Andy Burnham Must Confront UK Aid Cuts and Maternal Deaths
Burnham Must Confront UK Aid Cuts and Maternal Deaths

The Foreign, Commonwealth and Development Office's annual report, quietly published last week as parliament rose for summer, cements UK aid budget allocations until 2029. It locks in three more years of retreat from the world's poorest communities before the new prime minister can take office.

Malawi Embodies the Cuts

Malawi, where three-quarters of the population lacks electricity, will see its £50.2m allocation fall to £5m by 2028-29. Across Africa, bilateral support is losing over half its value in the same period. Overall, the already diminished £13bn aid budget is projected to fall a further £6.5bn in the four years before the next general election.

Human Consequences

The outgoing administration's equality assessment concedes the cuts will “inevitably have negative impacts”. The Wish reproductive health programme, cut by 30%, will now avert 9,500 maternal deaths rather than 11,900 across fragile African states. This means 2,400 more maternal deaths and 600,000 more unsafe abortions than current funding would prevent, in one of the few programmes described as “relatively protected”.

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This projected rise in maternal deaths sits uneasily beside the simultaneous pledge that 90% of bilateral aid programmes will “contribute to gender equality” by 2030. When a government publishes its own estimate of deaths and carries on, that “contribution” becomes less a policy than an alibi.

Shift from Need to Geopolitics

Need is no longer the primary logic of UK aid; geopolitics is, with budget cuts funding defence. The UK's modern development approach, published alongside the 2026-29 allocations, reveals a shift in lexicon: “donor to investor, service delivery to system support, grants to expertise”. This means moving away from directly funding frontline services like clinics and classrooms.

Central to this transition is British international investment (BII), the government-owned body that puts ODA money into businesses. Its 2026-31 strategy commits up to £8bn of BII capital over five years, aiming to attract £6bn to £7.5bn from private investors. Investments must be repaid, flowing to profitable sectors like banks, power grids and telecoms, away from health and education.

Tests for the New Prime Minister

The new prime minister is expected to bring failing services like Thames Water into public ownership, believing markets alone cannot deliver essential public goods. Yet he inherits an aid policy that, through BII, depends on market forces to improve life for the world's poorest. Reconciling these positions requires explanation.

Surviving funds will also be routed through multilaterals like the World Bank, where the UK takes a “shareholder” role pressing for “reform” from a “seat at the table” – a boardroom voice rather than a builder of clinics. British voters have no leverage over pooled contributions channeled through institutions in Washington, controlled by boards they did not elect.

If the new government continues this path, it risks handing critics an argument that has proved potent in the recent past – look at Brexit. Channelling more through multilaterals is an explosive grievance waiting to be deployed.

A Strategic Choice

The emphasis has shifted from supporting those most in need to seeking a return from the world's poorest countries. Reversing that creed is strategic, not sentimental. Aid cuts in the name of security become a security cost elsewhere: a region responding to Chinese soft power is not one where British influence grows, and the next Ebola outbreak will spread regardless of any spending review.

The road back to the 0.7% commitment required by the International Development (ODA Target) Act 2015 will demand political judgment about the role Britain wants to play. The £5m left for Malawi tells the new prime minister more about development priorities than any ministerial briefing ever could.

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