Current Project

Impact evaluation of PEPFAR’s DREAMS Initiative in Nairobi

Program: Population Dynamics & Reproductive Health

In many countries with a generalized HIV epidemic, most of the new infections are happening among adolescent girls and young women (AGYW) aged 15-24. The DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe women) Initiative,  a multi-component package of HIV prevention interventions targeting the multiple sources of risk among AGYW, was launched in 10 high burden countries in sub-Saharan Africa including Kenya to help reduce new HIV infections. Adolescent girls and young women living in slums are known to be particularly vulnerable and as such have been targeted by the DREAMS interventions in Kenya.

The DREAMS Impact Evaluation project aims to evaluate the impact of the DREAMS Initiative in Korogocho and Viwandani slums where the Center has been running the Nairobi Urban and Health Demographic Surveillance System (NUHDSS) since 2002 in order to:

  1. Ascertain whether the DREAMS initiative has been effective in changing HIV-related outcomes in the community
  2. Investigate the pathways of protection by which DREAMS interventions influence the lives of young women and ultimately their risk for HIV and
  3. Assess the extent to which the DREAMS interventions have been delivered as intended.

The project uses both quantitative and qualitative surveys at three points in time (yearly) among the general population aged 15 to 49 and a closed cohort of AGYW aged between 10-22 years while assessment of the delivery of the interventions is continuous process evaluation primarily using qualitative methods of data collection and observations. The results of this evaluation will help inform the planning and implementation of similar interventions targeting vulnerable populations at individual and community level.

Principal Investigators from the following institutions are participating in the impact evaluation consortium:

  • London School of Hygiene and Tropical Medicine(LSHTM),
  • Africa Health Research Institute (AHRI) in South Africa,
  • Centre for Sexual Health and HIV and AIDS Research (CeSHHAR) in Zimbabwe
  • Kenya Medical Research Institute (KEMRI), in Gem Kisumu.

 PROJECT PERIOD: 2016 to 2019

Project Funders

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