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[09/03/1999 – 11/22/1999]
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[09/03/1999 – 11/22/1999]
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Presidential Electronic Mail from the Automated Records Management System (ARMS)
Automated Records Management System (ARMS) Email from the Office of Policy Development (OPD) Bucket
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Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001. email
Sandra Thurman to Tony Podesta at 18:20:07.00. Subject: Hi there!
10/04/1999
P6/b(6)
(1 page)
002. email
Sandra Thurman to O'Brien, Brett at 16:16:29.00. Subject: Re: Africa
11/22/1999
P6/b(6)
Trip. (partial) (1 page)
COLLECTION:
Clinton Presidential Records
Automated Records Management System [Email]
OPD ([Creator: Sandra Thurman])
OA/Box Number: 250000
FOLDER TITLE:
[09/03/1999 - 11/22/1999]
2012-0045-S
ab920
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - 15 U.S.C. 552(b)]
P1 National Security Classified Information [(a)(1) of the PRAJ
b(1) National security classified information [(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRAJ
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute [(a)(3) of the PRA]
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information [(a)(4) of the PRA]
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRA]
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
personal privacy [(a)(6) of the PRA]
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
ARMS Email System
Page 1 of 20
RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 3-SEP-1999 11:00:50.00
SUBJECT: Re: next steps on AIDS documents
TO: Richard J. Turman ( CN=Richard J. Turman/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
TEXT:
Hi there!
We are finished with the final draft of the two-pager. It is now
circulating for comments so I am forwarding a copy for your perusal.
USAID has completed their one- pager, HHS's needs a little work (what a
surprise!) and DoD's is on the way over. We will format them all this
afternoon.
The larger document needs to be fine tuned to coincide with the two page
document. USAID is working on it but I am not certain that I will be able
to get it edited by the end of the day since I am off to Chicago to give a
little speech. Will I be grounded if I don't get my homework in until
Monday morning?
Sandy
Forwarded by Sandra Thurman/OPD/EOP on 09/03/99
10:59 AM
Alex Ross <[email protected]>
09/02/99 11:32:43 PM
Record Type: Record
To: Paul Delay <[email protected]>, Sandra Thurman/OPD/EOP
CC:
Subject: Final? Two pager
Sandy and Paul,
Attached is the final version Sandy submitted this evening. I reordered
the funding box in the annex to reflect the same order as in the
document. I also deleted the country list annex as it should not
accompany this document. If we are all happy with this, let's remove
the footer to make it final./
I also read the draft one pager from HHS--it needs to be redone by
deleting the first half. My recommendation is that all three one pagers
should look the same with similar headings, etc. We'll reconvene
tomorrow am. Also, anything from DOD on their one pager?
Alex
- twopage5.doc
ARMS Email System
Page 2 of 20
ATTACHMENT
1
ATT CREATION TIME/DATE:
0
00:00:00.00
TEXT:
Unable to convert ARMS EXT: [ATTACH.D49] ARMS24933554U.236 to ASCII,
The following is a HEX DUMP:
2616C204149445320496E69746961746976650D53756D6D6172790D08084F6E204A756C79203
LEADERSHIP AND INVESTMENT IN FIGHTING AN EPIDEMIC (LIFE):
A Global AIDS Initiative
SUMMARY
On July 19, 1999, the Administration announced a new Initiative to address the global AIDS pandemic. This
Initiative is supported by an amendment to the Fiscal Year 2000 budget proposal signed by the President
and submitted to Congress for its consideration. A central feature of this LIFE Initiative is a $100 million
increase in US support for sub-Saharan African countries and
India, which are working to prevent the further spread of HIV
and to care for those impacted by this devastating disease.
LIFE INITIATIVE'S GUIDING PRINCIPLES
While this investment represents only a portion of what is
needed, this additional funding is a critical step by the United
US agencies will apply the following principles to
the design and implementation of LIFE:
States Government in recognizing the impact that AIDS
continues to have on individuals, families, communities and
Country ownership of the activities is
nations-responding to the imperative to do more. It is our hope
essential.
that this action will be matched by other nations and institutions.
Initiative funding and activities are in
addition to existing USG HIV/AIDS programs
What follows is an operating plan that outlines the intended
and activities conducted abroad. The net
programming of this additional funding. It contains a framework
total of new and expansion of existing
of interventions, grounded in a series of goals and objectives
activities will yield expected results in the
consistent with those already established for the international
target countries and programs
community in collaboration with the Joint United Nations
Initiative activities will be coordinated with
Programme on AIDS (UNAIDS). Specific activities and
other donors and will seek to leverage other
outcomes will be added after dialogue with those African
donors' efforts and resources.
nations that partner with the United States, as well as with the
Increase the number of collaborating USG
multinational and community-based non-governmental
agencies and other partners in the fight
organizations that support the front line fight against AIDS.
against AIDS, as well as use of new
approaches.
The Initiative builds on the existing investment by the US in
Support for African/Indian expertise and
HIV/AIDS programs in Africa and India and involves an
institutions in implementing program
unprecedented collaboration between the United States Agency
elements are emphasized.
for International Development (USAID), the Department of
LIFE offers opportunities to learn about new
Health and Human Services, and the Department of Defense
models that will assist US-based HIV
(DoD). USAID will have lead responsibility to facilitate
programs, as well as to share US
experiences abroad.
coordinated action. The Initiative is a significant turning point in
the United States Government fight against AIDS and will
contribute to broad global targets over the next 3 to 5 years which seek to reduce the transmission of HIV
by 25% and provide basic care and support services to at least 30% of infected persons.
The Initiative focuses on sub-Saharan Africa and India, which will be complemented by regional activities in
western and southern Africa. The countries targeted represent those with the most severe epidemic, the
highest number of new infections, where the potential for impact is greatest, and where USG agencies are
already active.
At the present time, the UNAIDS has estimated that resource needs for prevention alone for sub-Saharan
Africa total exceeds $1 billion per year. The Initiative will contribute to this goal and to the global
partnership necessary to bring effective programs to adequate scale. Curtailing this epidemic is not just the
responsibility of the U.S. Government. US partners involved in this Initiative will collaborate with UNAIDS
and other international and local agencies to leverage additional host country, multilateral, bilateral, and
private resources.
Automated Records Management System
Hex-Dump Conversion
Two Pager, Version 5 - 08/26/11 10:49 AM
Page 1
DRAFT
Program Elements
The Initiative addresses four key program elements critical to fighting the AIDS pandemic: primary
prevention, improving community and home based care and treatment, caring for children affected by AIDS,
and capacity and infrastructure development. Although the Initiative will not support all elements in every
country, all program funding must be coordinated and integrated within an overall comprehensive response.
Country programs will be tailored to their needs and existing efforts underway.
Primary Prevention: The initiative focuses primarily on prevention to slow-and hopefully reverse-the
trend of rising HIV rates in developing countries. The goal of primary prevention is to reduce the incidence
of new HIV infections. Ninety percent of new infections in the developing world are known to derive from
either sexual transmission (80%) or mother to child transmission (10%), and another 5% from contaminated
blood transfusions and infected needles. The prevention component of this initiative seeks to reduce these
means of transmission through a package of activities. These include voluntary counseling and HIV testing,
mother to child transmission prevention, STD treatment, social marketing of barrier methods, behavior
change interventions, and blood safety. USG agencies will work with civilian and military populations.
Improving Community and Home Based Care and Treatment: Currently in Sub-Saharan Africa and
India, care and treatment for HIV infected persons and support to their families is minimal. Less than 5% of
persons know their HIV status and health care providers lack the resources to diagnose and treat HIV and
the associated opportunistic infections, let alone to use of the latest "state of the art" antiviral treatment
regimens. Ideally, there should be a continuum between in-patient and community outpatient treatment,
combined with psychosocial support services utilizing a wide range of community workers, including
traditional healers. Even in the absence of antiretroviral drugs, there is much that can be done to improve
the quality and duration of life for persons living with HIV/AIDS and their families within the developing
country setting. For instance, while the leading killer of AIDS patients in the developing world is TB,
through use of directly observed therapy regimens (DOTS), TB can be cured in HIV infected persons,
increasing the both the quality and duration of a person's life. The initiative will support basic medical,
social, and home and community based care to greatly expand the availability of these services.
Caring for Children Affected by AIDS: By the year 2000, there will be close to 24 million children who will
have lost one or both parents in 19 of the African countries where HIV/AIDS is found in epidemic
proportions. By the end of the next decade, this number will increase to over 40 million. Despite the
magnitude of this crisis, services in developing countries for children orphaned by AIDS are extremely
limited or non-existent. This initiative will support USAID to take primary responsibility for activities to assist
children affected by AIDS and for their families, primarily through the use of Title II, Food for Peace
programs. These efforts will supplement existing efforts to strengthen the capacities of families and
communities in the geographic areas where HIV/AIDS has made them especially vulnerable.
Capacity and Infrastructure Development: Within the target countries, it is critical that political
commitment is increased and host country capacity to implement effective interventions is strengthened,
focusing on government, private sector, NGOs and research institution capabilities. Key activities are to
increase the use of accurate HIV surveillance data to inform decisions on targeting of HIV/AIDS prevention
and care interventions, to measure the impact of these interventions, and to build new capabilities for the
delivery of treatment and support services.
Managing and Monitoring the LIFE Initiative: A coordinating task Force will be convened under the
auspices of ONAP, with secretariat support provided by USAID to develop joint management and
monitoring plans. Multiple partners will be engaged in a collaborative effort to leverage new resources,
identify areas for cooperative efforts and areas for complementary programs, and achieve consensus on
measurements of performance.
Automated Records Management System
Two Pager, Version 5 - 08/26/11 10:49 AM
Hex-Dump Conversion
Page 2
DRAFT
Annex
Program Element
Investment
Primary Prevention
1)
Program Delivery and Other Activities
USAID: $25M
2)
Technical Assistance and Training
HHS:$13M
3)
Prevention activities for African military and uniformed services
DoD:$10M
Subtotal: $48M
Improving Community and Home Based Care and Treatment
1) Program Delivery
USAID: $14M
2) Technical Assistance and Training
HHS: $9M
Subtotal: $23M
Caring for Children Affected by AIDS
USAID: $10M
Capacity & Infrastructure Development
1)
Increasing political commitment and strengthening AIDS programs
USAID: $6M
2) Surveillance
HHS: $13M
Subtotal:$19M
Automated Records Management System
Two Pager, Version 5 - 08/26/11 10:49 AM
Hex-Dump Conversion
Page 3
DRA
Annex
WORLDWIDE HIV/AIDS GOALS
UNAIDS, in cooperation with USAID and other bilateral and multi-lateral partners, has laid out a series of
international goals for the next five years as described below. These goals represent the result of the total
worldwide contribution of resources and effort. The Administration seeks to further these goals through LIFE
Initiative.
The incidence of HIV infection will be reduced by 25% among 15-24 year olds by 2005. (Currently 2
million young adults are infected each year in sub-Saharan Africa.)
At least 75% of HIV infected persons will have access to basic care and support services at the home
and community levels, including drugs for common opportunistic infections (TB, pneumonia, and
diarrhea). (Currently, less than 1% of HIV infected persons have such access.)
Orphans will have access to education and food on an equal basis with their non-orphaned peers.
By 2002, domestic and external resources available for HIV/AIDS efforts in Africa will have doubled to
$300 million per year. (Currently, approximately $150 million per year is spent on HIV/AIDS prevention
in sub-Saharan Africa.)
By 2005, 50% of HIV infected pregnant women will have access to interventions to reduce mother-to-
child HIV transmission. (Currently, less than 1% of HIV infected pregnant women have access to such
services in sub-Saharan Africa.)
Automated Records Management System
Two Pager, Version 5 - 08/26/11 10:49 AM
Page 4
Hex-Dump Conversion
ARMS Email System
Page 1 of 40
RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 7-SEP-1999 16:55:52.00
SUBJECT: Re: next steps on AIDS documents
TO: Alex Ross <[email protected]> ( Alex Ross <[email protected]> @ inet [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
These are OMB's final little edits FYI.
Forwarded by Sandra Thurman/OPD/EOP on 09/07/99
04:54 PM
Richard J. Turman
09/03/99 04:23:43 PM
Record Type:
Record
To:
Sandra Thurman/OPD/EOP@EOP
CC:
See the distribution list at the bottom of this message
bcc:
Subject:
Re: next steps on AIDS documents
Thanks for sharing the draft of the two-pager. We'd appreciate seeing the
one-pagers when drafts are available.
We have only two minor edits on the two-pager -- the second is just to
reflect that there really isn't an operating plan following this sentence,
just two pages.
We look forward to seeing the revised Operating Plan draft as soon as
feasible, SO we can all work off the same materials. Thanks!
Here are the edits:
Sandra Thurman 09/03/99 11:00:38 AM
Record Type:
Record
To:
Richard J. Turman/OMB/EOP@EOP
CC:
Subject:Re: next steps on AIDS documents
Hi there!
We are finished with the final draft of the two-pager. It is now
circulating for comments SO I am forwarding a copy for your perusal.
ARMS Email System
Page 2 of 40
USAID has completed their one- pager, HHS's needs a little work (what a
surprise!) and DoD's is on the way over. We will format them all this
afternoon.
The larger document needs to be fine tuned to coincide with the two page
document. USAID is working on it but I am not certain that I will be able
to get it edited by the end of the day since I am off to Chicago to give a
little speech. Will I be grounded if I don't get my homework in until
Monday morning?
Sandy
Forwarded by Sandra Thurman/OPD/EOP on 09/03/99
10:59 AM
Alex Ross <[email protected]>
09/02/99 11:32:43 PM
Record Type: Record
To: Paul Delay <[email protected]>, Sandra Thurman/OPD/EOP
CC:
Subject: Final? Two pager
Sandy and Paul,
Attached is the final version Sandy submitted this evening. I reordered
the funding box in the annex to reflect the same order as in the
document. I also deleted the country list annex as it should not
accompany this document. If we are all happy with this, let's remove
the footer to make it final./
I also read the draft one pager from HHS--it needs to be redone by
deleting the first half. My recommendation is that all three one pagers
should look the same with similar headings, etc. We'll reconvene
tomorrow am. Also, anything from DOD on their one pager?
Alex
- twopage5.doc
Message Copied
To:
Daniel N. Mendelson/OMB/EOP@EOP
[email protected]
Barry T. Clendenin/OMB/EOP@EOP
Todd A. Summers/OPD/EOP@EOP
Cheryl C. Graczewski/OMB/EOP@EOP
Stefani J. Pashman/OMB/EOP@EOP
ARMS Email System
Page 3 of 40
Melany Nakagiri/OMB/EOP@EOP
Michael Casella/OMB/EOP@EOP
ATTACHMENT
1
ATT CREATION TIME/DATE:
0
00:00:00.00
TEXT:
Unable to convert ARMS_EXT: [ATTACH.D1] ARMS21127305Q.236 to ASCII,
The following is a HEX DUMP:
D0CF11E0A1B11AE1000000000000000000000000000000003E000300FEFF090006000000000000
0000000000010000005000000000000000001000005200000001000000FEFFFFFF000000004F00
FFFFFFFFFFECA5C1007100090400000012BF0000000000001000000000000400007B2D00000E00
DDA
LEADERSHIP AND INVESTMENT IN FIGHTING AN EPIDEMIC (LIFE):
A Global AIDS Initiative
SUMMARY
On July 19, 1999, the Administration announced a new Initiative to address the global AIDS pandemic. This
Initiative is supported by an amendment to the Fiscal Year 2000 budget proposal signed by the President
and submitted to Congress for its consideration. A central feature of this LIFE Initiative is a $100 million
increase in US support for sub-Saharan African countries and
India, which are working to prevent the further spread of HIV
and to care for those impacted by this devastating disease.
LIFE INITIATIVE'S GUIDING PRINCIPLES
While this investment represents only a portion of what is
needed, Ithis additional funding is a critical step by the United
US agencies will apply the following principles to
the design and implementation of LIFE:
States Government in recognizing the impact that AIDS
continues to have on individuals, families, communities and
Country ownership of the activities is
nations-responding to the imperative to do more. It is our hope
essential.
that this action will be matched by other nations and institutions.
Initiative funding and activities are in
addition to existing USG HIV/AIDS programs
What follows is an operating plan that outlines the intended
and activities conducted abroad. The net
programming of this additional funding. It This plan contains a
total of new and expansion of existing
framework of interventions, grounded in a series of goals and
activities will yield expected results in the
objectives consistent with those already established for the
target countries and programs.
international community in collaboration with the Joint United
Initiative activities will be coordinated with
Nations Programme on AIDS (UNAIDS). Specific activities and
other donors and will seek to leverage other
outcomes will be added after dialogue with those African
donors' efforts and resources.
nations that partner with the United States, as well as with the
Increase the number of collaborating USG
multinational and community-based non-governmental
agencies and other partners in the fight
organizations that support the front line fight against AIDS.
against AIDS, as well as use of new
approaches.
The Initiative builds on the existing investment by the US in
Support for African/Indian expertise and
HIV/AIDS programs in Africa and India and involves an
institutions in implementing program
unprecedented collaboration between the United States Agency
elements are emphasized.
for International Development (USAID), the Department of
LIFE offers opportunities to learn about new
Health and Human Services, and the Department of Defense
models that will assist US-based HIV.
(DoD). USAID will have lead responsibility to facilitate
programs, as well as to share US
experiences abroad.
coordinated action. The Initiative is a significant turning point in
the United States Government fight against AIDS and will
contribute to broad global targets over the next 3 to 5 years which seek to reduce the transmission of HIV
by 25% and provide basic care and support services to at least 30% of infected persons.
The Initiative focuses on sub-Saharan Africa and India, which will be complemented by regional activities in
western and southern Africa. The countries targeted represent those with the most severe epidemic, the
highest number of new infections, where the potential for impact is greatest, and where USG agencies are
already active.
At the present time, the UNAIDS has estimated that resource needs for prevention alone for sub-Saharan
Africa total exceeds $1 billion per year. The Initiative will contribute to this goal and to the global
partnership necessary to bring effective programs to adequate scale. Curtailing this epidemic is not just the
responsibility of the U.S. Government. US partners involved in this Initiative will collaborate with UNAIDS
and other international and local agencies to leverage additional host country, multilateral, bilateral, and
private resources.
Automated Records Management System
Two Pager, Version 5 - 08/26/11 10:51 AM
Hex-Dump Conversion
Page 1
DRAI
Program Elements
The Initiative addresses four key program elements critical to fighting the AIDS pandemic: primary
prevention, improving community and home based care and treatment, caring for children affected by AIDS,
and capacity and infrastructure development. Although the Initiative will not support all elements in every
country, all program funding must be coordinated and integrated within an overall comprehensive response.
Country programs will be tailored to their needs and existing efforts underway.
Primary Prevention: The initiative focuses primarily on prevention to slow-and hopefully reverse-the
trend of rising HIV rates in developing countries. The goal of primary prevention is to reduce the incidence
of new HIV infections. Ninety percent of new infections in the developing world are known to derive from
either sexual transmission (80%) or mother to child transmission (10%), and another 5% from contaminated
blood transfusions and infected needles. The prevention component of this initiative seeks to reduce these
means of transmission through a package of activities. These include voluntary counseling and HIV testing,
mother to child transmission prevention, STD treatment, social marketing of barrier methods, behavior
change interventions, and blood safety. USG agencies will work with civilian and military populations.
Improving Community and Home Based Care and Treatment: Currently in Sub-Saharan Africa and
India, care and treatment for HIV infected persons and support to their families is minimal. Less than 5% of
persons know their HIV status and health care providers lack the resources to diagnose and treat HIV and
the associated opportunistic infections, let alone to use of the latest "state of the art" antiviral treatment
regimens. Ideally, there should be a continuum between in-patient and community outpatient treatment,
combined with psychosocial support services utilizing a wide range of community workers, including
traditional healers. Even in the absence of antiretroviral drugs, there is much that can be done to improve
the quality and duration of life for persons living with HIV/AIDS and their families within the developing
country setting. For instance, while the leading killer of AIDS patients in the developing world is TB,
through use of directly observed therapy regimens (DOTS), TB can be cured in HIV infected persons,
increasing the both the quality and duration of a person's life. The initiative will support basic medical,
social, and home and community based care to greatly expand the availability of these services.
Caring for Children Affected by AIDS: By the year 2000, there will be close to 24 million children who will
have lost one or both parents in 19 of the African countries where HIV/AIDS is found in epidemic
proportions. By the end of the next decade, this number will increase to over 40 million. Despite the
magnitude of this crisis, services in developing countries for children orphaned by AIDS are extremely
limited or non-existent. This initiative will support USAID to take primary responsibility for activities to assist
children affected by AIDS and for their families, primarily through the use of Title II, Food for Peace
programs. These efforts will supplement existing efforts to strengthen the capacities of families and
communities in the geographic areas where HIV/AIDS has made them especially vulnerable.
Capacity and Infrastructure Development: Within the target countries, it is critical that political
commitment is increased and host country capacity to implement effective interventions is strengthened,
focusing on government, private sector, NGOs and research institution capabilities. Key activities are to
increase the use of accurate HIV surveillance data to inform decisions on targeting of HIV/AIDS prevention
and care interventions, to measure the impact of these interventions, and to build new capabilities for the
delivery of treatment and support services.
Managing and Monitoring the LIFE Initiative: A coordinating task Force will be convened under the
auspices of ONAP, with secretariat support provided by USAID to develop joint management and
monitoring plans. Multiple partners will be engaged in a collaborative effort to leverage new resources,
identify areas for cooperative efforts and areas for complementary programs, and achieve consensus on
measurements of performance.
Automated Records Management System
Two Pager, Version 5 - 08/26/11 10:51 AM
Hex-Dump Conversion
Page 2
DRA
Annex
Program Element
Investment
Primary Prevention
1)
Program Delivery and Other Activities
USAID: $25M
2)
Technical Assistance and Training
HHS:$13M
3)
Prevention activities for African military and uniformed services
DoD:$10M
Subtotal: $48M
Improving Community and Home Based Care and Treatment
1) Program Delivery
USAID: $14M
2) Technical Assistance and Training
HHS: $9M
Subtotal: $23M
Caring for Children Affected by AIDS
USAID: $10M
Capacity & Infrastructure Development
1)
Increasing political commitment and strengthening AIDS programs
USAID: $6M
2) Surveillance
HHS: $13M
Subtotal:$19M
Automated Records Management System
Two Pager, Version 5 - 08/26/11 10:51 AM
Hex-Dump Conversion
Page 3
Annex
DRAFT
WORLDWIDE HIV/AIDS GOALS
UNAIDS, in cooperation with USAID and other bilateral and multi-lateral partners, has laid out a series of
international goals for the next five years as described below. These goals represent the result of the total
worldwide contribution of resources and effort. The Administration seeks to further these goals through LIFE
Initiative.
The incidence of HIV infection will be reduced by 25% among 15-24 year olds by 2005: (Currently 2
million young adults are infected each year in sub-Saharan Africa.)
At least 75% of HIV infected persons will have access to basic care and support services at the home
and community levels, including drugs for common opportunistic infections (TB, pneumonia, and
diarrhea). (Currently, less than 1% of HIV infected persons have such access.)
Orphans will have access to education and food on an equal basis with their non-orphaned peers.
By 2002, domestic and external resources available for HIV/AIDS efforts in Africa will have doubled to
$300 million per year. (Currently, approximately $150 million per year is spent on HIV/AIDS prevention
in sub-Saharan Africa.)
By 2005, 50% of HIV infected pregnant women will have access to interventions to reduce mother-to-
child HIV transmission. (Currently, less than 1% of HIV infected pregnant women have access to such
services in sub-Saharan Africa.)
Automated Records Management System
Two Pager, Version 5 - 08/26/11 10:51 AM
Hex-Dump Conversion
Page 4
LEADERSHIP AND INVESTMENT N FIGHTING AN EPIDEMIC (LIFE):
A Global AIDS Initiative
SUMMARY
On July 19, 1999, the Administration announced a new Initiative to address the global AIDS pandemic. This
Initiative is supported by an amendment to the Fiscal Year 2000 budget proposal signed by the President
and submitted to Congress for its consideration. A central feature of this LIFE Initiative is a $100 million
increase in US support for sub-Saharan African countries and
India, which are working to prevent the further spread of HIV
and to care for those impacted by this devastating disease.
LIFE INITIATIVE'S GUIDING PRINCIPLES
While this investment represents only a portion of what is
needed, this additional funding is a critical step by the United
US agencies will apply the following principles to
the design and implementation of LIFE:
States Government in recognizing the impact that AIDS
continues to have on individuals, families, communities and
Country ownership of the activities is
nations-responding to the imperative to do more. It is our hope
essential.
that this action will be matched by other nations and institutions.
Initiative funding and activities are in
addition to existing USG HIV/AIDS programs
What follows is an operating plan that outlines the intended
and activities conducted abroad. The net
programming of this additional funding. It contains a framework
total of new and expansion of existing
of interventions, grounded in a series of goals and objectives
activities will yield expected results in the
consistent with those already established for the international
target countries and programs.
community in collaboration with the Joint United Nations
Initiative activities will be coordinated with
Programme on AIDS (UNAIDS). Specific activities and
other donors and will seek to leverage other
outcomes will be added after dialogue with those African
donors' efforts and resources.
nations that partner with the United States, as well as with the
Increase the number of collaborating USG
multinational and community-based non-governmental
agencies and other partners in the fight
organizations that support the front line fight against AIDS.
against AIDS, as well as use of new
approaches.
The Initiative builds on the existing investment by the US in
Support for African/Indian expertise and
HIV/AIDS programs in Africa and India and involves an
institutions in implementing program
unprecedented collaboration between the United States Agency
elements are emphasized.
for International Development (USAID), the Department of
LIFE offers opportunities to learn about new
Health and Human Services, and the Department of Defense
models that will assist US-based HIV
(DoD). USAID will have lead responsibility to facilitate
programs, as well as to share US
experiences abroad.
coordinated action. The Initiative is a significant turning point in
the United States Government fight against AIDS and will
contribute to broad global targets over the next 3 to 5 years which seek to reduce the transmission of HIV
by 25% and provide basic care and support services to at least 30% of infected persons.
The Initiative focuses on sub-Saharan Africa and India, which will be complemented by regional activities in
western and southern Africa. The countries targeted represent those with the most severe epidemic, the
highest number of new infections, where the potential for impact is greatest, and where USG agencies are
already active.
At the present time, the UNAIDS has estimated that resource needs for prevention alone for sub-Saharan
Africa total exceeds $1 billion per year. The Initiative will contribute to this goal and to the global
partnership necessary to bring effective programs to adequate scale. Curtailing this epidemic is not just the
responsibility of the U.S. Government. US partners involved in this Initiative will collaborate with UNAIDS
and other international and local agencies to leverage additional host country, multilateral, bilateral, and
private resources.
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DRAFT
Program Elements
The Initiative addresses four key program elements critical to fighting the AIDS pandemic: primary
prevention, improving community and home based care and treatment, caring for children affected by AIDS,
and capacity and infrastructure development. Although the Initiative will not support all elements in every
country, all program funding must be coordinated and integrated within an overall comprehensive response.
Country programs will be tailored to their needs and existing efforts underway.
Primary Prevention: The initiative focuses primarily on prevention to slow-and hopefully reverse-the
trend of rising HIV rates in developing countries. The goal of primary prevention is to reduce the incidence
of new HIV infections. Ninety percent of new infections in the developing world are known to derive from
either sexual transmission (80%) or mother to child transmission (10%), and another 5% from contaminated
blood transfusions and infected needles. The prevention component of this initiative seeks to reduce these
means of transmission through a package of activities. These include voluntary counseling and HIV testing,
mother to child transmission prevention, STD treatment, social marketing of barrier methods, behavior
change interventions, and blood safety. USG agencies will work with civilian and military populations.
Improving Community and Home Based Care and Treatment: Currently in Sub-Saharan Africa and
India, care and treatment for HIV infected persons and support to their families is minimal. Less than 5% of
persons know their HIV status and health care providers lack the resources to diagnose and treat HIV and
the associated opportunistic infections, let alone to use of the latest "state of the art" antiviral treatment
regimens. Ideally, there should be a continuum between in-patient and community outpatient treatment,
combined with psychosocial support services utilizing a wide range of community workers, including
traditional healers. Even in the absence of antiretroviral drugs, there is much that can be done to improve
the quality and duration of life for persons living with HIV/AIDS and their families within the developing
country setting. For instance, while the leading killer of AIDS patients in the developing world is TB,
through use of directly observed therapy regimens (DOTS), TB can be cured in HIV infected persons,
increasing the both the quality and duration of a person's life. The initiative will support basic medical,
social, and home and community based care to greatly expand the availability of these services.
Caring for Children Affected by AIDS: By the year 2000, there will be close to 24 million children who will
have lost one or both parents in 19 of the African countries where HIV/AIDS is found in epidemic
proportions. By the end of the next decade, this number will increase to over 40 million. Despite the
magnitude of this crisis, services in developing countries for children orphaned by AIDS are extremely
limited or non-existent. This initiative will support USAID to take primary responsibility for activities to assist
children affected by AIDS and for their families, primarily through the use of Title II, Food for Peace
programs. These efforts will supplement existing efforts to strengthen the capacities of families and
communities in the geographic areas where HIV/AIDS has made them especially vulnerable.
Capacity and Infrastructure Development: Within the target countries, it is critical that political
commitment is increased and host country capacity to implement effective interventions is strengthened,
focusing on government, private sector, NGOs and research institution capabilities. Key activities are to
increase the use of accurate HIV surveillance data to inform decisions on targeting of HIV/AIDS prevention
and care interventions, to measure the impact of these interventions, and to build new capabilities for the
delivery of treatment and support services.
Managing and Monitoring the LIFE Initiative: A coordinating task Force will be convened under the
auspices of ONAP, with secretariat support provided by USAID to develop joint management and
monitoring plans. Multiple partners will be engaged in a collaborative effort to leverage new resources,
identify areas for cooperative efforts and areas for complementary programs, and achieve consensus on
measurements of performance.
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DRA
Annex
Program Element
Investment
Primary Prevention
1)
Program Delivery and Other Activities
USAID: $25M
2)
Technical Assistance and Training
HHS:$13M
3)
Prevention activities for African military and uniformed services
DoD:$10M
Subtotal: $48M
Improving Community and Home Based Care and Treatment
1) Program Delivery
USAID: $14M
2) Technical Assistance and Training
HHS: $9M
Subtotal: $23M
Caring for Children Affected by AIDS
USAID: $10M
Capacity & Infrastructure Development
1)
Increasing political commitment and strengthening AIDS programs
USAID: $6M
2)
Surveillance
HHS: $13M
Subtotal: $19M
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DRAF
Annex
WORLDWIDE HIV/AIDS GOALS
UNAIDS, in cooperation with USAID and other bilateral and multi-lateral partners, has laid out a series of
international goals for the next five years as described below. These goals represent the result of the total
worldwide contribution of resources and effort. The Administration seeks to further these goals through LIFE
Initiative.
The incidence of HIV infection will be reduced by 25% among 15-24 year olds by 2005. (Currently 2
million young adults are infected each year in sub-Saharan Africa.)
At least 75% of HIV infected persons will have access to basic care and support services at the home
and community levels, including drugs for common opportunistic infections (TB, pneumonia, and
diarrhea). (Currently, less than 1% of HIV infected persons have such access.)
Orphans will have access to education and food on an equal basis with their non-orphaned peers.
By 2002, domestic and external resources available for HIV/AIDS efforts in Africa will have doubled to
$300 million per year. (Currently, approximately $150 million per year is spent on HIV/AIDS prevention
in sub-Saharan Africa.)
By 2005; 50% of HIV infected pregnant women will have access to interventions to reduce mother-to-
child HIV transmission. (Currently, less than 1% of HIV infected pregnant women have access to such
services in sub-Saharan Africa.)
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ARMS Email System
Page 1 of 1
RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 7-SEP-1999 08:47:19.00
SUBJECT: Re: Briefing for AIDS Meeting
TO: Katharine Button ( CN=Katharine Button/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
See you then!
ARMS Email System
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 7-SEP-1999 18:57:26.00
SUBJECT: One Pagers
TO: Richard J. Turman ( CN=Richard J. Turman/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
TEXT:
Hi there! I hope you had a great weekend.
I tried to call you but got the answering machine. I heard that the
meeting this morning went fairly well. That is good news!
I agree with you. We need to get the one pagers finalized ( and down to
one page to boot! ). I will call everyone in the morning and try to get
them on the program. Alex has been compiling most of the edits. I will
make sure that OMB's are included.
All things considered I think that they have done fairly well.
Thanks!
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 7-SEP-1999 08:36:10.00
SUBJECT: Briefing for AIDS Meeting
TO: Katharine Button ( CN=Katharine Button/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
I have found 22 copies of the Africa Report for distribution at the
meeting. That will at least cover the folks who are sitting at the table.
I assume that the First Lady will be briefed just prior to the meeting. If
you need me to help with any preparations or want me present to answer any
questions, just let me know.
Hope you had a great weekend.
Thanks!
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 7-SEP-1999 08:28:21.00
SUBJECT: Re: (no subject)
TO: Todd A. Summers ( CN=Todd A. Summers/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
That is nice to know. Thanks.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 8-SEP-1999 16:18:44.00
SUBJECT: Re: CBC-AIDS/South Africa
TO: Paul Thornell ( CN=Paul Thornell/O=OVP@OVP [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
You are more than welcome. If you ever need anything more quickly than we
are producing it just page me.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 8-SEP-1999 16:04:55.00
SUBJECT: Re: CBC-AIDS/South Africa
TO: Paul Thornell ( CN=Paul Thornel1/O=OVP@OVP [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Hi there!
Did you get what you needed on South Africa? If not, let me know and I
will whip up something.
Yesterday the First Lady met with a variety of leaders from the public and
private sectors to discuss ways to energize our global efforts in the
battle against AIDS. Participants from multinational organizations
included James Wolfensohn, President of the World Bank and Dr. Peter Piot,
Director of UNAIDS. The corporate sector was represented by Robert
Johnson, CEO of Black Entertainment Television and Charles Heimbold of
Bristol Myers Squib and foundations participating included Rockefeller,
Soros, MacArthur, Gates and Kaiser. The Administration officials included
Secretary Shalala. Secretary Summers, Brady Anderson, Administrator of
USAID, Frank Loy, Under Secretary of State, Leon Feurth and Sandy Thurman
among others.
The dialogue centered around ways to mainstream HIV/AIDS programs into
existing agendas ( i.e. trade, development, communications ) There was
overwhelming consensus that a highly visible leadership on the part of the
United States was essential not only in galvanizing similar actions by
other nations but in helping to shape a more active response by other
sectors of society domestically ( business, NGOs, religious )
Another major point that consistently came up was the need for capacity
development in order to maximize the effectiveness of new investments.
At the end of the meeting the Office of National AIDS Policy agreed to
co-host a global technical assistance meeting with UNAIDS in October. In
addition, Bob Johnson of BET agreed to pull together other executives in
the communications industry to discuss ways to use mass media more
effectively, and the CEO of Bristol Myers Squibb agreed to work with us on
our upcoming business leaders meeting to engage a broader range of
corporate partners.
If you have any questions or need other info, please let me know.
Thanks!
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD I )
CREATION DATE/TIME: 8-SEP-1999 19:17:48.00
SUBJECT: AIDS in Africa Documentary
Rob, I hope this is the kind of thing you were talking about. As always, thank you somuch for your help. Look forward to seeing you tomorrow
On Thursday, September 9th at 6:00pm in Senate Caucus Room (Russell 325) the Children Affected by AIDS Foundation is sponsoring a Congressio
TO: [email protected] ( [email protected] @ inet [ UNKNOWN 1 )
READ:UNKNOWN
TEXT:
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 8-SEP-1999 09:22:16.00
SUBJECT: One pagers -- LIFE
TO: Todd A. Summers ( CN=Todd A. Summers/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
Forwarded by Sandra Thurman/OPD/EOP on 09/08/99
09:21 AM
Alex Ross <[email protected]>
09/05/99 06:42:24 PM
Record Type: Record
To: Sandra Thurman/OPD/EOP, Paul Delay <[email protected]>
CC:
Subject: One pagers -- LIFE
Sandy and Paul,
Here they are, the one pagers. They are draft. Please keep in mind
that these have NOT been cleared in agencies. I will be sending the HHS
one over to Carmine Bozzi as well-- I expect some comments as he has not
seen this version. DOD is more or less the same as the one they sent
over (also attached with the longer file name).
Alex
- usaidlpga.doc
- hhslpgr.doc
- dodlpgr.doc
- dodaids_africa9_3_99a_final.doc
ATTACHMENT 1
ATT CREATION TIME/DATE: 0 00:00:00.00
TEXT:
Unable to convert ARMS_EXT: [ATTACH.D10]ARMS22792505L.236 to ASCII,
The following is a HEX DUMP:
D0CF11E0A1B11AE1000000000000000000000000000000003E000300FEFF090006000000000000
0000000000010000003B00000000000000001000003D00000001000000FEFFFFFF000000003A00
LEADERSHIP AND INVESTMENT IN FIGHTING AN
EPIDEMIC (LIFE)
USAID
SUMMARY OF THE USAID RESPONSE
Introduction
The Agency for International Development's (USAID) response to the HIV/AIDS epidemic began
in 1986, with the Agency contributing over $1.2 billion to the effort during these last 13 years.
Of this total, USAID has programmed over $650 million in sub-Saharan Africa. Since the early
1990's, USAID has been the leading donor to both UNAIDS and to HIV/AIDS prevention and
control in the developing world.
However, since 1993 the USAID budget has remained at approximately $120 million per year.
During this time the number of annual HIV infections has risen 300% to 6 million per year. The
epidemic is rapidly spreading within the Southern regions of Africa and into Asia and the newly
independent states of the former Soviet Union. USAID now provides technical assistance and
support to programs in 47 developing countries, 22 of which are in sub-Saharan Africa. These
country programs are designed to decrease HIV transmission and reduce the impact of AIDS on
families and societies, but they continue to be underfunded relative to the enormous need.
USAID resources, combined with other international donors and contributions from national host
country governments, are only able to reach 10% to 20% of the "at-risk" population in sub-
Saharan Africa.
The LIFE Initiative
On July 9, 1999, Vice President Gore announced a new Administration initiative to address the
global AIDS pandemic. A central feature of the LIFE initiative is a $100 million increase in US
support to prevent the further spread of HIV and to care for those affected by this devastating
disease. Of this total, $55 million will be programmed through USAID, nearly doubling the
resources available for USAID programs in sub-Saharan Africa.
The LIFE Initiative focuses on 15 target countries¹ (14 in sub-Saharan Africa and India). These
countries have the most severe AIDS epidemics, the highest number of new infections, the
potential for greatest impact, and have existing USAID programs on which to build. Under the
LIFE Initiative, USAID will emphasize the following four program elements. Based on the mix of
existing activities, not all elements are required in all target countries.
Primary Prevention: USAID will program $25 million in 13 of the 15 target countries to
reverse the trend of rising HIV infection rates. This prevention component will support
voluntary counseling and testing, condom marketing, behavior change programs, mother to
child transmission reduction, STD treatment, and blood safety.
I
The country list will be finalized after further dialogue with specific governments and key stakeholders.
USAID-September 1999
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Improving Community and Home Based Care and Treatment: USAID will allocate $14
million in 7 of the 15 target countries to provide a continuum from in-patient to community
outpatient treatment, combined with psychosocial support services which utilize a wide
range of community workers, including traditional healers.
Caring for Children Affected by AIDS: USAID will devote $10 million in 12 of the 15 target
countries to assist children affected by AIDS and their families. Nutritional support through
Title II, Food for Peace, programs will supplement existing efforts to strengthen the capacity
of families and caring for AIDS orphans.
Capacity and Infrastructure Development: With a budget of $ 6 million, USAID will work
in 10 of the 15 target countries to increase host country capacity to implement effective
interventions, focusing on government, private sector, NGOs, and research institution
capabilities. Key activities will increase the use of accurate HIV surveillance data to target
HIV/AIDS prevention and care interventions and to measure the impact of these
interventions, and will expand capabilities for the delivery of care and services.
Building on established relationships between its Missions and host country partners, USAID
will take the lead responsibility to facilitate an unprecedented coordinated international US
response at the country level. Other participating US government agencies are the Department
of Health and Human Services (DHHS) and the Department of Defense (DoD). In addition,
USAID will provide secretariat support to the Coordinating Task Force, which will be organized
under the auspices of the White House Office for National AIDS Policy (ONAP).
What Do We Hope to Achieve:
We already possess models of success. In Uganda, HIV prevalence has been reduced by 50%
in young urban women, aged 15 to 24, by promoting a delay in the onset of sexual activity and
the adoption of safer sexual practices. In Senegal, HIV prevalence has been kept below 2%.
The Uganda and Senegal models prove that the battle can be won, and challenge us to bring
comparable success to additional countries.
Monitoring systems will measure the combination of enhanced existing programs and the
additional "new" activities that are supported through the Initiative. Over the next three years,
the Agency will meet the following performance targets:
10% decrease in HIV incidence in 15-24 year olds
10% decrease in perinatal infections
10% decrease in reported STD prevalence by men/women
50% of households caring for children affected by AIDS will receive assistance from an
institution or group outside the family
50% of district/provincial governments will be able to implement care and support activities
The establishment of surveillance systems in all target countries.
USAID
USAID-September 1999
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LEADERSHIP AND INVESTMENT IN FIGHTING AN
EPIDEMIC (LIFE)
HEALTH
OF
HUMAN
EPARTMENT
SUMMARY OF THE DHHS RESPONSE
USA
Introduction
Since the beginning of the HIV epidemic, the U.S. Department of Health and Human Services
(HHS) has collaborated with countries in Africa and Asia to increase our understanding of HIV
and to evaluate interventions that can be effective. Agencies such as the Centers for Disease
Control and Prevention (CDC) and the National Institutes for Health (NIH) have been leaders in
documenting the nature and spread of the epidemic. Other agencies such as the Health
Resources and Services Administration (HRSA), the Administration on Children and Families
(ACF), as well as several other DHHS agencies and offices have unique expertise in a number
of specific HIV interventions that can be tailored to international needs. The National AIDS
Program Office and the Office of International and Refugee Health offer guidance and linkages
to other multilateral, bilateral and non-governmental organizations.
HHS has international field station structures and sites in a number of African and Asian
countries. These CDC and NIH sites provide opportunities for assistance to countries, as well
as for prevention research. CDC field stations are in Cote d'Ivoire, Botswana, Kenya, with
additional presence in Uganda, South Africa, and Thailand. NIH HIV-NET sites are present in
Uganda, South Africa, Malawi, Zambia, and Zimbabwe. CDC, NIH and other DHHS agencies
have relationships in most of the African countries. The United States and developing
countries can mutually benefit from lessons learned in applying efforts to contain the massive
HIV epidemic in Africa and Asia.
The LIFE Initiative
On July 9, 1999, Vice President Gore announced a new Administration initiative to address the
global AIDS pandemic. A central feature of the LIFE initiative is a $100 million increase in US
support to prevent the further spread of HIV and to care for those affected by this devastating
disease. Of this total, $35 million will be programmed through DHHS, a significant increase in
DHHS resources to fighting AIDS internationally.
This Initiative will involve an unprecedented collaboration between three U.S. Agencies: the
United States Agency for International Development (USAID), the Department of Health and
Human Services (DHHS), and the Department of Defense (DOD) and builds upon existing
programs with other national and international agencies. The LIFE Initiative will increase
available resources, improve and enhance prevention and care efforts, and expand the quality,
diversity and number of both U.S. Government and local country partners who can effectively
respond to the pandemic over the next three to five years.
The LIFE Initiative focuses on 15 target countries¹ (14 in sub-Saharan Africa and India). These
countries have the most severe AIDS epidemics, the highest number of new infections, the
potential for greatest impact, and have existing USG programs on which to build. Under the
LIFE Initiative, DHHS will emphasize the following three program elements. These activities
I
The country list will be finalized after further dialogue with specific governments and key stakeholders.
DHHS-September 1999
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also enhance and complement current DHHS international activities. Based on the mix of
existing activities, not all elements are required in all target countries.
Primary Prevention: DHHS will program $13 m to help implement comprehensive primary
prevention activities in 12 of 15 target countries by providing technical assistance and
training for the following six activities: (1) Voluntary Counseling and Testing; (2) Social
Marketing; (3) Behavior Change; (4) Mother-to-Child HIV transmission; (5) STD
Management; and (6) Blood Safety.
Capacity and Infrastructure Development: DHHS will allocate $13 million in all target
countries to assist building capacity and infrastructure by strengthening existing surveillance
systems and developing new initiatives to accurately monitor the epidemic. This
infrastructure will provide accurate and timely information for planning and targeting
enhanced delivery of HIV/AIDS prevention and care interventions and measuring their
impact.
Improving Community and Home-Based Care and Treatment: DHHS will devote $9
million in 5 of the 15 target countries to provide assistance to develop and institute model
home and community based care programs. This will include developing training materials
and guidelines for home- and community-based treatment of sexually transmitted diseases
(STD) and other AIDS associated infections; promotion of short course directly observed
treatment (DOTS) for TB; development of community-based HIV care and supportive care
service models; health care worker training; and developing indicators for accurately
measuring the impact of services on morbidity and mortality.
Building on established relationships between its Missions and host country partners, USAID
will take the lead responsibility to facilitate an unprecedented coordinated international US
response at the country level.
What Do We Hope to Achieve:
We already possess models of success. In Uganda, HIV prevalence has been reduced by 50%
in young urban women, aged 15 to 24, by promoting a delay in the onset of sexual activity and
the adoption of safer sexual practices. In Senegal, HIV prevalence has been kept below 2%.
The Uganda and Senegal models prove that the battle can be won, and challenge us to bring
comparable success to additional countries.
Monitoring systems will measure the combination of enhanced existing programs and the
additional "new" activities that are supported through the Initiative. Over the next three years,
DHHS, in collaboration with the other USG implementation partners, will meet the following
performance targets:
10% decrease in HIV incidence in 15-24 year olds
10% decrease in perinatal infections
10% decrease in reported STD prevalence by men/women
50% of district/provincial governments will be able to implement care and support activities
The establishment of surveillance systems in all target countries
HEALTH
of
HUMAN
EPARTMENT
SERVICES
USA
DHHS-September 1999
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LEADERSHIP AND INVESTMENT IN FIGHTING AN
EPIDEMIC (LIFE)
SUMMARY OF THE DOD RESPONSE
Introduction
The AIDS epidemic on the African continent is remarkably complex. HIV incidence and
prevalence, the demographics of populations at risk, risk behaviors, the rural vs. urban distribution
of HIV, and access to basic education/prevention activities all vary regionally and country by
country. Moreover, the mixture of HIV types, groups, subtypes, and recombinants varies widely
across Africa. A regional, and sometimes a country-specific, approach to primary AIDS prevention
is required. In Africa, HIV rates in military and uniformed populations often exceed the rates in the
civilian populations.
Experience with AIDS prevention in the U.S. military provides a model for effective intervention in
African military populations. It has been demonstrated that assessment of knowledge, attitudes,
and behaviors, coupled with serial prevalence or incidence measurements, can be done while
maintaining confidentiality and with a high level of voluntary participation. Assessment of the
components of HIV risk in African military populations will develop the regional profile to design
and guide prevention activities.
The LIFE Initiative
On July 9, 1999, Vice President Gore announced a new Administration initiative to address the
global AIDS pandemic. A central feature of the LIFE initiative is a $100 million increase in US
support to prevent the further spread of HIV and to care for those affected by this devastating
disease. Of this total $10 million will be programmed through the U.S. Department of Defense.
This Initiative will involve an unprecedented collaboration between three U.S. Agencies: the United
States Agency for International Development (USAID), the Department of Health and Human
Services (DHHS), and the Department of Defense (DOD) and builds upon existing programs with
other national and international agencies. The LIFE Initiative will increase available resources,
improve and enhance prevention and care efforts, and expand the quality, diversity and number of
both U.S. Government and local country partners who can effectively respond to the pandemic
over the next three to five years.
The LIFE Initiative focuses on 15 target countries¹ (14 in sub-Saharan Africa and India). These
countries have the most severe AIDS epidemics, the highest number of new infections, the
potential for greatest impact, and have existing USG programs on which to build. Under the LIFE
Initiative, DoD will emphasize prevention activities for African military and uniformed services.
Regional Specific Military-based Education: Based on findings of the regional diversity of
AIDS in Africa and through work with UNAIDS, regional scientists, and African militaries, DoD
will direct military-based education in 13 of the 15 target countries in four specific African
regions: East, South, West, and West-Central, respectively. The approach will proceed by
stages:
1
The country list will be finalized after further dialogue with specific governments and key stakeholders.
DOD -- September 1999
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assessment of HIV prevalence and risk behaviors
development of a regional prevention plan
implementation through training and development of infrastructure
evaluation of the effect of prevention
refinement and incorporation into the military culture for enduring impact
DoD will build on the unique DoD tri-service military education programs developed to prevent
alcohol abuse and STDs, as well as the region-specific HIV prevention work by NGOs and USAID.
Anonymous serosurveys with risk behavior data collection will begin as soon as feasible. Current
educational modules created by the NHRC and Johns Hopkins University (JHU) will be culturally
adapted to the targeted areas in Africa. The initial round of serosurveys and risk behavior
assessment will take a minimum of six months. A "train the trainer" approach that has been very
successful within the U.S. Air Force will be used. This training can occur simultaneously within the
different regions and will be completed within three months. All of these programs will be
coordinated with similar USAID activities, for example, education concerning condoms, counseling,
and testing of general populations.
The trained educators will then intensively educate specifically selected military units where
anonymous serosurveys have been completed within the first round. Post education serosurveys
with risk behavior assessment will again be completed and compared with the original information
to assess impact.
In other areas of the world where this approach has been successfully implemented, i.e. SE Asia,
incidence markedly declined and upon release from the military these individuals became peer
educators within their villages, expanding the impact of the original investment. The same
scenario is visualized for this project, which is expected to make a substantial impact on reducing
the impact of AIDS in African militaries.
In addition to assessment of HIV seroprevalence, selected serum samples will be utilized for
determinations of HIV type, group, and subtype. Because the distribution of HIV in different
regions and populations group is incompletely known, this will provide essential information
characterizing the epidemic in African militaries. The impact of HIV-1 subtype on clinical
progression, transmission, and eventual vaccine efficacy is largely unknown. Assessment of HIV-1
subtypes in African military populations, with opportunity for follow-up, will permit an evaluation of
these factors in many different settings, ranging from a virtually single-subtype epidemic in
Southern Africa to a highly complex mixture of subtypes and recombinants in West Central Africa.
Prevention activities can be focussed, not only on individuals at high risk, but also on regions and
populations where the particular subtypes or mixtures of subtypes present the greatest challenge
to prevention.
This project is expected to contribute to long-term and sustained HIV prevention in Africa.
Enhanced military education of African UN Peace Keeper forces. African military personnel
deployed far from their home base for long periods in conjunction with UN peacekeeping
activities may experience a different HIV risk profile than soldiers remaining at home. DoD, in
partnership with the UN, will pattern a program on one currently being piloted through the
South African Army field units. The current project involves five specific curriculum modules:
Defining HIV and its impact in the military, HIV prevention, substance Abuse, HIV, STDs; risk
assessment and prevention strategies; and course summary.
DOD -- September 1999
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LEADERSHIP AND INVESTMENT IN FIGHTING
AN EPIDEMIC (LIFE)
SUMMARY OF THE DOD RESPONSE
Introduction
On July 9, 1999, Vice President Gore announced a new Administration initiative to
address the global AIDS pandemic. A central feature of the LIFE initiative is a $100
million increase in US support for sub-Saharan countries working to prevent the further
spread of HIV and to care for those impacted by this devastating disease. Of this total
$10 million will be programmed through DoD. Experience with AIDS prevention in the
U.S. military provides a model for effective intervention in African military populations. It
has been demonstrated that assessment of knowledge, attitudes, and behaviors,
coupled with serial prevalence or incidence measurements, can be done while
maintaining confidentiality and with a high level of voluntary participation. Assessment
of the components of HIV risk in African military populations will develop the regional
profile to design and guide prevention activities.
DoD Prevention Activities for African Military and Uniformed Services
Definitions and Performance Measures
1. Regional specific military-based education.
Based on findings of the regional diversity of AIDS in Africa and through work with
UNAIDS, regional scientists, and African militaries, military-based education will be
directed to 13 countries¹ in four specific African regions: East, South, West, and West-
Central, respectively. The approach will proceed by stages:
assessment of HIV prevalence and risk behaviors
development of a regional prevention plan
implementation through training and development of infrastructure
evaluation of the effect of prevention
refinement and incorporation into the military culture for enduring impact
DoD will build on the unique DoD tri-service military education programs developed to
prevent alcohol abuse and STDs, as well as the region-specific HIV prevention work by
NGOs and USAID. Anonymous serosurveys with risk behavior data collection will begin
as soon as feasible. Current educational modules created by the NHRC and Johns
Hopkins University (JHU) will be culturally adapted to the targeted areas in Africa.
The initial round of serosurveys and risk behavior assessment will take a minimum of six
months. A "train the trainer" approach that has been very successful within the U.S. Air
Force will be used. This training can occur simultaneously within the different regions
I The country list will be finalized after further dialogue with specific governments and key
stakeholders.
DOD - September 1999
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and will be completed within three months. All of these programs will be coordinated
with similar USAID activities, for example, education concerning condoms, counseling,
and testing of general populations.
The trained educators will then intensively educate specifically selected military units
where anonymous serosurveys have been completed within the first round. Post
education serosurveys with risk behavior assessment will again be completed and
compared with the original information to assess impact.
In other areas of the world where this approach has been successfully implemented, i.e.
SE Asia, incidence markedly declined and upon release from the military these
individuals became peer educators within their villages, expanding the impact of the
original investment. The same scenario is visualized for this project, which is expected
to make a substantial impact on reducing the impact of AIDS in African militaries.
In addition to assessment of HIV seroprevalence, selected serum samples will be
utilized for determinations of HIV type, group, and subtype. Because the distribution of
HIV in different regions and populations group is incompletely known, this will provide
essential information characterizing the epidemic in African militaries.
This project is expected to contribute to long-term and sustained HIV prevention in
Africa. The impact of HIV-1 subtype on clinical progression, transmission, and eventual
vaccine efficacy is largely unknown. Assessment of HIV-1 subtypes in African military
populations, with opportunity for follow-up, will permit an evaluation of these factors in
many different settings, ranging from a virtually single-subtype epidemic in Southern
Africa to a highly complex mixture of subtypes and recombinants in West Central Africa.
Prevention activities can be focussed, not only on individuals at high risk, but also on
regions and populations where the particular subtypes or mixtures of subtypes present
the greatest challenge to prevention.
2. Enhanced military education of African UN Peace Keeper forces.
African military personnel deployed far from their home base for long periods in
conjunction with UN peacekeeping activities may experience a different HIV risk profile
than soldiers remaining at home. The program was patterned on one currently being
piloted through the South African Army field units. The current project involves five
specific curriculum modules:
Defining HIV and its impact in the military
HIV Prevention
Substance Abuse, HIV, STDs
Risk Assessment and Prevention Strategies
Course Summary
DOD - September 1999
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 8-SEP-1999 20:51:55.00
SUBJECT: Cover Letter For Africa Report
TO: Sean P. Maloney ( CN=Sean P. Maloney/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
On Thursday September 9th, the Children Affected by AIDS Foundation will
host a premier of a documentary on the impact of the AIDS epidemic on the
children in Africa. The documentary, which was produced by Rory Kennedy,
was filmed during the Presidential Mission to Africa that resulted in the
Report to the President that was released in mid July in conjunction with
the announcement of the Administration's new $100 million African
Initiative.
More than 50 Members of the House and Senate have confirmed their
attendance at the event. Speakers include Senators Hatch, Leahy, Kennedy
and Specter and Congresspersons Gillman and Kilpatrick, Rory Kennedy,
Archbishop Desmond Tutu and myself. For reasons that are most unfortunate
there is fairly keen interest in the fact that Rory has returned from her
honeymoon specifically to attend this event ( as reported in the Post ).
It would be quite helpful for us to be able to reference the letter from
the President that accompanied the Report as delivered to Congress in my
remarks tomorrow night. We will need their support to make our budget
request a reality.
If we could possibly individualize the President's letter to the
Leadership and Appropriations Leadership ( since this is actually a
appropriations matter ) I think it would be extremely helpful. Beyond
that, I think it is fine to generalize the rest.
Thanks so much for your help!
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 9-SEP-1999 16:14:24.00
SUBJECT: Re: Request for Maria
TO: Marjorie Tarmey ( CN=Marjorie Tarmey/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
You are a saint. Thanks!
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 9-SEP-1999 10:31:54.00
SUBJECT:
TO: [email protected] ( [email protected] @ inet [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Hi- I'm Cheryl- Sandy'sassistant. If you reply to this e-mail, you will
get her directly.
Many thanks and sorry for the delay!
Cheryl
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 9-SEP-1999 09:42:53.00
SUBJECT: Request for Maria
TO: Marjorie Tarmey ( CN=Marjorie Tarmey/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
I am faxing over a copy of Leadership Atlanta's request for Maria to speak
at their 30th anniversary. They just love her and are driving me crazy to
get a commitment from her!
It really is a great group and nearly every Democratic leader in Georgia
is an alum including John Lewis, Veronica Biggins, Wyche Fowler, Sam Nunn
and on and on. It should be a fun event.
Thanks SO much for your help!
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 9-SEP-1999 12:06:31.00
SUBJECT:
TO: [email protected] ( [email protected] @ inet [ OA ] )
READ: UNKNOWN
TEXT:
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:10-SEP-1999 11:30:22.00
SUBJECT:
TO: [email protected] ( j [email protected] @ inet [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
This goes directly to Sandy's machine (she's not in at the moment.)
I will be in touch later in the day. Thank you!
Cheryl
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:10-SEP-1999 17:28:36.00
SUBJECT: Re: appreciation
TO: [email protected] ( [email protected] [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
My Dear Friend,
I cannot thank you enough for making the trip to be with us yesterday. I
am so sorry that Mother Nature chose to interfere with our carefully
constructed plans to get you home at a decent hour!
Your support of our little crusade to address the AIDS crisis in Africa (
and around the world for that matter ) means more to me than you will ever
know. As I am sure you can imagine, it can be a bit of an uphill battle on
occasion. However, with the help of our friends we are making progress.
Hopefully, before they know it, we will convince the "powers that be" to
do the right thing and then publicly testify to their bravery and
brilliance!
Please take good care of yourself. We need to know that you are there in
case we need you.
Much love,
Sandy
PS Thanks for the compliment. Looking the part is just a part of the
master plan!
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:13-SEP-1999 15:56:11.00
SUBJECT: Re: meeting with flotus
TO: [email protected] ( [email protected] [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
The First Lady's meeting was announced as part of the International
Initiative in July, although a date was not set at that time. It was
modeled after a recent meeting that she held on tuberculosis with a very
small group of decision makers to determine ways to better coordinate US,
bilateral and multilateral institutions' efforts to combat the disease.
There was no NGO or PVO participation in either meeting. However, the
First Lady did include slots for observers in the HIV/AIDS meeting to
include individuals from the HIV/AIDS community. PACHA was certainly
considered and in fact Terje Anderson was invited in his capacity as a
PACHA member and as co-chair of NORA. Paul Bomberg was invited in his
capacity as co-chair of the NORA international working group and the CEO
of an NGO that does international work exclusively. All other participants
were "principals" and some senior staff of principals were included as
observers as well.
It was hardly a pointless meeting. In fact, it was the first time that
many of these decision makers had been in the room together to discuss
ways to leverage greater support from the G-7 and other donors and
institutions.
Your leadership and the leadership of PACHA has been instrumental in our
ability to move this agenda forward.
As always, I am grateful for your support.
Fondly,
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:14-SEP-1999 14:25:53.00
SUBJECT: Appropriations Strategy
TO: Robert D. Kyle ( CN=Robert D. Kyle/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
CC: Daniel N. Mendelson ( CN=Daniel N. Mendelson/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
TEXT:
We have been working with OMB and the agencies to brief the clerks and
appropriations staff from the relevant subcommittees. While these meetings
are going well, we continue to hear how important it is to have a full
committee and leadership strategy. This seems to be particularly important
as it relates to the AID funding where money will need to be
"crosswalked" from Justice to AID, should the Congress agree to our
offset. With talk of train wrecks, no train wrecks and CR's it seems to me
that we should perhaps have a chat about this sooner than later.
Hope you are doing well.
Thanks!
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:15-SEP-1999 08:35:18.00
SUBJECT: Re: re mtg with FLOTUS
TO: Daniel C. Montoya ( CN=Daniel C. Montoya/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
CC: Todd A. Summers ( CN=Todd A. Summers/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
Thanks. Bob wrote me a note and I wrote him back.
Let's discuss this at your earliest convenience.
ST
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:16-SEP-1999 17:49:58.00
SUBJECT: Re: Fwd: FW: International AIDS Funding in CDC
TO: Daniel N. Mendelson ( CN=Daniel N. Mendelson/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
TEXT:
Thanks. Sorry I didn't get your earlier message.
I will be happy to call Shalala and go see Porter. However, I think we may
need someone above my paygrade to lean on them as well if they are going
to take this seriously. Don't you think? What about you or Sylvia?
ST
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:16-SEP-1999 16:29:20.00
SUBJECT: Fwd: FW: International AIDS Funding in CDC
TO: Daniel N. Mendelson ( CN=Daniel N. Mendelson/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
TEXT:
Thanks so much for meeting with those people yesterday. I realize that you
are incredibly busy at the moment.
Attached is a note from Mr. Porter's staff to Ms. Pelosi's staff
regarding the Africa Initiative that I thought you might want to see. In
addition, Porter's staff is now reporting that NIH is vehemently opposed
to the $30 million offset from their building fund ( oh my! who will mow
the lawn? )
I think we need a quick and aggressive strategy to protect our HHS dollars
since Mr. Porter is supposedly marking up next Thursday. I am more than
happy to call out the community troops and go visit these folks myself,
however, I don't want to step on the toes of OMB and legislative affairs
or breach protocol. Having said that, I am slightly concerned that with
all the additional money that we continue to request that we don't have to
spend, our little paltry $100 million will be lost in the wake of other
bigger priority items (more people die of AIDS in Africa every 2 days than
in the earthquake in Turkey!)
So, I need your advice. What should I do next?
Thanks!
Sandy
Forwarded by Sandra Thurman/OPD/EOP on 09/16/99
03:18 PM
[email protected]
09/16/99 10:24:16 AM
Record Type: Record
To: Sandra Thurman/OPD/EOP
CC:
Subject: Fwd: FW: International AIDS Funding in CDC
Return-path: <[email protected]>
Received: from rly-yd02.mx.aol.com (rly-yd02.mail.aol.com (172.18.150.2])
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<RXAY0ASK>; Thu, 16 Sep 1999 09:31:31 -0400
Date: Thu, 16 Sep 1999 09:31:05 -0400
From: "Collins, Chris" <[email protected]>
Subject: FW: International AIDS Funding in CDC
To: [email protected]
Message-id: <[email protected]
MIME-version: 1.0
X-Mailer: Internet Mail Service (5.5.2539.1)
Content-type: MULTIPART/MIXED;
BOUNDARY="Boundary_(ID_K77kPOlHXyJ3eLq/CmNdug)
fyi
>
> From: Murphy, Carol
> Sent: Thursday, September 16, 1999 9:14 AM
> To: Collins, Chris
> Subject: RE: International AIDS Funding in CDC
>
> The request has a few problems. 1) We just got it last week and when we
> met with the Department they couldn't tell us what the outyear funding
was
> going to be (obviously we're not talking about a one-time approp. of $35
> million). 2) There are no GPRA goals and measurements. 3) They offset
it
> using NIH funds. 4) Our allocation is still $16 billion less than a
> freeze, which poses its own set of problems. Do you know what Foreign
Ops
> and DOD are planning to do with their pieces?
>
>
>
> From: Collins, Chris
> Sent: Wednesday, September 15, 1999 5:29 PM
> To: Murphy, Carol
> Subject: International AIDS Funding in CDC
>
> Carol --
> Can you give me any sense of whether the Chairman is considering funds
> related to my boss' (and the President's) request for $35 million for
> international AIDS prevention and treatment at CDC?
> thanks
> Chris
>
>
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:20-SEP-1999 14:23:35.00
SUBJECT: Re: Dept of Defense
TO: [email protected]@INET@LNGTWY ( [email protected]@INET@LNGTWY [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Hi there! Hope you had a great weekend.
Thanks for the heads up. I'll make sure that the White House weighs in.
Can't wait to see you and catch up. The more work we do around here ---
the more work there is to be done! It never ends!
Take care.
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:20-SEP-1999 16:32:10.00
SUBJECT: Elton John Visit
TO: Stephanie S. Streett ( CN=Stephanie S. Streett/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
I am getting all kinds of calls from the Elton John Foundation folks
regarding their October 13th meeting with the President. Has the meeting
actually been confirmed and if so, what time?
Thanks !
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:21-SEP-1999 15:46:58.00
SUBJECT: Re: Goosby/VonZ
TO: Todd A. Summers ( CN=Todd A. Summers/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
I have Debra on the schedule but have asked Cheryl not to schedule
anything else on Thursday because of pending meetings with Specter and
Harkin and others. I will try to join you at some point if possible.
ST
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 21-SEP-1999 16:55:42.00
SUBJECT: Re: HIV $100 Million
TO: Philip G Dufour ( CN=Philip G Dufour/O=OVP@OVP [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Only $35 million of the proposed $100 million comes from Labor-HHS. The
Senate mark up in not currently scheduled and the House mark up is
tentatively scheduled for Thursday.
Chairman Porter's staff has indicated to us that NIH has expressed
resistance to spending any money from their building maintenance fund for
this initiative. Dan Medelson from OMB has spoken to HHS legislative staff
and Mr. Porter's staff to assure them that the Administration strongly
supports this offset. However, any pressure you can bring to bear will be
most helpful. As we all know, our Republican friends love NIH and have
been known to ignore everyone else in their favor.
$55 million of the proposed $100 million comes from Foreign Operations.
The Administration has proposed $45 million for general AIDS funding and
$10 million of PL480 funds directed to children orphaned by AIDS. The
Senate has currently proposed a $25 million increase in global AIDS
spending and the House has proposed an additional $20 million and
maintains the $10 million the Administration had in last years budget (
from the child survival account ) The Conference has not been scheduled.
*note: Commerce-State-Justice Appropriations, from which the funds
for most of the USAID increases are taken, has passed both the House and
Senate: the Conference has not been scheduled. Ag Appropriations, from
which $10 million of PL480 is targeted ( for orphans ) in currently in
Conference.
$10 million of the proposed Initiative comes from DoD. Neither the House
or Senate has included the funding in their bill. Their Conference is
ongoing.
As you can see, we have a long way to go
and a short time to get there.
We are getting pounded by the Appropriators on both sides of the isle (
not to mention the activists ) with regard to where this Initiative falls
on the Administrations priority list.
We need to make sure that the folks on the Hill get the message that this
Initiative is a priority for us
and that at the end of the day we will
not lose focus on it in favor of other big ticket initiatives like Kosovo,
Turkey, the Wye Accords or whatever.
Thanks for your help.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:21-SEP-1999 14:57:09.00
SUBJECT: Re: Elton John Meeting
TO: Sara M. Latham ( CN=Sara M. Latham/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
Absolutely. A good (and productive) time will be had by all.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:21-SEP-1999 16:58:41.00
SUBJECT:
TO: [email protected] ( [email protected] @ inet [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Here it is! Thanks!
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:21-SEP-1999 12:45:17.00
SUBJECT: Elton John Meeting
TO: Sara M. Latham ( CN=Sara M. Latham/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
I will be more than happy to meeting with Elton and crew. I have had the
opportunity to work with him on several projects and he is a great guy.
However, I think he would be offended if we only took him by to see the
President for a photo op. Elton is particularly interested in the HIV/AIDS
epidemic internationally and is well versed on the subject, as is the
President. If we could squeeze in at least a brief meeting it would be
helpful.
Thanks!
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:23-SEP-1999 18:16:56.00
SUBJECT: Meeting Dates
TO: Alex Ross<[email protected]> ( Alex Ross<[email protected]> @ inet [ UNKNOWN ] )
READ: UNKNOWN
CC: Duff Gillespie<[email protected]> ( Duff Gillespie<[email protected]> @ inet [ UNKNOWN ] )
READ: UNKNOWN
CC: [email protected] ( [email protected] @ inet [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Before we go off half cocked I think we need to have a conversation about
the wisdom of having this little meeting that the White House is
supposedly co-hosting with our colleagues at UNAIDS with such short lead
time and in the middle of the appropriations process.
I am quite frankly not interested in simply providing a venue for
showcasing other folks' agendas, no matter how well intentioned they are.
If we need time to get our thoughts together in order to have a more
productive and meaningful dialogue then we ought to look at dates in
November.
Let's chat ASAP.
I will be more than happy to play the "bad cop" on this one.
Thanks much.
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:23-SEP-1999 14:05:33.00
SUBJECT: Eltom John Meeting
TO: Sara M. Latham ( CN=Sara M. Latham/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
OK, I am getting senile. Did you tell me that we are looking at October
12th or 13th for the Elton meeting.
Thanks.
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:23-SEP-1999 14:52:17.00
SUBJECT: Re: Meeting on Africa Technical Assistance for HIV/AIDS-_UPDATE
TO: Alex Ross <[email protected]> ( Alex Ross <[email protected]> [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Hi there!
So what's up with the October dates? It was my understanding that we were
going to try for November instead.
What, by the way, seems to be the boys at UNAIDS big rush?
ST
Clinton Presidential Records Automated Records
Management System [EMAIL]
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies a responsive email, already made available
within another FOIA request.
Bucket: OPD
.
Creation Date: 09/27/1999
FOIA: 2006-0947-F F
.
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MARKING Per E.O. 12958 as amended, Sec. 3.3 (c)
Initials: ACB
Date: 06/08/2012
RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:28-SEP-1999 17:58:00.00
SUBJECT: Re: CONFIDENTIAL RE: Mon evening 10/4
TO: [email protected] ( [email protected] [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
It certainly wouldn't hurt to invite them. I am sure that Marsha, Richard
and Patsy would love to join us. I am not sure about the others since they
don't all know the other members of the Council.
POTUS/FLOTUS are doubtful at this late date. A scheduling request would
have had to be submitted weeks ago.
I am absolutely planning to join you! I am looking forward to it!
Big Hugs!
Sandy
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001. email
Sandra Thurman to Tony Podesta at 18:20:07.00. Subject: Hi there!
10/04/1999
P6/b(6)
(1 page)
COLLECTION:
Clinton Presidential Records
Automated Records Management System [Email]
OPD ([Creator: Sandra Thurman])
OA/Box Number: 250000
FOLDER TITLE:
[09/03/1999 - 11/22/1999]
2012-0045-S
ab920
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b(1) National security classified information [(b)(1) of the FOIA)
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P3 Release would violate a Federal statute [(a)(3) of the PRA]
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information |(a)(4) of the PRA]
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRAJ
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
personal privacy [(a)(6) of the PRAJ
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purposes [(b)(7) of the FOIA]
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2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 5-OCT-1999 16:56:32.00
SUBJECT: Re: press guidance requests for Lockhart
TO: Erica S. Lepping ( CN=Erica S. Lepping/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
sent it again, hopefully it has some text this time!
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 5-OCT-1999 16:25:20.00
SUBJECT: Re: press guidance requests for Lockhart
TO: Erica S. Lepping ( CN=Erica S. Lepping/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
Clinton Presidential Records Automated Records
Management System [EMAIL]
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies a responsive email, already made available
within another FOIA request.
Bucket: OPD
.
Creation Date: 10/05/1999
FOIA: 2006-0947-F F
-
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:13-OCT-1999 09:59:23.00
SUBJECT: Re: Maria
TO: Todd A. Summers ( CN=Todd A. Summers/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
Thanks.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:13-OCT-1999 11:59:46.00
SUBJECT: Needle Exchange/DC Appropriations
TO: Michael Barr ( CN=Michael Barr/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
TEXT:
Thanks so much for all your work on this issue. As you know, the AIDS
community is heavily invested in what happens in DC. If the Office of
National AIDS Policy can be helpful please let us know. However, you and
our friends at HHS seem to be handling everything with great aplomb. Keep
up the good work!
Please keep us posted.
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:14-OCT-1999 15:27:45.00
SUBJECT: Re: Boston Globe
TO: John Williamson <j [email protected]> ( John Williamson <[email protected]> [ UNKNOWN ] )
READ:UNKNOWN
TEXT:
Thanks! This AIDS in Africa thing is getting to be quite trendy these
days. Who would have thought it?
Talk to you soon!
Sandy
PS Thanks so much for helping the folks who are doing the World AIDS Day
event at the UN.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:14-OCT-1999 09:21:20.00
SUBJECT: Re: Memo Re Todd
TO: Cathy R. Mays ( CN=Cathy R. Mays/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
Thanks much!
By the way, I would like to schedule a little visit with Bruce when he has
some time on his calender
just to catch up. Can we arrange that?
Hope you are well.
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:14-OCT-1999 10:19:09.00
SUBJECT: Re: Memo Re Todd
TO: Cathy R. Mays ( CN=Cathy R. Mays/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
How about October 20 at 11:00 am?
Thanks.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:14-OCT-1999 09:26:07.00
SUBJECT: salary increase
TO: Todd A. Summers ( CN=Todd A. Summers/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
My request for your salary increase has been approved and forwarded for
processing.
ST
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:18-OCT-1999 15:45:10.00
SUBJECT:
TO: 2168163 ( 2168163 @ SkyTel [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Call Cheryl at (202) 456-2959. Thanks!
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:19-OCT-1999 17:07:33.00
SUBJECT: HELP!
TO: Robert D. Kyle ( CN=Robert D. Kyle/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
TEXT:
I am hearing through the grape vine that the Republicans are introducing a
new Foreign Ops bill that uses some or all of the AIDS money for other
priorities.
Is this true? And if so, what do we have to do to get the money back?
Call ACT-UP? Demonstrate? Blackmail? Any ideas?
Thanks!
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:22-OCT-1999 17:34:08.00
SUBJECT: World AIDS Day Planning
TO: [email protected] ( [email protected] @ inet [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Forwarded by Sandra Thurman/OPD/EOP on 10/22/99
05:33 PM
Alex Ross <[email protected]>
10/22/99 02:10:58 AM
Record Type: Record
To: Sandra Thurman/OPD/EOP
CC:
Subject: World AIDS Day Planning
Today, I attended the first meeting of what has turned out to be a
workgroup subcommittee (one of two just formed along with media) linked
to the overall planning committee for the UN-BLCA, etc World AIDS Day
Event. I continue to learn about this event, its history and some
perspective on what has/has not been done to date.
Who was there today: Phil Hilton, Jim Carmichael (UNAIDS); several
people from UNICEF (including Mike Connolly, Amaya Gillespie who are
technical folks; along with publication and media people); three from
Bristol Myers Squibb (Mark An, John Wiessber, and a PR consultant), and
myself.
The planning group has met since June and came up with this agenda.
However, the fact that we have just formed a group to think about the
substance (26 working days before the event) is not a good sign. No new
news on confirmations of speakers. Phil Hilton has contacted someone at
the UN to determine what is going on with Anan that day, but he has not
yet heard back. We should know more about Mandela soon.
It seems to me that the agenda, as constructed, is three meetings in
one: a high level political meeting (e.g. possible Mandela, First Lady
Hillary Clinton, Jesse Jackson, etc); a meeting of senior public health
representatives of institutions (UN) and MOHs; and a meeting of
community persons (three children, a woman living with HIV, and a grass
roots worker).
I started the meeting with a number of issues including the fact that
the messages and outcomes of this meeting were not clear; that there is
a great deal of confusion about what we mean by children (orphans,
vulnerable or affected children, etc), and the need to stress hope and
that there are efforts out there that are working.
From discussion today, it became clear that, as we have known,
UNAIDS-UNICEF will release a report with recommendations for global
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action on AIDS orphans on World AIDS Day. They circulated a very rough
first draft of some of the sections today. I will fax this over to you.
It is also clear that they do not intend to send this report around for
clearance, etc. However, I will be encouraging our USAID experts (Linda
Sussman, etc) to remain in touch with their counterparts. There may be
an issue for the First Lady regarding an impression that the USG is
supporting a report that it really has not had the time to review. What
about a specific deliverable for the First Lady to announce for the USG?
Nobody mentioned this today, but it might come up in our own circles.
In addition to this report, the work group today discussed whether there
was a need for and, if so, how to craft a call to action that would be a
part of the event as well as being an outcome. We all agreed that this
one day would largely be ceremonial and that what we all need to ensure
is a long term sustainable approach to this issue. Mike Connolly went SO
far as to say that in his 5 World AIDS Day experiences that rarely does
the media ever cover it--what really counts is who gets on Charlie Rose,
on the Today Show, etc.
We all agreed that we did not want taking heads at this meeting. Philip
mentioned the importance in this meeting of having a dialogue with the
audience but we did not discuss how to do this given that each panel
has so many speakers that I doubt we will have much of any dialogue.
We turned our attention to trying to determine what the messages
actually were. We played with three categories of issues:
Awareness of the problem (including the consequences of these numbers of
orphans, and defintional issues)
What works
The Future.
Mark An, BMS, went further to suggest that we needed to fill in the
blanks to issues such as II Orphan means
and why it is
important-because
things that have worked are
. We can do more by
We conducted a brief exercise to develop a series of messages. Among
them were:
Awareness
1. Largest number of orphans on the planet ever, from any cause
2. Completely predicable (unlike wars) now and into the future
3. Orphaned children are not always infected
Why Care
1. Huge gulfs in societies that are unable to cope
2. Social, political and economic arguments for consequences of orphans
in Africa--developed country self interest operates here.
3. Future society and culture of Africa.
What works
Numerous models do work.
1. How to prepare children for orphanhood (Memory Book Project)
2. How to keep orphaned kids in school.
3. Counseling services available
4. Communities know what works
5. Collaboration works
The Future
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1. Support needs for families and communities.
2. Microfinance and similar projects
3. Need for resource mobilization,
4. Learning, Etc
It appears that this group wants to specifically focus on orphans due to
AIDS.
WHERE DO WE GO FROM HERE?
Jim from UNAIDS suggested bringing in Doreen Mulenga, UNICEF/Zambia, to
NY to help write and support the group over a two week period. There
were some concerns that we do not have enough time, but in the end we
agreed that it wouldn't hurt and could help.
Second, IU suggested that we (who were present) need to suggest a
reformulation of the agenda to respond to the discussion we had todayt
and to submit these recommendations to the planning committee. If we
don't do it, no one else will.
We need to recognize that the politicians will say what they wish. At
the same time, we discussed the possibility of developing some guidance
for the speakers on the issues and themes. This also brought us back to
the question of the release of the UNAIDS-UNICEF report. The key
question is that if it is not released until Dec 1, then speakers will
not have the benefit of addressing the report (it could be embargoed,
however).
No date was set for the next meeting, except that we may wait a week
until Doreen gets here.
Hillary would be a keynote speaker; Queen Noor (confirmed) would make
brief remarks; Dr. Piot-call to action.
Focus on models that work, as well as descriptions of the numbers.
KEY ISSUES:
1. Ability to pull together the substance portion of the program in a
short time frame
2. What is the UNAIDS-UNICEF report re: content?
3. How to change the agenda at this stage? (note: BMS suggested adding a
religious leader to the speaker list--recommended Anglican Bishop Reuben
of Kwazulu Natal) Retitle sessions.
4. Speakers confirmation
5. Outcomes: thus far, a report + some kind of call to action.
6. Who is the audience? We never got to that today.
Also John Williamson's name was mentioned several times today in
connection to the UNAIDS-UNICEF report.
Alex
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:23-OCT-1999 14:23:26.00
SUBJECT: Re: request for a 15 minute meeting/call from Paul Boneberg
TO: [email protected]@INET@LNGTWY ( [email protected]@INET@LNGTWY [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Hi there!
I'll have Cheryl call you on Monday to set up a time.
Have a great weekend!
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:23-OCT-1999 14:28:27.00
SUBJECT: Re: Desmond Tutu Call / Note
TO: Todd A. Summers ( CN=Todd A. Summers/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
Hi there!
Looks good.
ST
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:26-OCT-1999 11:24:08.00
SUBJECT: Comments on Vaccine Paper
TO: Todd A. Summers ( CN=Todd A. Summers/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
I have a couple of questions on the vaccine paper.
Let's chat when you have a minute.
Thanks.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:29-OCT-1999 15:45:52.00
SUBJECT: Re: Koplan
TO: Daniel N. Mendelson ( CN=Daniel N. Mendelson/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
TEXT:
Thanks so much.
These people work my last nerve!
Have a great weekend.
ST
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 1-NOV-1999 09:21:43.00
SUBJECT: RE: Hi there!
TO: Tony Podesta <[email protected]> ( Tony Podesta <[email protected]> [ UNKNOWN ] )
READ:UNKNOWN
TEXT:
I am around until Friday.
Happy All Saints day.
ST
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 2-NOV-1999 18:24:36.00
SUBJECT: Re: Julian Potter
TO: Todd A. Summers ( CN=Todd A. Summers/OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
So I have heard. I think that is good news.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 3-NOV-1999 15:44:11.00
SUBJECT: Re: Todd Summers
TO: Paul J. Weinstein Jr. ( CN=Paul J. Weinstein Jr./OU=OPD/O=EOP@EOP [ OPD ] )
READ: UNKNOWN
TEXT:
It was $70,000.
Let me know if you need additional info.
Thanks.
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 3-NOV-1999 18:38:49.00
SUBJECT: Re: Global AIDS $
TO: [email protected]@INET@LNGTWY ( [email protected]@INET@LNGTWY [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Hurray!!!!!!!!!!!!!!! Keep your fingers crossed!
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 3-NOV-1999 15:08:05.00
SUBJECT: Re: your message
TO: Daniel W. Burkhardt ( CN=Daniel W. Burkhardt/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
You are an angel!
Thanks S00000 much.
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 3-NOV-1999 15:27:17.00
SUBJECT: World AIDS Day Request
TO: Katharine Button ( CN=Katharine Button/OU=WHO/O=EOP@EOP [ WHO ] )
READ: UNKNOWN
TEXT:
We have a scheduling request pending for the First Lady to address the UN
Conference on children orphaned by AIDS on World AIDS Day, December 1st.
The Secretary General is anxious to get our commitment SO he can rearrange
his schedule to be there when she arrives. He will be attending the WTO
conference in Seattle and may not return early if the First Lady is not
going to give an address.
We have been discussing this with Melanne since before the First Lady's
meeting in September. As you can imagine, the organizers are driving us
crazy for an answer.
Any help you can give us in putting this on the radar screen would be most
appreciated!
Thanks.
Sandy (62441)
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 4-NOV-1999 12:53:55.00
SUBJECT: Needle exchange
TO: Daniel N. Mendelson ( CN=Daniel N. Mendelson/OU=OMB/O=EOP@EOP [ OMB ] )
READ: UNKNOWN
TEXT:
Just a quick note to say how grateful and proud I am of your ongoing
efforts on the needle exchange front.
Your good work is not going unnoticed by the AIDS community. They clearly
understand that this has not been ( and will not be ) easy.
You are mega- mensch!
ST
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 8-NOV-1999 16:40:21.00
SUBJECT: the millenium party
Dawn dearest --
As the congress prepares to leave town -- have finally delivered our $100 million increase for AIDS in Africa -- we are once again pondering
Let us know what you think
Much love
S & M.
XOXO
TO: [email protected] ( [email protected] @ inet [ UNKNOWN ] )
READ:UNKNOWN
TEXT:
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 8-NOV-1999 17:49:26.00
SUBJECT:
TO: [email protected] ( [email protected] @ inet [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Rob,
Here are some initial suggestions. They can be easily tailored by country,
by city, by interest, or by cross-over issue once things get clearer.
South Africa
SOWETO. This is a top priority, and we believe that it will be a big hit
with the members. Two programs, both funded by the US; we have done the
drill twice with these folks, and they are real experts. They can deliver
great real people and visuals as well as clear and concise messages.
Guaranteed to make the members cry, be inspired, and want to act, a great
combo. Doing both would require three hours or a little more. Distance
between them is approximately 10-15 minute drive.
(1). Baragwanath Hospital. This is the largest hospital in the
world and has a huge HIV and AIDS program. We would recommend going to
the Perinatal HIV Research Unit and the women and children[],s AIDS clinic.
They are seeking to reduce mother-to-child transmission and to care for
those who are sick. Dr. James McIntyre is the director and he is
fabulous. He would be accompanied by Florence Ngobeni, his outreach
coordinator, who is also a woman living with AIDS, and by families who
could tell their stories. He can be reached at: 27-11-933-1228.
(2). Hope World Wide. This is a community-based organization
that does HIV prevention, home-based AIDS care, orphan support, and
microfinance programs for women with AIDS. It is in the heart of Soweto
surrounded by shanty towns. Rev/Dr. Mark Ottenweller is the director of
this program, and of all Hope World Wide programs in Africa, and is also
quite an inspiration. Lots of challenges surrounded by lots of hope.
Mark can be reached at: 27-11-678-0991.
Other -- If there are meetings with officials in Pretoria, it
would be great to have HIV/AIDS on the agenda. South Africa has the
fastest growing epidemic in the world and, if left unchecked, threatens
the entire transformation. Mbeki has pledged an invigorated partnership
on AIDS but the jury is still out. Also, there is a new health minister
that should be on the list. Given all of the interest in investment in
South Africa, it would be good to hear from someone who could talk about
the economic impact of AIDS on South Africa. Alan Whiteside is probably
the foremost SA authority. Finally, although we would not recommend this
is lieu of the above, but if Mr. Gephardt wanted to do something in
addition to the above, there are labor union AIDS programs that we have
facilitated in partnership with the AFL-CIO. He could visit one of those
programs or we could have one of the folks come by the hotel for a chat.
Zimbabwe
The US Ambassador to Zimbabwe, Tom McDonald is VERY interested in AIDS and
will push hard for putting AIDS on the agenda. He visited Uganda on his
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way to Zimbabwe and came there all enthused about helping to turn the tide
on the epidemic. Unfortunately, Zimbabwe is not Uganda, and host
government support for dealing with AIDS is severely lacking.
Nevertheless, the problem is huge. Currently, 1 in 4 adults is HIV+ and
nearly 1 million children have been orphaned in a country with the
population of 12 million. From our experience, the best programs are in
rural farm communities outside of Harare, the capital, and are either long
car rides or small plane jaunts away, as codel-size planes cant land in
most of the rural airfields. Most of the programs are affiliated with
religious institutions and the Methodists, the Episcopalians, and the
Catholics all have programs a short jaunt from Vic Falls or Harare. If we
knew which church has encouraged the codel to come to Zimbabwe and if your
staff thought that either a car ride or a small plane jaunt were possible,
we could provide more info. In the alternative, Tom could set up a
roundtable discussion with smart people, which we could recommend, but
that is not the same as a real site visit.
Nigeria
KANO. The program that most folks recommend in Nigeria is in Kano, the
Northern province. We were not sure if the codel is planning to head in
that direction or sticking close to Abuja or Lagos. If they are, we would
recommend that they visit the Society for Women and AIDS in Africa (SWAA)
project there. SWAA is a continent-wide womený,s organization with
chapters being developed in a growing number of African countries. This
particular project is funded by USAID and is implemented in collaboration
with Family Health International, a US NGO, to provide for prevention,
care, and support. If you are not headed there and want another Nigeria
recommendation, we can provide on.
Ghana
If the codel talks with President Rawlings while the 24 hours on the
ground there, they should certainly raise AIDS. While the epidemic in
Ghana is not nearly as bad as it is in Southern Africa, it has a growing
incidence rate. When Rawlings was here, we talked with him about AIDS and
he said he really wanted to move on it, like Museveni did in Uganda. He
himself goes for an HIV test with the press in tow every 6 months to help
reduce the stigma.
Anyway, our hit is that it would be great to try and book the South Africa
piece ASAP if possible. Then, if we could get more info about Zimbabwe,
we could provide better specifics (ie. where will they go other than Vic
Falls, the size of the codel plane and if a group might want to take a
small plane to an AIDS site, and the religious org they want to hook up
with).
Hope this is helpful.
Michael and Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME: 8-NOV-1999 17:31:51.00
SUBJECT: Africa trip
TO: [email protected] ( [email protected] @ inet [ UNKNOWN ] )
READ: UNKNOWN
TEXT:
Rob,
Here are some initial suggestions. They can be easily tailored by country,
by city, by interest, or by cross-over issue once things get clearer.
South Africa
ú
SOWETO. This is a top priority, and we believe that it will be a
big
hit with the members. Two programs, both funded by the US; we have done
the drill twice with these folks, and they are real experts. They can
deliver great real people and visuals as well as clear and concise
messages. Guaranteed to make the members cry, be inspired, and want to
act )) a great combo. Doing both would require three hours or a little
more. Distance between them is approximately 10-15 minute drive.
(1). Baragwanath Hospital. This is the largest hospital in the
world and has a huge HIV and AIDS program. We would recommend going to
the Perinatal HIV Research Unit and the women and childrenD,s AID clinic.
They are seeking to reduce mother-to-child transmission and to care for
those who are sick. Dr. James McIntyre is the director and he is
fabulous. He would be accompanied by Florence Ngobeni, his outreach
coordinator, who is also a woman living with AIDS, and by families who
could tell their stories. He can be reached at: 27-11-933-1228.
(2). Hope World Wide. This is a community-based organization
that does HIV prevention, home-based AIDS care, orphan support, and
microfinance programs for women with AIDS. It is in the heart of Soweto
surrounded by shanty towns. Rev/Dr. Mark Ottenweller is the director of
this program, and of all Hope World Wide programs in Africa, and is also
quite an inspiration. Lots of challenges surrounded by lots of hope.
Mark can be reached at: 27-11-678-0991.
Other 0) If there are meetings with officials in Pretoria, it would
be great to have HIV/AIDS on the agenda. South Africa has the fastest
growing epidemic in the world and, if left unchecked, threatens the entire
transformation. Mbeki has pledged an invigorated partnership on AIDS but
the jury is still out. Also, there is a new health minister that should
be on the list. Given all of the interest in investment in South Africa,
it would be good to hear from someone who could talk about the economic
impact of AIDS on South Africa. Alan Whiteside is probably the foremost
SA authority. Finally, although we would not recommend this is lieu of
the above, but if Mr. Gephardt wanted to do something in addition to the
above, there are labor union AIDS programs that we have facilitated in
partnership with the AFL-CIO. He could visit one of those programs or we
could have one of the folks come by the hotel for a chat.
Zimbabwe
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The US Ambassador to Zimbabwe, Tom McDonald is VERY interested in AIDS and
will push hard for putting AIDS on the agenda. He visited Uganda on his
way to Zimbabwe and came there all enthused about helping to turn the tide
on the epidemic. Unfortunately, Zimbabwe is not Uganda, and host
government support for dealing with AIDS is severely lacking.
Nevertheless, the problem is huge. Currently, 1 in 4 adults is HIV+ and
nearly 1 million children have been orphaned in a country with the
population of 12 million. From our experience, the best programs are in
rural farm communities outside of Harare, the capital, and are either long
car rides or small plane jaunts away, as codel-size planes cant land in
most of the rural airfields. Most of the programs are affiliated with
religious institutions and the Methodists, the Episcopalians, and the
Catholics all have programs a short jaunt from Vic Falls or Harare. If we
knew which church has encouraged the codel to come to Zimbabwe and if your
staff thought that either a car ride or a small plane jaunt were possible
0) we could provide more info. In the alternative, Tom could set up a
roundtable discussion with smart people 0) which we could recommend 0) but
that is not the same as a real site visit.
Nigeria
ú
KANO. The program that most folks recommend in Nigeria is in
Kano, the
Northern province. We were not sure if the codel is planning to head in
that direction or sticking close to Abuja or Lagos. If they are, we would
recommend that they visit the Society for Women and AIDS in Africa (SWAA)
project there. SWAA is a continent-wide womenD, organization with
chapters being developed in a growing number of African countries. This
particular project is funded by USAID and is implemented in collaboration
with Family Health International 0) a US NGO 0) to provide for prevention,
care, and support. If you are not headed there and want another Nigeria
recommendation, we can provide on.
Ghana
If the codel talks with President Rawlings while the 24 hours on the
ground there, they should certainly raise AIDS. While the epidemic in
Ghana is not nearly as bad as it is in Southern Africa, incidence rates
are growing toward 10%. When Rawlings was here, we talked with him about
AIDS and he said he really wanted to move on it, like Museveni did in
Uganda. He himself goes for an HIV test with the press in tow every 6
months to help reduce the stigma.
Anyway, our hit is that it would be great to try and book the South Africa
piece ASAP if possible. Then, if we could get more info about Zimbabwe,
we could provide better specifics (ie. where will they go other than Vic
Falls, the size of the codel plane and if a group might want to take a
small plane to an AIDS site, and the religious org they want to hook up
with).
Hope this is helpful.
Michael and Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:11-NOV-1999 11:18:44.00
SUBJECT: Jeffords/Kennedy
TO: Bruce N. Reed ( CN=Bruce N. Reed/OU=OPD/O=EOP@EOP [ OPD ] )
READ:UNKNOWN
TO: Christopher C. Jennings ( CN=Christopher C. Jennings/OU=OPD/O=EOP@EOP [ OPD ]
)
READ: UNKNOWN
TEXT:
Hi!
I assume that your phone is ringing off the hook as mine is about the Work
Incentives bill.
While people are delighted that the health demo is in the bill, there is
lingering concern that it is not enough to "demonstrate" that the program
can work. In addition, there is great concern about some of the Republican
offsets ( i.e. FHA ).
Given that many of the big ticket budget matters were resolved last
evening, the community is hoping that the Administration can save the day
by providing a new offset that doesn't leave poor people out on the street
and fund the demo at the Senate level.
Thanks for all your good work. As much as the community pushes they do
appreciate it!
Sandy
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN=Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:22-NOV-1999 17:01:05.00
SUBJECT: RE: Africa Trip
TO: "O'Brien, Brett" <[email protected]> ( "O'Brien, Brett" <[email protected]> [ UNKNOWN ] )
READ:UNKNOWN
TEXT:
Brett,
We are sending over the briefing book -- plez let me know what else you
need!
Michael
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11/22/1999
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RECORD TYPE: PRESIDENTIAL (NOTES MAIL)
CREATOR: Sandra Thurman ( CN-Sandra Thurman/OU=OPD/O=EOP [ OPD ] )
CREATION DATE/TIME:22-NOV-1999 16:16:29.00
SUBJECT: RE: Africa Trip
TO: "O'Brien, Brett" <[email protected]> ( "O'Brien, Brett" <[email protected]> [ UNKNOWN ] )
READ:UNKNOWN
TEXT:
Brett, this is not really Sandy, its Michael. This is the info I
was trying to send you -- did you get a blank email?
South Africa -- I would push for the two sites and try to cut down on
the time at each. They are close to each other in Soweto and very
different. We have worked with them a lot and could make sure they
stick to the program. Also, if it would be helpful, we could go over
there and help advance.
Baragwanath is the largest hospital in the world and quite a striking
site. Given the longstanding interest of the Congress in preventing
mother-to-child transmission of HIV -- it is a good hit and offers
real promise to save countless lives with a little help from US
assistance. Hope World Wide is a community-based effort -- much more
realistic as a replicable program in Africa. Most Africans will never
see a hospital, much less be treated in one. I think both are
profiled in the USA Today article that we sent over.
If you absolutely had to chose -- I think I would go with Hope World
Wide.
Nigeria -- If you want to do an AIDS event there, it looks like Lagos
is your best bet. Nothing happening in Abuja. As you know, Lagos is
the largest city on the continent (8 million) and many believe that
it has a huge and undocumented HIV problem. With 1 out of every 7
Africans living in Nigeria, it is unfathomable to think about what
would happen should the prevalence rates ever grow to East or
Southern African levels.
I have heard that getting around Lagos is difficult -- and for that
reason, friends on the ground have suggested a roundtable of programs
directors and people living with HIV/AIDS. These might include
programs such as STOPAIDS (prevention), Family Health International
(care and support) and Redeemed Christian Church of God (religious
community mobilization). In addition, you could be joined by Senator
Khariat Adul-Rasnak Gwarzo. She is a leading female member (Muslim
lawyer from prominent Nigerian family) with a keen interest in
HIV/AIDS.
More on that, if you want.
Zimbabwe -- looking for options there? Have you talked with Tom
McDonald?
Finally, perhaps we should send you over a copy of the briefing book
we did for the Presidential AIDS Mission to Africa to see if there is
any of it you might want to use. Let me know if that would be
helpful.
Good luck -- and plez let me know if there is anything else we can
do. You can reach me 456-2437 or iP6/(b)(6)
Cheers.