ZIMBABWE DREAMS OVERVIEW (fy 2016-2021) PEPFAR DREAMS Country Funding Level DREAMS areas Current DREAMS areas New in COP20/FY21 $106,831,397 (FY16-21)* ZIMBABWE DREAMS SNUs 1. Beitbridge** 9. Lupane** 2. Bubi** 10. Makoni ** 3. Bulawayo 11. Mangwe BOTSWANA 4. Bulilima** 12. Matobo** 5. Chipinge 13. Mazowe SOUTH AFRICA 6. Gwanda** 14. Mutare 7. Gweru 15. Nkayi** 8. Insiza** 16. Tsholotsho** Results/Targets 185,403 AGYW reached (FY19)5 Country Context 163,036 AGYW targeted (FY21)* 1 HIV Prevalence by Age and Sex DREAMS Primary Package Completion by Age Band, FY195 35.0% 30.0% 10-14 32,490 180 22,430 25.0% 20.0% 15-19 41,069 270 36,004 15.0% HIV Prevalence HIV 10.0% 5.0% 20-24 20,192 137 25,625 0.0% 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 Age 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Female Male Primary Package Completed and Secondary Primary Package Completed Primary Package Incomplete AGYW (15-24 years) Initiating PrEP in DREAMS SNUs5 AGYW (18-24 years) reporting first sex as 16.9% coerced2 7,000 6,551 6,000 3 Median age at first birth 20.3 years 5,000 4,000 AGYW of lower secondary school age 35% 3,000 4 2,055 who are not in school 1,873 2,000 1,000 647 SOURCES: 1. ZIMPHIA, 2015 2. VACS, 2018 3. DHS, 2015 4. MICS, 2019 646 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 ZIMBABWE DREAMS OVERVIEW (fy 2016-2021) Implementing Partners • FHI360 • Family AIDS Caring Trust • Population Services International • International Training and Education Center for Health (I-TECH) • Catholic Relief Services ICAP at Columbia University • Center for Sexual Health and HIV/AIDS Research • Zimbabwe • Organization for Public Health Interventions and Development Private Sector Activities Gilead • Donated PrEP medicines for approximately 1,500 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..