Translating DREAMS into practice: Early lessons from implementation in six settings

The ‘DREAMS Partnership’ promotes a multi-sectoral approach to reduce adolescent girls and young women’s (AGYW) vulnerability through a core package of interventions targeting multiple sources of HIV risk–to promote Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) lives. Implementation of such multi-sectoral programmes is complex and requires adaptation to national and local contexts. We describe the early implementation of DREAMS in diverse settings, to identify lessons for the scale-up and replication of combination programmes for young people. Methods: As part of evaluations underway in six DREAMS sites in three countries (Kenya, South Africa and Zimbabwe), we draw on process evaluation data collected from focus group discussions, key informant interviews, and in-depth interviews with beneficiaries, parents/caregivers, programme managers and opinion leaders. Additionally, structured observations were conducted and Gantt charts completed upon consultation with implementers. We concurrently reviewed documentation available on DREAMS and held cross-site discussions to interpret findings. Findings: All sites sought to implement all components of the DREAMS core package, but how and when they were implemented varied by context. Models of delivery differed, with either multiple or single partners responsible for some or all interventions. Key challenges included the urgent and ambitious expectations of DREAMS; ‘layering’ multiple interventions across different sectors (health, education, social welfare); supporting individuals’ journeys between services to improve uptake and retention; engaging communities beyond direct beneficiaries; avoiding perceived/actual exclusivity; and ensuring continuity of commitment and funding for DREAMS. Despite significant challenges, DREAMS was well-received in the communities and perceived by both beneficiaries and implementers to empower AGYW to remain HIV negative. Structures, protocols and tools were introduced to strengthen referrals and deliver services targeted to the age and circumstances of young people. Conclusions: The benefits of combinations or integrated ‘packages’ of interventions are increasingly recognised. Early implementation of DREAMS provides useful lessons for improving coordination across multiple partners using a phased, systematic approach, regular adaptions to each unique context, and ensuring community ownership

Synthesizing the Vertical and the Horizontal: A World-Ecological Analysis of 'the Industrial Revolution', Part I

\u27The Industrial Revolution\u27 is simultaneously one of the most under-examined and overly-simplified concepts in all of social science. One of the ways it is highly under-examined is in the arena of the ecological, particularly through the lens of critical world-history. This paper attempts to analyze the phenomenon through the lens of the world-ecology synthesis, in three distinct phases: First, the history of the conceptualization of the Industrial Revolution is examined at length, paying special attention to the knowledge foundations that determine these conceptualizations. Secondly, I sift out what I believe is the dominant model throughout most of modern and now postmodern history, which I identify as the techno-economic narrative. I then present the main critical world-historical challenge to that argument (that the Industrial Revolution was a unified, linear, two-century phenomenon) by outlining the critical interpretations of Fernand Braudel, Immanuel Wallerstein, Giovanni Arrighi, among others, leading a view of industrialization that is over the very long term, or what Braudel referred to as the longue durée. This long-view form of critical historical analysis is unabashedly Marxist, so there is some foray into various pieces of the Marxian canon, pieces that are often left untouched or at the least under-utilized in many politico-economic analyses of environmental history and politico-ecological narratives as well. Thirdly, I attempt to bring this new long-form view of industrialization more firmly into the ecological, but filtering the basic presuppositions of the \u27techno-economic\u27 narratives and the Marxist \u27critical world-historical\u27 narratives through the presuppositions of Jason W. Moore\u27s world-ecology synthesis. What we arrive at through this filtering process is a very different view of the Industrial Revolution than we are used to hearing about. This is Part I of a much larger research process, one that I intend to bring into the present and future by looking at the development process of the BRICS as the next extension of the Industrial Revolution. What this paper is most concerned with is re-igniting what I think is a valuable debate among theorists, economic historians, and Marxist ecological thinkers, the debate about what exactly this phenomenon was, is, and will be. My small contribution is to re-define it in relationship to its really-existing history, including its antecedents and possible future expansions