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FY 2012 Funding Opportunity Announcement for NGO Programs Benefiting Refugees and Refugee Returnees in Rwanda, the DRC, Tanzania and Uganda

Funding Opportunity Number: PRM-AFR-12-CA-AF-100611-GREATLAKES

Catalog of Federal Domestic Assistance (CFDA) number:

19.517 – Overseas Refugee Assistance Programs for Africa

Announcement issuance date: Thursday, October 06, 2011

Proposal submission deadline: Friday, November 04, 2011 at 12:00 p.m. (noon) EDT. Proposals submitted after this deadline cannot be considered.

Advisory: Grants.gov experiences continued high volume of activity. PRM strongly recommends submitting your proposal several days early to allow time to address difficulties that may arise due to system delays.

Proposed Program Start Dates: January 1, 2012—March 1, 2012

Duration of Activity: Program plans for the DRC should be no more than 12 months. Applicants must re-compete for PRM funding each year. Furthermore, in funding a project one year, PRM makes no representations that it will continue to fund the project in successive years and encourages applicants to seek a wide array of donors to ensure long-term funding possibilities.

Program plans from 12 to 24 months will be considered for activities addressing protracted needs in Tanzania, Rwanda, and Uganda. Applicants may submit multi-year proposals with activities and budgets that do not exceed 24 months from the proposed start date. Actual awards will not exceed 12 months in duration. Multi-year proposals selected for funding by PRM will be funded in 12-month increments and must include results-based indictors within the first 12 months. Continued funding after the initial 12-month award requires the submission of a noncompeting continuation application as detailed in the Noncompeting Application Requirements section below and will be contingent upon available funding, strong performance, and continuing need. NGOs receiving awards under these terms will be required to submit continuation applications at least three months in advance of the end of each 12-month period of activities. Please see the “Proposal Content, Formatting, and Templates” section for additional guidance.

Current Country Specific Funding Priorities and Instructions: PRM will prioritize available funding for Tanzania, Rwanda, the DRC and Uganda as identified below. All proposals should target beneficiaries as identified in collaboration with UNHCR and local authorities.

(1) Tanzania and Rwanda

· Proposals for Tanzania should focus exclusively on life-saving basic preventative and curative healthcare assistance (including reproductive health) in the remaining refugee camps in western Tanzania (Nyaragusu and Mtabila).

· Proposals for Rwanda should focus on camp management, life-saving basic preventative and curative healthcare assistance (including reproductive health), water and sanitation, and/or gender based violence prevention and response for refugees.

· While PRM does not discourage activities that also include the local host population along with refugees, proposals should concentrate on activities for refugees. At least 80% of beneficiaries must be refugees.

(2) DRC

· Proposed activities for the DRC should support prevention of and response to gender based violence in areas of refugee return in South Kivu and Katanga.

· Proposals should focus on areas of high refugee return where new refugee returnees (those who have returned in 2010-2012) make up at least 50% of targeted beneficiaries. Proposals should specify refugee returnee population numbers and/or projections for 2012 in proposed locations.

· Proposals should describe how the proposed activities fit into the Comprehensive Strategy on Combating Sexual Violence in the DRC.

(3) Uganda

· For Uganda proposals should focus on protection, including prevention of and response to gender based violence in urban refugee communities.

· At least 80% of beneficiaries must be refugees with the remainder being vulnerable individuals in host communities.

General Instructions

PRM will accept proposals from any NGO working in the above mentioned sectors although, given budgetary constraints, priority will be given to proposals from organizations that can demonstrate:

· A working relationship with UNHCR, current UNHCR funding, and/or a letter of support from UNHCR for the proposed activities and/or overall country program (this letter should highlight the gap in services the proposed program is designed to address);

· An established presence and a proven track record providing proposed assistance both in the sector and specified location;

· Coordination with international organizations (IOs) and NGOs working in the same area or sector as well as local authorities;

· A concrete implementation plan with well-conceived objectives and indicators that are specific, measurable, achievable, relevant and reliable, time-bound and trackable (SMART), have established baselines, and at least one outcome indicator per objective;

· A budget that is appropriate for meeting the objectives and demonstrates co-funding and/or cost-sharing by non-US government sources;

· Appropriate targeting of beneficiaries in coordination with UNHCR and other relevant organizations. Because of PRM’s mandate to provide protection, assistance, and sustainable solutions for refugees and victims of conflict, PRM will only consider funding projects that include a target beneficiary base of at least 80% refugees or 50% refugee returnees.

· Adherence to relevant international standards for humanitarian assistance. See PRM’s General NGO Guidelines for a complete list of sector-specific standards.

International Organizations (IOs) that are engaged in programs relevant to the assistance addressed by this PRM funding announcement should ensure that these programs are made known to PRM on or before the closing date of this funding announcement so that PRM can evaluate all IO and NGO programs for funding consideration.

Funding Limits:

For Rwanda PRM will consider proposals with budgets up to $1,700,000.

For DRC and Tanzania PRM will consider proposals with budgets up to $600,000.

For Uganda PRM will consider proposals with budgets up to $300,000.

As stated in the PRM’s General NGO Guidelines, PRM looks favorably on cost-sharing efforts and seeks to support projects with a diverse donor base and/or resources from the submitting organization.

Approval of projects is subject to the availability of funding.

Proposal Submission Requirements:

See “How to Apply” (http://www.grants.gov/applicants/applicant_faqs.jsp#applying) on Grants.gov for complete details on requirements, and note the following highlights:

· Proposals must be submitted via Grants.gov. Organizations not registered with Grants.gov should register well in advance of the November 4, 2011 deadline as it can take up to two weeks to finalize registration (sometimes longer for non-U.S. based NGOs to get the required registration numbers). To register with Grants.gov, organizations must first receive a DUNS number and register with the Central Contract Registry (CCR) which can take weeks and sometimes months. See “Applicant FAQs” section on Grants.gov (http://www.grants.gov/help/applicant_faqs.jsp#applying) for complete details on registering.

· Do not wait until the last minute to submit your application on Grants.gov. Applicants who have done so in the past and experienced technical difficulties were not able to meet the deadline and were not considered for funding. Please note: Grants.gov is expected to experience continued high volumes of activity in the near future. PRM strongly recommends submitting your proposal several days early to avoid submission delays. We recommend that organizations, particularly first-time applicants, submit applications via Grants.gov no later than one week before the deadline to avoid last-minute technical difficulties that could result in an application not being considered.

· If you encounter technical difficulties with Grants.gov please contact the Grants.gov Help Desk at support@grants.gov or by calling 1-800-518-4726. Applicants who are unable to submit applications via Grants.gov due to Grants.gov technical difficulties and who have reported the problem(s) to the Grants.gov help desk and received a case number and had a service request opened to research the problem(s), should contact PRM Program Officer Wendy Henning at (202) 453-9380 or henningwl@state.gov to determine whether an alternative method of submission is appropriate.

· Applications must be submitted under the authority of the Authorized Organization Representative (AOR) at the applicant organization. PRM recommends submitting proposals from agency headquarters. Having proposals submitted by agency headquarters helps to avoid possible technical problems.

· NGOs that have not received PRM funding prior to the U.S. Government fiscal year ending September 30, 2004 must be prepared to demonstrate that they meet the financial and accounting requirements of the U.S. Government by submitting copies of 1) the most recent external financial audit, 2) non-profit tax status under IRS 501 (c)(3), 3) a Data Universal Numbering System (DUNS) number, and 4) an Employer ID (EIN)/Federal Tax Identification number.

Proposal Content, Formatting and Template:

Please refer to the “Proposal Submission and Review Process” section in PRM’s General NGO Guidelines. PRM strongly encourages organizations applying for PRM funding to use the PRM recommended proposal and budget templates. Templates can be requested by sending an email to PRM’s NGO Coordinator. You must type “PRM NGO Templates” in the subject line to receive an automated reply containing the template.

In addition to referencing the General NGO Guidelines, applicants proposing multi-year programs should adhere to the following guidance.

Applicants may submit proposals that include multi-year strategies presented in 12-month cycles for a period not to exceed 24 months from the proposed start date. Fully developed programs with detailed budgets, objectives and indicators are required for the first 12 months of activities. PRM expects all multi-year program plans to broadly outline out-year activities. Multi-year strategies should include notional budgets (budget summaries only) for out-year activities. Objectives and indicators for out-year 12-month program cycles are not required as part of the initial proposal and will be submitted with continuation applications.


This announcement is designed to accompany the General NGO Guidelines, which contain additional administrative information and explain in detail PRM’s NGO funding strategy and priorities. Please use both the General NGO Guidelines and this announcement to ensure that the proposed activities are in line with PRM’s priorities and that your proposal submission is in full compliance with PRM requirements. Proposal submissions that do not meet all of the requirements outlined in these guidelines will not be considered. PRM recommends using the proposal and budget templates that are available upon email request from PRM’s NGO Coordinator. Please send an email, with the phrase “PRM NGO templates” in the subject line, to PRM’s NGO Coordinator.

· Proposals should outline how the NGO will acknowledge PRM funding. If an organization believes that publicly acknowledging the receipt of USG funding for a particular PRM-funded project could potentially endanger the lives of the beneficiaries and/or the organization staff, invite suspicion about the organization’s motives, or alienate the organization from the population it is trying to help, it must provide a brief explanation in its proposal as to why it should be exempted from this requirement.

· Focus on outcome or impact indicators as much as possible. At a minimum, each objective should have one outcome or impact indicator. Wherever possible, baselines should be established before the start of the project.

· To increase PRM’s ability to track the impact of PRM funding, include specific information on locations of projects and beneficiaries. Any project involving the building or maintenance of physical infrastructure must include coordinates of site locations (place name, P-Code, latitude and longitude coordinates).

· Budget must include a specific breakdown of funds being provided by UNHCR, other USG agencies, other donors, and your own organization (where applicable). PRM strongly encourages multi-lateral support for humanitarian programs.

· Organizations that received PRM funding in FY 2010 for activities that are being proposed for funding under this announcement must include the most recent quarterly progress report against indicators outlined in the cooperative agreement. If an organization’s last quarterly report was submitted more than six weeks prior to the submission of a proposal in response to this funding announcement, the organization must include, with its most recent quarterly report, updates that show any significant progress made on objectives since the last report.

Reports and Reporting Requirements:

Program reporting: PRM requires quarterly and final program reports describing and analyzing the results of activities undertaken during the validity period of the agreement. It is highly suggested that NGOs receiving PRM funding use the PRM recommended program report template. To request this template, send an email with the phrase “PRM NGO templates” in the subject line to PRM’s NGO Coordinator.

Financial Reports: Financial reports are required within thirty (30) days following the end of each calendar year quarter during the validity period of the agreement; a final financial report covering the entire period of the agreement is required within ninety (90) days after the expiration date of the agreement.

For more details regarding PRM’s reporting requirements please see the General NGO Guidelines.

Noncompeting Application Requirements

Multi-year applications selected for funding by PRM will be funded in 12-month increments based on the proposals submitted in the competing application and as approved by PRM. Continued funding after the initial 12-month award requires the submission of a noncompeting continuation application as follows:

· Continuation applications must be submitted not later than 90 days than the proposed start date of the award ( e.g., if funding the next budget period is to begin on September 1, submit your application by June 1. Late applications will jeopardize continued funding.

· Applications must be signed by the Authorized Organization Representative (AOR) at the applicant organization on the submitted SF-424.

· Pursuant to U.S. Code, Title 218, Section 1001, stated on OMB Standard Form 424 (SF-424), Department of State is authorized to consolidate the certifications and assurances required by Federal law or regulations for its federal assistance programs. The list of certifications and assurances can be found at: http://fa.statebuy.state.gov/content.asp?content_id=161&menu_id=68 )

· Proposal Content, Formatting and Templates: Please refer to the guidance contained within and in the PRM NGO Guidelines. The total budget should not exceed the amount which is listed on the current Federal Assistance Award. You must submit a complete application including:

o Signed completed SF-424.

o Proposal reflecting objectives and indicators for the continuation period.

o Budget for the continuation period.

o Budget narrative.

o Most recent Negotiated Indirect Cost Rate Agreement (NICRA), if applicable.

o Information on the amount of unexpended funds to include a statement of the estimated cumulative total dollar amount taking into consideration the actual expenditures shown on the Financial Status Report. Note that funds are available for expenditure only during the period in which they are awarded.

Proposal Review Process:
PRM will conduct a formal competitive review of all proposals submitted in response to this funding announcement. A review panel will evaluate submissions based on the above-referenced proposal evaluation criteria and PRM priorities in the context of available funding.

PRM may request revised proposals and/or budgets based on feedback from the panel. PRM will provide formal notifications to NGOs of final decisions taken by Bureau management.

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Secretary Clinton’s Remarks With Tanzanian President Jakaya Kikwete

MODERATOR: Thank you. Can you please sit down? Mr. President, Madam Secretary of State, Honorable Bernard Membe, Minister of Foreign Affairs and International Cooperation, ambassadors, (inaudible), distinguished members of the government of both the U.S. and Tanzania, ladies and gentlemen of the media, I would like to thank Mr. President and Madam Secretary of State for the honor of making this joint press availability possible. To bring this event underway, therefore, is my (inaudible), Mr. President, to invite you to make your opening statement.

Mr. President, you have the floor.

PRESIDENT KIKWETE: Madam Secretary of State, let me once again welcome you to Tanzania. We are so happy that you were able to come and put Tanzania in your itinerary. Your visit speaks volumes about the state of our bilateral relations in many ways (inaudible) visits by officials of our two countries have contributed (inaudible) relations.

Tanzania has very fond memories of the visit by President Bush. I have had the (inaudible) of visiting the White House three times, twice in President Bush’s time and once during President Obama’s time. Tanzanians are now anxiously waiting for the visit of President Obama, and I can assure you if he chooses to visit, that’s going to be a visit of a lifetime. (Laughter.)

Well, our two countries have strong relations. And I mean, these last few years have been better than ever in the history of our two countries. We see eye-to-eye on many international issues and work together in international fora on regional and international issues.

Tanzania has received a lot of invaluable high-level support from the U.S. Government. It has complimented our development efforts and continues to make a difference in improving the lives of our people in the health sector. Through the U.S. Government, thousands of Tanzanians, including women and children, who would have died of diseases such as malaria, HIV/AIDS, and TB, are alive today thanks to your support. Through your support, deaths from malaria has been reduced by half, from 120,000 per annum to 60- and 80,000. Malaria has been eliminated in Zanzibar. In the past, 40 percent of visitations to hospitals were of malaria cases. Now it’s only 20 percent.

(Inaudible) reduction of maternal and child mortality is very much a function of the capacity built on controlling malaria and HIV/AIDS. The infection rates in HIV have climbed down from 18 percent in the 1980s to 5.4 percent. These days, pregnant women who are infected with HIV are assured of giving birth to HIV-free children, and thanks again to the PMI, President’s Malaria Initiative, and PEPFAR in this regard.

In education, I had many requests to you and to the President when I visited in May 2009 to support us with teacher education and with textbooks. You have delivered on that promise. We have 200 Peace Corps (inaudible) science and mathematics teachers. We have received already 800,000 textbooks, science textbooks and mathematics’, 1.4 million are on the way. The availability of textbooks in our schools has been increased. Eight thousand teachers have been getting training through U.S. Government support. The MCA, Millennium Challenge Account, has done so well. New roads have been built, water supply has been improved, electricity supply has been improved, and MCA alone benefits 8 million Tanzanians. It is quite phenomenal, and that’s why we appreciate it.

Our two governments have been working together on some of the global scourges like terrorism, narcotics, piracy. And through the support of the U.S. Government helping build the capacities of our security organs, we have been making tremendous successes in this regard. Tanzania has become a difficult place for perpetrators of these crimes now to operate. Recently we caught this kingpin of narcotics, this Kenyan lady Mama. Terrorists who pass through here are always apprehended. We have caught a number of them. Piracy is another problem for us, but we are dealing with them. We’ve encountered several of them. We have 11 of them that we arrested them at sea trying to hijack ships in our territorial waters.

And all this is something that we attribute to the support of your government. So Madam Secretary, I can say that we thank you for the support and U.S. taxpayers’ money is well spent in the U.S. and it’s making a big difference – again, support that we are part of the new initiatives, Partnership for Growth, we can’t really find words to thank you, Madam. (Inaudible) the international issues we have been working together and African challenges and global challenges, we appreciate U.S. leadership. Where U.S. leadership is there, it makes a lot of difference.

So (inaudible) is appreciated, continue to work with the U.S. Government for peace and development in Tanzania, in Africa, and the world. Once again, welcome, and I will give the floor to you, Madam.

SECRETARY CLINTON: Mr. President, thank you very much for your generous hospitality and the time that we have spent together this morning in a very wide-ranging and comprehensive discussion, certainly about the progress that is being made here in Tanzania and the commitment that the United States has to work with the government and people of this country on nutrition and food security, on energy, on women’s and children’s health, on HIV/AIDS, sustainable development, and so much more.

There is a reason why I’m here and why our commitment is so strong, and that is because the United States and Tanzania have a deep partnership. We are united by mutual respect and mutual interests, but most of all by shared values and the aspirations for a more peaceful and prosperous future. We respect Tanzania’s record of democratic progress, which is making it a model for the region and beyond, and we support the continuing efforts to strengthen the institutions of democracy.

I had a wonderful opportunity yesterday to visit some of the projects that the United States is doing with Tanzania, and we are very impressed with the level of commitment that we have seen from the people working in these areas. So we will continue to support you and your country, Mr. President, because you are making a real difference.

I also want to thank you for your work on increasing economic integration through your leadership and membership in the East African Community and now through the exciting initiative that you discussed in SADC of creating a free trade area from Cape Town to Cairo. That’s a long-term objective, but it’s a worthy goal.

So we not only talked about what was happening here in Tanzania, but also the regional and global outlook. We discussed Madagascar and Zimbabwe, Sudan, and Somalia, and many other important issues that Tanzania is watching carefully and which the president and his government are involved in trying to address.

So Mr. President, again, thank you for your leadership and thank you for your very kind invitation to meet with you and to compare notes on many of the issues that Tanzania is confronting and the issues that affect the neighborhood as well. Thank you, Mr. President.

MODERATOR: Thank you, Mr. President. Thank you, Madam Secretary, for your statements. We will now open the floor to the media. We will allow one or two questions from each side, the American side and the (inaudible) with no opportunity for a follow-up question because it’s in the interest of time. And so the floor is now open, so please introduce yourself, mention your affiliation, and ask your questions.


QUESTION: Thank you. David Malingha Doya of Bloomberg News. Mr. President, when you met President Obama to discuss about what his Administration will do for Africa, you advised a focus on agriculture. I would like to know as Tanzania, what have you done in the first place to improve (inaudible) agriculture and what kind of support are you getting from the American Government? Thank you.

PRESIDENT KIKWETE: Okay. Well, of course, it is true I raised the issue of agriculture because our concern is focused on the African continent. We want to lift up people from poverty to prosperity. Eighty percent of the people live in rural areas and agriculture is the mainstay. But it is peasant agriculture, local activity, and that’s why we have got to do something. If you want to make a difference in poverty, deal with the agriculture question. This is our policy internally. We have a number of initiatives to deal with the constraints that are facing agriculture. MSDP is one of them, where it is essentially because of our government tackling the challenges of agriculture.

And then we go to the private sector. We – through the Kilimo Kwanza Agriculture First Initiative. Now we broaden that. It is now bringing in the agriculture the private sector that is Tanzanian, but we also – we are also going global. With the Southern Agricultural Growth Corridor, SAGCOT, we are now bringing in the international players now – Monsanto (inaudible). On the seed side, on the seeds we have Yara fertilizers, Unilever, a number of these (inaudible) players also coming in to (inaudible) with Tanzanian private sector and Tanzanians in promoting agricultural growth.

Of course, on the American side we are getting the support that (inaudible), of course. We’ve been working together with the U.S. Government, USAID, in a number of programs. But now we have bigger programs, Feed the Future, where we are part of this and it’s still going to help us address the challenges of food security and nutrition, which is part of that.

Of course, the support we are getting through MCA of doing the roads, extending electricity, all of these are going also to help promoting agriculture. The two roads – Namtumbo-Songea-(inaudible), Tunduma-Sumbawanga – (inaudible) with those good roads definitely these goods can get to the markets and promote growth in those areas. So this (inaudible) I can say there is so much (inaudible) and about promoting agriculture. The USAID is helping us in the – in SAGCOT itself. They have contributed $2 million to the Catalytic Fund. So we are getting a lot of support. We appreciate that.

MODERATOR: The next question will come from an American journalist.

QUESTION: Thank you, Mr. President and Madam Secretary. I was hoping you would discuss a little bit the proposals being discussed even now to send peacekeepers into the Abyei region in Sudan and reports that President Bashir has pledged to withdraw troops from the region before independence on July 9th.

And Madam Secretary, is it possible that you would be willing to meet President Bashir later today in Ethiopia? Thank you very much.

PRESIDENT KIKWETE: Well, let me start. Indeed we discussed Abyei, but what I can say is that after the unfortunate incident, we had discussions with many friends, including Ambassador Carson – I think we were on the phone – discussed about it. I spoke to President Bashir. I also spoke to President Salva Kiir of Southern Sudan. And my appeal to them has been that let them sit down and sort out the problem. Indeed, there has been some progress in, I think, the meeting today in Addis Ababa, and let’s wait what’s going to come out of the Addis Ababa meeting.

SECRETARY CLINTON: Well, Steve, I am going to wait to get a report from the ongoing discussions. They went long into the night and are, as the president said, continuing today in Addis Ababa, where we will be later this afternoon.

The United States strongly believes that a robust peacekeeping presence should be a central part of the security arrangements in Abyei and that the Government of Sudan should urgently facilitate a viable security arrangement, starting with the withdrawal of Sudanese armed forces. So we would welcome both parties agreeing to ask Ethiopia, which has volunteered to send peacekeepers, to do so as part of a United Nations mission that will be strengthened.

But I’m not going to go further than that until I get a full readout of what is occurring in Addis Ababa. The United States has made our views very clearly known to both President Bashir and Vice President Kiir, and I am looking forward to hearing positive news out of their ongoing discussions with Prime Minister Meles and former President Mbeki.

MODERATOR: Thank you, Madam Secretary. We’ll now take the second and final question from the Tanzanian media.

QUESTION: My name is (inaudible) from the Pan-African News Agency. Mr. President, what you have said about the piracy in the Indian Ocean is (inaudible) concern in this region. And at the same time you have mentioned the United States cooperation in this area. I don’t know whether there is any specific plan of the United States to help the countries of the region to have a safe area in the Indian Ocean and do the trading as normal as has been that in the past. At the same time, may I ask you, Mr. President, do you have any specific assistance you would be pleased to see come from the United States to assist for these countries to fight pirates?

PRESIDENT KIKWETE: Well, as I said, piracy is a problem. From March last year through to date, we have had 27 incidents of piracy encounters in our territorial waters. Of course, the problem used to be in the Horn. Now it’s moving south. Fifteen of those have been attempts to hijack ships. They succeeded in four. Our navy was able to rescue two ships. This year alone, we have had, I think, over 14 incidents from January to date.

So as I said, our navy is engaging them. We had four direct encounters with the pirates and have been able to apprehend 11. We caught 11 of them. They’re in our courts here, in our courts. So you can see (inaudible). Of course, the U.S. has been helping us, training of our navy, and we want continued support in this regard. We are still looking for the possibilities of getting bigger ships, but we have not been able to discuss that with the U.S. Government and we are still waiting on getting bigger ships so that we’d be able to go into the deeper waters to be able to (inaudible). So if we get big ships, we should be able to take care of our territorial waters.

The second question?

QUESTION: Mr. President, Madam Secretary, if I could, I’d like to ask about one of Tanzania’s more unfortunate neighbors, that being Zimbabwe. In the year of the Arab Spring, I’m wondering what should Africa’s message be to Zimbabwe President Robert Mugabe this year. He shows no sign of releasing his grip on his unhappy country. And specifically what is SADC prepared to do this year or ahead of the next elections that it has not done in previous years that will help to guarantee that Zimbabwe’s elections are free and fair and do not turn into another sort of bloody exercise in intimidation?

PRESIDENT KIKWETE: Well, of course, you’re right. Zimbabwe as well has been one of our issues that we’ve been dealing with for quite some time. And in the SADC summit we held on the 11th and yesterday, Zimbabwe – besides Madagascar, we also discussed the issue of Zimbabwe.

And the understanding has been that as they go into elections, they should make sure that all the aspects of the roadmap or the Global Political Agreements are implemented. There have been ten of them. They have done six, but you see there are four that are remaining, and among them is the important issue of the constitution. They have finished (inaudible) the constitution, finished the referendum (inaudible) the processes of the parliament (inaudible) for elections.

So about who is to become the leader in Zimbabwe, that is a matter that is beyond my capacity.

SECRETARY CLINTON: Well, I would only add to the last two questions, which the president answered very well and comprehensively, with respect to piracy, the United States is working with Tanzania and other countries in the region because we view this as an international security threat and the Obama Administration is undertaking a thorough review of what more could be done. And the president and I discussed that and we are very impressed by the steps that Tanzania has taken on its own to apprehend pirates in their territorial waters and to hold them for trial here in Tanzania.

Secondly, with respect to Zimbabwe, I think the U.S. position is well known and we are encouraged by the SADC meeting discussing Zimbabwe yesterday which emphasized the importance of President Mugabe following the requirements of the Global Peace Agreement. This is what was agreed to. This is what we expect him to implement. And we are grateful for the leadership of Tanzania and others in the region who are making it very clear what the way forward should be. We will continue to follow this closely and support the work that Southern Africa is doing.

Thank you all.


Secretary Clinton and Dr. Mwajuma Mbaga at the Buguruni Health Center

DR. MBAGA: Good afternoon all. Thank you everybody for coming at our health center. I’m very much happy to welcome Secretary Madam Hillary Clinton and the USAID delegate to our health center. You are warmly welcome, feel at home, feel at (inaudible) here at Buguruni. (Laughter, Cheering, and Applause.) Madam, I hope you are enjoying very well your tour in Tanzania, especially in Buguruni Health Center. As we have seen in those who are patients and our health workers, we are happy to see you, to be with you today. You are welcome. And all of us, we appreciate your leadership on women and health issues. You are welcome again. I’ll take this opportunity to welcome, to make few remarks at all (inaudible). Welcome, Madam. (Applause.)

SECRETARY CLINTON: Thank you so much. Habari gani

(Audience echoes.)

SECRETARY CLINTON: Thank you so much Dr. Mwajuma for everything you’re doing here at this center. (Applause and Cheering.) And I am so pleased on a Sunday to see many of you, because we are very proud of the center. And I am also grateful that Mrs. Naomi from the ministry of health is here.

And there are a number of our American partners, from USAID, our mission director and the head of our global AIDS coordinator, Dr. Goosby, Ambassador Goosby, who walked around with me as well as Assistant Secretary Carson, Ambassador Lenhardt. And we are here for a very simple reason. We strongly support the excellent care that is provided here at this health center.

I understand that on an average day – now, Sunday is not an average day – about 500 patients come here a day looking for healthcare and family planning services. They include pregnant women, ready to give birth, mothers bringing their small children in for checkups, people receiving treatment for malaria and HIV, and so much more. Thanks to this center, many women survive childbirth who might not have before. Many children survive childhood and grow up to be health workers or other productive citizens of this country. And those with HIV stay healthier and stronger.

These are the kinds of outcomes and results that we want to help you achieve, because we strongly believe that improving health for communities begins with improving health for women and girls, particularly pregnant women and their babies, because that is where it all starts. And so the United States is proud to support this center and we’re proud to have a partnership with the Government of Tanzania.

And what we have done in the United States Government is to try to better coordinate all of our health programs. I was saying to the doctor that for too long we had a program on immunization that you went one place to get, then we had a program on HIV/AIDS you another place to get, and then somebody came perhaps to you about malaria, and then when it came to maternal and child health – we have tried to combine all of those programs in a center like this one through our Global Health Initiative. We want to ensure that when a mother brings her children to a clinic she can get all the critical care she needs here rather than being told, well, we only do malaria here and so you have to go somewhere else to be tested for HIV. We want it all in one place.

The first principle of our Global Health Initiative is to focus on women, girls, and gender equality, and that is something that we very much appreciate about this center, because when women are healthy their children are healthy, and the family is healthier, and so is the community. So we have significantly increased our financial commitment to maternal and child health and family planning, and we are taking steps to address the economic, cultural, social, and legal barriers that prevent women and girls from accessing healthcare services.

And we are doing one more important piece of health, and that is gender-based violence. Gender-based violence is a violation of human rights. It also is an obstacle to a country’s political and economic development. It discourages women from going out into the community, from participating freely and securely in the outside world, and it is a physical and mental trauma that fuels the spread of disease, including HIV. That’s why the United States believes that monitoring, preventing, and responding to gender-based violence must be a core part of both the Global Health Initiative and PEPFAR.

So I was very pleased that last year we provided $38 million for this work in more than 28 countries. And we’ve announced an additional $60 million, making PEPFAR one of the largest investors in fighting gender-based violence worldwide, and I thank Dr. Goosby for his visionary leadership. (Applause.)

Now, Tanzania is one of the countries we are going to focus on. And today I am proud to announce that PEPFAR, part of the United States Government, is launching a three-year, $24 million initiative to prevent and respond to gender-based violence in Tanzania. (Applause and Cheering.) Now, the reason we are doing this is because the Government of Tanzania has shown a strong commitment. I commend the ministry of health for its efforts, and I commend the ministry of community development, gender, and children. And what I just saw upstairs – how many of you have seen the play about gender-based violence that is put on by the actors here? I just saw it. It is so powerful, I was crying, and I was so happy when the husband decided to take care of his wife instead of beat her. (Applause.)

We look forward to a future here in Tanzania and around the world where women and girls are healthy, valued, and safe. And we look forward to our strong partnership with Tanzania and with this health center. Now, I know that Dr. Mwajama has already lobbied me as we say in Washington. (Applause and Cheering.) I can see why she’s considered quite a leader, because she’s already telling me what else that you need here at the health center. (Laughter.) And I like to reward people who are already doing what needs to be done, because you do it not only for yourselves and your patients, but you set an example, doctor. You set a model.

Now, I have said all day today that we see Tanzania as a model for development. We are investing a lot of money and effort, and we think first and foremost it will be good for the people of Tanzania, men, women, girls, and boys. But it will also be good for Africa. I want people all over Africa to say how do we do what Tanzania is doing to take care of their people, and that’s what I think you can do here in this country. Thank you all very much and God bless you. (Applause and Cheering.)


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