Sangariveira Secondary School (SSS) was established in 2012 in Quelimane, Zambézia Province. Currently, the school has 4,980 students, 2,610 male and 2,370 female, who are divided into 42 groups, with morning, afternoon and night student rotations.
Located in the outskirts of Quelimane, SSS has a gloomy past. It was infamous for high levels of drug use, early and unwanted pregnancies, prostitution, and illness.
In an attempt to change this scenario, the school was selected to become a recipient of DREAMS services. The DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe) Initiative focuses on reducing HIV/AIDS in adolescent girls and young women in 10 countries. This initiative also addresses factors that increase HIV vulnerability such as gender-based violence and economic disadvantage. This work is important in order to achieve the Sustainable Development Goal to end AIDS by 2030. Thanks to the DREAMS Initiative, the school has an operational School Health Corner (SHC) with one full-time Maternal and Child Health Nurse (MCHN), one part-time Gynecologist and a part-time Psychologist. The SHC provides the following services: 1) Communication for health, including information, education, and communication (IEC) materials, theater groups, multimedia mobile units, health fairs, TVs and internet access; 2) HIV testing and counseling, primarily conducted through health fairs; 3) Provision of male and female condoms; 4) Family planning; and, 5) Gender Based Violence (GBV) prevention and care. Sixty to seventy students are seen daily at the SHC.
This investment is already producing valuable results. Belinha Enoque, SSS point of contact for cross-cutting issues, told us:
“According to our school reports, since the establishment of DREAMS, the number of student pregnancies has been reduced 77%, from 30 pregnancies before DREAMS, in the first semester of 2016, to 7 after its establishment in the first semester of 2017.”
Another example of DREAMS’ contribution to programmatic change including the provision of education addressing myths about HIV and AIDS transmission is reported by one of the SSS Mentors:
“Since the establishment of DREAMS, the demand for HIV prevention talks (palestras) has increased. Thus, apart from group sessions held during week days, we had to introduce HIV awareness sessions on Saturdays. Among others, these talks have helped in reducing myths about HIV and AIDS. Before DREAMS, all (opportunistic) diseases were attributed to a local spiritual disease called “matoua” which allegedly required a traditional healing ceremony called “marombo.” The ceremonies were frequent, at least two or three per week, and caused school drop outs. Thanks to DREAMS, students do not adhere to these ceremonies anymore, as they are now aware of HIV and AIDS,” – SSS mentor.
Paulina Alamo Chombe, the Headmistress of the school, told us of the important impact DREAMs HIV sensitization has had on student awareness of the risks associated with transactional sex:
“There is a brothel called Amazonia near the school. Before DREAMS support commenced, whenever I walked out of the school, I used to meet students going to or coming out of the brothel. Although I can’t present figures, nowadays I do not see any ingoing or outgoing movements of my students to that establishment. This is also witnessed by the managers of the brothel that are complaining that the number of SSS students going there has reduced significantly over the last 12 months.”
Finally, the DREAMS’ MCHN, Maria Guimarães highlighted the layering (integration/coordination) of interventions between clinical and community partners at SSS:
“I think we are the champions of layering. The flow and exchange of beneficiaries between Friends in Global Health-led SHC and local implementing partners’ girl clubs has been successful. The unique identifier card and referral and counter referral guide are fully operational here.”
Overall, due to DREAMS success at SSS, and other schools, there is a “domino effect” as other schools are now requesting the establishment of DREAMS activities in their schools.