Medicine & Health

DREAMS: a partnership to reduce HIV acquisition among adolescent girls and young women and generate lessons for prevention

Published June 3, 2019 Partnered Collections, Special Issues

The DREAMS Partnership is a large investment by PEPFAR and private sector partners to promote empowerment and prevent HIV acquisition through a core package of interventions for young women, their families, communities and male partners. In this Collection, we introduce the DREAMS core package, describe the context of HIV risk for adolescent girls and young women (AGYW) in a range of settings prior to DREAMS introduction, profile the characteristics of male partners of AGYW, and present early lessons from DREAMS implementation.

Image Credit: © Sanyukta Mathur/Population Council 2017, Zambia

Jump to section

What is the DREAMS Core Package?
Understanding the context of HIV risk among AGYW prior to DREAMS
Characteristics of male partners of adolescent girls and young women
Early lessons about the implementation of DREAMS

What is the DREAMS Core Package?

Image credit
10.1371/journal.pone.0208167

PLOS ONE The DREAMS core package of interventions: A comprehensive approach to preventing HIV among adolescent girls and young women
December 7, 2018 Janet Saul, Gretchen Bachman, Shannon Allen, Nora F. Toiv, Caroline Cooney, Ta’Adhmeeka Beamon

Understanding the context of HIV risk among AGYW prior to DREAMS

Image credit
10.1371/journal.pone.0203193

PLOS ONE Persistently high incidence of HIV and poor service uptake in adolescent girls and young women in rural KwaZulu-Natal, South Africa prior to DREAMS
October 16, 2018 Natsayi Chimbindi, Nondumiso Mthiyane, Isolde Birdthistle, Sian Floyd, Nuala McGrath, Deenan Pillay, Janet Seeley, Thembelihle Zuma, Jaco Dreyer, Dickman Gareta, Tinofa Mutevedzi, Justin Fenty, Kobus Herbst, Theresa Smit, Kathy Baisley, Maryam Shahmanesh
Image credit
10.1371/journal.pone.0208689

PLOS ONE High HIV incidence and low uptake of HIV prevention services: The context of risk for young male adults prior to DREAMS in rural KwaZulu-Natal, South Africa
December 26, 2018 Kathy Baisley, Natsayi Chimbindi, Nondumiso Mthiyane, Sian Floyd, Nuala McGrath, Deenan Pillay, Janet Seeley, Thembelihle Zuma, Jaco Dreyer, Dickman Gareta, Theresa Smit, Tinofa Mutevedzi, Justin Fenty, Kobus Herbst, Isolde Birdthistle, Maryam Shahmanesh
Image credit
10.1371/journal.pone.0197479

PLOS ONE Understanding HIV risks among adolescent girls and young women in informal settlements of Nairobi, Kenya: Lessons for DREAMS
May 31, 2018 Abdhalah Ziraba, Benedict Orindi, Sheru Muuo, Sian Floyd, Isolde J. Birdthistle, Joyce Mumah, Jane Osindo, Pauline Njoroge, Caroline W. Kabiru
Image credit
10.1371/journal.pone.0194301

PLOS ONE Reaching young women who sell sex: Methods and results of social mapping to describe and identify young women for DREAMS impact evaluation in Zimbabwe
March 15, 2018 Tarisai Chiyaka, Phillis Mushati, Bernadette Hensen, Sungai Chabata, James R. Hargreaves, Sian Floyd, Isolde J. Birdthistle, Frances M. Cowan, Joanna R. Busza
Image credit
10.1371/journal.pone.0203929

PLOS ONE High rates of sexual violence by both intimate and non-intimate partners experienced by adolescent girls and young women in Kenya and Zambia: Findings around violence and other negative health outcomes
September 13, 2018 Sanyukta Mathur, Jerry Okal, Maurice Musheke, Nanlesta Pilgrim, Sangram Kishor Patel, Ruchira Bhattacharya, Nrupa Jani, James Matheka, Lunda Banda, Drosin Mulenga, Julie Pulerwitz
Image credit
10.1371/journal.pone.0198898

PLOS ONE The association between being currently in school and HIV prevalence among young women in nine eastern and southern African countries
June 20, 2018 Paul Mee, Elizabeth Fearon, Syreen Hassan, Bernadette Hensen, Xeno Acharya, Brian D. Rice, James R. Hargreaves
Image credit
10.1371/journal.pone.0199733

PLOS ONE How empowered are girls/young women in their sexual relationships? Relationship power, HIV risk, and partner violence in Kenya
July 19, 2018 Julie Pulerwitz, Sanyukta Mathur, Daniel Woznica

Characteristics of male partners of adolescent girls and young women

Image credit
10.1371/journal.pone.0198783

PLOS ONE Who are the male sexual partners of adolescent girls and young women? Comparative analysis of population data in three settings prior to DREAMS roll-out
September 28, 2018 Aoife M. Doyle, Sian Floyd, Kathy Baisley, Benedict Orindi, Daniel Kwaro, Thandiwe N. Mthiyane, Sheru Muuo, Maryam Shahmanesh, Abdhalah Ziraba, Isolde Birdthistle
Image credit
10.1371/journal.pone.0203208

PLOS ONE Who are the male partners of adolescent girls and young women in Swaziland? Analysis of survey data from community venues across 19 DREAMS districts
September 14, 2018 Zahra Reynolds, Ann Gottert, Erin Luben, Bheki Mamba, Patrick Shabangu, Nsindiso Dlamini, Muhle Dlamini, Sanyukta Mathur, Julie Pulerwitz
Image credit
10.1371/journal.pone.0200920

PLOS ONE Male partners of young women in Uganda: Understanding their relationships and use of HIV testing
August 10, 2018 Ann Gottert, Julie Pulerwitz, Godfrey Siu, Anne Katahoire, Jerry Okal, Florence Ayebare, Nrupa Jani, Pamela Keilig, Sanyukta Mathur

Early lessons about the implementation of DREAMS

Image credit
10.1371/journal.pone.0208243

PLOS ONE Translating DREAMS into practice: Early lessons from implementation in six settings
December 13, 2018 Natsayi Chimbindi, Maryam Shahmanesh, Jane Osindo, Phillis Mushati, Kenneth Ondeng’e, Thembelihle Zuma, Tarisai Chiyaka, Nambusi Kyegombe, James Hargreaves, Joanna Busza, Sian Floyd, Janet Seeley, Isolde Birdthistle
Image credit
10.1371/journal.pone.0196280

PLOS ONE Provider perspectives on PrEP for adolescent girls and young women in Tanzania: The role of provider biases and quality of care
April 27, 2018 Nanlesta Pilgrim, Nrupa Jani, Sanyukta Mathur, Catherine Kahabuka, Vaibhav Saria, Neema Makyao, Lou Apicella, Julie Pulerwitz