Strengthening an Integrated Comprehensive Approach for HIV Services for Adolescents and Young People through Determined, Resilient, AIDS-Free Mentored and Safe (DREAMS) Program in Zimbabwe under the President's Emergency Plan for AIDS Relief (PEPFAR)

The Award Ceiling for Year 1 is 0 (none). CDC anticipates an Approximate Total Fiscal Year Funding amount of $10,000,000 for Year 1, subject to the availability of funds. The Determined, Resilient, Empowered, AIDS-Free, Mentored and Safe (DREAMS) initiative aims at reducing new HIV infections among adolescent girls and young women (AGYW). The DREAMS program uses evidence-based combination HIV prevention interventions and multiple stakeholder engagement to address the biological, socioeconomic, cultural, and structural drivers for HIV infection among AGYW to contribute to HIV epidemic control. The recipient(s) will consolidate the implementation in four districts where the program is underway and expand the program to new districts based on PEPFAR’s guidance, current epidemiological data, survey findings, contextual considerations, and other routine indicators. Beyond geographic prioritization, the DREAMS program targets AGYW most vulnerable to HIV. The recipient(s) will identify, recruit, and enroll AGYW most vulnerable to HIV and retain them in the DREAMS program, implement evidence-based HIV and violence prevention interventions for AGYW to reduce HIV risk, deliver evidence-based HIV prevention, violence prevention, and economic strengthening interventions for parents and families of vulnerable AGYW, address structural barriers and harmful social norms at community level and refine and strengthen mentorship and coaching approaches to sustain the DREAMS achievements.