VZCZCXRO7764
RR RUEHBZ RUEHDU RUEHJO RUEHMR RUEHRN
DE RUEHDR #0584/01 2461147
ZNR UUUUU ZZH
R 031147Z SEP 09
FM AMEMBASSY DAR ES SALAAM
TO RUEHC/SECSTATE WASHDC 8828
INFO RUCNSAD/SOUTHERN AF DEVELOPMENT COMMUNITY COLLECTIVE
RUEHKM/AMEMBASSY KAMPALA 3489
RUEHLGB/AMEMBASSY KIGALI 1415
RUEHNR/AMEMBASSY NAIROBI 1361
RUEAUSA/DEPT OF HHS WASHINGTON DC

UNCLAS SECTION 01 OF 02 DAR ES SALAAM 000584 
 
SIPDIS 
 
DEPARTMENT FOR AF/E JTREADWELL, S/GAC 
 
E.O. 12958: N/A 
TAGS: PGOV KHIV SOCI TZ
SUBJECT: PEPFAR TEAM BRIEFS PRESIDENT KIKWETE ON PARTNERSHIP 
FRAMEWORK 
 
¶1. SUMMARY: At President Kikwete's request, Mission PEPFAR team met 
with him on August 7 to discuss the program and the status of 
Partnership Framework negotiations.  Further discussion covered 
other U.S. bilateral assistance to Tanzania and issues related to 
the administrative and technical (A&T) status of key U.S. personnel 
and the Department of Defense programs in Tanzania.  Kikwete 
indicated he was pleased with the progress and cooperation between 
the USG and GOT on the Partnership Framework.  He called for greater 
focus on HIV/AIDS prevention as well as additional capacity building 
for health services.  Kikwete reiterated his commitment to food 
security and agricultural development and expressed appreciation for 
USG efforts to improve education in Tanzania.  He agreed to look 
into the outstanding A&T issue.  END SUMMARY. 
 
Update on PEPFAR Partnership Framework negotiations 
--------------------------------------------- ------ 
¶2. The PEPFAR team provided President Kikwete with a positive 
assessment of progress towards establishing a Partnership Framework 
agreement.  The USG and GOT were engaged in productive, 
collaborative meetings to create a Partnership Framework that would 
be used as a road map for continued HIV/AIDS prevention, care and 
treatment programs in Tanzania.   The collaborative spirit of the 
negotiations with a diverse array of Ministries, Departments, and 
Agencies ensured that the Framework would reflect a multisectoral 
approach to combating HIV/AIDS in Tanzania and address USG 
priorities of sustainability and expanding the GOT's capacity to 
plan, oversee and manage its national response. 
 
¶3. The PEPFAR team outlined the three most important outcomes from 
the Partnership Framework discussion, which include a costed, 
prioritized National Multi-sectoral Strategic Framework; the 
creation of a policy and implementation forum to ensure coordination 
between PEPFAR, GOT, and Global Fund resources received by GOT for 
HIV/AIDS; and a commitment by the GOT to increase domestic spending 
on HIV/AIDS.  President Kikwete acknowledged the importance of the 
Partnership Framework negotiations and was pleased to hear they were 
progressing well. He also stated that as the Framework negotiations 
progress, it would be important that they continue to involve 
multiple Ministries and Agencies. 
 
¶4. President Kikwete highlighted the need for a greater focus on 
HIV/AIDS prevention.  He said awareness of HIV/AIDS in Tanzania was 
rising because of the 2008 national HIV testing campaign and access 
to ART treatment.  He expressed his interest in launching a second 
national HIV testing campaign in early 2010, including publicizing 
the testing of himself and the First Lady, as they had done in 2006. 
 
 
¶5. The PEPFAR team raised its concern about the strain placed on 
Human Resources for Health (HRH) in Tanzania.  President Kikwete 
agreed that this is a major problem.  He would like to see an 
increased focus on capacity building for health care personnel. 
Ideally this effort would include additional pre-service training 
for nurses and health care workers, as well as initiatives to 
strengthen the capacity of existing health care workers at the 
district level.  President Kikwete said he envisioned using a model 
similar to the one used to develop secondary schools in Tanzania, to 
expand access to health care in rural areas. 
 
Update on other bilateral assistance 
------------------------------------ 
¶6. USAID Mission Director also raised the Obama Administration's 
commitment to food security; U.S. assistance will continue in 
Tanzania, with a new and focused commitment on developing food 
security for the country.  President Kikwete reiterated the GOT's 
commitment to increase agricultural research and noted his wish to 
see the University of Morogoro become a "center of excellence" for 
agricultural research.  He expressed his desire to direct one 
percent of the national budget to agricultural research.  President 
Kikwete, the CDA and the Mission Director agreed that increasing 
farm production in a way that allows farmers to generate income from 
surplus production should be a major goal. 
 
¶7. After the Mission Director noted the USG's commitment to 
education in Tanzania, President Kikwete expressed his appreciation 
for the USG's initiatives and was pleased to hear that the majority 
of education related promises made last year during President Bush's 
visit have been met or are near completion. 
 
Request for President Kikwete's assistance 
------------------------------------------ 
¶8. The PEPFAR team asked for President Kikwete assistance in 
resolving the issue of obtaining Administrative and Technical status 
for three members of the HHS/CDC team.  Discussions with the MFA 
have reached a critical juncture and have not been able to resolve 
certain issues.  President Kikwete committed to looking into the 
 
DAR ES SAL 00000584  002 OF 002 
 
 
matter, but he noted the inherent bureaucratic and administrative 
challenges within all government systems. 
 
Upcoming Travel 
--------------- 
¶9. President Kikwete confirmed that he plans to visit West Point on 
September 30, 2009. 
 
¶10. Mission participants: CDA Larry Andre, PEPFAR Coordinator Tracy 
Carson, USAID Mission Director Robert Cunnane, Walter Reed Army 
Institute of Research Country Director Edward Sekonde,  CDC Country 
Director John Vertefeuille, Peace Corps Country Director Andrea 
Wognar-Diagne, Patrick Swai (USAID) and Eunice Mmari (CDC). 
 
ANDRE