KENYA DREAMS OVERVIEW (fy 2016-2021)

PEPFAR DREAMS Country Funding Level DREAMS areas  Current DREAMS areas

KENYA $167,260,841 (FY16-21)*

DREAMS SNUs

1. Homa Bay County 5. Mombasa County 2. Kiambu County 6. Nairobi County TANZANIA 3. Kisumu County 7. Siaya County 4. Migori County

Country Context Results/Targets

4 HIV Prevalence by Age and Sex1 257,100 AGYW reached (FY19)

* 14.0% 321,491 AGYW targeted (FY21)

12.0% DREAMS Primary Package Completion by Age Band, FY193 10.0%

8.0% 10-14 36,022 6,397 22,354 6.0%

HIV Prevalence HIV 4.0%

2.0% 15-19 34,044 7,182 70,237

0.0% 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 Age Female Male 20-24 29,104 6,570 37,598

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% AGYW (18-24 years) reporting first sex as 24.3% Primary Package Completed and Secondary Primary Package Completed Primary Package Incomplete coerced2 AGYW (15-24 years) Initiating PrEP in DREAMS SNUs4

14,000 Median age at first birth3 20.3 years 13,274 12,000

10,000 AGYW of lower secondary school age 4% 8,998 3 who are not in school 8,000

6,000 6,631

4,000 4,505 SOURCES: 1. KenPHIA, 2018 2. VACS, 2012 3. DHS, 2014 4. PEPFAR program data 3,520

* COP20/FY21 budgets and targets are pending Congressional notification 2,000 and approval. FY17 Result FY18 Result FY19 Result FY20 Target FY21 Target KENYA DREAMS OVERVIEW (fy 2016-2021)

Implementing Partners

• Impact Research and Development Organization (IRDO) • Afya Ziwani - PATH • COPTIC • Afya Kamilisha - JHPIEGO • KCCB/KARP • Afya Pwani – Pathfinder International • LVCT-Health (DARAJA) • HOPE Worldwide Kenya (HWWK) • LVCT-Health (STEPS) • MWENDO – Catholic Relief Services • Afya Jijini - IMA World Health • CASE_OVC – Christian AID • Henry Jackson Foundation (HJF)

Private Sector Activities

Gilead

• Donated PrEP medicines for approximately 15,000 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.