Cablegate: Hiv/Aids: Catholic Ngo Sees Mozambique Anti-

This record is a partial extract of the original cable. The full text of the original cable is not available.



Dept. for EUR/WE (Levin) and AF/S;
Dept also for Office of Global AIDS Coordinator;
Dept pass USAID AFR/SA - DMendelson;
White House for Dr. J. Frazer, Mr. J, O'Neill;
HHS for Secretary Thompson and Bill Steiger

E.O. 12958 N/A
SUBJECT: HIV/AIDS: Catholic NGO Sees Mozambique Anti-
Retroviral Program as Model

Refs: A) Vatican 1508 (notal), B) Vatican 1953 (notal)

Summary and Action Request

1. (u) The Sant'Egidio Community's ambitious program to
combat HIV/AIDS in Mozambique (reftels), has met with
considerable success this past year and is now set for
expansion in Mozambique and potentially in other affected
countries. This track record, and the enthusiastic
reaction to the program from HHS Secretary Thompson during
his visit to Rome in April, have prompted Sant'Egidio to
think big and to consider putting their anti-retroviral
treatment forward as a model for implementation elsewhere.
Sant'Egidio officials plan to visit Washington in mid-
September to review with State, HHS, and AID officials
prospects for funding for Mozambique and for expanded use
of their Mozambique DREAM program. Embassy continues to
strongly support U.S. funding for Sant'Egidio's Mozambique
DREAM program, and would also support its expansion to
other countries and use as a model for anti-retroviral
treatment elsewhere.

2. ACTION REQUEST: Sant'Egidio leaders would like to meet
with the President's recently nominated HIV/AIDS
Coordinator Randall Tobias and Deputy Joseph O'Neill during
their planned September 15-19 visit to Washington. Embassy
endorses this request, and recommends that the Department
support this innovative anti-retroviral program with
adequate funding to ensure its continued expansion. End
Summary and Action Request.

Mozambique DREAM Program Taking Root

3. Charge and Poloff met with Sant'Egidio Community leader
and Embassy liaison Claudio Betti August 27 to review
Betti's planned visit to Washington and the Community's
progress in implementing its DREAM (Drug Resource
Enhancement against AIDS) anti-retroviral program
(reftels). Betti indicated that the program in Mozambique
is making great strides, aided by commitments from
pharmaceutical companies and the Italian government to
produce anti-retroviral drugs at minimal cost. He said the
Community was seeking a total of 5 million dollars for this
year's Mozambique program, and had secured some of this
funding from the World Bank and other sources, but would
welcome additional support from the United States.

Exploring Potential as a Model Program

4. Betti noted that Sant'Egidio appreciated the
enthusiastic reception its HIV/AIDS efforts received from
HHS Secretary Thompson in Rome and subsequently in their
meeting with him in Washington. Based on the comments they
received from the Secretary and his staff, Sant'Egidio was
now examining how their DREAM program could be expanded
beyond Mozambique and used as a model that could be
implemented by governments even without direct Sant'Egidio

5. Betti and HIV/AIDS Program Director Dr. Leonardo
Palombi are planning to visit Washington in mid-September
to meet with officials at HHS and at Georgetown
University's School of Medicine to plan for a Washington
presentation of their program to the international donor

and health community later this year or early next year.
Betti believed such a presentation of the program's results
would provide the best springboard to expanded use of the
DREAM framework elsewhere.

6. Betti and Palombi have expressed interest in meeting
with HIV/AIDS Director Tobias (if confirmed by the time of
their visit) and with Dr. O'Neill, with whom Betti and
other Sant'Egidio officials had met this spring at the
White House. Sant'Egidio would like to pursue U.S. funding
from the President's HIV/AIDS initiative, but more
importantly, would like to explore possibilities for
expanding the DREAM project to other countries and using it
as a model that could be adopted by governments in affected
countries. Betti and Palombi also intend to meet with Bill
Steiger of HHS, but will coordinate their own arrangements
directly with HHS. Embassy believes Sant'Egidio's efforts
can contribute significantly to the implementation of the
President's International Mother and Child HIV Prevention
Initiative by increasing the availability of preventive
care and building healthcare delivery systems to reach as
many women as possible with the care they need. Embassy
would appreciate Department's assistance in facilitating
meetings with the Office of the Global AIDS Coordinator.



2003VATICA03971 - Classification: UNCLASSIFIED

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