DREAMS Overview

PEPFAR DREAMS Country Funding Level Country Context

$20,621,571 1 Total Population 13.1 million Total # women 10-242 2,562,000 Geographic Focus Areas: HIV prevalence among 4.2% (15-19 years) 3 women 10.6% (20-24 years) # Infections per year 3 14,924 among women 15-244 Young women who have 4 22.7% (15-19 years) ever experienced physical 3 34.9% (20-24 years) violence since age 15 2 5 Young women who have 23.5% (15-19 years) begun child bearing3 1 6 Never married young women who used a 48.8% (15-24) 3 condom at last sex Secondary net school enrollment for young 43.4% women6 1. 2. 3. Mazowe 4. Makoni Outstanding Programmatic Needs 5.  Additional funding to support economic 6. Chipinge empowerment, cash transfers and food security to reduce harmful coping mechanisms due to drought and economic climate

 Scaling innovative, cost effective and Priority subpopulations/groups: sustainable approaches to sanitary ware  Adolescent girls 15-19  Sexually active young women 20-24  Helping vulnerable AGYW access tertiary  AGYW from economically vulnerable HHs education  Parents/caregivers of AGYW in  ARVs to support expanding HIV treatment economically vulnerable household s needs  Adolescent boys and young men  Community and religious leaders  Teachers

Core Package Interventions and Targets (by district):

# AGYW Targeted by District (2 year targets) Category Intervention Bulawayo Chipinge Mutare Gweru Makoni Mazowe Total HIV Testing & 19,223 7,014 10,692 7,277 5,206 4,241 53,654 Counseling PrEP 800 151 300 200 0 0 1,451

Post-Violence 986 969 1,434 933 719 2,255 7,296 Care Increase 1,460 300 720 1,220 150 350 4,200 contraceptive method mix

Community 31,359 18,152 27,398 15,396 13,397 11,505 19,534 mobilization & norms change

School-based 24,786 8,951 13,082 8,951 6,885 6,197 68,850 HIV & violence prevention Mobilize Communities (MoCo)

Parenting/ 2,800 2,410 2,540 2,838 4,045 3,398 18,031 Caregiver programs Cash transfers 0 2,838 3,297 2,657 0 2,619 1,902

Educational 714 663 770 620 1,042 612 4,421

subsidies 23,931 Combination 5,363 2,515 4,041 3,838 4,326 3,848 socio-economic Strengthen Strengthen Families (SF) approaches Note: Zimbabwe will also be receiving PEPFAR funding to support Test & START adoption in DREAMS districts and VMMC activities.

Sources:

1. Zimbabwe Census 2012 2. UN World Population Prospects: The 2015 Revision 3. DHS 2010-11 4. UNAIDS 2013 5. 2011 Opportunity in Crisis: Preventing HIV from early adolescence to young adulthood, UNICEF 6. UNESCO Institute for Statistics, 2012 data

*AGYW = Adolescent Girls and Young Women