Last week a crew of ONE staff and American leaders took a trip to Rwanda to see effective-U.S. aid at work. I just got in this clip of former Senate Majority Leader Bill Frist and Center for the American Progress President John Podesta talking about their visit to a specialty-coffee-washing station just outside of Kigali.

Senator Bill Frist, MD:

“We’re at a specialty-coffee-washing station in Rwanda, Kigali,- just outside of Kigali, Rwanda. Why is it important? It is because of economic development. In a country that is mainly plagued by poverty, what you see behind me, the employment of over 200 women, women who double their income by working at this specialty-coffee-washing station will now have that opportunity to put their kids in school, to put a roof over their head, to empower their family to earn an income in the future that indeed can capture their dreams and translate their hopes and dreams into a reality.”

John Podesta:

“Rwanda has a “Rwanda 2020 Plan” to try to really make sure that growth is widespread and that it affects everyone. And you saw a real spirit of entrepreneurship here today. We saw women sorting coffee earning about 50% more than they were earning in their livelihood. Before that we saw a young Rwanda entrepreneur who had built that coffee-washing station. The focus in on specialty coffee. Rwanda has always produced a lot of coffee, but now they’re producing for the high-end, and that’s a team effort, but just there’s just a lot of spirit and optimism about the capacity to get this country really moving again. And get the kids in school. Get the people working. And get some income into people’s pockets.

Senator Frist is sending in daily posts from ONE’s recent trip to Rwanda. Below is the post he wrote about Sunday.

SAINT JOHN THE BAPTIST-CATHEDRAL

The drive to Saint John the Baptist-Cathedral in Ruhengeri is about two hours. It is a windy, but beautiful, road. Rwanda is known as the Land of a Thousand Hills, and this journey explains why. The hills are green, and the trees are even a darker green, separated by roughly plowed hillsides; every inch of land is used. It’s lush. The worn, dusty brown walking paths switch back like big “Z’s” painted on the sides of steep, steep hills, climbing to the sky. Every mile seems more picturesque than the previous.

Bishop John gave the service. He recognized all of the visitors and preached about self-sufficiency, entrepreneurship, and service. (more…)

July 19, 2 pm
Nyandugu Coffee Washing Station

How in the world can you take an economy in which over 50% of the population is under the poverty level, is landlocked, ranks somewhere around 160th out of 180 countries on the “Developmental Scale,” and even think about “making extreme poverty history?” as we in ONE like to say.

Answer: Establish viable, sustainable economic growth based on the resources that you have. And the resources that Rwanda naturally have are agriculture (even though it is the most densely populated country in Africa) and tourism (they showcase the upland or mountain gorilla, the magnificent cousins to the lowland gorillas—those whom I used to take care of in the National Zoo –– but more on that in a couple of days).

First, the ONE delegation went to see a fantastic partnership at a “Coffee Washing Station,” owned by the Alfred Nkubili. Our U.S. government, namely USAID, has partnered with the owner and manager to establish a coffee bean washing station. This station purchases coffee beans (”cherries” actually) from farmers (many peasant farmers) and then they process the bean through a washing cycle that separates the beans by quality. These beans become the specialty coffee beans that are sold to Starbucks and specialty coffee shops across America.

To accommodate the burgeoning specialty coffee market, these washing stations hire about 200 women to separate and process the beans. At these facilities, these women’s salaries are double to what they could make elsewhere. And a doubling of their salary means (more…)

July 19, 2008
11 am

The first stop this morning was the Kigali Genocide Memorial Center. John Podesta and I laid a wreath at the mass grave site of the genocide victims. I had the opportunity to do this last year when I was in Rwanda with Samaritan’s Purse, Scott Hughett, and my wife, Karyn (who is at home now recuperating from back surgery). The site and the service in which we participated are a moving, memorial remembrance of the million people who died over those 100 days of genocide. (It is so hard to comprehend). Each member of our delegation laid a single rose alongside the wreath, one by one, as we each paid our respects. Beneath that wreath lay a mass grave, one of many at the site, containing the partial remains of over 5,000 individuals from the Kigali region.

It was remarkable that the memorial was designed to tell the story a mere four years after the genocide occurred, (more…)

ONE Vote ‘08 Co-Chairs and former senate leaders Bill Frist and Tom Daschle talk about what they’ve seen and learned so far and what message they want to pass along when they return to the States later this week.

July 19 2008 8 a.m. Saturday

First for the questions that I am most frequently asked. What is ONE? And why are Tom Daschle and Bill Frist leading this delegation to Rwanda?

ONE is a grassroots organization with about 2 million members in the U.S whose purpose is to fight extreme poverty and preventable disease around the world. I’ve been working with ONE since Bono and I went to Uganda in 2001. ONE pushes for better policies and, where needed, more resources to support effective, anti-poverty programs. We lobby and put pressure on political leaders in our country to do more, but to do that well we know we must listen to those who are living in the developing world trying to transform their societies for the better. And there is no more appropriate place in the world to do that than Rwanda, a country that went through the most horrendous atrocities imaginable just 14 years ago, with a million people killed in genocide over a period of 100 days. Today is creating a future of hope and opportunity that will lift the country out of poverty and decimate preventable disease. They demonstrate good governance and investments in education and health, and they create an environment conducive to business and trade.

We have tremendous admiration for those people working on the ground to improve the lives of the world’s poorest, and it is our responsibility and obligation to spread their success stories and share their lessons learned.

As an anti-poverty organization, ONE often advocates for development assistance, HIV/AIDS policy, and clean water, but we also know that the lasting solution to poverty is economic growth, trade, investment.

Rwanda has laid out an incredibly ambitious vision for where it hopes to take the economy by 2020 in its Vision 2020; it’s an inspiring framework. Vision 2020 is Rwanda’s goal/plan to be a middle income country by the year 2020. They’ve said they want to be the “Singapore of Africa.”

My own goal of putting together this trip for our ONE delegation is to visually and graphically make the link of health and education to trade and investment. Although not always apparent (especially to the politicians in Washington!), these are connected spheres of activity. In a healthy country, they build upon and reinforce each other. Healthy, educated people produce more developed economies. Business and trade produce the tax revenue that a government can invest in public education and public health. But too often our development initiatives treat these as separate.

We begin today as ONE; the setting, challenges, and some solutions will be explored by our motley family of ONE.

Sen. Bill Frist, M.D.

July 18, 2008

We were up at 6 am and off to the airport. Things took just a bit longer to clear customs for our flight to Kigali, Rwanda, so we were delayed us just a bit. We left Mozambique after a full four and a half days, with many great memories. We are much more educated as to the challenges of the people of Mozambique, and we appreciate them teaching us about how we can be most useful. They don’t want fish; they want the opportunity to fish. And we can help make the setting more conducive to fishing – by help with clean water, roads, training community health workers (who can teach others and treat others), and capacity building.

It’s a long flight to Rwanda; check the map. The dot between Nampula, Mozambique, to the dot of Kigali, Rwanda, is 8 hours – as the single engine plane with a 30 knot headwind flies! “Are we there yet?” I kept hearing from the seats behind me. I have piloted single engine planes a lot in Africa – Uganda, Sudan, and Kenya. But never in Mozambique and Rwanda so I even had to fly a little bit today.

Mauro de Lorenzo, my “plus one” scholar/aide who assists me with the MCC, had kindly gotten a couple of rolls for each of us for our breakfast, but that was it for meals until after we landed. On board, the pilots had brought some sausage and Ritz crackers that we all split – I was looking for some cheese but we had run out on the last leg. Cokes (minus Carville this time) and water kept us hydrated, but not too much because there is no bathroom on the plane. There’s nothing better than getting a little hypoxic after a few hours of flying at 13,500 feet. There was a little turbulence for the final two hours, but overall, it was a beautiful day flying over a majestic countryside with the vivid colors enhanced by the African sunlight.

We did make one fuel stop in Tanzania for 30 minutes, and we stretched our legs. Then back up to Kigali. We finally arrived, and we were met at the plane by the ONE Campaign staffers, one from the U.S. and one from Germany. One of the Deputy Ministers (who is also a physician – yeah!!) met us at the airport to welcome us and off we went to the hotel. When I was last in Rwanda, the hotel was under different ownership, but it has now been upgraded and it’s very comfortable. We went to the lounge looking for food at 5:30pm. I still had cheese on my mind, but unfortunately the bar only had peanuts.

Mauro and I were met by Tyler Denton from ONE, and we discussed the next five days of the trip. It looked perfectly planned. We will begin with the genocide history tomorrow.

I had a private meeting that I will tell you about in a few days that ran for an hour, and then I went to dinner with Cindy McCain. The rest of the group will arrive from the States after dinner. Cindy is blogging as well, so I will let her tell her story, (more…)

I woke up at 3:30am this morning, left my son Harrison in the hotel room, and headed for our 4:30am departure to Nampula, Mozambique. We flew in a Cessna Caravan of AIM AIR with Capt. Dan Spooner. Capt. Spooner had taken me in AIM AIR with Samaritan’s Purse about a year and a half ago to Darfur from Nairobi, Kenya and then into northern Uganda into the area of the Lord’s Resistance Army.

On the plane flying the length of Mozambique, we were able to capture the beautiful morning light with sun rising on a sharp horizon, red-orange turning bright orange and then a brilliant yellow. After about six hours of travel and one stop in Beira to refuel, we landed in Nampula city and were met by Mayor Castro Serafim who spent the day with us. He is articulate and is now running for reelection. He has been mayor of Nampula city for five years. We also had lunch with the Governor of the Nampula province, Felismino Ernesto Tocale. Interestingly enough, he was a former organic chemistry professor before entering politics.

We spent the afternoon with the Millennium Challenge Corporation (MCC). Accompanying me were Cassia Carvalho-Pacheco, Resident Country Director of the MCC in Mozambique, and Paulo Fumane, Executive Director MCA-Mozambique, who will be responsible for implementation of the Compact.

We visited four different sites which ran the spectrum of the clean water, sanitation, and land tenure aspects of the MCC Compact. Since the MCC compact has been signed but not yet implemented, we went to the areas where MCC will have an impact before the program had begun, where the planning stages had started. Implementation does not start until mid-September.

(more…)

I woke up to a crystal blue sky in Maputo. I began the day performing a major lung operation for tuberculosis (pneumonectomy), and I ended the day discussing with the President of Mozambique the American people’s commitment to fighting extreme poverty in his country.

Maputo Central Hospital: Surgery

At 7:30am, we departed for Maputo Central Hospital, housed in a 100 year old building, but nonetheless a functional, governmental hospital with 1200 beds. All the doctors are governmental employees, and they make about $700USD per month. That being said, they are very prestigious figures in the community. In Mozambique, there are only 500 doctors for 20 million people, and there are very few specialists. In terms of equipment, there is one CT Scan, in Maputo, for 4 million people. By way of comparison, there are probably 32 in Nashville for about 1 million people.

Dr. Atilo Morais, a superb, thoracic surgeon training in cardiac surgery, gave us a tour through the hospital. He introduced us to his patients. Elias Novela, a 59 year old man, had a history of tuberculosis (TB). His symptoms included a shortness of breath, bloody coughing, and fevers. We reviewed his x-rays which presented a huge right lung mass, thought to be an empyema secondary to his TB. This man would die without surgery of his “bronchopleural fistula” that had developed because of the TB. About 2 million people die of TB every year in Mozambique (about 2.5 million die of HIV/AIDS, and 1 million die of Malaria).

I operated with Dr. Morais having been given full surgical privileges granted for the length of our stay. He spoke little English, and I speak no Portuguese – but luckily, cutting and sewing don’t require any talking!

I explored the patient through the bed of the 6th right rib. We removed the empyema cavity, careful not to spill the purulent material within the TB abscess. This is a big operation, but one common in Maputo because of the high incidence of tuberculosis infection. We removed the entire lung, suturing closed the bronchus, the pulmonary artery and vein. The patient as of right now is recovering well. He will remain on anti-TB therapy and should have a good long-term course. This is something very very rare in the US because out TB gets treated early. (more…)

Sen. Bill Frist, MD, is traveling through Mozambique and Rwanda on a 10-day trip to visit and observe the great work of U.S. led initiatives. Throughout the trip he’s blogging on the Healing Hands blog and here on the ONE Blog.

In Maputo, Mozambique, today, I met with senior officials to discuss the progress of the Millennium Challenge Corporation Compact (MCC) that Mozambique signed with the United States last summer.

This five-year, $507 million agreement focuses on the neglected northern part of the country where I will visit later this week. The Compact will bring clean water to tens of thousands of people for the first time—making them less vulnerable to disease and more economically productive. MCC’s grant will also allow Mozambique to build new roads that link poor communities with markets. A land tenure component will help ensure that property rights are respected. Finally, the Compact seeks to eradicate a coconut disease that threatens one of northern Mozambique’s most valuable crops.

Last year, President Bush appointed me to the Board of Directors of the MCC, which was created by Congress in 2003 when I was Majority Leader of the United States Senate to reduce global poverty through economic growth. The MCC represents a fundamentally different way of giving American development aid to the world’s most deserving nations.

In the past, most of our aid money was, frankly, wasted. That’s because we didn’t pay attention to the quality of the government or how well it treated its people. That caused many Americans to grow skeptical about foreign aid. The late Senator Jesse Helms used to refer to foreign aid as a “rat-hole” because of all the waste and corruption!

We learned something from those failures. MCC only awards aid to countries that are accountable, both to their own people, and to the American taxpayers who ultimately provide the grants. There is no point at all in wasting your taxpayer dollars in countries with bad governments. But in well-governed countries, American generosity can produce transformational change in the daily lives of poor people. (more…)