ZAMBIA DREAMS OVERVIEW (fy 2016-2019) DREAMS districts PEPFAR DREAMS Country Funding Level COP 15-18 COP 17-18 $42,496,832 (FY16-19) Country Context Total Population¹ 15,643,908 10-14 years: 999,857 Total Women¹ 15-19 years: 846,447 20-24 years: 715,803 HIV Prevalence among 15-19 years: 3.3% Women² 20-24 years: 8.3% HIV Incidence among 15-24 years: 1.07% Women² Geographic Focus Areas Median age at first birth³ 19.1 years 1. Chingola 6. Livingstone* 2. Chipata* 7. Lusaka 3. Kabwe* 8. Ndola 4. Kapiri Mposhi* 15-19 years: 13.5% Women who are married³ 5. Kitwe* 20-24 years: 55.4% * added FY18/19 Women with some secondary 15-19 years: 52.9% school education³ 20-24 years: 38.1% Number of AGYW Reached Women reporting first sex 81,932 AGYW Reached in FY16-17 13-24 years: 27.2% as coerced4 117,081 AGYW Targeted FY18-19 Women reporting sexual 4 13-24 years: 31.6% violence in past year Priority Populations Women who had early AGYW, ages 10-24 years 16-24 years: 19% • sexual debut (<15 years)4 • Parents of DREAMS-enrolled AGYW Male partners of AGYW (demand and provision of SOURCES: • clinical services) 1. Census 2018 Projection 3. DHS 2014 2. ZAMHIA 2016 4. VACS 2015 ZAMBIA DREAMS OVERVIEW (fy 2016-2019) Prime Implementing Partners • Pact (Zambia Community HIV Prevention Project) • JSI (DISCOVER-Health) • Expanded Church Response (Zambia Family) • Peace Corps • University Teaching Hospital • TBD- GBV community mobilization/response services Private Sector Activities Bill and Melinda Gates Foundation Impact Evaluation and Implementation Science Activities: • Assess the effectiveness of the strategies used to identify, reach, and retain the most vulnerable AGYW. • Examine if the most-at risk girls were reached through the DREAMS program selection criteria and examine linkage, retention, and reduced risk among DREAMS beneficiaries. • Measure fidelity of program implementation. • Estimate program cost per beneficiary. Gilead Sciences • PrEP donation supporting up to 2,729 young women. Johnson & Johnson • Conducted a DREAMS journey mapping workshop in-country to generate insights directly from AGYW on their needs and meaningful ways to address the epidemic among AGYW. Findings were shared with country teams to further inform DREAMS programming. .