DREAMS OVERVIEW (fy 2016-2021)

PEPFAR DREAMS Country Funding Level DREAMS areas  Current DREAMS areas  New in COP20/FY21 $85,777,763 (FY16-21)*

DREAMS SNUs

1. 8. ** ZAMBIA 2. 9. 3. 10. ** 4. Kapiri 11. ** 5. Kasama** 12. Monze** 6. 13. ** 7. Livingstone 14. Results/Targets

Country Context 328,421 AGYW reached (FY19)5

260,597 AGYW targeted (FY21)* HIV Prevalence by Age and Sex1

35.0% DREAMS Primary Package Completion by Age Band, FY195

30.0%

25.0% 10-14 37,529 101,069

20.0%

15.0% 15-19 48,385 69,192

HIV Prevalence HIV 10.0%

5.0%

0.0% 20-24 11,869 6,415 53,962 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49

Age Female Male 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Primary Package Completed and Secondary Primary Package Completed Primary Package Incomplete

5 AGYW (18-24 years) reporting first sex as 26.2% AGYW (15-24 years) Initiating PrEP in DREAMS SNUs 2 coerced 16,000

14,000 13,500 3 Median age at first birth 19.2 years 12,000

10,000

AGYW of lower secondary school age 24% 8,000 4 who are not in school 6,000

4,000 2,349 2,453 SOURCES: 1. ZAMPHIA, 2016 2. VACS, 2018 3. DHS, 2018 4. DHS, 2013 2,000 1,109 5. PEPFAR program data 1 - *COP20/FY21 budgets and targets are pending Congressional notification and approval. FY17 Result FY18 Result FY19 Result FY20 Target FY21 Target **New in COP20/FY21 ZAMBIA DREAMS OVERVIEW (fy 2016-2021)

Implementing Partners

• Pact (Zambia Community HIV Prevention Project) • CIRCUITS/University of Maryland • JSI (DISCOVER-Health) • Peace Corps • Zambia Center for Communication Programs (ZCCP) • ZCHECK** • University Teaching Hospital • USAID Prevention TBD Mechanism**

** New in COP20/FY21

Private Sector Activities

Gilead

• Donated PrEP medicines for approximately 5,000 AGYW; the donation not only led to the expansion of PrEP among high-risk AGYW, but also enabled discussions with governments on PrEP policies – an example of catalytic progress towards policy development and new innovations.

Johnson & Johnson

• Conducted workshops to hear insights from AGYW on their needs to inform programming; market segmentation analytics and peer-to-peer programs have helped the DREAMS partnership understand the behaviors of AGYW and amplify their voices in a way that is most responsive to their needs.

Bill & Melinda Gates Foundation

• Brings neutrality and independence in measuring DREAMS results through implementation science research and impact evaluation studies.

ViiV Healthcare

• Provided capacity-building to community-based organizations to effectively work with and deliver services to AGYW.