure announcing that, subject to parliamentary approval, DFID expenditure limit (DEL) will be reduced by £13.0 million from £7,880.3 million to £7,867.3 million.

Please find enclosed HoL Hansard as appendix 269

UN: Rio+20, 9 th February 2012 Lord Taylor of Holbeach, PUSS DEFRA, repeated the SS for DEFRA’s statement on UN - Rio+20, updating the House on preparations for the UN conference on Sustainable Development, which will be held in Rio de Janeiro, Brazil, on 20-22 June this year. It follows directly on from the G20 summit in Los Cabos. He announced that Rio+20 has two major themes: the green economy in the context of sustainable development and poverty eradication and the institutional framework for sustainable development. The UK will call for a clear political declaration that we need green growth; that development, the environment, and the economy are inextricably linked and that we need to consider all three together for our future prosperity; sustainable development goals (SDGs) to drive international action and increase co-operation in 73 key sectors such as agriculture, water and energy. SDGs should not and cannot distract attention away from achieving the MDGs by 2015. The UK remains firmly committed to delivering these goals.

Please find enclosed HoL Hansard as appendix 270

Equality: Civil Marriage, 15 th March 2012 Baroness Verma made a statement on Equality: Civil Marriage announcing that the Government are today launching a consultation on how to introduce equal civil marriage. During a listening exercise conducted in 2010 on allowing civil partnerships to take place on religious premises, they heard representations from many who sought equal access to marriage for same-sex couples. It was argued by some that having two separate provisions for same-sex and opposite- sex couples perpetuate misconceptions and discrimination. The Government recognise that the personal commitment made by same-sex couples when they enter into a civil partnership is no different to the commitment made by opposite-sex couples when they enter into a marriage. The UK Government do not think that the ban on same-sex couples getting married should continue.

Please find enclosed HoL Hansard as appendix 271

Abortion Act 1967, 26 th March 2012 Earl Howe, PUSS, Department of Health, made a statement on the Abortion Act 1967 announcing that there have recently been a number of serious allegations involving potential breaches of the Abortion Act 1967. The Metropolitan Police, Greater Manchester Police and the West Midlands Police, the Care Quality Commission (CQC), the General Medical Council (GMC) and the Nursing and Midwifery Council (NMC) are investigating the allegations into sex selection at a number of abortion services. The Chief Medical Officer has written to all abortion providers reminding them of their duties under the Abortion Act. The GMC interim orders panel has suspended or placed restrictions on the three doctors named in the press reports. Decisions on the registration and approval of the clinics are awaiting the investigations by the CQC and Department of Health officials into compliance with the Act and registration requirements.

Please find enclosed HoL Hansard as appendix 272

Written Ministerial Statements HIV/AIDS, 27 th October 2011 Earl Howe, PUSS DoH, laid before Parliament the Government's response to the HoL Select Committee's report: ‘No vaccine, no cure: HIV and AIDS in the UK’. The Department of Health took part in the inquiry and the Government are grateful for the Committee's report and agree with many of its recommendations. Twenty-five years have passed since the Government's first response to HIV and AIDS. At that time there was no effective treatment and an HIV diagnosis was seen as a life-limiting condition resulting in death. Today the availability of highly effective treatment has transformed the outlook for people with HIV. As the report makes clear, the Government needs to reduce undiagnosed HIV so people can benefit from effective treatment and to prevent HIV transmission. The Government's modernisation of the NHS and priority for public health provides a good opportunity to improve outcomes for HIV and improve prevention. The House of Lords ad hoc committee's report will also help inform the Department of Health's new sexual health policy framework planned for 2012.

Please find enclosed HoL Hansard as appendix 273

Legislation Public Bodies Bill (HoL) – 3rd Reading (amendment 7 on HFEA and HTA), 9 th May 2011 Baroness Deech moved an amendment to the Public Bodies Bill calling for the HFEA and the HTA to remain untouched until a new research regulatory body is in place with its own statute ready to receive those functions, and that in the mean time there should be a wholly independent external review of the HFEA.

Please find enclose Hansard extract with full amendment as appendix 274

74 Debates UN: International Year of the Youth, 4 th April 2011 Baroness Morris of Bolton initiated a short debate asking Her Majesty's Government what steps they were taking in the UN’s International Year of Youth to support young people in the challenges they face, especially in developing countries.

Please find enclosed Hansard extract as appendix 275

Poverty in the Developing World, 28 th April 2011 Lord McConnel of Glenscorrodale initiated a debate calling attention to those living in extreme poverty in the developing world. Various peers made reference to the importance of DFID supporting FP and maternal and reproductive health services, including Lord Chidgey.

Baroness Hussein-Ece welcomed the UK Government's announcement at the UN summit that they intend to refocus their aid programme to put the lives of women in developing countries at its heart as investing in girls and women.

Baroness Flather congratulated the Government on its support for women-FP, education for women and girls all matter as things that help women and noted that providing FP and financial resources is the way forward.

Baroness Verma reiterated the Government’s commitment to putting girls and women at the front and centre of international development and reference was made to DFID’s new Strategic Vision for Girls and Women, committing DFID by 2015 to save the lives of at least 50,000 women in pregnancy and childbirth and 250,000 newborn babies, allowing at least 10 million women to access modern methods of FP, supporting over 9 million children in primary education, of which at least half will be girls, and 700,000 girls in secondary education, helping 2.3 million women to access jobs and 18 million women to access financial services and working in at least 15 countries to prevent violence against girls and women.

Please find enclosed Hansard extract as appendix 276

FGM, 30 th June 2011 Baroness Rendell of Babergh initiated a debate asking Her Majesty's Government what steps they are taking to increase public awareness of FGM in the UK and to bring prosecutions under the FGM Act 2003.

Please find enclosed Hansard extract as appendix 277

Commonwealth Parliamentary Association, 8 th September 2011 Baroness Hooper initiated a debate calling attention to the "Century of Excellence" of the CPA and to the continuing role of the Commonwealth. She noted that the Commonwealth comprise one-third of the world's population, represent all of the world's major faiths and religions and collectively represent 20 per cent of world trade.

Lord Sheikh noted that the Commonwealth's 2 billion inhabitants account for approximately 30 per cent of the world's population.

Lord Alton, a strong pro-lifer and anti-choice supporter, noted the daunting tasks that many governments have due to population growth. He made reference to the fact that half of South Sudan's population is below 18 years of age; 72 per cent are below the age of 30; 83 per cent are rural; only 27 per cent of the adult population are literate; 51 per cent live below the poverty line; 78 per cent of households depend on crop farming or animal husbandry as their primary source of livelihood; 80 per cent of the population have no access to toilet facilities; infant mortality is 102 per 1,000 births; under-five mortality rates are 135 per 1,000 births; the maternal mortality rate is 2054 per 100,000 live births; just 17 per cent of children are fully immunised; 38 per cent of the population have to walk for more than 30 minutes one way to collect drinking water; 50 per cent use firewood or grass as the primary source of lighting; 27 per cent have no

75 lighting; 96 per cent use firewood or charcoal as their primary fuel for cooking and a mere 1 per cent of households in Southern Sudan have a bank account.

Baroness Flather made reference to population growth, climate change and food security and spoke in favour of women’s equality and SRHR choices.

Lord Gardiner of Kimble also made reference to population and food security.

Please find enclosed Hansard extract as appendix 278

HIV and AIDS in the UK, 1 st December 2011 Lord Fowler initiated a debate in connection with World AIDS Day taking note of the report of the Select Committee on HIV and AIDS in the UK (HL Paper 188). He noted that it was 25 years almost to the week that there had been the first debate on HIV and AIDS in Parliament. Reference was made to the fact that on this day almost 100,000 people in this country are living with HIV, the number of HIV patients has trebled in the past 10 years, a quarter of those with HIV do not know that they are infected and continue to spread the disease and although drugs are available to prolong life there is still no cure and no vaccine.

Viscount Craigavon confirmed the good news on Tuesday from Stephen O'Brien MP, PUSS for ID, at the FP conference in Senegal, where DFID had committed £35 million of new money for contraception. This will help save thousands of women's lives. Reference was made to family planning being a smart, simple and extremely cost effective investment of aid and that an estimated 215 million women who want to avoid or delay pregnancy have no access to any effective methods. Reference was also made to the latest MMR dropping from 500,000 to 360,000 and the Guttmacher Institute’s study showing that 30 per cent of maternal deaths can be reduced by the provision of good family planning. Reference was also made to population and water and food security as well as China. The Group was referenced in connection with its vice-chair Richard Ottaway’s highly readable and attractive publication, called ‘Sex, Ideology, and Religion: 10 Myths about World Population Growth’.

Viscount Craigavon said: “This was published about a month ago and will shortly be available online on the group's website, which is on the All-Party Groups list. It deals more concisely and eloquently than I can now with why we should continue to take population growth seriously. I am sure that the department will continue to do that, along with its many other responsibilities, which we have heard about today.”

Please find enclosed Hansard extract as appendix 279

International Development Policy, 1 st December 2011 The Earl of Sandwich initiated a debate taking note of Her Majesty's Government's proposals for international development policy, including proposals on the situation of Dalits. He noted that 1 billion people suffer from hunger or injustice, and the two often go together. According to Save the Children, chronic malnutrition affects 178 million children, one-third of all children under five in developing countries. Of these, 7.6 million died from malnutrition, ill health or other effects of dire poverty last year. The world's population continues to grow, being above 7 billion, and could grow by perhaps half as much again in this century. Yet the rate is slowing down with economic growth.

Please find enclosed Hansard extract as appendix 280

International Women’s Day, 1 st March 2012 Baroness Verma initiated a debate taking note of IWD on 8 March and the contribution of women to economic growth. Reference was made to progress for women in the UK and the Government’s Action Plan: “Call to End Violence against Women and Girls”,

Lord Shipley welcomed the Government's commitment in this Parliament to focus on key outcomes in both bilateral aid and support to international organisations. Some of the objectives of that policy being the education of 11 million children, half of whom will be girls; preventing 76 death in pregnancy and childbirth of 50,000 more women; stopping 250,000 newborn babies dying needlessly and helping 10 million women to access modern family planning. All those will help women. He further noted that education is key to gender equality and economic growth. Education for girls and women leads to higher wages, which lead to higher spending, which leads to more focused spending on things that help drive gender equality. Moreover, that money is reinvested, creating a virtuous circle in economic growth.

Baroness Morris of Bolton made reference to a 2005 UNICEF report which states that women in developing countries are 300 times more likely to die from complications in childbirth than those in the industrialised world. World Vision UK's latest figures show that, although the child mortality rate in low and middle-income countries was 56 per 1,000 live births in 2010, child mortality in low-income fragile states was nearly 150 per cent higher. Much of this is to do with access to good healthcare, family planning and, most important of all, education. Education has the most dramatic impact on the lives of women throughout the world and a subsequent impact on the economy.

Please find enclosed Hansard extract as appendix 281

Oral Parliamentary Questions Burundi, 5 th April 2011 Lord Bishop of Wakefield asked Her Majesty's Government what assessment they had made of Burundi's role in long-term regional stability and regional integration strategies in the light of their decision to cease bilateral aid for Burundi. Maternal and child mortality was discussed during the debate.

Please find enclosed Hansard extract as appendix 282

World Developing Report 2011, 5 th May 2011 Lord McConnell of Glenscorrodale asked Her Majesty's Government how they will respond to ‘The World Development Report 2011: Conflict, Security, and Development’ by the World Bank.

Population, demographics and migration were discussed during the debate.

Please find enclosed Hansard extract as appendix 283

Overseas Aid: Famine Relief, 6 th July 2011 Baroness Tonge asked Her Majesty's Government what plans they have to provide famine relief to the people of Ethiopia, Uganda, Somalia and Kenya.

Baroness Verma made reference to the Government’s funding for the World Food Programme to help feed 1.3 million people in Ethiopia and noted that the UK is the second largest bilateral donor in Ethiopia. Additional responses are rapidly being prepared for Somalia and Kenya and Uganda is closely monitored. Baroness Tonge followed up making reference to the fact that the population of the four countries currently threatened by famine had grown from 41 million in 1960 to 167 million now and that it is still rising fast. This huge rise is unsustainable and makes populations more vulnerable than ever to drought and crop failures. She urged the UK Government to give more money to maternal health and, in particular, to ensure that when food aid is delivered to starving populations contraceptive supplies are delivered alongside the food aid with health education to try to ensure that the children whose lives are saved today do not bring their children to the feeding centres in 10 or 20 years' time.

Please find enclosed Hansard extract as appendix 284

International Development, 11 th July 2011 Viscount Craigavon asked Her Majesty's Government what priority they were giving in international development to population issues and to RHR.

Baroness Verma made reference to the UN estimates that the world's population will pass 7 billion in October. Most of the growth will be in high-fertility developing countries. Meeting the 77 need for FP and maternal and new-born health services would help avert 390,000 maternal deaths and over 50 million unintended pregnancies. The Government are playing a leading role and will enable at least 10 million more women to use modern methods of FP by 2015.

Please find enclosed Hansard extract as appendix 285

Malawi, 20 th July 2011 Lord McConnell of Glenscorrodale asked Her Majesty's Government how they intend to distribute UK aid in Malawi following their suspension of general budget support for Malawi on 14 July.

Baroness Verma noted that the UK had indefinitely suspended general budget support to Malawi but are determined to continue funding other programmes in Malawi that protect the poor including through specific government ministries like health and education and with trusted NGOs. Reference was made to population, HIV/AIDS and famine during questioning.

Please find enclosed Hansard extract as appendix 286

Health: HIV/AIDS, 5 th September 2011 Lord Fowler asked Her Majesty's Government what steps they are taking to prevent the spread of HIV and AIDS in the UK.

Earl Howe noted that the Government fund national HIV health promotion programmes for men who have sex with men and for African communities, the groups most affected by HIV in the UK. This is in addition to harm-minimisation programmes for injecting drug users, NHS HIV prevention programmes and open-access testing and treatment services. The White Paper, ‘Healthy Lives, Healthy People’, sets out the Government's strategy for reform of public health in England. This includes sexual health and HIV. Reference was made to the sexual health framework report due to be published later in the year. Population and migration was also discussed.

Please find enclosed Hansard extract as appendix 287

Equality: World Bank, 17 th October 2011 Baroness Prosser asked Her Majesty's Government what assessment they had made of the World Bank's World Development Report 2012.

Baroness Northover noted that the Government welcomed the World Development Report 2012 on gender equality and development. The report identified areas for international action that closely reflect the UK's development priorities to reduce female mortality, close education gaps, improve women's economic opportunities, increase women's voice in society and limit the transmission of poverty across the generations. The SS for ID is speaking at the UK launch of the report on 23 November. Domestic violence and population was discussed during questioning.

Please find enclosed Hansard extract as appendix 288

Sex and Relationship Education, 24 th October 2011 Baroness Gould asked Her Majesty's Government what plans they had to improve the teaching of sex and relationships education in schools.

Lord Hill of Oareford noted that the Government is reviewing PSHEE, including sex and relationships education. The review is considering how to improve the quality of teaching, the core outcomes that we expect PSHEE to achieve and the core of knowledge and awareness that the Government should expect pupils to acquire at school. It is looking at existing research and also welcomes submissions of evidence and good practice before 30 November.

Please find enclosed Hansard extract as appendix 289

78 ‘Honour-Related’ Violence, 14 th February 2012 Baroness Cox asked Her Majesty's Government what their response was to reports of increases in "honour”-related violence in the UK.

Lord Henley noted that the Government condemn this awful practice and are committed to tackling “honour”-based violence and an action plan to end violence against women and girls sets out the Government’s approach. This includes working with partners to identify what more can be done to protect victims and ensuring that the police and specialist prosecutors are trained to improve the prosecution of these crimes.

Please find enclosed Hansard as appendix 290

FGM, 16 th February 2012 Baroness Tonge asked Her Majesty's Government how many cases of FGM were investigated by the police in the last year for which figures are available.

Baroness Verma noted that information on the number of police investigations involving female genital mutilation is not collected centrally. However, the Government work closely with the police and the CPS to ensure that they are equipped with guidance and information to deal with cases of FGM and that they are clear on their legal powers to protect women and girls from this abhorrent practice. Baroness Tonge followed up making reference to the fact that between November 2009 and November 2011 there were 63 alleged cases reported to the Metropolitan Police which never reached prosecution.

Please find enclosed Hansard extract as appendix 291

UN: Sustainable Development and Family Planning, 19th March 2012 Baroness Tonge asked Her Majesty's Government whether they would promote the connection between sustainable development and FP at the Rio+20 UN Conference on Sustainable Development.

Baroness Northover noted that the coalition Government's positions on sustainable development and FP were clear and that they will be emphasising the links between them, both in the preparations for and during the Rio+20 conference. Baroness Tonge congratulated the Government on their commitment to FP and to stabilising the world's population by choice as essential for sustainable development. Reference was made during questioning to the post- millennium development goals framework and family planning.

Please find enclosed Hansard extract as appendix 292

Health and Social Care Bill: HIV/AIDS Programmes, 21st March 2012 Baroness Thornton asked Her Majesty's Government what assessment they had made of the risks posed by implementation of the HSC Bill to HIV/AIDS programmes.

Baroness Northover noted that HIV services are, and will continue to be, comprehensive. They include surveillance, national and local prevention, treatment and care. The NHS Commissioning Board will lead on commissioning treatment and care services. This recognises that HIV treatment is specialised and that prevalence varies. Local authorities will commission HIV prevention services in line with their wider remit regarding sexual health and health inequalities. Reference was made to MTCT of HIV/AIDS during questioning.

Please find enclosed Hansard extract as appendix 293

Written Parliamentary Questions Group members tabled a range of written PQs this year on the following subjects which are all available on the Group’s website:

• Abortion • Abortion (Advertising) 79 • Abortion and Sex-selection • Abortion, Rape and Armed Conflict • Abortion (US foreign aid) • Africa: Agriculture and Food • British Pregnancy Advice Service • Charities: Overseas Aid • China • Embryology • Family and Parenting Institute • FGM • Forced Marriage • Gendercide • Health: AIDS, Tuberculosis and Malaria • Health: Caesarean Sections • Health: HIV • Health: HIV/AIDS, Tuberculosis and Malaria • Health: Smear Tests • Infanticide • International Aid and Development • International Development Goals • International Development: Transparency • IPPF • Overseas Aid • Overseas Aid: Persecution of Gay Persons • Pregnancy Advice Bureaux • Population • UN Convention on the Rights of the Child • UNFPA • UN: Rio+20 • Unsafe Abortion

APPG ON PD&RH – DEPARTMENT FOR INTERNATIONAL DEVELOPMENT MEETINGS, CORRESPONDENCE AND PUBLICATIONS

In 2010 the UK Government committed to doubling the number of lives of women and babies saved through UK aid by 2015 and as a result at least 50,000 more women and 250,000 babies should survive and 10 million more couples should get access to FP. The UK Government also promised to challenge other countries – both donors and developing nations – to do more in the area of FP and SRHR.

As well as holding the UK accountable to above promises via PQs, debates and EDMs, the Group has met and spoken both formally and informally with DFID Ministers and civil servants at meetings, receptions, dinners and conferences.

DFID ministerial team April 2011 – March 2012:

Andrew Mitchell MP, SS for ID Alan Duncan MP, Minister for ID Stephen O’Brien MP, PUSS for ID Baroness Northover, HoL (since autumn 2011)

DFID’s AIDS and Reproductive Health Team, Human Development Group continue to be the Group’s focal point within DFID, with Julie Bunting as the team leader, Jerry Ash as deputy team leader, Sandra MacDonagh as technical advisor and Scott Hardie as the policy officer.

80 Andrew Mitchell MP, SS for ID, has kept interested members and groups informed of his Department’s work throughout the year via letters.

Please find enclosed sample letter as appendix 294

Meetings DFID’s AIDS and Reproductive Health Team and advisor meeting, 3 rd May 2011, DFID, London Group advisor met with DFID AIDS and Reproductive Health (ARH) team in May 2011 to discuss Group activities and DFID’s new strategy.

In attendance were: Julia Bunting, Team Leader, ARH Jerry Ash, Deputy Team Leader, ARH Sandra MacDonagh, Health Advisor, SRHR Liz Tayler, SH advisor, Africa regional depts. Sally Chakawhata, Policy and Programme Officer, SRHR and AIDS Scott Hardie, Policy and Programme Officer, MNCH Ann Mette Kjaerby, APPG on PD&RH Advisor

Of particular interest during the round-table discussion were DFID’s new strategy and updated policy papers, new funding opportunities for SRHR organisations and press activities.

DFID Strategic Communications Officer meeting, 10 th August 2011, HoC, London Baroness Jenny Tonge and Group advisor met with DFID ARH press team in August 2011 to discuss press strategy and possible collaboration.

Andrew Mitchell MP, SS for ID, briefing meeting with chairmen of APPGs working on International Development, 7 th February 2012, HoC, London Andrew Mitchell MP, SS for ID, invited APPG chairmen working on ID issues to a roundtable meeting to discuss APPGs and International Development. Baroness Jenny Tonge attended.

Please find enclosed invitation to meeting as appendix 295

DFID and the Aspen Institute - Global Leaders Council for Reproductive Health Dinner, 7 th March 2012, London Baroness Jenny Tonge attended above strategic dinner.The purpose of the dinner, on the eve of IWD, was to recognise the UK’s commitment to women's health and offer first-person insights into innovative and cost-effective health and social programmes designed to improve the lives of women worldwide.

The dinner brought together 20-25 leading thinkers from government, civil society and the private sector for a high level moderated conversation that sought to identify and capture strategic opportunities to build a worldwide movement to accelerate progress toward universal access to FP and reproductive health. Invited guests from Ethiopia and Nigeria shared recent successes and challenges, and made recommendations for donor country engagement.

Andrew Mitchell MP, SS of ID, and Joy Phumaphi, previously a minister in the Botswanan government and now Vice President of the Human Development Network at the World Bank, discussed the challenge of building political support for these programmes and linking reproductive health to the current emerging international dialogue on sustainability.

Please find enclosed invitation and thank you letter for attending as appendix 296

DFID and APPG on PD&RH Annual Meeting, 20 th March 2012, DFID, London The Group met with Andrew Mitchell MP, SS for ID, and advisors in March 2012 to discuss DFID’s and the Group’s activities for the year. The agenda included:

• DFID funding committed to SRHR/FP

81 • Progress made on DFID’s Framework – ‘Choices for women: planned pregnancies, safe births and healthy newborns’ • UN Commission on Population and Development • SRHR/FP – ICPD PoA beyond 2014/2015 • APPG on PD&RH 2012 Hearings – Child Marriage • APPG on PD&RH support to SS for ID domestically and internationally

In attendance were: Andrew Mitchell MP, SS for ID Private Secretary to SS for ID Julia Bunting, Team Leader

Baroness Jenny Tonge Geoffrey Clifton Brown Baroness Flather Baroness Jenkin Ann Mette Kjaerby, Parliamentary and Policy Advisor Katharine Dow, Researcher and Administrator Jacob Baxter, Work Experience

Andrew Mitchell MP, SS for ID, opened the meeting by welcoming members and gave a brief overview of DFID’s support to SRHR and FP with particular reference to the forthcoming FP Summit. A round table discussion followed as per agenda.

The SS for ID reassured members about their involvement in the July FP Summit and noted that the Government will enshrine in law 0.7% of GNI to ODA when parliamentary time table allows it.

DFID’s Maternal and Reproductive Health budget line being zero in Afghanistan was highlighted as being of great concern to members.

Rio+20 and attendance was discussed with reassurance that the UK Government will seek opportunities to develop consensus on the issue of linking FP/population stabilisation through choice and sustainable development within EU member states prior to Rio+20.

DFID confirmed its support and attendance at the Group’s hearings on child marriage in June 2012.

Please find enclosed meeting correspondence enclosed as appendix 297

Correspondence G8/G20 and MDG Review Summits The Group wrote to Andrew Mitchell MP, SS for ID, in April 2011 asking the UK Government to stress the connection between world population growth and food security, climate change, environmental protection, conflict, fragile states and international development at the forthcoming G8/G20 Summit in Deauville on 26 and 27 May 2011.

The Group received a favourable reply noting that although FP will not be on the agenda at the G8/G20, they will discuss the annual accountability report of G8 commitments, which will include maternal and child health commitments as part of the G8 Muskoka initiative which includes FP.

Please find enclosed communications as appendix 298

A second letter was sent in May 2011 to all UK cabinet ministers which included the Global G8/G20 Parliamentarians’ Summit commitment entitled “Girls and Population: the forgotten drivers of development”. Special attention was drawn to para 7.2 which read: “To make the challenges posed by the World’s current population dynamics a development priority.”

82 A favourable response was received in June 2011 from Andrew Mitchell MP, SS for ID, with reference to the Deauville commitment to implement the recommendations of the UN Commission on Information and Accountability for Women’s and Children’s Health.

Please find enclosed communications as appendix 299

Rio+20 The Group sent letters to Caroline Spelman MP, SS for DEFRA, and Andrew Mitchell MP, SS for ID, and cc’d to the UK civil servant Rio+20 delegation, in the lead-up to the Rio+20 conference on 22 nd – 23 rd June 2012, suggesting changes/incorporations to the Rio+20 outcome document on linking population/unmet need for FP and sustainable development.

Please find enclosed communications as appendix 300

Letters were also sent in April 2012 in collaboration with the Royal Society to Caroline Spelman MP, SS for DEFRA, David Cameron MP, PM and Deputy PM Nick Clegg MP, requesting a meeting to discuss FP, population and sustainable development and making reference to the Royal Society’s new report: ‘People and the Planet’.

Favourable replies were received, however no meeting was scheduled.

Please find enclosed communications as appendix 301

In the lead-up to the Rio+20 conference, Group members tabled numerous questions and participated in parliamentary debates reinforcing the linkages between population growth and social, economic development and environmental sustainability.

Sample PQs and debates follow:

Caroline Lucas MP in 28 th February 2012 Rio+20 debate HoC said: “I am very grateful for the opportunity to take part in this debate, and, as a member of the Environmental Audit CommitteeWe need real change. We need to recognise that the economy is a subset of the wider ecology and the environment—not the other way around. We need to recognise that, although technology and efficiency have their parts to play, they are not going to get us there on their own. In a planet with a rising population and rising expectations, to think that efficiency gains and technology alone will get us off the collision course we are on is to be in fantasy land. We need behaviour change as well and more education on population growth—an issue that no one has put on the table yet this evening. Population is a controversial issue but it has to be part of our discussions about a sustainable future. I am talking not about anything coercive, but about education and the provision of family planning for those women who still need and want it in developing countries. I am talking about recognising that the impact of different populations is different in different places. The impact of our fewer numbers in the north is far greater than that of higher numbers in the south, but population still has to be part of the discussion.

Social justice also has to be part of the discussion. The aim of meeting the needs of the present without compromising the ability of future generations to meet their needs does not apply only to the rich or those in the global north—it has to apply to every citizen. Under current trends, it looks as though there will be 9 billion people by 2050, and the real challenge we face if we are serious about a green economy is how future populations will be able to consume equally on a per capita basis and still remain within resource constraints. I suggest that that could only be feasible if we in the rich north significantly reduced our consumption patterns and our impact on the planet.”

Baroness Tonge, 19 th March 2012 asked Her Majesty's Government whether they will promote the connection between sustainable development and FP at the Rio+20 United Nations Conference on Sustainable Development.

Baroness Northover: My Lords, the coalition Government's positions on sustainable development and FP are clear. We will be emphasising the links between them, both in the preparations for and during the Rio+20 conference.

83 Baroness Tonge: I thank my noble friend for that reply. I congratulate the Government on their commitment to FP and to stabilising the world's population by choice. This is essential for sustainable development. However, will the Minister confirm that the Government will seek to have family planning included in the post-MDGs framework when it is discussed?

Baroness Northover: The noble Baroness has contributed enormously in this area and I thank her very much for the tribute paid to the department for its expansion of work on this issue. The Government are well aware of the background to the initial MDG negotiations. Discussions are very much in the early stages for a post-MDG framework post-2015. The UK will work to ensure that all the relevant development issues are included in the most appropriate way possible.

Baroness Kinnock of Holyhead: My Lords, it is welcome news that the European Union plans to propose a new section to the Rio+20 outcome document to include population and health, and reproductive health and contraception. Will the Minister assure the House that efforts will be made by DFID to ensure that the delegation to the Rio+20 conference includes a representative who will be able to champion and lead on these issues, and will also be able to ensure that the linkages between population, reproductive health and FP with sustainable development are understood?

Baroness Northover: My Lords, I will take that specific suggestion back. I point out to the noble Baroness that the Deputy PM is leading this delegation to Rio and I am very pleased that that is the case. She will know how he has emphasised the importance of placing women and girls centre stage with regard to development, which is what is required here.

Baroness Afshar: My Lords, is the Minister aware that the most effective family planning in the Third World comes through education-that is what makes women into an asset rather than a liability-and that preventing women having children is not the best way of approaching this? This is not a medical matter but a matter of society providing education. What plans are there for helping with girls' education so that they can progress?

Baroness Northover: The noble Baroness is right. This is a circular issue: where girls have more access to education you see the birth rate coming down, and where the birth rate is coming down girls have more access to education. When families are able to choose, they tend to choose to have fewer children and to invest more in them, and that certainly includes education.

Baroness Gardner of Parkes: My Lords, is it not a fact that, in these countries where health standards are improving and children live longer, there is no longer any need to have a very large family because so many die very young? This comes back to the issue raised by the noble Baroness, Lady Afshar; that educating mother, in particular, in health processes and in how to care for their children and for their health will have an effect.

Baroness Northover: My noble friend is right, and I emphasise again the importance of investing in education, which then has the effects that she is talking about. I note also what are described as the demographic dividends: if you have fewer children who are dependent and therefore an expansion of the working-age population, there is an economic benefit to the countries in question. That is regarded as one of the factors in the development of the East Asian countries in particular.

Lord Harris of Haringey: My Lords, does the Government's commitment to education on family planning and contraception around the world extend to education in schools in this country, particularly academy schools and so-called free schools? Will the Government confirm that they will follow a curriculum that has a full range of education including in respect of family planning and contraception?

Viscount Craigavon: My Lords, while accepting that education is extremely important in this area, does the Minister agree that there is already an expressed and unmet need of over 200 million couples for contraception and family planning? She mentioned in her Answer what we wanted to talk about at the summit, but is this subject actually on the agenda, or have we still got to get it on the agenda?

Baroness Northover: It is one of the issues that we are flagging up. The noble Viscount will know that DFID is hosting a large conference in July on this. It is part of the emphasis that we wish to make in development generally and, of course, it is extremely relevant to Rio. 84 Publications DFID’s Strategic Vision for Girls and Women: stopping poverty before it starts, April 2011 The Group welcomed DFID’s new (6 page) ‘Strategic Vision for Girls and Women: stopping poverty before it starts’, published in April 2011. One of the four pillars for greater and more effective action in the strategy was to delay first pregnancy and support safe childbirth - increasing access to better FP, safe abortion and maternal health services.

Please find enclosed strategy front and contents page as appendix 302

DFID’s Operational Plans 2011 – 2015, May 2011 The British Government set out its plans for Britain's aid programmes up to 2015 on 31 st May 2011. The set of plans showed how DFID would deliver results and measure progress up to 2015, including:

In Bangladesh, lifting 5 million people out of extreme poverty; In Ethiopia, providing basic healthcare for 7.5 million people; In Pakistan, getting more than 4 million more children into school; In Democratic Republic of Congo, protecting 15 million people from malaria; In Uganda, getting access to contraception for 1.35 million more women; In Zambia, supporting more than 3 million people to vote in the next elections and In Sierra Leone, ensuring 1 million people get access to drinking water.

The plans followed a series of comprehensive aid reviews undertaken earlier in 2011 to make sure Britain’s aid budget is as focused and effective as possible.

The Group welcomed the majority of DFID’s country plans, as they had strong reference to empowering women and girls through FP/SRHR services and information, however some countries, including Afghanistan and Nepal, had no budget lines for maternal and reproductive health. Members challenged the Government on this point at meetings, via PQs and in debates and an article was published on the issue in the Independent (please see further details in Press section).

Sample PQs on Afghanistan country plan as follows:

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of the £178 million budget per year for the DFID's Afghanistan programme from 2011-12 to 2014-15 has been allocated to realising the UN MDGs to eradicate extreme poverty and hunger

Baroness Verma: The entire DFID Afghanistan programme budget (£178 million per year over the next four years) will contribute to the MDGs: eradicate extreme poverty and hunger.

DFID will help reduce poverty in Afghanistan by focusing on three key areas: (1) peace, security and political stability; (2) economic stability, growth and jobs; and (3) getting the state to deliver improved basic services. Further budget details are available in DFID's Operational Plan for Afghanistan, which is available at: www.DFID.gov.uk/Afghanistan.

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of the £178 million budget per year for the DFID’s Afghanistan programme from 2011-12 to 2014-15 has been allocated to realising the UN MDG to improve maternal health.

Baroness Verma: At this time DFID does not directly support realisation of the maternal health MDGs in Afghanistan through its country programme. Our support to the health sector to date has been through our contributions to the multi-donor Afghanistan Reconstruction Trust Fund which, among other things, helps pay for public health workers such as doctors and nurses. DFID expects to resume this support to the trust fund once a new IMF programme has been agreed. However, DFID does support the IPPF centrally, to increase access to safe motherhood services in a number of countries including Afghanistan, through the Global Poverty Action Fund.

The Afghanistan programme projected spend over the next four year is outlined in the DFID Afghanistan operational plan. This can be found on our website: www.DFID.gov.uk/afghanistan.

85 DFID's work in Afghanistan focuses on three areas (1) peace and security, (2) economic stability, growth and jobs and (3) getting the state to deliver improved basic services.

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of the budget for DFID's new Nepal programme has been allocated to realising the UN MDG to eradicate extreme poverty and hunger.

Baroness Verma: All of DFID’s programmes in Nepal (£331 million over the next four years) will contribute to the MDG of eradicating extreme poverty and hunger, lifting at least 860,000 people out of poverty.

This will include continuing our proven interventions in job creation, agriculture, tourism, economic reform, and community development, investing £171 million over the next four years.

We will also be continuing work in education, health and water and sanitation (£79 million over the next four years). An educated, healthy workforce will be more productive and have greater potential to lift itself out of poverty than one where opportunities are limited by illness and illiteracy.

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of the budget for DFID’s new Nepal programme has been allocated to realising the UN MDG to improve maternal health.

Baroness Verma: The UK's total operational plan commitment for Nepal is £331 million from 2011 to 2015. Of this, DFID will provide up to £66 million of support to health and HIV/AIDS.

This will include up to £46 million in financial and technical support to the five-year national health plan, which runs from 2010 to 2015. Nepal aims to meet MDG 5 on maternal health, with 60 per cent of all births attended by health workers with the right skills, 49 per cent of emergency obstetric care need met by the health system, and 90 per cent of all pregnant women receiving iron supplementation by 2015.

We will also provide up to £16 million of support to improve access by women to FP. Worldwide, effective FP has been shown to contribute significantly to declines in maternal mortality, as women have fewer unplanned pregnancies and are less likely to seek unsafe abortions.

Asked by Baroness Tonge: To ask Her Majesty's Government, further to the Written Answer by Baroness Verma on 27 June (WA 376) regarding financial support towards improving maternal health in Nepal, why the projected operating costs of DFID for activities in Nepal in 2011-15, published in April 2011, show zero expenditure on maternal and newborn health.

Baroness Verma: DFID provides programme-based funding in health to the Government of Nepal (GoN), which is through (a) sector budget support, and (b) an aligned technical assistance programme, to support the five-year Nepal Health Sector Programme (NHSP2), without any earmarking. So, all the funding in health is reflected under the heading "Other Health", without further disaggregation of spend into maternal and neonatal health or otherwise. However, the results of DFID's contribution will be measured in terms of improvement in, among others, maternal and neonatal health.

UK’s Framework for Results for improving reproductive, maternal and newborn health in the developing world - Choice for women: planned pregnancies, safe births and healthy newborn, December 2010 The Group held the UK Government accountable to its 2010 Framework via PQs as follows:

Paul Flynn: To ask SS for ID if his Department will publish information on expenditure for reproductive, maternal and newborn health interventions in 2008-09 under the UK’s Framework for Results, Choices for Women: Planned Pregnancies, Safe Births and Healthy Newborns, similar to the information on expenditure on malaria in the UK’s Framework for Results for Malaria.

86 Mr Andrew Mitchell: Details of DFIDs expenditure in 2008-09 are published in “Statistics on International Development” (SID), which is available in the Library of the House and on the DFID website at: http://www.DFID.gov.uk/Documents/publications1/sid2010/a3.xls?epslanguage=en Interventions on women’s and children’s health are captured across a number of the expenditure categories provided in SID and cannot be further disaggregated without disproportionate cost.

Paul Flynn: To ask SS for ID what plans his Department has to publish information on spending commitments for reproductive, maternal and newborn health interventions for 2010-11 under the UK's Framework for Results, Choices for Women: Planned Pregnancies, Safe Births and Healthy Newborns.

Mr Andrew Mitchell: The internationally agreed methodology for monitoring the Government's spending commitments on women's and children's health is provided in table A of the UK's Framework for Results for improving reproductive, maternal and newborn health. The methodology will be used to track the Government's expenditure annually and this will be published in the G8 accountability reports along with the expenditure of other donors.

Paul Flynn: To ask SS for ID (1) how his Department's planned detailed evaluation framework under the UK's Framework for Results, Choices for Women: Planned Pregnancies, Safe Births and Healthy Newborns will relate to the accountability framework to be produced by the Commission on Information and Accountability for Women's and Children's Health;

(2) with reference to Annex A5 of the UK's Framework for Results, Choices for Women: Planned Pregnancies, Safe Births and Healthy Newborns, what timetable he has set for the release of the detailed evaluation framework.

Mr Andrew Mitchell: Work is currently in progress to develop a monitoring and evaluation framework for the UK's Framework for Results for improving reproductive, maternal and newborn health. This will be made available in mid 2011. The Government will work to achieve alignment between our framework and the Commission's accountability framework.

Paul Flynn: To ask SS for ID what steps he plans to take as part of the G8 commitment to provide additional funding for maternal and child health up to 2015 to address the global shortage of skilled birth attendants and health workers.

Mr Andrew Mitchell: The Government's ‘Choices for Women’ Framework for Results outlines how the UK will save the lives of at least 50,000 women during pregnancy and childbirth and 250,000 newborn babies by 2015. The framework has a focus on increasing access to skilled health workers and commits to supporting at least two million safe deliveries and ensuring long- lasting improvements in maternity services.

DFID country programmes are currently finalising their operational plans for the next four years which will contribute to the Framework for Results commitments. These plans are being released via the DFID website:http://www.DFID.gov.uk/Media-Room/Publications/?p=OP and it is anticipated that this exercise will be completed by the end of May

Paul Flynn: To ask SS for ID what his policy is on the commitment made at the G8 summit in 2010 to produce an accountability report to track progress towards the maternal and child health pledges made in the Muskoka Declaration.

Mr Andrew Mitchell: The UK strongly supports the reproductive, maternal, newborn and under- five health pledges made in the Muskoka Declaration. We welcome the G8 decision to produce an accountability report in 2011 that focuses on health and food security.

We are working with colleagues in the G8 Health Experts Group, the G8 Accountability Working Group, and the G8 Sherpa process to ensure that the 2011 Deauville Accountability Report assesses progress against all outstanding health commitments including those made at Muskoka in a clear, credible and transparent way.

It is important that individual countries clarify what they are committed to under the Muskoka Initiative and give an indication, as far as possible, of how they plan to fulfil their commitments. 87

INTERNATIONAL FUNDING TO FAMILY PLANNING/SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS AND HIV/AIDS

The UK Government in May 2010 committed itself to reaching 0.7 per cent of GNI by 2013 and enshrining this in law. Legislation is still awaited. David Cameron MP, PM, and Andrew Mitchell MP, SS for ID, have on numerous occasions said: “The Government will legislate on ODA when parliamentary time table allows it”.

Total planned expenditure for 2010/11 was £7.583 billion, in 2011/12 it will be £7.838 billion, £8.562 in 2012/13, £11.029 in 2013/14 and £11.147 in 2014/15. An additional average £740 million is to be spent on maternal, newborn and child health from 2010 to 2015.

In 2011 UK ODA accounted for an estimated 0.56 per cent of UK GNI compared with 0.57 per cent in 2010. In actual figures UK ODA in 2011 was estimated at £8,570 million compared with the 2010 figure of £8,452 million.

DFID’s core support to UNFPA has been £20 million per year between 2011 – 2014, with an additional targeted £35 million announced in November 2011 for two UNFPA programmes:

£25 million to the Global Programme to Enhance Reproductive Commodity Security, which will: Provide at least 1.6 million implants; Save 2,500 women’s lives; Prevent 1.4 million unintended pregnancies and Avert 150,000 unsafe abortions.

£10 million to the Co-ordinated Assistance for Reproductive Health Supplies Group (CARhs), which will: Save more than 1,200 women; Help avoid 650,000 pregnancies and Avert 70,000 unsafe abortions.

IPPF is receiving £8.6 million in core funding per year between 2011 – 2013 and MSI in 2011 successfully negotiated a Programme Partnership Agreement with DFID for £4.35 million. They also received £4.29 million for smaller programmes in Africa and Asia and £0.48 million for a family planning pilot project in Africa in 2011 - 2012.

Table 2: DFID bilateral expenditure directly targeting HIV and AIDS, 2006/07 – 2011/12 (GBP millions)

2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 HIV/AIDS including STI 147.9 122.036 119.094 69.002 Prevention HIV/AIDS including STI 10.1 24.002 52.717 27.331 Treatment and Care Total 128.7 134.2 158 146.038 171.811 96.333

Table 3: DFID bilateral expenditure directly targeting reproductive health, 2004/05 – 2011/12 (GBP millions)

Input Sector Code 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 13010 Population Policy and 3 4.5 2.8 2.6 2.9 7.1 6.1 Administrative Management 13021 Reproductive Health 27.5 29.4 18.6 36.5 43.2 47.96 108.85 Care 13022 Maternal and 18.7 21.9 34.4 61.6 49.4 49.99 121.36 Neonatal Health 13030 Family Planning, 8.1 15.3 31.1 43.8 Health Grand Total 49.2 55.8 55.9 108.8 110.8 136.12 280.11 88 Tables 2 and 3 provide details of DFID bilateral expenditure directly targeting reproductive health and HIV/AIDS activities. However, according to DFID, the UK’s direct spend on HIV should not be seen as the sum of their work. DFID is seeking to increasingly optimise linkages and integration with other sectors where greater impact and efficiency can be achieved. The UK also supports the prevention and treatment of HIV/AIDS projects and programmes at the country level, strengthening health systems in their partner countries to deliver HIV outcomes and funding research. DFID are unable to accurately disaggregate UK HIV expenditure from these wider interventions.

Table 4: DFID Core Contributions to International Organisations, 2005/06 – 2010/11 (GBP thousands)

Funding Organisation 2011/12 2010/11 2009/10 2008/09 2007/08 2006/07 2005/06 Stream

DFID - Core UNFPA 20,000 20,000 22,060 20,038 20,000 20,000 20,000 Funding

DFID and Other Govt. Depts - WHO 27,240 28,723 26,967 23,824 15,299 25,409 25,641 Core Funding

DFID and Other Govt. Depts - UNICEF 40,000 23,600 21,000 16,151 26,000 22,042 23,813 Core Funding

DFID - Core UNAIDS 10,000 10,000 11,030 10,000 19,000 10,000 16,002 Funding

Core Funding - Bilateral IPPF* 6,450 12,015 7,500 8,600 7,500 7,500 0 Funding

CSCF - Non Core Bilateral Funding 2005- 2011 or Programme Partnership Agreement for MSI 4,350 1,063 0 770 885 1,032 717 2011-12

Global Fund to DFID Fight Aids, TB Programme - and Malaria 128,100 296,600 163,400 50,000 100,000 100,000 51,000 Core Funding * This includes funding from the Governance and Transparency Fund

Table 5: Net ODA/GNI ratios for the UK 1998-2011

0.80 0.7% UN Target Debt 0.70 Relief / GNI 0.60 0.50 ODA 0.40 excluding 0.30 Debt Relief / 0.20

Percentage Percentage (%) GNI 0.10 DAC Average 0.00 ODA/ 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 GNI Year

Table 6: Provisional Net ODA from DAC Donors to Developing Countries 2011

25 000 20 000 15 000 10 000 5 000 £millions

DAC Donor

Table 7: Provisional Net ODA/GNI ratios for DAC donors 2011

1.20 1.10 1.00 0.90 0.80 0.7% UN Target 0.70 0.60 0.50 0.40 Percentage Percentage (%) 0.30 0.20 0.10 0.00

DAC Donor

The Group has this year challenged the UK Government on funding to SRHR/FP with particular reference to EU ODA being diverted to military personnel under fragile states budget lines and country operational plans without maternal and reproductive health budget lines.

Sample PQs follow:

Lord Sassoon: The UK's net contribution to the EU budget in these years was: 2007 £4,601 million 2008 £3,294 million 2009 £4,339 million 2010 £6,272 million

90 Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of EU ODA is allocated to emerging economy countries in (a) Europe, (b) Asia, (c) Africa, (d) the Middle East, (e) Latin America, and (f) elsewhere.

To ask Her Majesty's Government what is the total amount of European Union ODA, and how much is allocated to emerging economy countries in (a) Europe, (b) Asia, (c) Africa, (d) the Middle East, (e) Latin America, and (f) elsewhere.

To ask Her Majesty's Government what percentage of the UK contributions to EU ODA is allocated to emerging economy countries in (a) Europe, (b) Asia, (c) Africa, (d) the Middle East, (e) Latin America, and (f) elsewhere.

To ask Her Majesty's Government what is the total amount of the UK contribution to EU ODA; and how much is allocated to emerging economy countries in (a) Europe, (b) Asia, (c) Africa, (d) the Middle East, (e) Latin America, and (f) elsewhere.

Baroness Verma: The UK's financial share of the EU development assistance programmes is approximately 15 per cent of the cost of those programmes. They are financed from a number of instruments, all of which are managed by the ED. These include the European Development Fund (EDF), a member states' voluntary fund for African, Caribbean and Pacific countries as well as a number of EU budget instruments such as the Development Co-operation Instrument and the European Neighbourhood and Partnership Instrument. In 2009, the European Union's total aid disbursements were €9.8 billion (£8.7 billion). The UK's share of this was approximately €1.3 billion (£1.2 billion).

There is no international definition for emerging economies. However, Brazil, Russia, India, China and South Africa are often brought together under the acronym BRICs. Other emerging economies, from a development perspective and as actors with a global agenda, could include Indonesia, Mexico and some Gulf countries. The EDF, the most poverty-focused of the EU's development instruments, does not support any emerging economies. The latest ED annual report on development assistance was produced in 2010, covering commitments and spending for 2009. The full report, which includes data on all regions, countries and sectors, is available in the Library of the House and on the ED website at: www.ec.europa.eu/europeaid/multimedia/publications/publications/annualreports/2010_en.htm.

Some examples from this report: in 2009, the ED disbursed €13.6 million (£1.2 million) to Brazil, €110.0 million (£97.8 million) to South Africa,

€32.0 million (£28.4 million) to China and €54.0 million (£48.0 million) to India. Indonesia received €81.0 million (£72.0 million) and Mexico €4.4 million (£3.9 million). We expect the 2011 report, covering 2010 data, to be finalised in mid-2011 and available together with other documents and statistics on the ED website.

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of EU development assistance is allocated to MDG 5, aimed at reducing maternal mortality by two thirds.

Baroness Verma: In 2009, the ED spent almost 40 per cent (€3.8 billion, which is approximately £3.2 billion) out of a total aid spend of €9.8 billion (approximately £8.2 billion) on social infrastructure and services, including health and population. Approximately €600 million (approximately £500 million) or some 6 per cent was spent directly on health and population, which includes reproductive health assistance, contributing to reducing maternal mortality. Other support to education, water and sanitation and other social infrastructure also contributes to MDG 5 indirectly. Further details on spending, regions and sectors can be found in the 2010 annual report on the European Union's Development and External Assistance Policies and their Implementation, which is available in the Library of the House and on the ED website at: www.europa.eu/europeaid/multimedialpuhlications/publications/annualreports/2010en.htrn.

Baroness Verma: The latest ED annual report on development assistance was produced in 2010, covering EU commitments and spending for 2009. The full report, which includes data on 91 all regions, countries and sectors, is available in the Library of the House and on the ED website at: www.ec.europa.eu/europeaid/multimedialpublications/ publications/annualreports/2010_en.htm.

Annual reports for 2007 and 2008 are also available on the ED website at: www.ec.europa. eu/europeaid/multimedia/publications/index_en.htm.

Asked by Baroness Tonge: To ask Her Majesty's Government whether they will seek an increase in the level of EU ODA to improve maternal health.

Baroness Verma: The EU has committed to increase its already substantial support to maternal and child health during 2011-13. The UK encourages the EU to play a stronger role in health policy coherence and aid co-ordination and to ensure that adequate attention is given to reproductive, maternal and newborn health; the promotion of gender equality and the empowerment of women; and more predictable funding to the poorest countries to improve progress towards the MDGs.

The DFID report Framework for Results-Choices for Women confirms that the UK will seek more efficient and effective delivery of results by multilateral agencies. One of the key agencies identified is the ED. Following the outcome of DFID's multilateral aid review in March 2011, the UK will support wider reforms and will work to maximise cost control, value for money, transparency and alignment with partner country priorities.

Asked by Baroness Tonge: To ask Her Majesty's Government whether they will press the EU to employ more health experts in developing countries to oversee and manage disbursement of EU health ODA.

Baroness Verma: The UK encourages the EU to play a stronger role in health policy coherence and aid coordination and to ensure that adequate attention is given to: reproductive, maternal and newborn health; the promotion of gender equality and the empowerment of women; and more predictable funding to the poorest countries to improve progress towards MDGs.

The UK is supporting the continuous devolution and strengthening of EU delegations in partner countries. The European Court of Auditors' recent report (April 2011) on the Commission's devolution process demonstrates that staff strengthening at the country level has been beneficial in development areas such as health and education. The UK will also continue to support the ED's capacity to manage its health programmes through the provision of a health expert to the Commission. We will also encourage other EU member states to continue to second specialists to the Commission to work on priority development issues.

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of ODA was allocated to Organisation for Economic Co-operation and Development DAC codes 13010 (Population Police and Administrative Management), 13020 (Reproductive Health Care), 13030 (Family Planning), 13040 (Sexually Transmitted Disease control) and 13081 (Personnel development for population and reproductive health) in (a) 2005-06, (b) 2007-08, and (c) 2009- 10.

Baroness Verma: Details of UK ODA are published on the Organisation for Economic Co- operation and Development's Development Assistance Committee (OECD DAC) website (www.oecd.org/dac) and are available to download from their online database at http://stats.oecd.org/qwids/. The relevant figures are reproduced below.

2005 % UK 2006 % UK 2007 % UK 2008 % UK 2009 % UK £m ODA £m ODA £m ODA £m ODA £m ODA Total UK ODA 5926 6770 4921 6356 7223

Population policy and administrative 2 <1 1 <1 3 <1 2 <1 0 <1 management Reproductive health 37 1 32 <1 53 1 111 2 78 1 care 92 2005 % UK 2006 % UK 2007 % UK 2008 % UK 2009 % UK £m ODA £m ODA £m ODA £m ODA £m ODA Family Planning 12 <1 6 <1 1 <1 11 <1 n/a

STD control including 134 2 170 3 256 4 194 3 211 3 HIV/AIDS

Personnel development for population and n/a n/a n/a 0 <1 0 <1 reproductive health

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of ODA will be allocated to Organisation for Economic Cooperation and Development DAC codes 13010 (Population Police and Administrative Management), 13020 (Reproductive Health Care), 13030 (Family Planning), 13040 (Sexually Transmitted Disease control) and 13081 (Personnel development for population and reproductive health) in (a) 2011-12, (b) 2012-13, and (c) 2013- 14.

Baroness Verma: Future UK ODA has not yet been allocated to this level of detail.

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of EU ODA is allocated to middle income countries in (a) Europe, (b) Asia, (c) Africa, (d) Middle East, (e) Latin America, and (f) elsewhere.

Baroness Verma: The latest ED annual report on development assistance was produced in 2010, covering commitments and spending for 2009. The full report, which includes data on all regions, countries and sectors, is available in the library of the House and on the ED website at: http://ec.europa.eu/europeaid/multimedia/publications/publications/annual-reports/2010_en.htm

We expect the 2011 report, covering 2010 data, to be finalised in mid-2011 and available together with other documents and statistics on the ED website.

Asked by Baroness Tonge: To ask Her Majesty's Government how much money each country receives from the European Neighbourhood and Partnership Instrument.

The Minister of State, Foreign and Commonwealth Office (Lord Howell of Guildford): The figures below are ENPI commitments by country, in millions, for the period 2007-2010.

Algeria €220 Egypt €558 Israel €8 Jordan €265 Lebanon €187 Libya €8 Morocco €654 Palestine €632 Syria €130 Tunisia €300

Armenia €98.4 Azerbaijan €92 Belarus €20 Georgia €120.4 Moldova €209.72 Russia €120 Ukraine €494

Multi-Country Programmes:

Inter-Regional Programmes €260.8 Regional Programme-South €343.3 Regional Programme- East €223.5

Cross-border Co-operation Programmes €277.1

Governance Facility and Neighbourhood Investment Fund €400

Grand total €5,621.20

More data are available on the European Neighbourhood Policy website at http://ec.europa.eu/world/enp/funding_ en.htm 93 Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of EU ODA is allocated to the European Neighbourhood and Partnership Instrument.

The Minister of State, Foreign and Commonwealth Office (Lord Howell of Guildford): In 2009 3.3 per cent of EU ODA was committed to the European Neighbourhood and Partnership Instrument.

Asked by Baroness Tonge: To ask Her Majesty's Government what support and guidance the Department for International Development provides to its country offices and grantees on the development of businesses cases and on value for money to ensure that reproductive, maternal and newborn health programmes and services will benefit the poorest 40 per cent of the populations in which they are based, as proposed in its framework document "Choices for women: planned pregnancies, safe births and healthy newborns".

Corporate guidance is provided to departments throughout DFID on business cases, value for money and results to support the moves to bring DFID programme planning and appraisal in line with Treasury requirements for all government departments. There is also sector-specific support to country offices on value for money (VfM) and to the development of business cases. For health, this includes internal websites that provide information and guidance on VfM methodologies, indicators, and evidence of what works across all health interventions. In addition to this, DFID is also sharing and receiving information, lesson-learning on results and VfM with/from international partners, donors and non-government organisations.

Asked by Baroness Tonge: To ask Her Majesty's Government what is the role of education programmes funded by the DFID in delivering the results outlined in its framework document Choices for women: planned pregnancies, safe births and healthy newborns.

DFID has recently announced the Girls Education Challenge which will enable up to one million more girls to be supported to complete at least one full cycle of schooling-at primary or lower secondary level. This will be in addition to our commitment to support up to 9 million children at primary school, at least half of whom are girls and 2 million girls and boys at lower secondary level. For example, in Nigeria, DFID will support up to 800,000 girls at primary and 200,000 at secondary levels, as well as to train an additional 10,500 female teachers by 2019, through a combination of conditional cash transfers, scholarships for female teachers, "safe spaces" for girls and advocacy with Islamic teachers, parents and local leaders.

Asked by Baroness Tonge: To ask Her Majesty's Government what proportion of the DFID’s expenditure on human resources for health in 2010-11 has been allocated specifically to meet the sexual and reproductive health needs of the poorest and most marginalised groups.

To ask Her Majesty's Government what proportion of the DFID’s expenditure on human resources for health in 2010-11 has been allocated to youth-friendly SRH services.

To ask Her Majesty's Government what proportion of DFID’s expenditure on human resources for health in 2010-11 has been allocated to strengthening SRH community services.

Baroness Northover: Throughout our development programmes DFID's top priority is our commitment to achieving results. Our vision is a developing world where all women are able to exercise choice over the size and timing of their families. We will double our efforts to enable at least 10 million more women to use modern methods of FP by 2015, and prevent more than 5 million unintended pregnancies.

We do not track inputs and expenditure according to the categories requested. 94 Details of expenditure against individual input sector codes including health, reproductive health, family planning, can be found on our annual publication of Statistics on International Development available at www.DFID.gov.uk. The UK's codes are based on the Organisation for Economic Co- operation and Development (OECD) Development Assistance Committee (DAC) codes, which as used for reporting overseas development assistance and as a DAC member, the UK is committed to transparent reporting of development assistance in a way that permits international comparisons.

All spending over £500 is published, as per the UK Transparency Guarantee.

Recent analysis has estimated that 25 per cent of DFID's expenditure on health supports Human Resources for Health.

Asked by Baroness Tonge: To ask Her Majesty's Government what amount of UK ODA allocated to fragile and conflict-affected states met the DFID’s core objective of development and poverty eradication as opposed to security, justice and defence in (a) 2008, (b) 2009, and (c) 2010.

To ask Her Majesty's Government what amount of UK ODA allocated to fragile and conflict- affected states will meet DFID’s core objective of development and poverty eradication as opposed to security, justice and defence in (a) 2011, (b) 2012, (d) 2013, (e) 2014, and (f) 2015.

Baroness Verma: All UK ODA to fragile and conflict-affected states contributes to development and poverty eradication. In line with the international standard definition agreed by the Organisation for Economic Co-operation and Development (OECD), for aid to be classified as ODA it must be delivered with the economic development and welfare of developing countries as its primary objective. The Government have committed to spend 30 per cent of ODA on supporting fragile and conflict affected states by 2014-15. Details of UK aid expenditure are published in Statistics on International Development which is available in the Library of the House.

Asked by Baroness Tonge: To ask Her Majesty's Government, further to the Written Statement by the SS for ID, Mr Andrew Mitchell, on 5 April (Official Report, Commons, col. 58WS), for each financial year from 2005-06 to the present what was the annual funding for (a) Peacekeeping (non-ODA (ODA)), (b) Conflict Pool total, (c) ODA conflict pool funding, (d) non-ODA conflict pool, and (e) total settlement, divided into (1) non-ODA, and (2) ODA.

Baroness Verma: The Government have only reported ODA from the Peacekeeping Budget since Financial Year 2006-07. Since then, the amount of ODA reported from the Peacekeeping Budget has increased, in line with changes to the Organisation for Economic Cooperation and Development Assistance Committee's (OECD DAC) guidelines on what can be reported as ODA and as a result of more systematic reporting.

The Conflict Pool as it is currently structured has only existed since Financial Year 2009-10. Until Financial Year 2007-08, the Africa Conflict Prevention Pool (ACPP), which was part of the Department for International Development's baseline, and the Global Conflict Prevention Pool (GCPP), which was part of the Foreign and Commonwealth Office's baseline, were separate budgets. ODA (ODA) for the ACPP and GCPP was aggregated with Departments' own ODA reporting; the ODA figures for Financial Years 2005-06, 2006-07 and 2007-08 in the table above are therefore estimated. At the start of Financial Year 2008-09, a new joint conflict resources settlement merged the ACPP and GCPP into a single Conflict Prevention Pool and created a new instrument, the Stabilisation Aid Fund (SAF), which provided resources for stabilisation activities in Iraq and Afghanistan. The SAF was merged into the Conflict Prevention Pool the following financial year and a single Conflict Pool was established. ODA and non-ODA figures for Financial Year 2010-11 are provisional. Final ODA figures for the Conflict Pool and the Peacekeeping Budget for 2010 will be published in Statistics on International Development in October 2011. A copy will be provided to the Library of the House in due course.

The following table gives details of annual expenditure on the Peacekeeping Budget and the Conflict Pool, broken down by financial year and divided into ODA and non-ODA expenditure: Conflict Expenditure, 2005-2010 (£m)

95 FY FY FY FY FY FY 05/06 06/07 07/08 08/09 09/10 10/11 Global Conflict Prevention Pool ODA 29.5 31.1 17.2 (estimated) Global Conflict Prevention Pool non- 48.8 47.2 63.2 ODA (estimated) Global Conflict Prevention Pool Total 78.3 78.3 80.4

Africa Conflict Prevention Pool ODA 17.8 26.3 31.3 (estimated) Africa Conflict Prevention Pool non- 30.4 30.6 28.8 ODA (estimated) Africa Conflict Prevention Pool Total 48.2 56.9 60.1

Conflict Prevention Pool ODA 70.9

Conflict Prevention Pool non-ODA 43.2

Conflict Prevention Pool Total 114.1

Stabilisation Aid Fund ODA 62.1

Stabilisation Aid Fund non-ODA 9.5

Stabilisation Aid Fund Total 71.6

Conflict Pool ODA 118.5 93 *

Conflict Pool non-ODA 62 86.7 *

Conflict Pool Total 180.5 179.7

Conflict Pool ODA Total 47.3 57.4 48.5 133 118.5 93 * Conflict Pool non-ODA Total 79.2 77.8 92 52.7 62 86.7 * CONFLICT POOL TOTAL 126.5 135.2 140.5 185.7 180.5 179.7 382.4 Peacekeeping non-ODA 326.1 357.8 356 360 334.3 * Peacekeeping ODA 0 12.9 15.2 48.1 43.8 48.8 * PEACEKEEPING TOTAL 326.1 370.7 371.2 408.1 378.1 431.2 TOTAL CONFLICT RESOURCES 452.6 505.9 511.7 593.8 558.6 610.9 141.8 Of which ODA 47.3 70.3 63.7 181.1 162.3 * 469.1 Of which non-ODA 405.3 435.6 448 412.7 396.3 * * Provisional figures

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of UK ODA was allocated to OECD DAC codes 15230 (participation in peacekeeping operations) and 15220 (civilian peace building, conflict prevention and resolution) in (a) 2005-06, (b) 2007-08, and (c) 2009-10.

Baroness Verma: Details of UK ODA are published on the Organisation of Economic Co- operation and Development's Development Assistance Committee (OECD DAC) website www.oecd.org/dac and are available to download from their online database at http://stats.oecd.org/qwids/. The relevant figures are reproduced below.

2005 2006 2007 2008 2009

Total UK ODA £5,926m £6,770m £4,921m £6,356m £7,356m 96 2005 2006 2007 2008 2009

15220: Civilian peace-building, conflict na na £97m £194m £195m prevention and resolution % Total UK ODA 2% 3% 3%

15230 Post-conflict peace-building (UN) £2m £2m £1m £3m £14m % Total UK ODA <1% <1% <1% <1% <1%

Asked by Baroness Tonge: To ask Her Majesty's Government what percentage of UK ODA is allocated to OECD DAC codes 15230 (participation in peacekeeping operations) and 15220 (civilian peace building, conflict prevention and resolution) in (a) 2011-12, (b) 2013-14, and (c) 2015-16. [HL9593]

Baroness Verma: Future UK ODA has not yet been allocated to this level of detail.

Further PQs with replies can be found on the Group’s website.

INTERNATIONAL CONFERENCES

Group members, advisor and assistant have been involved with and attended several national and international NGO and parliamentary meetings and conferences this year, as follows:

Action for Global Health meeting: ‘International commitment and accountability with regards to results: How can we make aid more effective?’ 3rd May 2011, Paris, France Baroness Jenny Tonge attended and spoke at above AfGH meeting. The meeting formulated recommendations before the G8 Summit about accountability issues in order to improve transparency and monitoring of governments’ commitments. Participants reflected on current initiatives in the field, recalled the criteria necessary for transparency and the meeting offered Members of Parliament tools to monitor and control commitments in collaboration with civil society.

The results and recommendations from above debate were presented during the Parliamentarians’ Summit on 16 and 17 May on “Girls and Population: the forgotten drivers of development”.

Please find enclosed invitation, programme and Baroness Jenny Tonge’s briefing notes as appendix 303

G8/G20 Global Parliamentarians’ Summit: “Girls and Population - the forgotten drivers of development”, 16 th – 17 th May 2011, Paris, France Baroness Jenny Tonge attended above parliamentary conference organised by EPF and its French NGO partners (Equilibres et Populations and Mouvement Français Pour le Planning Familial). The event was hosted at the French National Assembly by EPF Vice-President Hon. Danielle Bousquet, and it brought together more than 60 parliamentarians committed to population and development issues from around the world and from across the political spectrum.

The summit featured presentations and speeches from a range of prominent representatives of international organisations and the French Government. Speakers included French Ministers in charge of Cooperation (Hon. Henri de Raincourt) and Solidarity and Social Cohesion (Hon. Roselyne Bachelot), as well as UNFPA Deputy Executive Director Mari Simonen, World Bank Gender and Development Group Director, Mayra Buvinic, UN Women Executive Director, Michelle Bachelet, and IPPF Director-General Gill Greer.

On the summit’s closing day the parliamentarians in attendance worked to draw up a common declaration to the leaders of the G8 and G20, ahead of the G8 Summit in Deauville later in the month. Consensus from the parliamentarians present came quickly.

97 Please find enclosed invitation, programme and the Summit declaration as appendix 304

The G8/G20 Parliamentary Summit declaration was sent to all UK Cabinet Ministers.

The Guardian’s Poverty Matters Blog picked up on the summit with the following title: “The trouble with gender economics - At a global summit in Paris, France, MPs from around the world argued that investing in girls can spur economic growth. But the economic case for gender equality has its critics.”

The article made reference to Baroness Jenny Tonge’s participation. The German press also picked up on the Summit.

Please find enclosed full article as appendix 305

University College London and Leverhulme Trust Symposium: Population Footprint conference on human population growth and global carrying capacity, 25 th – 26 th May 2011, London, UK Richard Ottaway MP and advisor attended above symposium, which had a satellite meeting in Nairobi, Kenya with 100 delegates hosted by the African Institute for Development Policy (AFIDEP), in partnership with the Government of Kenya and various local agencies.

The London symposium brought together cross-sector academics, NGOs and activists from the global South and North to debate and address practical policy concerns on a range of inter- related issues of critical importance for the 21st century. Almost 300 delegates and 35 speakers and chairs took part, representing a total of 33 countries. The many world-renowned speakers, including academics and representatives of multi-laterals and NGOs were extremely well received by an equally diverse and multi-disciplinary audience.

The symposium succeeded in fostering debate and bringing different perspectives and policy approaches to a range of complex and often contentious issues related to the main themes: consumption, reproductive health and rights, climate change, 'sustainable' growth, ageing, migration and other population dynamics.

Please find enclosed invitation and programme as appendix 306

The Group set up an interview with UNFPA executive director Dr Babatunde Osotimehin at the symposium which resulted in press coverage in the Sun (please see Press section for further information).

The symposium report was launched on 7 th November 2011 in Parliament with a PSN report on climate change in Parliament (please see Group briefing meeting section for more information).

Family Planning Conference, 29 th November – 2nd December 2011, Dakar, Senegal The Bill and Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health and the Ministry of Health and Prevention in Senegal co-hosted the second International Conference on FP: “Research and Best Practices” in Dakar, Senegal. The 2011 Conference was the second of its kind with the first held in 2009 in Kampala, Uganda. The 2011 Conference brought together participants to share research, best practice and progress on national strategies to deliver FP services, with the ultimate goal being universal access to family planning.

The Conference welcomed over 2000 researchers, program managers, clinicians, parliamentarians, policymakers, jurists and journalists. The Conference was co-sponsored by over 30 international organisations including USAID, UNFPA, WHO, World Bank and the Bill and Melinda Gates Foundation.

The Conference program included plenaries, multiple concurrent oral sessions, special panel presentations, poster sessions, luncheon roundtables and an exhibit area. Over 100 journalists attended and collectively published over 200 articles.

98 The Group submitted its 2007/09 hearing report on population growth and its impact upon the MDGs as abstract to the summit. Regular correspondence followed submission and a member was meant to participate in the youth and press sessions, however it was cancelled at short notice by organisers.

Please find enclosed invitation and programme as appendix 307

Welcome Trust interdisciplinary conference: Global Forum on Multipurpose Prevention Technologies (MPT) for Reproductive Health: Advancing the MPT Agenda Globally, 11 th - 12 th January 2012, Wellcome Trust, London Advisor and researcher participated in above international symposium. The conference had representation from a multidisciplinary cadre of experts working in the areas of FP, HIV and STI prevention, product development, clinical and socio-behavioural research, policy and communications. Numerous MPTs were presented and discussed which represented a new category of user-friendly technologies and products designed to enable women worldwide to protect themselves simultaneously against unintended pregnancy, STIs including HIV and other reproductive tract infections.

The meeting expanded and extended the thinking from previous MPT discussions, including the International MPT Symposium held the beginning of November in Washington DC, but with invitees primarily representing Africa, Europe, and South Asia.

Organisers hoped that the presentations and discussions at the meeting would contribute further to the advancement of the emerging field of MPTs for reproductive health.

Please find enclosed invitation, programme and conference front cover and contents page as appendix 308

RCOG event for International Day of Zero Tolerance to FGM, 6 th February 2012, RCOG, London Advisor attended above RCOG and RCM event which included a panel of expert presentations on FGM to mark International Day of Zero Tolerance of FGM. In the UK, the FGM Act (2003) makes it an offence to subject a child or woman to the practice. Clinical guidelines and legal guidance exist to assist professionals in their decision-making. Despite safeguards, to date, there have been no prosecutions for FGM in the UK even though, anecdotally, the practice still occurs within some communities. Above meeting particularly addressed the following questions: Why is FGM still happening in the UK? If we know that cases of FGM continue in the UK, what can we do to prevent the practice? The event brought together different agencies and organisations involved in FGM to discuss the problems and develop practical solutions to eradicate this harmful practice.

Please find enclosed invitation and programme as appendix 309

Summary meeting points:

• Latest FGM figures in the UK – an estimated 20000 girls are at risk and we urgently need accurate FGM figures; • Immigration from FGM-practicing communities increased dramatically over the years i.e. FGM is a bigger problem now; • Being culturally sensitive must not make us avoid the problem; • We must care about rights and protection; • FGM is violence against children – UK has ratified numerous charters etc on this; • FGM is irreversible, cruel and against 'gut instinct' and against the right of the child; • We have laws (1985 and 2003) and professional guidelines (RCOG, RCM etc) but FGM is still happening and there have been no prosecutions. One doctor was struck off by the General Medical Council some years ago but not prosecuted as need to prove intent; • FGM prosecutions have taken place in Sweden, Norway, Denmark and France as well as many African countries;

99 • Difficulties with FGM relate to secrecy in family and that it is a practice condoned by the community. The victim is usually a child who is otherwise not abused and loved unlike many other kinds of child abuse; • Police rely on health and education system for referrals - police need hard proof and often victim’s co-operation which is difficult. If parents are found guilty then children are removed from parents’ care; • Front line professionals need to engage more in FGM and refer to police; • Need to increase awareness of the problem in schools to young girls. Suggestions include introducing general physical examinations at young age as standard practice in some Scandinavian countries and health passports, as in the Netherlands and France.

SUPPORT AND COLLABORATION WITH OTHER APPGs

The Group continues to exchange information and support the establishment and activities of other APPGs on population and development, both in the UK and abroad. Collaboration also continues with UK APPGs working on international development issues, in particular the APPG on Global Health.

Support has been via e-mails and telephone conversations, face to face meetings in Parliament and at external meetings, workshops and conferences.

Bulgarian APPG on P&D The Bulgarian APPG on P&D made inquiries relating to the Group’s guidelines, rules and parliamentary activities. Advisor met and spoke with the Bulgarian advisor at the EPF retreat in Bordeaux. The UK APPG guideline book was shared, together with the UK Group’s annual activity report.

Please find enclosed sample correspondence as appendix 310

Norwegian APPG on P&D Baroness Jenny Tonge was invited to Oslo on 22 nd – 23 rd May 2011 for a capacity building visit with the newly constituted Norwegian APPG on Population and Development. Truls Wickholm MP, its new chair, welcomed her visit, which included a roundtable discussion on APPGs and parliamentary activities.

Advisor met with the Norwegian advisor at the EPF secretariat retreat in Bordeaux and briefed her on Group activities including parliamentary hearings.

Please find enclosed sample communications as appendix 311

Spanish APPG on P&D Baroness Jenny Tonge was invited to speak at the Spanish Euromapping 2011 launch in February 2012. She was meant to present Group parliamentary activities with recently announced UK ODA and SRHR policies. Due to sudden changes in the UK Parliamentary timetable Baroness Jenny Tonge was unable to travel, but instead spoke via teleconference from the UK Parliament.

Please find enclosed invitation to speak with draft presentation as appendix 312

The launch prompted enquiries from Spanish journalist Maria Sahuquillo, El Pais on UK abortion law and emergency contraception.

Please find enclosed sample communications as appendix 313

Rwandan APPG on P&D Since the 2009 capacity building mission to the Rwandan APPG on Population and Development, information sharing and collaboration continue. Jobs advertised and funding opportunities have been forwarded to the Group. 100

Please find enclosed sample correspondence as appendix 314

UK APG on Sudan Baroness Jenny Tonge remains a member of the Sudan APG which has ensured collaboration and sharing of information between the UK APG Sudan, EPF and the UK APPG on PD&RH. A joint briefing meeting on maternal health in Sudan was organised (please see Group briefing meetings section) and communications related to an EPF study tour to Sudan and the UK’s financial contribution to UNFPA and SRHR were shared. Furthermore the Sudan APPG ensured links between the Group and the motherhood exhibition launched this year.

Please find enclosed sample communications as appendix 315

UK APPGs on International Development Advisor had held regular meeting throughout the year with UK APPG secretariats working on international development issues. Meetings culminated in three briefing meetings, the first with MPs’ staff interested in international development and two other high profile meetings with the Dalai Lama and The Elders in the summer 2012.

Please find enclosed sample communications as appendix 316

UK APPGs on Health Advisor held regular meetings also with UK APPG secretariats working on global health. Meetings were arranged by AfGH to ensure information-sharing on Rio+20 and common positions. Collaboration continues in the lead-up to the MDG Review in 2015.

Please find enclosed sample communications as appendix 317

UK APPG on Global Health The Group has communicated and provided administrative support to the newly established APPG on Global Health. A joint briefing event was organised with the Aspen Institute in March 2012 (please see Group briefing meeting section for further information).

Please find enclosed sample communications as appendix 318

UK APPG on Sexual and Reproductive Health in the UK The Group continue its collaboration with the APPG on Sexual and Reproductive Health in the UK in response to Nadine Dorries MP’s anti-choice parliamentary activities. A joint briefing event was organised with abortion activist Merle Hoffman in March 2012 (please see Group briefing meeting section for further information).

Please find enclosed sample communications as appendix 319

UK APPG on Maternity The Group hosted a joint meeting with the UK APPG on Maternity in October 2011 (please see Group briefing meeting section for further information).

Please find enclosed sample communications as appendix 320

APPG ON PD&RH HEARINGS

Child Marriage, “A Childhood Lost”, 2012

In late 2011 the Group decided to conduct parliamentary hearings into child marriage. A committee was established with Baroness Jenny Tonge in the chair supported by Heather Wheeler MP, Geoffrey Clifton-Brown MP and Lord Rea. The following child marriage expert NGOs were invited onto the committee: FORWARD, ACCM UK, IPPF, MSI, Enabling Education Network, Plan UK, Girls not Brides, Karma Nirvana, White Ribbon Alliance and IKWRO. 101

The first committee meeting was held in March 2012, where members were briefed on hearing aims and processes. A call for written evidence was drafted and hearing dates were set for 19 th and 20 th June 2012.

The press release was disseminated in March inviting short written submissions from interested organisations and individuals with relevant experience and expertise – especially from developing countries, with a deadline on 19 th April. 35 written submissions were received.

Please find enclosed committee meeting agenda and minutes with press release as appendix 321

The hearing report was written during the summer recess and will be launched in November 2012.

Maternal Morbidity – “Better off Dead?”, 2009 The Group continues to promote the 2009 Maternal Morbidity Hearing Report: ‘Better off Dead?’ in parliamentary debates, press articles, and at national and international conferences.

Below is an extract from the 12 th January 2011 HoL debate on maternal health with reference to the report:

Baroness Tonge : “My Lords, I congratulate the noble Lord, Lord Patel, on securing this debate, and the present Government on the leadership they showed early on by promoting women's health and in particular in improving the provision of contraception and safe abortion in developing countries.

The previous Government were equally enthusiastic, but sadly an estimated 350,000 women still die in childbirth and millions suffer permanent damage to their health as a consequence. Imagine a jumbo jet full of passengers crashing every day of the year. The press would go mad. Rupert Murdoch might notice and take action. Yet the same number dying each year for lack of obstetric care raises not a whimper. What a pity men do not have the babies-action would have been taken decades ago.

The coalition published the framework for action before Christmas and I congratulate them. How much money will be allocated and how will the Department for International Development monitor the results? We need to ensure real progress this time because the success of developing countries depends on the health and welfare of its women. There is no question of that.

The rest of my speech can be read in the report produced by the All-Party Parliamentary Group on Population, Development and Reproductive Health, asking whether some women in developing countries might be Better off Dead? It is on our website, so please read it.”

The Report was displayed at the 2011 WRA Mums’ Café stall, which was visited by ministers and parliamentarians (please see Group briefing meeting section for further information).

Members attending the Joint APPG Global Health and Africa meeting in March 2012: “The changing roles and skill mix of health workers globally” received a copy of the report as requested (please see Group briefing meeting section for further information).

The YMCA requested a copy of the report to support their inquiry and report writing (please see general correspondence and communications section for further information).

Return of the Population Growth Factor – Its Impact upon the Millennium Development Goals, 2007/2009

The Group continues to promote the January 2007 Hearing Report: ‘Return of the Population Growth Factor and its Impact upon the MDGs’ and 2009 updated summary leaflet.

The report and its 2009 updated summary leaflet were displayed at the WRA Mums’ Café stall with other hearing reports.

102 The Report with the 2009 updated summary leaflet was also sent as written evidence to select conferences including:

• Senegal FP conference, November/December 2011, Dakar, Senegal • Planet under Pressure conference, March 2012, London, UK • Lords Economic Affairs Committee inquiry into the economic effectiveness of aid, July 2011, London, UK • Environmental Audit committee inquiry into Rio+20, August 2011, London, UK

Linking Sexual and Reproductive Health and HIV/AIDS, “The Missing Link”, 2004

Since “The Missing Link” report was published in 2004, the advantages of linking SRHR and HIV/AIDS, policies, services and programmes, have become commonly accepted. The Group continues to display the report at relevant meetings and conferences.

Female Genital Mutilation, 2000 The Group continues to promote its FGM Report and recommendations in parliamentary debates, PQs and at meetings.

Below are extracts of FGM questions following the CPS’ recently published guidance for prosecutors. These guidelines set out the legal elements of FGM and the challenges prosecutors may face in bringing a case to court.

Asked by Baroness Gould of Potternewton in January 2012: To ask Her Majesty's Government what current support they are providing to specialist services dealing with FGM that are experiencing funding cuts as a result of NHS reforms

To ask Her Majesty's Government what support they are giving to girls under 18 years old who are affected by FGM.

To ask Her Majesty's Government whether they have established a full-time appointment working on the issues surrounding FGM.

To ask Her Majesty's Government who will take on the commissioning responsibility for specialist services and community programmes in respect of female genital mutilation under the new structure for health and social care services.

The Parliamentary Under-Secretary of State, Department of Health (Earl Howe): Clinical Commissioning Groups (CCGs) will take on responsibility for commissioning female genital mutilation (FGM) services. The NHS Commissioning Board will be responsible for commissioning specialised services. We anticipate that the list of these services will be based closely on the current specialised services national definition set.

There are a number of ways in which the Government are providing support to protect current and future generations of girls from this abuse and to ensure that those already living with the consequences of FGM are given the care and support they deserve.

We have integrated the work of the FGM Co-ordinator into the work of the relevant government departments.

The joined-up approach that the Government have taken to tackle FGM in England, jointly led by the Home Office and the Department of Health, has been successful in drawing together, co- ordinating and driving work from a number of government departments.

Oversight of the Government's FGM work is via a cross-Government Steering Group where members include Home Office, Department of Health, DfE, CPS, Ministry of Justice and the Foreign and Commonwealth Office. We also chair and facilitate the quarterly FGM Forum meeting of all relevant civil society organisations, allowing the voluntary and community sector to meet with policy officials, raise any concerns and discuss current issues.

103 Our focus is prevention-in February 2011 we launched multi-agency practice guidelines for front- line professionals such as teachers, general practitioners (GPs) and nurses. The guidelines aim to raise awareness of FGM, highlight the risks that people should be aware of and set out clearly the steps that should be taken to safeguard children and women from this abuse. We want to safeguard and protect all girls and women who may be at risk to avoid the often severe consequences for their physical and mental health. The guidance can be found here: Multi- Agency Practice Guidelines: FGM, (2011): www.dh.gov.uk/prod_consum_ dh/groups/dh_digitalassets/documents/digitalasset/dh _124588.pdf.

The guidance includes information for social workers and outlines in detail the important processes involved in applying child safeguarding procedures in order to minimise or prevent harm to the child or children. Clinical guidance regarding children has also been produced by the British Medical Association. Child Protection-A Toolkit for Doctors, 2009. "FGM: Caring for Patients and Safeguarding Children “Guidance from the BMA July 2011.

Communications about FGM are key to bringing the issue to more people's attention. More than 40,000 leaflets and 40,000 posters have been circulated to schools, health services, charities and community groups around the country.

The Department for Education has included advice on FGM in its guidance for schools, Safeguarding Children and Safer Recruitment in Education, 2006. It also included advice on FGM for the wider children's workforce and for all those involved in safeguarding children in, Working Together to Safeguard Children: A Guide to Inter-Agency Working to Safeguard and Promote the Welfare of Children, 2010.

In addition, the Kids Taskforce was commissioned by the Home Office to develop a short film and accompanying teachers' resource pack to be available for use in secondary schools. The DVD can be downloaded by all schools. The accompanying teachers' resource pack is designed to support teachers to deliver a lesson on FGM. It contains detailed lesson plans and relevant and applicable classroom materials, such as students' worksheets, quizzes, debate topics and small group-work activities.

There have been some successful initiatives from the police too-the Metropolitan Police's Project Azure's work at Heathrow and King's Cross to speak to families potentially taking the girls overseas for FGM has strengthened our last line of defence for these girls at risk.

The CPS has recently published guidance for prosecutors setting out the legal elements of FGM and the challenges prosecutors may face in bringing a case to court, particularly when a victim may retract her evidence due to social and cultural pressures. It is hoped that the publication of this guidance will both raise awareness of this serious crime and help prosecutors bring perpetrators to justice. Female Genital Mutilation Legal Guidance (July 2011) is available here: www.cps.gov.uk/legal/d_to_g/female_ genital_mutilation/

In October 2011, the Home Office launched a £50,000 fund for frontline organisations to submit proposals to receive grants of up to £5,000 to support women and girls affected by FGM. Ten organisations were successful and will receive these grants later this month. The funds will be used to strengthen community based preventative work, raise awareness about socio-cultural, ethnic, legal, sexual health and clinical implications and strengthen the voice of women and communities speaking out against FGM and create new opportunities to talk about FGM.

The Department of Health works on FGM as part of its wider work on Violence Against Women and Children. The department's Taskforce on Violence Against Women and Children, chaired by Sir George Alberti, looked specifically at the role of the NHS in meeting the challenge of violence and abuse against women and children. In March 2010, the taskforce's final report was published, along with the specific sub-group reports and evidence on which the taskforce has based their recommendations. The taskforce report on Harmful Traditional Practices and Trafficking covered FGM and can be found here: www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publications PolicyAndGuidance/DH_113735.

Clinical guidance regarding children has also been produced by the BMA, (Child Protection-A toolkit for Doctors, 2009. "FGM: Caring For Patients And Safeguarding Children" Guidance from the British Medical Association 104 Asked by Baroness Tonge in February 2012: To ask Her Majesty's Government how many cases of FGM were investigated by the police in the last year for which figures are available.

Baroness Verma: My Lords, information on the number of police investigations involving FGM is not collected centrally. However, the Government work closely with the police and the Crown Prosecution Service to ensure that they are equipped with guidance and information to deal with cases of FGM, and that they are clear on their legal powers to protect women and girls from this abhorrent practice.

Baroness Tonge: My Lords, I thank the noble Baroness for that Answer. Is she aware that between November 2009 and November 2011 there were 63 alleged cases reported to the Metropolitan Police which never reached prosecution? Will she undertake to ask the Government to set up a technical review to find out why these cases do not come to prosecution in order to ensure that proper training is given to doctors and midwives to stop this practice in this country? Does she agree that successful prosecutions are the only way to deter families from perpetrating this terrible mutilation on their daughters?

Baroness Verma: My Lords, I can inform the noble Baroness that in September 2011 the CPS launched a FGM guidance pack that has been developed to assist prosecutors in what she knows are extremely complex cases. We are intending to monitor that guidance over 12 months and we will evaluate the results. The Government are of course also working closely with schools, health service staff, charities and community groups so that through the multi-agencies we are able to raise as much awareness as we can. As to the noble Baroness's point on prosecutions, this is an issue that at the end of the day will achieve results only when the communities themselves decide really to engage with bringing forward perpetrators.

Baroness Rendell of Babergh: My Lords, is the Minister aware of the unwillingness of young girls to go into court and give evidence? FGM is an abhorrent practice but is not regarded as such by many of the young girls themselves and by those who advise them. There are many who tell them that if they are not mutilated they will not become real women, they will not find a man to marry them, and they are bullied and victimised by their contemporaries. Is the Minister further aware that if they go into court they may be required to testify against their own parents or family members and people they have known and had a close relationship with all their lives?

Baroness Verma: I think the noble Baroness has hit the nail on the head. That is why it is so difficult to get prosecutions. There is also an embedded cultural issue. Until we reach out and get through to the older women in those communities and get them to respond to the young girls who are often unwilling to undergo these practices, we will never get to the nub of the problem. However, I must say that I have come across young people-both men and women-from those communities where FGM is being practised who are beginning openly to stand up to say that they oppose it. That is a positive sign for us all.

Baroness Morris of Bolton: My Lords, two or three years ago I attended a round-table multi- agency discussion in Birmingham on FGM. One of the main problems in getting the message across to some insular communities is the language barrier and the lack of female interpreters. There was real concern that many male interpreters do not convey the fact that FGM is a crime with serious consequences. Can my noble friend say what the position is on interpreters and whether this is still a problem?

Baroness Verma: I cannot answer my noble friend directly on the position of female interpreters because that information is not held centrally. However, I can reassure her and your Lordships' House that the police, the CPS and all those involved in the issue take it incredibly seriously and are working with the sensitivity that it requires. I repeat that unless the communities themselves are willing to engage with outside organisations, this will remain a problem.

Baroness Howarth of Breckland: My Lords, I recently attended an international seminar in Brussels which was focused, as the noble Baroness suggests, on how communities can themselves help with this issue. What is being done to engage the communities themselves? How can we learn from some African countries, which are taking work into the communities, rather than trying to find ways ourselves and not succeeding?

Baroness Verma: The noble Baroness raises an important point about engagement with the communities. We have set up an FGM fund of £50,000 through which we are helping to fund 10 105 organisations on the front line that are helping to prevent FGM within those communities. It is important that the results and the influences come from within the communities, so we are engaged with working closely not only with the young people through school education but with the older generation through community groups.

Baroness Scotland of Asthal: My Lords, is it not also of critical importance for victims to get appropriate help and support? Is it not therefore the role of the CPS to support those victims so they are enabled to give their evidence? Are the specialist prosecutors who deal with violence against women still able to do that, bearing in mind the cuts? Is that not something that we should pursue with greater vigour?

Baroness Verma: The noble and learned Baroness is absolutely right. That is why the Home Office has ring-fenced £28 million-so that we have those specialist services in place and so that those victims are able to access as much support as we can possibly give them, not just in terms of health and social services but being able to provide accommodation and all the other things that they require if they want to move from the communities that are imposing FGM on them.

Baroness Hussein-Ece: My Lords, did my noble friend see the excellent report on "Newsnight" last night on this barbaric practice in Egypt? I was shocked to learn that 90 per cent of women, both Christian and Muslim, are subjected to this awful custom. Is she aware whether the schools in this country are playing their role? Some groups who campaign on the ground and work with young women and their families tell me that the DfE says that it does not collate any information that would help in this matter and that it is not really a problem, but schools know when girls are taken out of the country to have this procedure performed.

Baroness Verma: I did not watch the programme last night because I was here, sitting in the Chamber.

A noble Lord: Working.

Baroness Verma: Working, yes. However, I did hear about the programme this morning and people have said how appalled they were by what they saw. The noble Baroness asked about schools. Some 80,000 leaflets and posters have been distributed among schools and healthcare services. But the noble Baroness is absolutely right: we need to do a lot more.

Members attended various events this year on FGM in Parliament and at the RCOG (please see Group briefing meeting section for further information).

The Group held discussions with various media outlets following the International Day of Zero Tolerance to FGM including London Media and Bill Doult (please see general meetings and correspondence for further information).

The Group successfully published an article in PoliticsHome in February 2012 calling for stronger protection of women with reference to FGM (please see Press section for further information).

A new APPG has been established on FGM this Parliament with Jane Ellison MP in the chair.

Important meetings on FGM took place with the CPS and Surrey Police team in May and October 2012 to discuss how to bring about prosecutions in the UK.

Please find enclosed sample communications as appendix 322

APPG PD&RH PUBLICATIONS

Activity Reports Annual Activity Reports have been published every year since 1993/1994 to the present date and can been found on the Group’s website.

106 Hearings/Surveys/Reports A Report on Maternal Morbidity – ‘Better off Dead?’, May 2009

‘Return of the Population Growth Factor - Its Impact upon the Millennium Development Goals’, January 2007 (Main Report and Executive Summary Report (translated into German and French)) and Updated Summary and Graphs/Tables, July 2009

‘Linking Sexual and Reproductive Health and HIV/AIDS – “The Missing Link”’ October 2004 (Main Report, Executive Summary and Recommendations Report and CD-Rom)

‘Female Genital Mutilation, Report of Parliamentary Hearing and Survey on FGM’, May 2000

‘Taking Young People Seriously: Improving Sexual and Reproductive Health for the Next Generation’, Report of the Parliamentary Hearings held on 6 and 13 May 1998

‘Development Strategies for the 21 st Century: the South-South Partnership in Population and Development’, Report of the Parliamentary Hearing March 1997

Report on Workshop "Working with Parliamentarians and Government Officials" London, March 1996

Implementing the Cairo ICPD 1994 Programme of Population, Reproductive Health and Development, European Parliamentary Forum for Action Report, Brussels 1995

Women's Rights and Sexual Health, Report of Consultations held with agencies involved in women's issues, 1995

‘The Well-Spent Pound’ - an assessment of AID Agency priorities for population activities, NGO Review 1993

European Agenda for Action on World Population, Report of the European Parliamentarians Conference, London 1992

107

ACCOUNTS

Please find the Group’s audited accounts April 2011 – March 2012 enclosed as appendix 323

108 ACRONYMS

AfGH - Action for Global Health AFPPD - Asian Forum on Parliamentarians on Population and Development AGM - Annual General Meeting AIDS - Auto-Immune Deficiency Syndrome APPG - All Party Parliamentary Group APPG on PD&RH - All Party Parliamentary Group on Population, Development and Reproductive Health BPAS - British Pregnancy Advisory Service C - Conservative CHETNA - Centre for Health, Education, Training and Nutrition Awareness CoE - Council of Europe CPA - Commonwealth Parliamentary Association DFID - Department for International Development DSW - German Foundation for World Population EDM - Early Day Motion EOC - Emergency Obstetric Care EPF - European Parliamentary Forum on Population and Development EU - European Union EuroNGOs - European Non Governmental Organisations for Sexual and Reproductive Health and Rights, Population and Development FAAPPD - Forum of Asian and Arab Parliamentarians on Population and Development FCO - Foreign and Commonwealth Office FGM - Female Genital Mutilation FORWARD - Foundation for Women’s Health Research and Development FPAN - Family Planning Association of Nepal GADN - Gender and Development Network GE - General Election GNI - Gross National Income G8 - Group of Eight - consists of Canada, France, Germany, Italy, Japan, Russia the UK and the US G20 - Group of Twenty – consists of the finance ministers and central bank governors of 19 countries: the G8 countries, plus Argentina, Australia, Brazil, China, India, Indonesia, Mexico, Saudi Arabia, South Africa, Republic of Korea and Turkey. The twentieth member is the European Union, which is represented by the rotating Council HFEA - Human Fertilisation and Embryology Authority HIV - Human Immune Virus HoC - House of Commons HoL - House of Lords HTA - Human Tissue Authority IAPG - Inter-American Parliamentary Group ICPD - International Conference on Population and Development ID - International Development IDA - International Development Association IPPF - International Planned Parenthood Federation IPPR - Institute for Public Policy Research IVF - In Vitro Fertilisation IWD - International Women’s Day L - Labour LD - Liberal Democrat LGBT - Lesbian, Gay, Bisexual and Transgender LSHTM - London School of Hygiene and Tropical Medicine MCN - Maternal and Child Network MDGs - Millennium Development Goals MoD - Ministry of Defence MP - Member of Parliament 109 MSI - Marie Stopes International NGO - Non Governmental Organisation NHS - National Health Service NICE - National Institute for Clinical Excellence NPFPC - National Population and Family Planning Commission ODA - ODA OECD - Organisation for Economic Co-operation and Development OPT - Optimum Population Trust PoA - Programme of Action PQ - Parliamentary Question PSHE - Personal, Social, Health and Economic Education PSN - Population and Sustainability Network PUSS - Parliamentary Under Secretary of State PUSS for ID - Parliamentary Under Secretary of State for International Development RCM - Royal College of Midwives RCN - Royal College of Nursing RCOG - Royal College of Obstetricians and Gynaecologists RPC - Research Programme Consortia SPN - Sunaulo Parivar Nepal SRHR - Sexual and Reproductive Health and Rights SS - Secretary of State SS for ID - Secretary of State for International Development STI - Sexual Transmitted Infection SWOP - State of the World Population TB - Tuberculosis UK - United Kingdom UN - United Nations UNFPA - United Nations Population Fund UNICEF - United Nations Children’s Fund VSO - Voluntary Services Overseas WHO - World Health Organization WRA - White Ribbon Alliance XB - Cross Bencher

110 APPENDIXES

Appendix 1: APPG on PD&RH introductory letter to new MPs Appendix 2: APPG on PD&RH committee meeting agendas and minutes Appendix 3: New job description for APPG on PD&RH researcher/administrator Appendix 4: Invitation and RSVP list to APPGs on International Development drop-in networking event for parliamentary staff Appendix 5: Minutes of briefing meeting with Malcolm Potts on population, child marriage and family planning Appendix 6: Invitation to UNFPA and CCR event on Family Planning from a Human Rights Perspective with front and contents page of new report Appendix 7: Invitation to WPD reception Appendix 8: Selection of WPD speeches Appendix 9: APPG on PD&RH WPD press release Appendix 10: Communications with Mory Diarassouba,Cote D’Ivoire Embassy representative Appendix 11: Invitation to Plan UK event on child marriage with new report front and contents pages Appendix 12: Letter to Andrew Mitchell MP, SS for ID on child marriage Appendix 13: Invitation to APPG on PD&RH press luncheon 24 th October 2011 with press release Appendix 14: Economist article by Richard Ottaway MP Appendix 15: Correspondence relating to Richard Ottaway MP’s report: Sex, religion and Ideology – 10 myths about world population growth Appendix 16: Invitation to Joint APPG on Maternity and PD&RH meeting: A debate on the MDGs with a focus on women’s health Appendix 17a: Communications with Caroline Spelman MP, SoS for Environment, Food and Rural Affairs Appendix 17b: Invitation to UCL Institute for Global Health and Population Sustainability Network climate change reports launch with briefing notes and front and contents pages of reports Appendix 18: Invitation to WRA - Dreams for my Daughter exhibition Appendix 19: Invitation and minutes of SRHR Network briefing meeting Appendix 20: Invitation to and meeting notes from joint APPG Sexual Health and Reproductive Health and PD&RH briefing meeting on pro-choice activist Merle Hoffman’s memoir, ‘Intimate Wars: The life and times of the woman who brought abortion from the back alley to the boardroom’ Appendix 21: Invitation to, press release and publicity for joint Aspen Institute, APPG on Global Health and APPG on PD&RH briefing meeting: International Women’s Day Policy Dialogue: Investments in Family Planning – Social and Economic Dividends Appendix 22: WRA Mums’ Café press release and other communications Appendix 23: APPG on PD&RH IWD press release Appendix 24: IWD briefing sent to Baroness Jenkin Appendix 25: Invitation to APPG on Peru and Womankind Worldwide meeting, Women’s empowerment: A Latin American case study Appendix 26: Invitation to APPG Great Lakes Region briefing meeting: A Million women Rise - a presentation of findings from world march for women in DRC Appendix 27: Invitation to and meeting notes from Sex and Relationships Education Council launch Appendix 28: Information on Henry Jackson Society lecture by George Shultz Appendix 29: Invitation to Window on Widows: Vital Role of widows in development Appendix 30: Invitation and letter to FPA and Brook summer reception Appendix 31: Invitation to WRA and CPA working lunch to discuss: Accountability: how can parliamentarians help to realise commitments to women and children? With Nepalese and Ugandan MPs with Baroness Jenny Tonge’s briefing notes Appendix 32: Invitation and correspondence relating to Dr Gill Greer’s farewell dinner at the New Zealand Embassy Appendix 33: Invitation to FPA and Brook meeting: How can we defend women’s choice? Appendix 34: Invitation to UNFPA SWOP report launch, front cover of the report and contents page with press release Appendix 35: Invitation to APPG Colombia meeting on Women and Gender violence in the Colombian conflict: what can UK Parliamentarians do? Appendix 36: Invitation to MSI Guardian International Journalism award with covering letter 111 Appendix 37: Communications relating to APPG Afghanistan briefing meeting Appendix 38: Invitation to RCM 1 st Annual State of Maternity Services Report with front and contents page of publication Appendix 39: Invitation to Plan UK meeting on ‘Outlawing the In-laws’ child marriage meeting Appendix 40: Invitation to COMMAT and Time Plus Talents – conversation for collaborative change meeting with executive summary of meeting Appendix 41: Invitation to APPG Zambia meeting with Minister responsible for Africa in FCO Appendix 42: Invitation to APPG on Maternity Sands report launch on ‘Preventing Babies’ Deaths’ with a copy of front and contents page of the report Appendix 43: Invitation to APPG on AIDS meeting on Nobel Peace Prize winners with bio of main speaker Maurice Tomlinson Appendix 44: Invitation to IPPF Development Debate: Women’s empowerment and sustainable development – have we failed? Appendix 45: Invitation to Orchid Project FGM event Appendix 46: Invitation to APPG Pro-life briefing event on ‘post abortion syndrome’ with Guttmacher update on the issue Appendix47: Invitation to WRA Dreams for my Daughters reception and exhibition launch Appendix 48: Invitation to joint APPG Global Health and Africa meeting on health workers with papers circulated on the issue, list of people in attendance with front and contents page of WHO mid-level health providers’ publication Appendix 49: Invitation to APPG on AIDS and mothers2mothers meeting on MTCT Appendix 50: Correspondence with EPF on CoE activities Appendix 51: Communications with UK IPU secretariat and MPs on the draft resolution: “Access to health as a basic right: the role of parliaments to addressing key challenges to securing the health of women and children” Appendix 52: Communications relating to EPF evaluation Appendix 53: Agenda and list of attendance at EPF conference for European Secretariats Appendix 54: Press presentation and communications for EPF conference for European Secretariats Appendix 55: Communications with EuroNGOs relating to its external evaluation Appendix 56: EuroNGOs AGM programme Appendix 57: EuroNGOs workshop programme: How to advocate for SRHR when aid is decentralised Appendix 58: EPF Rwanda study tour programme Appendix 59: EPF Indonesia study tour programme and article Appendix 60: Briefing on the new NHS Bill and SRHR Appendix 61: Communications on UK’s new report on humanitarian aid with report front and contents page Appendix 62: Communications on DFID’s new strategic vision for girls and women: stopping poverty before it starts Appendix 63: APPG on PD&RH May 2011 newsletter Appendix 64: Communications on UNFPA’s new report entitled ‘Population Dynamics and Poverty in the Least Development Countries: Challenges and Opportunities for Development and Poverty Reduction’ with report front and contents page Appendix 65: Communications on President Obama’s pro-choice record Appendix 66: IPPF press release on the newly appointed Director General: Mr Tewodros Melesse Appendix 67: Communications on UK Human Rights Act Appendix 68: Communications on Trends in Maternal Mortality 1990 – 2008 Appendix 69: Communications on HMG consultation to achieve cross-Whitehall agreement on priority countries or regions where UK intervention would be both effective and necessary Appendix 70: Communications on Britain’s aid programmes up to 2015 Appendix 71: Communications on how pro-choice campaigners can come together to fight back against attempts to chip away at established abortion rights Appendix 72: Communications on the newly established Sex and Relationships Education Council Appendix 73: Article on the world’s disappearing women Appendix 74: UNFPA’s press strategy for 7 billionth birth Appendix 75: Communications on Bill Gates’ article in the Sun - making reference to population growth Appendix 76: Communications on global contraceptive availability over-the-counter Appendix 77: Communication on UNFPA ED interview in the Sun newspaper Appendix 78: Communications on World’s Midwifery Report, 2011 112 Appendix 79: Briefing on Merck and contraceptives Appendix 80: Briefing on contraceptive boost following the Reproductive Health Supplies coalition conference in Addis Ababa Appendix 81: Article on Nadine Dorries MP’s amendment to UK abortion regulations Appendix 82: Article on ‘Indians pay surgeons to turn girls into boys’ Appendix 83: Summary of recent HoC and HoL PQs and debates on SRHR/FP Appendix 84: FGM briefing for 30 th June HoL debate Appendix 85: Communications on DFID’s AIDS and Reproductive Health Team Appendix 86: Communications on UK Aid Match Appendix 87: Briefing on FP and Famine in the Horn of Africa for 6th July HoL debate Appendix 88: List of MP/peers that joined the APPG on PD&RH between GE – June 2011 Appendix 89: Communications on a cost-benefit analysis of investing in FP and SRHR Appendix 90: Communications on UNFPA’s press release on ‘Challenges, Opportunities and Action in a World of 7 billion’ Appendix 91: Communications with Diana Johnson MP on HoC PQ on WPD Appendix 92: Richard Ottaway MP and Baroness Jenny Tonge’s letter to the Guardian on FP being key to the fight against famine Appendix 93a: The Guardian article by Claire Provost on population growth Appendix 93b: Lord Steel briefing on abortion for Kenya conference: ‘The lives and health of women in Kenya are worth preserving with the new constitution’ Appendix 94: UNFPA press release on its lifesaving support for mothers’ needs in the Horn of Africa briefing for Baroness Tonge Appendix 95: Communications on the House magazine’s guide on UK APPGs Appendix 96: Communications on UN women – their new strategy Appendix 97: Lord Steel follow-up information for Kenya conference Appendix 98: IPPF press release on Mr Tewodros Melesse Appendix 99: Baroness Jenny Tonge article in the Independent on Afghanistan and FP Appendix 100: MSI press release and briefing on independent counselling amendment to the HSC Bill Appendix 101: Briefing on ‘17 reasons to oppose’ the NHS Bill Appendix 102: Communication with Lyn Brown MP on the independent abortion counselling debate Appendix 103: Communications with Lyn Brown MP in connection with 15 th September HoC debate on food security and famine prevention in Africa Appendix 104: Communications on votes for Nadine Dorries MP’s amendment on abortion counselling Appendix 105: Communications on UNFPA’s State of the World Population Report launch Appendix 106: Communications with Lyn Brown MP on population figures Appendix 107: Communication with Baroness Jenny Tonge relating to Lyn Brown MP’s HoC intervention on population growth Appendix 108: Communications on UN Department of Public Information 64 th NGO conference in the lead up to Rio+20 Appendix 109: Communications on Oxford University Population lectures: “Is the planet full?” Appendix 110: Communications on countries with fertility decline in Africa Appendix 111: Communications on who voted against Nadine Dorries MP’s counselling amendment to HSC Bill Appendix 112: UNFPA SWOP report 2011 press release Appendix 113: Huffington Post and the Lancet articles on population Appendix 114: Communications on Centre for Reproductive Rights map on abortion laws around the world Appendix 115: Communications with Lyn Brown MP on anti-choice activities Appendix 116: Communications on global birth rates Appendix 117: Communications on DFID’s ‘Choices for women in a world of 7 billion’ Appendix 118: Invitation to Royal Geographical Society lectures on adapting to an urban future Appendix 119: Communications on PSN population and climate change report and UCL population and climate change policy briefing Appendix 120: Article on Nadine Dorries MP’s free rein to attack women’s reproductive rights Appendix 121: Communications on Nadine Dories MP’s 10 Minute Rule Bill Appendix 122: Article on the Independent Commission for Aid Impact Appendix 123: Communications on RCOG’s new Guidelines for Termination of Pregnancy Appendix 124: Communications with Bob Blackman MP on DFID ODA in India Appendix 125: Briefing on FP and Rio+20 for HoC and HoL debate and PQs Appendix 126: Communications on DFID support to UNFPA and MDGs 5 and 6 for HoL 1 st December PQ 113 Appendix 127: Communications on ‘UK pledges £35 million for FP to UNFPA’ Appendix 128: Communications on Euromapping 2011 Appendix 129: Communication on APPG on PD&RH Annual Report April 2010 – March 2011 Appendix 130: Communications on DFID’s Opposition January newsletter Appendix 131: Communications on Nadine Dorries MP’s 10 Minute Rule Bill 2 nd reading and protest outside Parliament Appendix 132: Communications on UK’s NICE guidance on caesarean section Appendix 133: Communications on Bill Gates’ annual letter Appendix 134: Communications on PACE resolution: “Demographic trends in Europe: Turning Challenges into Opportunities” Appendix 135: Communications on DFID’s forthcoming ‘Golden Moment’ on FP Appendix 136: Communications on Spanish Euromapping launch Appendix 137: Communications on cervical smears in the UK in support of HoL oral PQ Appendix 138: Briefing on FGM in support of HoL oral PQ Appendix 139: Communications on the Guardian International Development Achievement Award Appendix 140: Article on Nadine Dorries MP and counselling for abortions Appendix 141: Briefing on the contribution women can make to economic growth if they have access to FP/RH services Appendix 142: Communications for HoC IWD debate Appendix 143: Communications on FP and Rio+20 for HoL oral PQ Appendix 144: Article on the USA and UK strategy to beat food insecurity in Africa Appendix 145: Communications on video conferences in Parliament Appendix 146: List of LD MPs and peers with reference to Group membership Appendix 147: Communications with UNFPA relating to DFID Select Committee and other pertinent issues Appendix 148: Communications with IPPF relating to surveys and briefings Appendix 149: Communications with MSI relating to briefings Appendix 150: Communications with WRA relating to Mums’ Café and other pertinent issues Appendix 151: WCF (UK) briefing pack with list of MPs briefed Appendix 152: Communications with UK SRHR Network Appendix 153: Summary of Baroness Jenny Tonge’s Group activities to LD office and correspondence with LD secretariat on party conference side event Appendix 154: Communications with HealthProm Appendix 155: Communications with Plan UK on a child marriage briefing meeting Appendix 156: Communications with David and Lucile Packard Foundation on a possible briefing meeting on the unmet need for FP and the development of new SRHR/MH indicators Appendix 157: Communications with Oxfam on health financing and other pertinent issues Appendix 158: Communications with the Royal Society in connection with their ‘People and Planet’ publication and launch Appendix 159: Communications with Parliamentary Office of Science & Technology on Post- Note publication on population Appendix 160: Communications with Advisor to APPG on Agriculture on DAC funding to fragile states Appendix 161: Communications with MSc student to discuss dissertation Appendix 162: Communications with Canadian maternal health consultant Appendix 163: Communications with Population Media Centre Appendix 164: Communications with Action for Global Health on Rio+20 and Health Appendix 165: Communications with European SRHR NGOs on Rio+20 and population Appendix 166: Communications with Interact Worldwide on health workforce Appendix 167: Communications with journalist Bill Doult on FGM press Appendix 168: Communications with the International Museum on Motherhood Appendix 169: Communications with YMCA Appendix 170: Communications with Population Matters Appendix 171: Communications with Jim Dobbin MP’s office relating to UK MP study tour to China in 2002 Appendix 172: Communications with individuals promoting a UK population policy Appendix 173: Communications with Brian McGavern on his paper entitled: ‘The silent crises’ on population growth and its impact Appendix 174: Communications with students Appendix 175: Communications with individuals commenting on Group articles Appendix 176: Communications with individuals commenting on debates and radio interviews Appendix 177: Communications with Christine McCafferty

114 Appendix 178: Letter nominating the inspirational person of the year on International Development and SRHR – Christine McCafferty Appendix 179: Communications with Sustainable World Initiative Appendix 180: Communications with Diane Forrester on HFEA and frozen embryos Appendix 181: Communications with Cultural Manager for Canterbury Christ Church University in response to exhibition on Human Population Growth Appendix 182: Communications on guided tours in Parliament Appendix 183: Communications on USA foreign aid and abortion clause Appendix 184: Communications with Myriad and Coca Cola on corporate responsibility and FP Appendix 185: Communications with Harriet Harman MP opposition spokesperson for International Development Appendix 186: APPG on PD&RH written evidence to FCO consultation on HMG’s strategy to achieve cross-Whitehall agreement on priority countries or regions where UN intervention would be both effective and necessary in relation to conflict Appendix 187: APPG on PD&RH written evidence to Economic Affairs Committee inquiry into the Economic Impact and Effectiveness of Development Aid Appendix 188: APPG on PD&RH written evidence to Environmental Audit Committee inquiry into Rio+20 Appendix 189: APPG on PD&RH abstract sent to the 2 nd Asian Population Assistance conference Appendix 190: APPG on PD&RH abstract sent to Planet Under Pressure 2012 conference Appendix 191: APPG on PD&RH flyer Appendix 192: Article in the Sun on population with Dr Babatunde Osotimehim, ED UNFPA Appendix 193: Letter in the Economist on population growth with Richard Ottaway MP Appendix 194: WRA WPD reception blog Appendix 195: Article in the Independent on maternal health in Afghanistan by Baroness Jenny Tonge Appendix 196: Comment in the Guardian by Baroness Jenny Tonge in response to Lynsey Hanley article: ‘We have room on earth for more’ Appendix 197: Articles from APPG on PD&RH St Thomas’ photo-shoot with correspondence Appendix 198: Articles in the Lancet and BMJ following APPG on PD&RH press luncheon Appendix 199: Articles in PoliticsHome on FGM and FP in the sustainable development agenda Appendix 200: Communications with Spanish El Pais journalist Appendix 201: HoC written ministerial statement on Conflict Resources Appendix 202: HoC written ministerial statement on HIV/AIDS Appendix 203: HoC written ministerial statement on Abortion Costs Appendix 204: HoC written ministerial statement on Nursing and Midwifery Council Appendix 205: HoC written ministerial statement on International Development: Supplementary Estimates 2011 - 2012 Appendix 206: HoC legislation on Sex Education (Required Consent) Bill Appendix 207: HoC legislation on Health and Social Care (Recommitted Bill) Appendix 208: HoC petition response on International Development: Child Health Appendix 209: HoC petition response on Send our Sister to School Campaign Appendix 210: HoC debate on Stillbirth Appendix 211: HoC debate on Conflict Prevention Appendix 212: HoC Summer Adjournment (Home Office) debate on FGM Appendix 213: HoC debate on Food Security and Famine Prevention (Africa) Appendix 214: HoC debate on Commonwealth Partners (Resources and Co-operation) Appendix 215: HoC debate on FGM Appendix 216: HoC debate on Sex and Relationship Education Appendix 217: HoC debate on HIV Appendix 218: HoC debate on Pregnancy Counselling Appendix 219: HoC debate on MDGs Appendix 220: HoC debate on Midwife and Maternity Services Appendix 221: HoC debate on International Development: India Appendix 222: HoC debate on Rio+20 Summit Appendix 223: HoC debate on International Women’s Day Appendix 224: List of MPs signing EDM on Free Emergency Contraception Appendix 225: List of MPs signing EDM on Free Emergency Contraception (No 2) Appendix 226: List of MPs signing EDM on Tea Time for Change Lobby Appendix 227: List of MPs signing EDM on Membership of the Independent Advisory Group on Sexual Health

115 Appendix 228: List of MPs signing EDM on Violence against Women and Prevention through Education Appendix 229: List of MPs signing EDM on Foetal Alcohol Syndrome Appendix 230: List of MPs signing EDM on Send my Sister to School Campaign Appendix 231: List of MPs signing EDM on Women and the Kenyan Constitution Appendix 232: List of MPs signing EDM on San Jose Articles of the Status of the Unborn Child Appendix 233: List of MPs signing EDM on Mumsnet Miscarriage Campaign Appendix 234: List of MPs signing EDM on FGM and the Working in Partnership Conference September 2011 Appendix 235: List of MPs signing EDM on UN Report of Maternal Mortality and Human Rights Appendix 236: List of MPs signing EDM on UN and Evidence of Deaths Due to Back-Street Abortion Appendix 237: List of MPs signing EDM on Midwifery in the NHS Appendix 238: List of MPs signing EDM on World AIDS Day Appendix 239: List of MPs signing EDM on Mental Health Outcomes of Induced Abortion Appendix 240: List of MPs signing EDM on ‘Preventing Babies’ Deaths: What needs to be done’ report Appendix 241: List of MPs signing EDM on International Women’s Day Appendix 242: List of MPs signing EDM on International Women’s Day (No 2)) Appendix 243: List of MPs signing EDM on Gender Abortion Appendix 244: List of MPs signing EDM on Infanticide Appendix 245: HoC oral PQ on Stem Cell Research Appendix 246: HoC oral PQ on Violence against Women and Girls Appendix 247: HoC oral PQ on Overseas Aid Appendix 248: HoC oral PQ on HIV/AIDS Appendix 249: HoC oral PQ on UN Women Appendix 250: HoC oral PQ on IVF Treatment Appendix 251: HoC oral PQ on HIV/AIDS Appendix 252: HoC oral PQ on Overseas Aid Appendix 253: HoC oral PQ on FGM Appendix 254: HoC oral PQ on Personal, Social, Health and Economic Education Appendix 255: HoC oral PQ on ODA Appendix 256: HoC oral PQ on FGM Appendix 257: HoC oral PQ on FGM Appendix 258: HoC oral PQ on World Population Appendix 259: HoC oral PQ on International Development Outcomes Appendix 260: HoC oral PQ on Forced Marriages and Honour Killings Appendix 261: HoC oral PQ on Global Health Fund Appendix 262: HoC oral PQ on Group B Streptococcus Appendix 263: HoC oral PQ on FGM Appendix 264: HoC oral PQ on Sex and Relationship Education Appendix 265: HoC oral PQ on UN Commission on the Status of Women Appendix 266: HoC oral PQ on Women’s Rights Appendix 267: HoC oral PQ on Development Assistance Appendix 268: HoL oral ministerial statement on Abortion Appendix 269: HoL oral ministerial statement on DFID: Departmental Expenditure Limit Appendix 270: HoL oral ministerial statement on UN: Rio+20 Appendix 271: HoL oral ministerial statement on Equality: Civil Marriage Appendix 272: HoL oral ministerial statement on Abortion Act 1967 Appendix 273: HoL written ministerial statement on HIV/AIDS Appendix 274: HoL legislation on Public Bodies Bill (HL) – 3rd Reading (amendment 7 on HFEA and HTA) Appendix 275: HoL debate on UN: International Year of the Youth Appendix 276: HoL debate on Poverty in the Developing World Appendix 277: HoL debate on FGM Appendix 278: HoL debate on Commonwealth Parliamentary Association Appendix 279: HoL debate on HIV and AIDS in the UK Appendix 280: HoL debate on International Development Policy Appendix 281: HoL debate on International Women’s Day Appendix 282: HoL oral PQ on Burundi Appendix 283: HoL oral PQ on World Developing Report Appendix 284: HoL oral PQ on Overseas Aid: Famine Relief Appendix 285: HoL oral PQ on International Development 116 Appendix 286: HoL oral PQ on Malawi Appendix 287: HoL oral PQ on Health: HIV/AIDS Appendix 288: HoL oral PQ on Equality: World Bank Appendix 289: HoL oral PQ on Sex and Relationship Education Appendix 290: HoL oral PQ on ‘Honour-Related’ Violence Appendix 291: HoL oral PQ on FGM Appendix 292: HoL oral PQ on UN: Sustainable Development and Family Planning Appendix 293: HoL oral PQ on Health and Social Care Bill: HIV/AIDS Programmes Appendix 294: Letter from Andrew Mitchell MP, SS for ID Appendix 295: Invitation to APPGs working on International Development event with Andrew Mitchell MP, SS for ID Appendix 296: Invitation to DFID and Aspen Institute – Global Leaders Council for Reproductive Health Dinner with communications Appendix 297: Correspondence relating to DFID and APPG on PD&RH Annual Meeting Appendix 298: Correspondence with DFID on G8/G20 and MDG Review Summits Appendix 299: Correspondence with UK cabinet ministers relating to G8/G20 Summit Appendix 300: Correspondence with Caroline Spelman MP, SS for DEFRA relating to Rio+20 Appendix 301: Correspondence with UK cabinet ministers relating to Rio+20 Appendix 302: Front and contents page of DFID’s ‘Strategic Vision for Girls and Women: stopping poverty before it starts’ Appendix 303: Invitation and programme for Action for Global Health meeting: ‘International commitment and accountability with regards to results: How can we make aid more effective?’ with Baroness Jenny Tonge’s briefing notes Appendix 304: Invitation and programme for G8/G20 Global Parliamentarians’ Summit: Girls and Population – the forgotten drivers of development with summit declaration Appendix 305: Article on the Guardian Poverty Matters blog with reference to Baroness Jenny Tonge’s participation at the G8/G20 Global Parliamentarians’ Summit Appendix 306: Invitation and programme to UCL and Leverhulme Trust Symposium: Population Footprint Conference on Human Population Growth and Global Carrying Capacity Appendix 307: Invitation and programme to FP conference in Dakar, Senegal Appendix 308: Invitation and programme to Wellcome Trust interdisciplinary conference: ‘Global Forum on MPTs for Reproductive Health: advancing the MPT agenda globally’ Appendix 309: Invitation and programme to RCOG event for International Day of Zero Tolerance to FGM Appendix 310: Correspondence with Bulgarian APPG on PD Appendix 311: Communications with Norwegian APPG on PD Appendix 312: Invitation and communications relating to Spanish APPG on PD Euromapping launch Appendix 313: Communications with Spanish journalist for El Pais on UK abortion law and emergency contraception Appendix 314: Correspondence with Rwandan APPG on PD Appendix 315: Communications with UK APPG on Sudan Appendix 316: Communications with UK APPGs working on international development issues Appendix 317: Communications with UK APPGs working on health issues Appendix 318: Communications with UK APPG on Global Health Appendix 319: Communications with UK APPG on Sexual and Reproductive Health in the UK Appendix 320: Communications with APPG on Maternity Appendix 321: Child Marriage committee meeting agenda and minutes with press release Appendix 322: Communications with CPS and Surrey Police team relating to child marriage Appendix 323: APPG on PD&RH audited accounts April 2011 – March 2012

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