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    • News
    • The Trump Effect

    Life after DREAMS: Kenya’s girls navigate HIV risk without US support

    The end of the PEPFAR-funded DREAMS program cut off HIV-prevention support for millions of girls across sub-Saharan Africa. In Kenya, health experts warn the consequences are already visible.

    By Victoria Amunga // 13 February 2026

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    KISUMU COUNTY, Kenya — Nineteen-year-old Sharon Akoth remembers the moment her ambition to become a doctor felt possible.

    In 2021, she enrolled in the U.S.-funded DREAMS program, an initiative aimed at supporting adolescent girls and young women at high risk of HIV. Orphaned at age 12, Akoth had struggled to stay in school and relied on relatives in Kibos, a small town in Kenya’s Kisumu County, to cover school fees and meals. Frequent inability to pay for required supplies, such as books and uniforms, often forced her out of class. The DREAMS program, she said, changed that.

    “It's through the DREAMS program that they gave me a school uniform, shoes, and they provided me with food, which I took home,” Akoth said.

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    More reading:

    ► US retreat stalls Botswana’s HIV prevention outreach

    ► HIV prevention services hit hardest by funding cuts, UNAIDS warns

    ► One year after US aid freeze, HIV care in Africa is in retreat

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    About the author

    • Victoria Amunga

      Victoria Amunga

      Victoria Amunga is an award-winning multimedia journalist with 14 years of experience covering stories that drive public conversation and strengthen communities across Africa and beyond. Her reporting has appeared in Voice of America and TRT World, where she has produced in-depth coverage on health, technology, gender, and development.

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