Innovating for an AIDS-free future for girls and women
Innovating for an AIDS-free future for girls and women
DREAMS is committed to achieving a 40 percent reduction in HIV infection among adolescent girls and young women in the highest-burden areas of 10 sub-Saharan African countries by the end of 2017. To support this goal, the Challenge is investing $85 million for innovative solutions that further DREAMS' commitment to reducing HIV among the most vulnerable to infection. The Challenge aims to infuse new thinking and high-impact approaches to meet the urgent, complex needs of girls and women in the DREAMS countries to give them the opportunity to develop into Determined, Resilient, Empowered, AIDS-Free, Mentored, and Safe women.
The DREAMS Partnership is excited to announce 56 winners selected to implement innovative solutions in DREAMS districts, across all 10 DREAMS countries and six Challenge Focus Areas. DREAMS selected winners from more than 800 ideas, more than half submitted by new partners and small, community-based organizations. Thank you to all who submitted Expressions of Interest and Applications to the Challenge.
The winners proposed new approaches yet to be applied to the six Focus Areas below or implemented in the 10 DREAMS countries, offer sustainable solutions that may be scaled or replicated in on one or more of the DREAMS countries to lead to long-lasting change, and demonstrate readiness for rapid implementation within two years. Winners will implement their solutions over the next two years within the target districts of one or more of the 10 DREAMS countries: Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe.
Strengthening the leadership and capacity of community-based organizations is key to improving delivery of health-related services. The Challenge will invest in innovative solutions to strengthen the leadership and capacity of community-based organizations, such as non-profits, indigenous, and/or grassroots organizations, to support the expansion of interventions included in the DREAMS Core Package.
Girls and women often have little say in the decisions that affect them in Lesotho. One Challenge winner will create an empowering and participatory documentary film to give them a platform to be heard. Once the film is complete, the girls will be trained to use the video as a tool to advocate for their rights.
Another Challenge winner in Zimbabwe will create health care access for the hearing impaired. Sexual and reproductive health classes will be taught in sign language and through drama techniques to ensure all girls get the treatment and education they need. Deaf adolescent girls and young women will learn practical skills to empower them to live independently and reduce their vulnerability and risk of HIV infection.
The Challenge will invest $40 million in innovative solutions focused on keeping girls in secondary school, which dramatically reduces their vulnerability to HIV infection. A recent case study in Botswana compared the benefits of one additional year of education for young women. For girls with 10 years of education instead of just nine, the risk for HIV infection was cut nearly in half. This is a potential game changer, particularly as girls and young women account for 75 percent of new HIV infections among adolescents in sub-Saharan Africa.
Public libraries are a unique gateway for linking girls at risk of HIV infection to information and services that empower them to develop life skills, prevent HIV, and stay in school. One Challenge winner in Zambia will establish new mentoring programs in public libraries to tackle discriminatory gender norms, provide health education, and foster girls’ resilience and determination to succeed.
Another winner will work to increase secondary school retention among pregnant girls and young mothers in Swaziland, Tanzania, and Zimbabwe. The organization will develop an early warning system to detect girls most at risk of drop-out, address harmful norms, and link them to health services.
The Challenge will invest in pioneer solutions to engage young and adult men and inform and link them to HIV counseling and testing, treatment, and voluntary medical male circumcision services. Engaging men in discussions about sexual and reproductive health can result in behavior change in both men and women, and result in increased condom use, less transactional sex, less substance abuse, and increased couple communication.
A holistic community approach is vital to achieving an AIDS-free generation. One winner implementing in Zambia will be reaching out to men at nightclubs to remind them to engage in safe and respectful social activities to help decrease transactional sex work.
Another winner in Kenya designed a solution that will engage men through sports. By bringing pitch-side HIV testing, counselling, and local voluntary medical male circumcision services, they will reduce the risk of HIV infection for up to 11,000 adolescent girls and young women. Kenyan football coaches will be trained to teach adolescent men about health issues on the pitch using interactive football coaching drills.
Pre-exposure phrophylaxis (PrEP) is a way for people who do not have HIV, but who are at substantial risk of contracting it, to prevent HIV infection by taking a pill every day. This oral antiretroviral medication provides another effective option for prevention for people at high risk of HIV exposure, including pregnant adolescent girls in DREAMS districts.
One winner in Kenya will work with popular musicians and celebrities to engage the public to create a dialogue around the benefits of PrEP. They will use interactive websites, peer educators, and support groups to incorporate PrEP into conversations and create consumer-driven demand for the medication.
Another winner plans to implement and compare two strategies to implement PrEP delivery to women at risk of HIV infection. They will employ a data-driven approach to assess which strategy works best for wide use and support the creation of a national strategy that incorporates women's preferences and maximizes use of existing infrastructure to work towards an AIDS-free generation.
The Challenge will invest in solutions that provide a post-secondary school bridge to employment for young women (ages 19 to 24) to decrease their risk for transactional sex work and HIV. The availability and accessibility of employment opportunities can be critical factors in deterring young women from transactional sex work and significantly decreasing their exposure risk to HIV.
One winner from Mozambique will focus on micro-franchising businesses. As these businesses become market ready, the program will select, train, empower, and support young women to manage and operate the businesses. The program will promote entrepreneurship, job creation, and capacity building.
Another winner will implement a demand-driven skills building program to improve employability prospects and income generating capacity for 1,000 disadvantaged girls in low-income households. The girls will learn technical, life, and business skills, including financial literacy and coding, and receive job placement support.
The Challenge will invest in innovative opportunities to increase the availability and use of data for DREAMS to inform policy and increase program impact. Solutions in this area will help unlock datasets, fill data gaps, and improve data accessibility and use at the local and subnational levels. The collection, use, and release of actionable data will help target populations at the greatest risk in geographic areas with the highest HIV/AIDS burden.
One winner will implement a tool in Kenya, Uganda, and Tanzania to gather real-time feedback from the young women they support on aspects of their health and well-being. The solution will enable programmers to quickly determine what is working, where, and why, and, in turn, allow for agile changes to implementation activities for improved results.
Another winner will deploy a multi-channel HIV/AIDS surveillance platform in Tanzania that will use mobile technologies and GIS mapping to provide a centralized location for two-way interactive communication and crowdsourcing data from DREAMS districts. This platform will enable the Ministry of Health to monitor and react to information in real-time to inform the mobilization of HIV/AIDS prevention and treatment resources.
The 56 winners below proposed new approaches yet to be applied to six Challenge Focus Areas or implemented in the 10 DREAMS countries. They offer sustainable solutions that may be scaled or replicated in on one or more of the DREAMS countries to lead to long-lasting change, and demonstrate readiness for rapid implementation within two years.
The DREAMS Partnership received more than 800 Expressions of Interest (EOIs) from more than 680 organizations proposing innovative ideas to address the six Challenge focus areas. The DREAMS Partnership reviewed each EOI and Application in detail and selected a group of 56 winners whose solutions were among the most promising with best alignment to the objectives of the DREAMS Innovation Challenge.
The Challenge defined innovative solutions as including one or more of the following approaches:
The Challenge is not intended to support evidence-informed, traditional interventions that are already being implemented as part of the DREAMS Core Package. Solutions which rely solely on standard practice, are less effective than current technologies or approaches, or involve basic research or laboratory-intensive research were not considered. See the Opportunity Announcement for more details on the DREAMS definition of innovation.
Applicants could submit approaches that apply to just one of the Challenge Focus Areas or that cut across numerous issues. The Challenge greatly encouraged applications from organizations that have not previously received U.S. government funding, either directly or indirectly, and/or are based in one or more of the 10 DREAMS countries. Additionally, existing partners were also eligible to apply; however, a portion of the awards were reserved for new partners.
Ineligible entities included individuals, foreign governments, and U.S. government institutions. Colleges, universities, and research facilities that are funded by and/or affiliated with a government were not considered a government. See the Opportunity Announcement for a detailed list of eligibility criteria.
After eligibility review, a DREAMS panel of reviewers scored each application using a set of selection criteria designed to assess the solution’s strategic alignment, impact, innovative approach, and cost effectiveness, as well as the organization’s capacity and track record for implementation.
Applicants were expected to apply for funding commensurate to need and their organizations' ability to manage and deploy funds. Applicant's average annual revenue/income (over the last three years) should exceed the size of the annual funding request by at least 50 percent. Refer to the Opportunity Announcement for a detailed description of selection criteria.
All interested applicants submitted an initial Expression of Interest in March 2016. In May 2016, DREAMS invited finalists to submit an Application, which provided more information about the proposed solution to enable a detailed evaluation. The Application window closed on May 31, 2016. Winners were notified and announced to the public at the International AIDS Conference in Durban, South Africa, on July 18, 2016.
Note that awards are conditional on winners meeting terms and conditions of U.S. government funding or the respective DREAMS private sector partner. Thank you to all who submitted applications to the Challenge! We look forward to future opportunities to engage the DREAMS community of solvers. Follow PEPFAR on social media for future updates on DREAMS and other opportunities.
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