ESWATINI DREAMS OVERVIEW (fy 2016-2021) PEPFAR DREAMS Country Funding Level DREAMS areas Current DREAMS areas New in COP20/FY21 $39,268,059 (FY16-21)* DREAMS SNUs 1. Dvokodvweni 16. Mbabane West 2. Ekukhanyeni** 17. Mhlangatane 3. Hosea 18. Mkhiweni 4. Kwaluseni 19. Motshane 5. Lobamba 20. Mpolonjeni 6. Lobamba Lomdzala 21. Mtsambama 7. Lomahasha 22. Ngudzeni** 8. Ludzeludze 23. Ngwempisi 9. Lugongolweni** 24. Nkhaba** Results/Targets 10. Madlangampisi** 25. Ntfonjeni 11. Mafutseni** 26. Piggs Peak ** 12. Manzini North 27. Sandleni 5 13. Manzini South 28. Shiselweni 2 31,597 AGYW reached (FY19) 14. Maseyisini 29. Siphofaneni * 15. Mbabane East 30. Sithobela 56,602 AGYW targeted (FY21) DREAMS Primary Package Completion by Age Band, FY195 Country Context 10-14 4,031 4,044 566 HIV Prevalence by Age and Sex1 15-19 60.0% 5,281 2,507 857 50.0% 20-24 3,022 4,515 510 40.0% 30.0% 25-29 2,712 3,208 344 20.0% HIV Prevalence HIV 0% 20% 40% 60% 80% 100% 10.0% Primary Package Completed and Secondary Primary Package Completed Primary Package Incomplete 0.0% 5 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 AGYW (15-24 years) Initiating PrEP in DREAMS SNUs Age 5,000 Female Male 4,755 AGYW (18-24 years) reporting first sex as 35% 4,000 coerced2 3,000 Median age at first birth3 19.2 years 2,000 AGYW of lower secondary school age 5% 4 who are not in school 1,000 704 1 99 108 SOURCES: 1. SHIMS2, 2017 2. VACS, 2007 3. DHS, 2006 4. MICS, 2014 5. PEPFAR program data - * 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 ESWATINI DREAMS OVERVIEW (fy 2016-2021) Implementing Partners • Pact • The Luke Commission** • Johns Hopkins University† • TBD regional clinical IPs** • Population Services International (PSI) • TBD community engagement/norms change (Manzini)** • TBD AGYW/OVC Local IP (Hhohho)** • Peace Corps Volunteers and Community Partners** • TBD AGYW/OVC Local IP (Shiselweni)** † COP19/FY20 only (i.e. not continuing in COP20) ** New in COP20/FY21 Private Sector Activities Gilead • Donated PrEP medicines for approximately 900 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..