Zimbabwe 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. Bulawayo 2. Gweru 3. Mazowe 4. Makoni Outstanding Programmatic Needs 5. Mutare 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