A PEPFAR Perspective on HCD & Measurement

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1 A PEPFAR Perspective on HCD & Measurement Emily Harris USAID s Office of HIV and AIDS 5/8/2018 FOOTER GOES HERE 1

2 Why are funders so interested in experimenting with human-centered design? HCD presents a promising tool to solve tough last mile challenges such as those that must be overcome to achieve the HIV and AIDS communities global goal of reaching epidemic control HCD can facilitate public-private partnerships key to infusing new expertise, innovation and resources 5/8/2018 FOOTER GOES HERE 2

3 Girls and young women account 74% for of new HIV infections among adolescents in sub-saharan Africa. 5/8/2018 3

4 DIG, Project Imbali New, women-controlled methods for HIV prevention exist, but they are not living up to their promise. 5/8/2018 4

5 DIG, Project Imbali And, the complex issues driving young women s increased risk requires a systemic as well as a product-specific approach. 5/8/2018 5

6 Engage HCD & Project Imbali Increase and Sustain Use of DPV/MPT rings by Engaging Young Sub-Saharan African Women and their Influencers 6

7 DREAMS and the Private Sector PEPFAR works with stellar private sector partners to innovate and find the most effective ways to change girls lives. Their voices and support are critical. Girl Effect is launching a culture brand in Malawi to reach the most vulnerable girls (and boys) with DREAMS messaging Johnson & Johnson listens to and brings girls voices to life to tell success stories; inform programming; and amplify messaging. The Bill & Melinda Gates Foundation funds implementation research and an impact evaluation Gilead provides resources to purchase pre-exposure prophylaxis (PrEP) ViiV provides capacity-building to community-based organizations

8 DREAMS, Girl Effect & Zathu Image credit: 8

9 Girl Effects Measurement Framework 5/8/2018 FOOTER GOES HERE 9

10 DREAMS Results World AIDS Day, 2017 For the first time, the latest PEPFAR data show significant declines in new HIV diagnoses among adolescent girls and young women. In the 10 African countries (63 districts) implementing DREAMS, the majority (65%) of the highest-hivburden communities or districts achieved a percent or greater decline in new HIV diagnoses among young women. Importantly, new diagnoses declined in nearly all DREAMS intervention districts.

11 Project Imbali Check out the asset wide-spread sharing of resources greatly encouraged! 1 1

12 Engage HCD Overview HCD for USAID Process 12

13 Project Imbali Journey Map & Design Concepts

14 B Visual overview of the monthly ring cycle and how the ring fits into a woman s everyday life to avoid challenges that might surface later A.Continuos Cycle - Don t break the cycle! A.Daily Life - Proactively visualize key aspects of daily life with the ring A A.Modular based on context - e.g. toilet, labor, exercise, bathing, etc. C 1 4

15 Design Public Goods Recognizing both the opportunity and challenges for HCD in global health, USAID led by its Center for Accelerating Impact and Innovation (CII) and the Bill and Melinda Gates Foundation (BMGF) is seeking to cultivate a community of HCD practitioners (CoP) committed to demonstrating HCD s value to the wider global health community.

16 The next stage focuses on data & evidence Join Us! 5/8/2018 Courtesy of the USAID/CII and BMGF supported efforts, led by DIG and Sonder 16

17 PHOTO CREDIT: GIRL EFFECT CONCLUSION (1) The U.S. Government is actively engaging with HCD (2) PEPFAR s HCD-informed efforts demonstrate unique pathways to building the evidence for HCD (3) HCD & measurement questions remain. USAID welcomes your engagement + expertise in helping us answer those questions 5/8/

18 RESOURCES + ACKNOWLEDGEMENTS OPM s Innovation lab.opm.gov USAID s Center for Innovation & EngageHCD.com PEPFAR & DREAMSPartnership.org Emily Harris emharris@usaid.gov The information provided in this presentation are those of the presenters and do not necessarily reflect the views of the U.S. President's Emergency Plan for AID Relief, the U.S. Agency for International Development or the U.S. Government. 5/8/2018 FOOTER GOES HERE 18

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