Posts Tagged ‘Tanzania’

Remarks With Tanzanian President Jakaya Kikwete


Hillary Rodham Clinton
Secretary of State
State House
Dar es Salaam, Tanzania
June 13, 2011

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Remarks: Tanzanian President Kikwete, posted with vodpod

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.

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As you may know by now, this trip was cut short due to an ash cloud from an erupting volcano. Mark Toner mentioned it in the press briefing earlier.

MR. TONER: …We did just receive that due to an apparent volcanic eruption in Djibouti, I believe, the Secretary will have to cut short her trip – her visit to Addis Ababa.

QUESTION: I think it was Eritrea.

MR. TONER: Or Eritrea, sorry. Thank you. Eritrea. The diplomatic portion of her trip was unaffected, and she did tell the Ethiopians that she was committed to coming back, but unfortunately, due to this volcanic ash cloud, she was advised to leave early. So –

QUESTION: When is she due back?

MR. TONER: I’m not sure, frankly. I literally just got this news before coming out here. So –

QUESTION: Is she wheels up already? Do you –

MR. TONER: No, she’s not wheels up already, but shortly is my understanding, and obviously it’s going to be a several – or at least one stop, I believe, in Europe. But again, I don’t have those details.

QUESTION: She had events tomorrow, right?

MR. TONER: She did.

QUESTION: So why was the diplomatic –

MR. TONER: Well, for example –

QUESTION: — portion of the –

MR. TONER: — I know she was supposed to meet with the Sudanese, but I believe she’s already done that. So – and there were some events tomorrow scheduled, like the Cookstove Initiative, I believe, and other –

QUESTION: Diplomacy, no?

MR. TONER: Not public diplomacy, but important events.


MR. TONER: But again, what – she was very clear that she was committed to returning to finish the portion of her trip, but again, these are unforeseeable events that forced her to depart early.

So she and her traveling party are headed home. Here are a few short videos, one from yesterday in Tanzania and the other from today in Ethiopia.
Boosting Nutrition in Tanzania

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Remarks on Sudan

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Remarks on Sudan, posted with vodpod

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This is Hillary Clinton’s most important initiative hands down.  No other initiative can have traction if we do not first address this issue.

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1,000 Days to Scale Up Nutrition for Mothers and Children

Press Statement

Hillary Rodham Clinton
Secretary of State
Washington, DC
June 13, 2011

Good morning. I want to thank “Bread for the World” and “Concern Worldwide” for hosting this event to highlight the importance of improving nutrition for mothers and their children. The people of the United States and the people of Ireland are working together to find more ways to improve maternal and child nutrition in the 1,000 day window between pregnancy and when a child turns 2 years old, when nutrition is most critical for saving lives and promoting cognitive and physical development. Your collaboration and innovation at this conference is truly saving lives.

Last September, I was honored to help launch the “1,000 Days” partnership, which is committed to advancing the work you are doing here today. “1,000 Days” is helping to scale up our nutrition efforts by drawing attention to the 1,000 day window of opportunity and by challenging stakeholders to achieve results in the 1,000 days between September 2010 and June 2013.

We are just over a quarter of the way through this challenge, and we are already making important headway. We have increased our investments in nutrition; we are better coordinated on the ground; and we are supporting more countries in their efforts to elevate nutrition.

Together with the Government of Ireland, I recently announced a new commitment to Tanzania, where the government is boldly leading an effort to improve nutrition and food security for its people. The United States is increasing our nutrition funding in Tanzania by more than fourfold, and we are devoting more of our agricultural resources to programs with greater impact on nutrition outcomes.

Today, I am pleased to launch a new tool that will help us build stronger, healthier futures for more. Thethousanddays.org website has been redesigned to serve as a platform for the global nutrition community to share ideas, lessons learned, and notes from the field. It will also provide advocacy tools so that together we keep nutrition at the forefront of the international agenda — where it belongs.

So, thank you for your dedication to improving nutrition in this critical window and for your continued support during our 1,000 days of action. I wish you a productive and successful meeting, and I can’t wait to hear what new ideas and approaches you come up with. Thank you very much.

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Public Schedule for June 13, 2011


Public Schedule

Washington, DC
June 13, 2011




Secretary Clinton is on foreign travel in Dar es Salaam, Tanzania and Addis Ababa, Ethiopia. She is accompanied by Counselor Mills and Assistant Secretary Carson and is joined by Special Representative Balderston in Ethiopia. For more information, click here (ET+7 hours).


9:00 a.m. LOCAL  Secretary Clinton holds a bilateral meeting with Tanzanian President Jakaya Kikwete, in Dar es Salaam, Tanzania.



10:45 a.m. LOCAL  Secretary Clinton holds a joint press availability with Tanzanian President Jakaya Kikwete, in Dar es Salaam, Tanzania.



3:45 p.m. LOCAL  Secretary Clinton holds a bilateral meeting with African Union Chairperson Jean Ping, in Addis Ababa, Ethiopia.



5:00 p.m. LOCAL  Secretary Clinton delivers remarks to the African Union assembly, in Addis Ababa, Ethiopia.



6:00 p.m. LOCAL  Secretary Clinton holds a bilateral meeting with Ethiopian Prime Minister Meles Zenawi, in Addis Ababa, Ethiopia.



7:10 p.m. LOCAL  Secretary Clinton holds a joint press availability with Ethiopian Deputy Prime Minister and Foreign Minister Haile-Mariam Desalegne, in Addis Ababa, Ethiopia.


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Mme. Secretary had a busy day in Dar Es Salaam today. We see her visiting a women’s farmimg cooperative where she planted a tree rather expertly without getting the knees of her slacks dirty, at a power company by a jet engine that generates electricity, at a high level meeting on nutrition and her 1000 Days Initiative,  visiting a health center,  as well as at the new U.S. Embassy where she laid flowers at the memorial, on the embassy grounds, for those killed in the 1998 bombing there. We also have some photos of the crowds lining the streets to see her motorcade pass. She is a hero in these parts … well-loved.

 We love her too. Godspeed Mme. Secretary on the rest of your journey. As always, we are proud, grateful for your service, and praying for your safe return home.

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Meeting With Staff and Families of Embassy Dar es Salaam



Hillary Rodham Clinton
Secretary of State
U.S. Embassy Dar es Salaam
Dar es Salaam, Tanzania
June 12, 2011



SECRETARY CLINTON: Thank you very much, Ambassador Lenhardt, for that introduction, but also for your leadership. I thank you and Jacqueline for your service here. You have a long history of service. I first met you when you were a outgoing general and an incoming sergeant (inaudible) – (laughter) – Sergeant of Arms for the Senate. And Ambassador Lenhardt became the Sergeant of Arms at the Senate one week before 9/11. And it was an incredibly challenging assignment that I remember all too well, and I’m very grateful to you for that service and grateful for your continuing service.

I also want to thank DCM Rob Scott for his commitment to this team and our important relationship in Tanzania, and Bob Cunnane, USAID mission director, thank you for all of your work and leadership.

As the ambassador said, I had the honor of taking a few moments to lay some flowers at the memorials of victims of that horrible bombing on August 7, 1998. I know that there are those of you here today who were serving in the Embassy on that awful occasion. Some of you lost your friends and loved ones, and all Americans grieved with you then, and we have not forgotten your losses.

And we have also not forgotten our pledge to seek justice against those who would commit such atrocities. Last month, al-Qaida suffered a major setback with the death of Usama bin-Ladin, and yesterday, we received news of another significant blow when Harun Fazul was killed in Mogadishu. He was actually one of the men, if not the leader, of those responsible for the attacks on this Embassy and the bombing of our Embassy in Nairobi and many other despicable acts that killed hundreds and wounded thousands of people, Tanzanians, Kenyans, Somalis, and our own embassy personnel, including the 12 Americans serving in Nairobi.

I know nothing can replace those who have been taken from us by such senseless violence, but I know that justice was served and I hope that can give you some measure of comfort. To those of us who look at your service over these last years, I thank you for persevering and thank you for continuing to work at this important embassy family. This is a wonderful country, and the work you do bolsters our partnership every single day.

I was last here 14 years ago with my daughter, Chelsea, and we had such a memorable visit. Many people I’ve seen here since I got off the airplane tell me they met me then. (Laughter.) And I had such wonderful memories, I assume they did. (Laughter.) I was very touched by the people that I met, particularly the women and the civil society groups, and we also enjoyed our time traveling around the country from the visit to Arusha, to the crater, to the Serengeti. Both my daughter and I saw so much optimism and promise, and today we see even more.

I can’t thank you enough, because we think this is such a critical partnership, and I heard what the ambassador and DCM told me, that with all these initiatives I’m going around announcing you may have to have a few more people to help you. (Laughter.) But thanks for supporting this country’s efforts to fight HIV and AIDS. With me today is Ambassador Eric Goosby and our local AIDS coordinator. Thank you for helping us upgrade roads and build new power lines. With us today in Dan*Neogunis, the president of the Millennium Challenge Corporation. Thank you for leading our work on food security, malaria, and all the other essential areas of health and development from USAID and CDC and HHS through our Global Health Initiative.

And I want to say a special word of thanks to two people who are helping me and the President. One is Ambassador Barry Gates, who is the senior director for Africa at the National Security Council in the White House, who has served in Africa, and my right hand and right brain about Africa, Assistant Secretary Johnnie Carson, who has also served with great distinction on (inaudible). (Applause.)

Now, I have been told that serving in Tanzania is, for many of you, a labor of love. Despite the traffic – (laughter) – sometimes despite the lights not staying on – (laughter) – but I understand exactly why. Because we’re trying to support a country that really sees what needs to be done. There’s no sugarcoating the difficulties. There are lots of obstacles. We visited several sites today that are certainly committed to change, making a real effort, but face a lot of challenges.

And I want to thank our locally employed staff, because I have to say, Ambassador, ambassadors come and go – (laughter) – secretaries come and go – (laughter) – DCMs come and go – (laughter) – locally employed stay and outstay and are here to provide the continuity, the experience, and the expertise as really the backbone of any mission. And it will be especially important here, because we don’t want to miss a beat. We want to keep the momentum going, and we have to instill that commitment in all of our people, Americans and Tanzanians alike.

I especially want to recognize David Myungei. Where’s David? (Applause.) Now, there was a time when I wasn’t sure I was going to recognize David so nicely because he wore us out – (laughter) – about putting Tanzania into the Feed the Future initiative. He was one of the leading champions for including this country, and I thank you for that. I thank you for your strong condition and your commitment. And your efforts, you may or not know, have earned David this year’s USAID Locally Employed Staff of the Year Award here in Dar. (Applause.)

And I also know that as hard as you are working every single day, when somebody like me shows up it really doubles, triples, quadruples, the workload. (Laughter.) And when I come with so many people it makes it even more challenging. But you’ve done a tremendous job on this trip. It is, for me, a very gratifying and rewarding visit, because I believe that what we’re doing is important, and I get a chance to see it with my own eyes.
So I thank you for all the extra effort on this trip and I thank you for everything you do when I’m not award to get in your hair and cause you a lot of extra anxiety. So thanks for the long hours, thanks for the sacrifice, thanks to the families who are with you every step of the way as you serve, thanks to every agency and department of the U.S. Government represented here, because this is a team effort.

One of my goals as Secretary of State was to elevate diplomacy and development alongside defense and then to make all three aspects of our foreign policy work together in a smart way so that we could get the best out of what each of us could bring to the table, the contributions we can make to furthering American interest, protecting American security, and nurturing American values.

So I understand that wheels-up parties are common whenever I go out of the picture. (Laughter.) And I think you certainly earned one, so Ambassador, I hope that Embassy Dar gets a little time to let loose, relax, and look at each other and say we survived – (laughter) – another one of those VIP trips that are always coming our way. Unfortunately, more will be coming. (Laughter.) We’re going to do everything we can to show we can make it work here in Tanzania. Thank you all and God bless you. (Applause.)

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Remarks With Dr. Mwajuma Mbaga at the Buguruni Health Center

U.S. Secretary of State Hillary Rodham Clinton, left, watches a skit on gender-based violence at the Buguruni Health Center in Dar es Salaam, Tanzania, Sunday, June 12, 2011. (AP Photo/Susan Walsh, POOL)


Hillary Rodham Clinton
Secretary of State
Dar es Salaam, Tanzania
June 12, 2011



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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