DREAMS, Gender Innovations, and Results
“There is no healthcare delivery system for non-pregnant 15- to 24-year olds,” said the U.S. Global AIDS Coordinator, Ambassador Deborah Birx, at a recent Wilson Center event on efforts to reduce the prevalence of HIV/AIDS among adolescent girls in sub-Saharan Africa. In 2014, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) established the DREAMS program, which aims to create “a health care system where young people interact in a proactive and positive way,” said Birx.
Given the high rates of sexual violence in the 10 DREAMS focus countries, programs must reach 9- to 14-year olds, said Ambassor Birx. “We can’t change their future if we don’t ensure that [sexual violence] doesn’t exist,” she said. “We have to work together with the government and the communities to really create a new pathway for young women.”
But how best to reach girls that young? Traditional leaders and youth ambassadors can help: “The girls feel motivated, they accept the program, and as a result, they want to participate in the program because it is respected by the traditional leaders,” said Glory Mkandawire from One Community Malawi. And Nadyah, a member of the Plan Youth Advisory Board, said “word of mouth was a huge way for them to learn about the program and the successes,” naming youth ambassadors as one of the most effective forms of outreach.
Data can help find the right places to focus: Michelle Adato of the Millennium Challenge Corporation (MCC) said that the Data Collaboratives for Local Impact program uses data “to predict where girls are likely to drop out of school and to be ready with solutions in those areas.”
DREAMS reduced new adolescent HIV/AIDS cases by an impressive 25 to 40 percent in focus countries. But the intangible results from the program were perhaps just as significant: “For the first time, someone is not only listening, but hearing,” said Ambassador Birx. “I think they feel like finally they are being heard.”
Sources: John Hopkins Center for Communication Programs, PLAN International, President’s Emergency Plan for AIDS Relief (PEPFAR), U.S. Millennium Challenge Corporation
Article written by Yuval Cohen and edited by Meaghan Parker.
Speakers
Introduction
Keynote Speaker
Moderator
Hosted By
Maternal Health Initiative
Despite global attention and calls to action, women continue to die while giving birth. The Maternal Health Initiative (MHI) leads the Wilson Center’s work on maternal health, global health equity, and gender equality. MHI works to connect issues critical to global health and women’s empowerment to foreign policy and US leadership, with a focus on improving the lives of women, adolescents, and children around the world. Through collaborations with policymakers, academia, donors, and practitioners, MHI produces cutting-edge research, fosters cross-sectoral engagement, increases awareness of key issues, and informs US leadership on solutions for ending maternal and newborn deaths and addressing gender-based global health issues. Read more
Global Risk and Resilience Program
The Global Risk and Resilience Program (GRRP) seeks to support the development of inclusive, resilient networks in local communities facing global change. By providing a platform for sharing lessons, mapping knowledge, and linking people and ideas, GRRP and its affiliated programs empower policymakers, practitioners, and community members to participate in the global dialogue on sustainability and resilience. Empowered communities are better able to develop flexible, diverse, and equitable networks of resilience that can improve their health, preserve their natural resources, and build peace between people in a changing world. Read more
Global Women's Leadership Initiative
The Global Women’s Leadership Initiative has hosted the Women in Public Service Project at the Wilson Center since June, 2012. The Women in Public Service Project will accelerate global progress towards women’s equal participation in policy and political leadership to create more dynamic and inclusive institutions that leverage the full potential of the world’s population to change the way global solutions are forged. Read more