DREAMS is committed TO REDUCING HIV among adolescent girls and young women


Why Adolescent Girls and Young women?

Girls and young women account for 74 percent of new HIV infections among adolescents in sub-Saharan Africa. The 10 DREAMS countries (Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe) accounted for more than half of all the new HIV infections that occurred among adolescent girls and young women globally in 2016. 

This must change.

For the first time, the latest PEPFAR data show significant declines in new HIV diagnoses among adolescent girls and young women. In the 10 African countries (63 districts) implementing PEPFAR’s pioneering DREAMS public-private partnership, the majority (65 percent) of the highest-HIV-burden communities or districts achieved a 25-40 percent or greater decline in new HIV diagnoses among young women. Importantly, new diagnoses declined in nearly all DREAMS intervention districts.

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Many adolescent girls and young women lack a full range of opportunities and are too often devalued because of gender bias, leading them to be seen as unworthy of investment or protection. Social isolation, economic disadvantage, discriminatory cultural norms, orphanhood, gender-based violence, and school drop-out all contribute to girls' vulnerability to HIV. 

The most critical factor in ending the AIDS epidemic by 2030 is empowering, protecting, and supporting adolescent girls and young women.
— U.S. Ambassador Deborah L. Birx, M.D., U.S. Global AIDS Coordinator and Representative for Global Health Diplomacy

DREAMS has the potential to change how we work together to ensure an AIDS-free future for girls and women.

DREAMS is about multiple solutions surrounding one problem. With support from the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the Bill & Melinda Gates Foundation, Girl Effect, Johnson & Johnson, Gilead Sciences, and ViiV Healthcare, DREAMS is delivering a core package that combines evidence-based approaches that go beyond the health sector, addressing the structural drivers that directly and indirectly increase girls' HIV risk, including poverty, gender inequality, sexual violence, and a lack of education. 

Where We Work

DREAMS is focused on implementing evidence-informed and innovative approaches to empower adolescent girls and women in districts of 10 sub-Saharan African countries that have the highest burden of HIV infection. 

DREAMS is delivering solutions in the 10 highest-burden areas for HIV in sub-Saharan Africa: