Performance Evaluation of Namibia's DREAMS Program

The purpose of this qualitative performance evaluation of the Determined, Resilient, Empowered, AIDS-Free, Mentored, and Safe (DREAMS) Namibia project was to understand the performance, capacity, and effectiveness of project start-up in meeting the intended results in project year (PY) 1; highlight gaps and opportunities that can be acted upon by project staff and USAID in the first 18 months of implementation; and identify areas that need modification/improvement to increase the likelihood of project success.
Changes in the early U.S. Department of State/Office of the U.S. Global AIDS Coordinator (S/GAC) guidance, along with high targets, created challenges in PY1. Nonetheless, Project HOPE Namibia and the DREAMS Namibia consortium sub-partners have made adjustments to outreach strategies as implementation has evolved. Project stakeholders and beneficiaries have been overwhelmingly positive about project benefits.
Key recommendations include:
•Strengthen community-based pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART) adherence strategies.
•Consider moving economic strengthening from secondary to primary intervention and dedicate more resources to economic strengthening activities.
•Incorporate beneficiary feedback opportunities into and throughout services.
•Share the plan for transition of orphans and vulnerable children services in Khomas and Zambezi regions with affected regional staff.
•Introduce psychosocial support and a personal safety policy for regional and district teams.
•Make use of existing communication channels to keep relevant ministries informed about DREAMS at the national and regional levels; develop short memoranda of understanding with ministries that commit to using these channels.
•Consider more frequent communication with a representative from each sub-partner if needed to maintain positive relationships—the success of the DREAMS Namibia consortium depends on healthy partner relationships.

Resource type: 
Operating Unit: 
Dee Adams
Friedel Dausab
Deborah McSmith
Sandra Owoses
Publication date: 
November, 2019
Technical Area: 
Contract mechanism: 
GH Pro