Information about our nutrition spend in financial year 2021-22 will be publicly available through Development Tracker in due course.

The portfolio, agreed by the Foreign Secretary, will focus our investment and expertise on issues where the UK can make the most difference and achieve maximum strategic coherence, impact, and value for money.

We are concerned about the disappearance of Claudia Uruchurtu, a Mexican national who has been missing since 26 March. Our Ambassador has raised the disappearance with the Mexican authorities at both state and federal levels, and is continuing to do so in support of Claudia's British dual-national family. The Mexican authorities have committed to carrying out an investigation into Claudia's disappearance.

We are aware that the UN Committee on Enforced Disappearances has issued an urgent action request to the Mexican state to locate Claudia. As Claudia is a Mexican national, and is in Mexico, our authority and responsibility for engaging in this case is limited. However, our Embassy staff in Mexico City are in contact with Claudia's sisters, who are in Mexico helping with the search, and our Embassy team is helping the family access assistance from human rights groups in the area, and from the local UN human rights office.

On 30 October the Foreign Secretary announced £1 million in funding to the ICRC to support their humanitarian efforts in the region. We are working with international partners and NGOs to understand needs in the region and what further support we can provide, and will keep the situation under review.

The UK Government has not made representations to the Government of Turkey regarding the opening of Turkish airspace for flights to Armenia and Georgia.

The UK has long supported strategies to increase access to safe, effective, quality, and affordable essential medicines to people living in low- and middle-income countries. This includes patented products, and their generic equivalents, which are affordable versions of brand name products. We also work to prevent the spread of substandard, falsified, and counterfeit medicines; for example, through support to the WHO's Global Surveillance and Monitoring System for substandard and falsified medical products.

The UK has been at the forefront, liaising closely with the United Nations (UN) and partners, in calling for immediate, free and unfettered humanitarian access across Tigray, in line with the guiding principles laid down by UN Office for the Coordination of Humanitarian Affairs (OCHA). The UK worked with the UN to develop these guidelines and they have been shared with the Government of Ethiopia. We are extremely concerned that humanitarian agencies, including the United Nations High Commissioner for Refugees (UNHCR), do not have access to refugee camps in Tigray. This means we lack an understanding of the humanitarian and protection context in camps and refugee hosting areas.

We are encouraged that a UN assessment mission was able to access Tigray on 7 December. The mission must be able to work without hindrance and in turn it must facilitate the timely supply of humanitarian support to those who need it including to civilians in contested areas. We will work with the UN to monitor access and humanitarian delivery and the degree to which the UN's guiding principles are adhered to. The UK has, alongside international partners, called on all sides to ensure the protection of civilians and for respect for human rights. We welcome the appeal made by the Ethiopian Commission for Human Rights for an independent investigation into human rights violations.

Despite significant progress, including the formation of the transitional government in February 2020, the situation in South Sudan is of deep concern. Implementation of the 2018 Peace Agreement has stalled, contributing to increases in violence in a number of areas. The South Sudanese economy remains in crisis and many South Sudanese are facing the effects of flooding. Over 50% of the population are experiencing severe acute food insecurity and there is threat of famine in several areas. South Sudan also remains one of the most dangerous places in the world for aid workers with at least nine killed in 2020.

South Sudan's best chance of a more stable and prosperous future remains in the full implementation of the 2018 Peace Agreement. The UK continues to push for progress, alongside our international partners, including the Troika. We remain the second largest bilateral donor and in 2019 UK aid reached over 200,000 with food assistance and one million people with vaccinations for preventable illnesses. During a visit to South Sudan in October, the Minister for Africa pressed President Kiir and other key figures on the need for real political progress and announced a further £8 million of UK aid to help mitigate the risk of famine and assist the victims of flooding.

Eighteen months after the removal of Omar al-Bashir as President, Sudan has begun the process of transitioning to democracy after decades of misrule. In order to deliver the stability required for this transition to succeed, the civilian-led Government of Sudan has committed to important reforms to address Sudan's economic crisis and to a process that aims to bring an end to conflict. There has been progress on economic reforms, including the removal of fuel subsidies in November, but severe challenges remain. Inflation exceeds 230%, the humanitarian situation is worsening, 7.1m face food insecurity and there has been an influx of over 45,000 refugees as a result of the situation in Ethiopia. On securing comprehensive peace, we welcome the signing of the Juba Peace Agreement on 3 October between the Government of Sudan and a number of opposition groups, and continue to urge those outside the agreement to engage in negotiations. In addition the civilian-led government has delivered a number of welcome legal and human rights reforms, including the criminalisation of Female Genital Mutilation and on Freedom of Religion and Belief.

As a leading donor to Sudan, the UK is providing extensive support to Prime Minister Hamdok and his government to help deliver stability and improvements for the lives of ordinary Sudanese. Most significantly, the UK will provide up to £160m in economic assistance this financial year, including £80m to help ensure economic reforms are delivered. We have also helped ensure international support for Sudan through the establishment by the UN Security Council, of the UN Integrated Transition Assistance Mission Sudan (UNITAMS), which is mandated to help with the transition and peace process. The Foreign Secretary spoke with Prime Minister Hamdok on 12 November to discuss regional issues, progress on economic reforms, and UK support for Sudan's economic transition. The Minister for Africa also spoke with Foreign Minister Omer Gamereldin Ismail on 02 December.

The UK is concerned by the violence between federal and regional forces in the Tigray region and the risk it poses to civilians, and by reports of ethnically-motivated attacks both within Tigray and elsewhere in Ethiopia. We are gravely concerned at Amnesty International's report of killings of civilians on 9 November; we call for transparency and accountability to be delivered for such incidents. We are also concerned about the risk these events pose to Ethiopia's overall political stability and its democratic transition of which the UK has been supportive. The Foreign Secretary called Prime Minister Abiy on 10 November to raise our concerns and stress the urgent need to prioritise the protection of civilian lives, restore services (including banks and telecommunications) and enable humanitarian access. He also urged de-escalation swift moves to political dialogue. He reiterated these messages when he met Ethiopian Deputy Prime Minister Demeke on 25 November. We will continue to track the situation and to raise with the Government of Ethiopia and regional leaders these concerns, our concerns about civilian deaths and casualties, and the importance of respect for human rights.

The UK Government has not made an estimate on the number of prisoners held by the governments of Armenia and Azerbaijan as a result of recent fighting. The Minister for the European Neighbourhood and the Americas recently spoke to both the Azerbaijani and Armenian Foreign Ministers where she highlighted the importance of return of prisoners of war and reinforced support for the International Committee of the Red Cross as the primary mediator through which prisoner exchanges should take place. We continue to monitor the situation carefully.

The UK is committed to driving down malaria deaths. This is closely linked to our manifesto commitment to end the preventable deaths of mothers, newborns and children. In 2019, under five-year olds accounted for 67% of all malaria deaths globally.

The UK continues to be one of the most generous donors in the world on malaria. UK investments are broad and lead to significant impact. For example, our support to the Medicines for Malaria ventures has led to the development of the world's first child - friendly antimalarial drug, which has been distributed in more than 50 countries. The UK's current £1.4 billion pledge to the Global Fund is the largest to date and will help to distribute 92 million bednets. The UK's support to countries to strengthen health systems will help to protect the most vulnerable, including children, through sustained malaria prevention and control programmes.

A) Using our usual reporting methodologies, we estimate FCDO spent:

1)On family planning services:

£231 million in 2017

£265 million in 2018

£326 million in 2019

2) On sexual reproductive health services:

£1.221 billion in 2017

£1.215 billion in 2018

£1.202 billion in 2019

B) The Muskoka 2.0 report shows FCDO spent:

1) On family planning services:

£246 million in 2017 (2018 and 2019 not available)

2) On sexual reproductive health services:

£1.629 billion in 2017 (2018 and 2019 not available)

COVID-19 has a significant impact on health, as a direct result of the pandemic but also as a result of disruption to health services globally, including in Africa. An analysis by the World Health Organization (WHO) in 14 African countries shows a sharp decline in the demand for and delivery of essential health services between January and September 2020 compared with the two previous years. Services included outpatient consultations, inpatient admissions, skilled birth attendance, treatment of confirmed malaria cases and the provision of immunisation.

To date, the UK has committed up to £1.3 billion of UK Aid to combat COVID-19 and is balancing its COVID-19 response with support to maintaining access to essential health services. Our bilateral health programmes and £340 million core contribution to the WHO over the next four years will help to support their work to strengthen health systems in vulnerable countries. The UK is also providing up to £1.4 billion for the next 3-year replenishment of the Global Fund to Fight AIDS, TB and Malaria. Our funding to partnerships such as the Global Fund, Gavi and the Global Financing Facility maintains essential activities, such as bed net distribution, immunisation and the provision of maternal and new-born health services.

We expect to see a significant impact from the COVID-19 pandemic on cases and deaths from HIV, TB and malaria in sub-Sahara Africa. However, it is not yet possible to quantify the full extent to which COVID-19 has affected these disease burdens. TB case notifications have decreased this year, partly due to laboratory capacity being diverted to COVID-19 testing. The World Health Organisation has predicted that COVID-19 may cause a doubling in malaria deaths in sub-Sahara Africa in 2020. A recent parliamentary report concluded that COVID-19 has disrupted HIV service provision, with marginalised communities worst affected.

The UK is flexing its funding and programming to address these effects by providing up to £1.4 billion for the next 3-year replenishment of the Global Fund to Fight AIDS, TB and Malaria (GFATM). This includes a contribution to the $1 billion GFATM is making available to countries to respond to COVID-19, reinforce their health systems and adapt their HIV, TB and malaria programming. The UK is also working with governments to ensure that, as far as possible, essential services for these diseases continue, with patients protected from COVID-19. We are also supporting national governments in making sustainable decisions about resource allocation to national COVID-19 programmes.

In Ethiopia we have a large bilateral family planning programme - Family Planning by Choice - which works to improve access to, quality of and the voluntary update of family planning and safe abortion services across the country, including Tigray. Our global Sexual and Reproductive Health and Rights programme "WISH" complements this programme, providing lifesaving services across refugee camps in the region. While hampered by the communications blackout, we are in close contact with Family Planning by Choice, WISH and our wider set of health and humanitarian partners to establish the status of ongoing UK-funded activities and understand changing needs, including Sexual and Reproductive Health and Rights. We have worked with the UN on response planning, which includes commitment to minimum initial services package for emergency reproductive health. We are working to secure humanitarian access to deliver further assistance.

Globally, the UK remains firmly committed to supporting the Minimum Initial Service Package for Reproductive Health in Crises and this year provided UNFPA with an additional £10 million for lifesaving SRH services as part of the global humanitarian response plan to COVID-19.

In Ethiopia we have a large bilateral family planning programme - Family Planning by Choice - which works to improve access to, quality of and the voluntary update of family planning and safe abortion services across the country, including Tigray. Our global Sexual and Reproductive Health and Rights programme "WISH" complements this programme, providing lifesaving services across refugee camps in the region. While hampered by the communications blackout, we are in close contact with Family Planning by Choice, WISH and our wider set of health and humanitarian partners to establish the status of ongoing UK-funded activities and understand changing needs, including Sexual and Reproductive Health and Rights. We have worked with the UN on response planning, which includes commitment to minimum initial services package for emergency reproductive health. We are working to secure humanitarian access to deliver further assistance.

Globally, the UK remains firmly committed to supporting the Minimum Initial Service Package for Reproductive Health in Crises and this year provided UNFPA with an additional £10 million for lifesaving SRH services as part of the global humanitarian response plan to COVID-19.

In Ethiopia we have a large bilateral family planning programme - Family Planning by Choice - which works to improve access to, quality of and the voluntary update of family planning and safe abortion services across the country, including Tigray. Our global Sexual and Reproductive Health and Rights programme "WISH" complements this programme, providing lifesaving services across refugee camps in the region. While hampered by the communications blackout, we are in close contact with Family Planning by Choice, WISH and our wider set of health and humanitarian partners to establish the status of ongoing UK-funded activities and understand changing needs, including Sexual and Reproductive Health and Rights. We have worked with the UN on response planning, which includes commitment to minimum initial services package for emergency reproductive health. We are working to secure humanitarian access to deliver further assistance.

Globally, the UK remains firmly committed to supporting the Minimum Initial Service Package for Reproductive Health in Crises and this year provided UNFPA with an additional £10 million for lifesaving SRH services as part of the global humanitarian response plan to COVID-19.

The UK is recognised as a global leader in tackling violence against women and girls in all its forms by pioneering approaches around the world that have shown reductions in violence of around 50%, proving that VAWG is preventable. We are scaling up our investments, including through the launch early next year of a new £67.5 million seven-year programme to scale up effective interventions to prevent VAWG. We are also making the biggest single investment worldwide to date by any international donor to end FGM (£50 million).

We know that success in the fight against VAWG will depend on putting women's rights organisations at the heart of our response. That is why the UK has provided long-term support to women's rights organisations on the frontlines through our contribution to the UN Trust Fund to End Violence Against Women. We are also delighted to have been selected to co-lead the new Generation Equality global Action Coalition on Gender-Based Violence to drive more concerted, scaled-up global action.

The UK is committed to rapid, equitable access to safe and effective vaccines as demonstrated by our strong support for the Access for COVID-19 Tools (ACT) Accelerator. The UK has contributed up to £813 million to the ACT-Accelerator partners. This includes the UK's commitment of up to £548 million to the COVAX Advance Market Commitment (AMC) - the international initiative to support global equitable access to vaccines, of which the UK is the largest bilateral donor. Our commitment to the COVAX AMC will support access to COVID-19 vaccines for up to 92 developing countries by contributing to the supply of 1 billion doses in 2021, and vaccinations for up to 500 million people (subject to vaccines successfully securing stringent regulatory approvals).

This year, the UK has contributed up to £250 million of UK aid to the Coalition for Epidemic Preparedness Innovations (CEPI) to develop vaccines against emerging epidemic diseases, including COVID-19. We expect this to deliver a portfolio of promising vaccine candidates that take into account the particular contexts, systems, and population needs of people in developing countries, and that people in ODA-eligible countries have access to them as soon as possible.

FCDO-funded programmes are subject to rigorous programme management procedures to monitor progress against expected outcomes, including routine financial and results reporting, audits, and annual reviews. For multi-donor funded organisations, including CEPI, the UK is an active participant in governance boards and committees, and works with other donors to set objectives, monitor performance, and ensure strong financial management and reporting.