Training aids – Shox Box http://shox-box.com/ Tue, 19 Oct 2021 01:32:09 +0000 en-US hourly 1 https://wordpress.org/?v=5.8 https://shox-box.com/wp-content/uploads/2021/06/icon-2021-06-29T183654.200-150x150.png Training aids – Shox Box http://shox-box.com/ 32 32 PCAOB inspections show some improvement in 2020 https://shox-box.com/pcaob-inspections-show-some-improvement-in-2020/ https://shox-box.com/pcaob-inspections-show-some-improvement-in-2020/#respond Mon, 18 Oct 2021 21:00:00 +0000 https://shox-box.com/pcaob-inspections-show-some-improvement-in-2020/ PCAOB inspections showed some improvement in firm audit performance in 2020 compared to the previous year, although a board staff report released Monday said inspectors continue to identify shortcomings that recur from year to year. In 2020, the PCAOB inspected 510 audits from a total of 114 US audit firms, plus 107 audits from 39 […]]]>

PCAOB inspections showed some improvement in firm audit performance in 2020 compared to the previous year, although a board staff report released Monday said inspectors continue to identify shortcomings that recur from year to year.

In 2020, the PCAOB inspected 510 audits from a total of 114 US audit firms, plus 107 audits from 39 non-US audit firms. For the majority of audit firms inspected annually, PCAOB inspectors identified fewer findings in 2020 compared to 2019.

In the audit firms inspected every three years by the board, some improvements were noted, but PCAOB staff said the gaps remain high.

The most common areas of audit deficiencies remained mostly consistent with previous years, including:

  • Internal control of financial information (ICFR).
  • Receipts and associated accounts.

The inspectors also noted concerns about the companies’ quality control systems. These included issues related to independence, engagement quality reviews and internal oversight.

Board inspectors also found that in some audits, auditors assessed the severity and impact of a cybersecurity incident but did not consider whether the incident affected their identification or risk assessment of material misstatement; whether changes in the nature, timing or extent of audit procedures were required; and whether the incident could indicate one or more deficiencies in the ICFR.

In an emerging area, some auditors have not performed procedures to assess the sufficiency and relevance of the existence and valuation of registered crypto-assets at year-end.

PCAOB inspectors also noted the good practices observed by inspectors in audit firms in 2020:

  • Progressive steps in response to the COVID-19 pandemic, including increased training and support, a focus on consultations, and modified customer acceptance and retention procedures.
  • Real-time monitoring of ongoing audit missions.
  • Increased supervision of work performed by specialists.
  • Use of practical aids to help engagement teams identify risks for each factor relevant to the management estimation process.
  • Monitor the workload and expertise of engagement quality reviewers and hire qualified and experienced third-party engagement quality reviewers as required.
  • Provide industry focused training and tailor work programs to address industry specific risks and issues.

Ken tysiac (Kenneth.Tysiac@aicpa-cima.com) is the JofAeditorial director of.


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Huskers Maintain Audiology Service In Nicaragua Despite Travel Restrictions | Nebraska today https://shox-box.com/huskers-maintain-audiology-service-in-nicaragua-despite-travel-restrictions-nebraska-today/ https://shox-box.com/huskers-maintain-audiology-service-in-nicaragua-despite-travel-restrictions-nebraska-today/#respond Fri, 15 Oct 2021 05:24:00 +0000 https://shox-box.com/huskers-maintain-audiology-service-in-nicaragua-despite-travel-restrictions-nebraska-today/ It has been over two and a half years since Stacie Ray or Hannah Ditmars visited Nicaragua, but that hasn’t stopped them from continuing the project they started in 2015 to provide sustainable hearing care to a country of people who desperately need it. such services. Thanks to a partnership with the Universidad Nacional Autónoma […]]]>

It has been over two and a half years since Stacie Ray or Hannah Ditmars visited Nicaragua, but that hasn’t stopped them from continuing the project they started in 2015 to provide sustainable hearing care to a country of people who desperately need it. such services.

Thanks to a partnership with the Universidad Nacional Autónoma de Nicaragua, León (A YEAR-León), members of the Husker Audiology program ensured the progress of their work despite their physical absence.

“We could not be happier to be at the point where we are within this strong collaborative relationship with A YEAR-León, one of the oldest and most reputable universities in Central America, ”said Ray.

Ray, a professor of practice in special education and communication disorders, and Ditmars, an assistant professor of practice, first visited Nicaragua in 2015 to conduct a hearing care service needs assessment. What they found was a country with over 6 million people and only one known audiologist. They immediately began to create a strategic plan to create a sustainable hearing care program.

When the project began, one of its goals was to provide Husker audiology students with the opportunity to see a different population and help provide hearing care to that population. This experiential learning allows students to think more holistically about their impact as future audiologists, which is the first goal of the University of Nebraska-Lincoln’s global Forward Together strategy.

“We are able to bring our students in so that they can see that there are no walls around their knowledge and skills, and how far that knowledge and skills can reach,” Ray said. “I think it’s so important to show our students that it’s not just about the work you get and the work you are going to do within these walls. You have so much to offer in the field that there really is no barrier to how you can use your knowledge and experiences to help others.

In 2016 and 2017, they led groups of Husker audiology students through study abroad experiences to provide hearing screenings and fit hearing aids. Ray and Ditmars also visited in 2017 and 2018, and Ray returned in March 2019, marking the last time a member of the Nebraska audiology program set foot in Nicaragua.

During these trips, Ray and Ditmars helped train audiology technicians to A YEAR-León who can provide follow-up care in their absence. Since their last visit, they have also continued to send supplies and equipment.

“I think our goal was also to provide sustainable healthcare, which also means capacity building and training, besides seeing patients, because we didn’t want patients to be fitted with hearing aids,” then leave and they are not followed. -up, ”Ditmars said.

During one of their first trips, Ray and Ditmars were introduced to Dr Marvin Gonzalez, professor at the Center for Health, Work and Environment Research at A YEAR-Leon. Dr Gonzalez had a medical background, had studied in London and had many connections with other Central American universities, the we and Britain, so he immediately became an important contact for Ray and Ditmars.

“He helped us think more broadly, and when we met him and discussed our vision, he accepted and understood,” Ray said. “The aspect of sustainability then really focused on the train the trainer model to use professionals who already have a medical degree, and train them with the hearing care skills they need to become proficient. at certain levels. “

In early 2020, Ray and Ditmars hosted Gonzalez for nearly six weeks as a visiting scholar. He returned to Nebraska in August 2021 and spoke to audiology students at Husker about the differences between accessibility to hearing health services and treatment in the we and Nicaragua. Following the discussion, the students programmed and tested nearly 50 hearing aids for Gonzalez to report to people in Nicaragua.

In total, the Nebraska Audiology Program sent 80 hearing aids, 300 ear tips, two audiometers, an otoacoustic emission unit, a hearing aid programmer, nearly 5,000 hearing aid batteries, and hearing aid supplies. repair and maintenance of hearing aids. Gonzalez and his colleague Juan Ruiz then installed the hearing aids shortly after arriving in Nicaragua.

Prior to these newer hearing aids, Ray and Ditmars had helped 576 people and fitted 343 hearing aids in Nicaragua since the start of the project. Now they look forward to coming back in person in early 2022, if possible, and taking the next step by signing a Memorandum of Understanding between Nebraska and A YEAR-Leon.

In addition to formalizing the partnership, exchange of ideas and training, the pending MoU will also streamline some of the logistics of the collaboration.

“When we have supplies and equipment that we need to enter Nicaragua, they have to be approved by the Ministry of Health, so if we have a formal memorandum of understanding, then A YEAR can be our partner in this process, ”said Ditmars.

The ongoing project also contributes to the second goal of the global Forward Together strategy – Partner for Impact – as it aims to close the gap in hearing care needs in Nicaragua. As the goal is to resume regular travel to Nicaragua, Ray and Ditmars know they can continue to provide services remotely through their thriving partnership with A YEAR-Leon.

“So far everyone has been very open to this collaboration,” said Ray. “A YEAR is a fantastic research and medicine site for this kind of patient. They did a fabulous job welcoming us and saying, “We’re ready; we need this program here.


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Virginia Mason Franciscan Health opens brand new medical pavilion for patients at Seattle Kraken home https://shox-box.com/virginia-mason-franciscan-health-opens-brand-new-medical-pavilion-for-patients-at-seattle-kraken-home/ https://shox-box.com/virginia-mason-franciscan-health-opens-brand-new-medical-pavilion-for-patients-at-seattle-kraken-home/#respond Wed, 13 Oct 2021 23:16:00 +0000 https://shox-box.com/virginia-mason-franciscan-health-opens-brand-new-medical-pavilion-for-patients-at-seattle-kraken-home/ The Virginia Mason Franciscan Health Medical Pavilion – Kraken Community Iceplex in Northgate offers high quality care in a unique setting. Posted: October 13, 2021 at 7:16 p.m. EDT|Update: 4 hours ago SEATTLE, October 13, 2021 / PRNewswire / – Virginia Mason Franciscan Health is proud to announce the opening of its newest facility located […]]]>

The Virginia Mason Franciscan Health Medical Pavilion – Kraken Community Iceplex in Northgate offers high quality care in a unique setting.

Posted: October 13, 2021 at 7:16 p.m. EDT|Update: 4 hours ago

SEATTLE, October 13, 2021 / PRNewswire / – Virginia Mason Franciscan Health is proud to announce the opening of its newest facility located in the heart of the Kraken Community Iceplex. The Virginia Mason Franciscan Health Medical Pavilion – Kraken Community Iceplex is expected to begin serving patients on Monday, October 18.

The new medical pavilion provides dedicated and quality primary care and sports medicine expertise to the community of Northgate in a conveniently located modern facility that includes plenty of free parking.

“This pavilion is the first to open since we formed Virginia Mason Franciscan Health and delivers on our promise to increase access to high quality health care in our community,” said Virginia Mason Franciscan Health CEO Ketul J. Patel. “Our team is delighted to begin welcoming patients to this innovative new space.”

At 5,400 square feet, the medical pavilion (located at 10601 5th Ave NE, Suite 201 West) offers on-site lab and x-ray services, a physiotherapy room, and a private consultation room inside the Seattle Kraken Training Center.

In addition to treating patients at the new location, Virginia Mason Franciscan Health is the official medical provider of that of Seattle National Hockey League team.

“Virginia Mason Franciscan Health is proud to be the official health care provider for our newest local sports team, the Seattle Kraken,” said Virginia Mason Franciscan Health CEO Gary S. Kaplan, MD. “Through this facility, we will support community health and sponsor youth and adult hockey teams and community skating opportunities.”

As a founding partner of the Seattle Kraken, the healthcare system will provide treatment and doctors for hockey players, staff and team employees. The healthcare team of the new medical ward includes:

  • Henry (Hank) Pelto, MD, Seattle Kraken Medical Director and Team Physician
  • William (Will) Callahan, MD, Sports Medicine and Seattle Sounders FC and Team Physician Tacoma Defiance
  • Amy Portacci, DO, Family medicine, including osteopathic manipulation and women’s health
  • Roberta mcmichael, PT, DPT, OCS, Physiotherapy

“Virginia Mason Franciscan Health has been a great partner from the start and is already playing an important role in keeping our players and staff healthy,” said Tod Leiweke, CEO of the Seattle Kraken. “The convenience of having them on site and their commitment to youth hockey make this partnership beneficial for our organization and the community.

Planning for the new Kraken Community Iceplex clinic began in june 2020. The installation was designed by SABArchitects, Inc. with many ideas and suggestions from members of the healthcare team and patients of Virginia Mason Franciscan.

About Virginia Mason Franciscan Health

Virginia Mason Franciscan Health is an integrated health system serving the Puget Sound area of Washington state, offering access to some of the country’s most prestigious experts and hospitals, internationally recognized for their superior quality. With a team of 18,000 members, including nearly 5,000 employed physicians and affiliated providers, we unite the brightest minds in healthcare in the region to deliver world-class clinical excellence in 11 hospitals and nearly 300 care sites in the Puget Sound area. We are proud to be home to Bailey-Boushay House, the premier nursing and chronic ambulatory care management program in United States designed specifically to meet the needs of people living with HIV / AIDS, and Benaroya Research Institute, which is internationally recognized for research into autoimmune diseases. We embrace the unique vibrant and active culture of our community by providing holistic, personalized and patient-centered care. We are committed to caring for the most vulnerable in our communities, including the poor and underserved, by providing more $ 300 million for the benefit of the community – free, subsidized and low-cost health care and programs.

Virginia Mason Franciscan Health was established in 2021 by bringing together two major health systems in Washington state. Our family of hospitals includes Virginia Mason Hospital, Seattle; Saint-Antoine Hospital, Concert port; Sainte-Claire Hospital, Lakewood; Sainte-Élisabeth Hospital, Enumclaw; Saint-François Hospital, Federal route; Saint-Joseph Medical Center, Tacoma; Saint-Michel medical center, Silverdale and Bremerton; Sainte-Anne Hospital, Burien; Rehabilitation hospital, Tacoma; and Wellfound Behavioral Health Hospital, Tacoma. Learn more about www.vmfh.org.

About the Kraken Community Iceplex

Kraken Community Iceplex is the official training center of the Seattle Kraken and the ice sports center of Seattle. Not only is it home to the Kraken’s headquarters and official rink, it’s also a community facility for adult and youth hockey, figure skating, leagues, events and more. The facility is located just five miles north of downtown Seattle in Northgate Station, and features three rinks, an official team store, 32 Bar & Grill, Starbucks and Virginia Mason Franciscan Health Medical Pavilion. The full program of activities and registrations is available on www.krakencommunityiceplex.com.

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SOURCE Virginia Mason Franciscan Health; Kraken Community Iceplex

The above press release has been provided courtesy of PRNewswire. The views, opinions and statements contained in the press release are not endorsed by Gray Media Group and do not necessarily state or reflect those of Gray Media Group, Inc.


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What is LISS cardio? | Live Science https://shox-box.com/what-is-liss-cardio-live-science/ https://shox-box.com/what-is-liss-cardio-live-science/#respond Tue, 12 Oct 2021 21:13:46 +0000 https://shox-box.com/what-is-liss-cardio-live-science/ We all know cardio is good for us, but what is LISS cardio? Even if you know the acronym, you might be wondering how this specific style of exercise can improve your fitness and help you reach your health goals. LISS stands for “low intensity steady state” and is a cardio method that is the […]]]>

We all know cardio is good for us, but what is LISS cardio? Even if you know the acronym, you might be wondering how this specific style of exercise can improve your fitness and help you reach your health goals.

LISS stands for “low intensity steady state” and is a cardio method that is the opposite of high intensity interval training (HIIT). Hard and fast HIIT workouts are an effective way to burn fat and build endurance in minimal time, but they’re not the only way to get fitter and leaner. If HIIT is the hare, think of LISS as the turtle – taking a slow, steady approach to burning calories and improving cardiovascular health.


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HORSE: Alternative therapy can help equine friends https://shox-box.com/horse-alternative-therapy-can-help-equine-friends/ https://shox-box.com/horse-alternative-therapy-can-help-equine-friends/#respond Sun, 10 Oct 2021 08:30:00 +0000 https://shox-box.com/horse-alternative-therapy-can-help-equine-friends/ IN SEPARATION Second, my life has changed forever, and not in a good way, after a table saw accident in 2010 made the index and middle fingers of my left hand almost useless. I had borrowed a small portable table saw to lay laminate flooring in a bedroom. “The penultimate cut,” I thought, lowering the […]]]>

IN SEPARATION Second, my life has changed forever, and not in a good way, after a table saw accident in 2010 made the index and middle fingers of my left hand almost useless.

I had borrowed a small portable table saw to lay laminate flooring in a bedroom.

“The penultimate cut,” I thought, lowering the blade to cut. Finished, I raised the blade and glanced to the right to admire the new soil. It was then that I heard the horrific crackle of the table saw blade cutting through my knuckles and cutting through the tendons. It seems my left hand followed my gaze to the right.

After six surgeries, they almost look like normal fingers, but they never regained their function, ending a life of guitar playing and the ability to type effectively without much thought.

Through physical therapy I learned the value and relief of Pulsed Electronic Therapy and became a fan.

It was after meeting Dayna Killam, owner of 3 Arrows Pulse Works, that I discovered the greatest benefits of pulsed electromagnetic field therapy to help heal damaged areas of the body and I also became a fan of that.

I met Killam on a visit to the Olympic Peninsula Equine Network (OPEN) farm to take a photo of his board. She was performing PEMF on a rescued horse that had arrived at OPEN with existing health issues caused by past trauma and neglect.

From the way the horse moved its lips, relaxed and lowered its head as if to say “Please don’t stop” I could tell the horse was having fun.

But, I wondered, how could he look so relaxed as his body, at times, shivered and shivered?

“These contractions that you see are just the muscles reacting to the magnetic field entering his body,” Killam said.

She said that CEMP has an impact on both the brain and tissue at the cellular level. This means that the healing offered by PEMF therapy is deeper and pain management is more helpful.

In my opinion, both methods can be used to help treat pain by releasing muscle tension or water retention, but how many horses will willingly stay still while being zapped by even the smallest electricity every few months. seconds as opposed to the sensation of a light, pulsating massage?

“NASA has been using the technology for years,” said Killam, who is also licensed to perform PEMFs on people. “But it’s only been available to the public for about 10 years, so it’s kind of a new technology that works at the cellular level by pushing toxins out of the cells and then rehydrating and re-oxygenating them to help the body heal naturally. . ”

PEMF helps fight inflammation, which she says is one of the first signs of damage to cells in the body. Damaged cells correlate with toxins and a lack of oxygen in the cells. In turn, the rejuvenation of cells promotes healing.

The literature on PEMF therapy indicates that it speeds healing and helps in rapid recovery from injuries and reduces pain, swelling, soreness, and fatigue after a long day at work or a difficult run.

It is used to help heal bone fractures and repair cracked hooves. Regular use of electromagnetic therapy can improve recovery time in horses by up to 70 percent.

“We have had amazing results with some of these alternative therapies like PEMF, so we are grateful for Dayna’s help in rehabilitating some of our horses,” said OPEN co-founder Dianne Royall.

She said Dayna has been actively supporting OPEN since 2012, when they collected a large number of neglected horses seized from an individual by an animal control officer in County Clallam.

“At the time, Dayna was building her horse training business in Port Townsend and came to work with a lot of those horses for us,” Royall said. “She was very generous with her time.”

PEMF is a relaxing and restorative therapeutic agent that provides gentle, sedation-free pulse therapy. It can be used in conjunction with other wellness methods and as an adjunct to veterinarian-led treatment plans.

And don’t forget that it works on humans as well – oh, my sore back. Maybe I’ll call Killam for myself.

Killam is a PEMF certified mobile practitioner for horses, cattle, canines and humans.

For more information, contact her at [email protected] or call 360-301-9524.

Coach wanted

The Port Angeles High School equestrian team urgently needs a new trainer. If you have riding experience and can help the team, please call Nancy McCaleb at 360-461-3938.

________

Karen griffiths‘, Peninsula Horseplay, appears on the second and fourth Sunday of each month.

If you have an equestrian event, clinic or seminar that you would like to list, please email Griffiths at [email protected] at least two weeks in advance. You can also call him at 360-460-6299.

OPEN ranch co-founder and manager Diane Royall, right, holds one of the rescued horses from the facility as a PEMF certified practitioner Dayna Killam applies pulsed electromagnetic field therapy to aid the rehabilitation process of the horse, improving his chances of being adopted into a loving home. (Karen Griffiths / for Peninsula Daily News)



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Nursing advocates assess nurses’ mental state and staffing issues https://shox-box.com/nursing-advocates-assess-nurses-mental-state-and-staffing-issues/ https://shox-box.com/nursing-advocates-assess-nurses-mental-state-and-staffing-issues/#respond Fri, 08 Oct 2021 20:47:53 +0000 https://shox-box.com/nursing-advocates-assess-nurses-mental-state-and-staffing-issues/ NursesTakeDC conducts an investigation into staffing security and moral distress. Add your voice here. Doris Carroll, IA, BSN Recently, I attended a seminar in the AIDS Education and Training Center program. Speaker Renslow Sherer, MD, presented data on the effectiveness of COVID vaccines and the need for a booster dose for people living with HIV. […]]]>

NursesTakeDC conducts an investigation into staffing security and moral distress. Add your voice here.


Doris Carroll, IA, BSN

Recently, I attended a seminar in the AIDS Education and Training Center program. Speaker Renslow Sherer, MD, presented data on the effectiveness of COVID vaccines and the need for a booster dose for people living with HIV. Towards the end of his speech, Sherer shared a poignant thought that ringed true for me:

The way we survived during the AIDS epidemic is quite similar to what we face today.

In the fallout from the COVID pandemic, “we all suffer from PTSD,” Sherer said. All of us. It reminds me of those years in the late 1980s and early 1990s when we had little to offer our HIV positive patients. The feeling of hopelessness among nurses who could only sit idly by while their patients endured tremendous suffering is now called “moral distress”.

“The term ‘moral distress’ was coined by [philosopher Andrew] Jameton who observed in nurses a tendency to feel anxious when they were forced to act, due to institutional constraints, in [a] way that was contrary to their beliefs ”, according to a 2019 Healthcare analysis article. “Jameton has therefore suggested that moral distress arises when” one knows what to do, but institutional constraints make it almost impossible to pursue the right course of action. “”

An article published in August in Nursing ethics reports that repeated and incessant moral distress can lead to moral harm. “Moral wounds involve deep emotional injury and are unique to those who testify to intense human suffering and cruelty.”

Along with my nursing colleagues, I have suffered moral injuries throughout the COVID pandemic. In February, I retired after 38 years in nursing. I was at the peak of my career in nursing and union activism.

Survey of nurses on safe staffing and moral distress

I quit breastfeeding in part to care for my 87-year-old mother in her own home in Florida, but mainly because I had reached my limits – physically and emotionally – to work safely in my facility. And that is what the country is currently facing: nurses leaving the profession they have chosen in times of pandemic.

The pain nurses feel is indeed palpable.

NursesTakeDC (NTDC), a nonprofit nursing organization, launched an investigation into staff and moral distress on October 1, which runs through October 31. The responses are anonymous. To be part of the study, please complete the NTDC Staff Safety Survey.

We need the nation to hear from you. Your contribution will help the NTDC to support federal and state personnel security legislation. Nurses need to be heard so that we can promote patient safety. Silence is a consensus, so tell us what you are going through in your workplace and share our survey with other nurses.

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Namibia to receive $ 90.4 million to fight HIV / AIDS epidemic https://shox-box.com/namibia-to-receive-90-4-million-to-fight-hiv-aids-epidemic/ https://shox-box.com/namibia-to-receive-90-4-million-to-fight-hiv-aids-epidemic/#respond Thu, 07 Oct 2021 11:44:46 +0000 https://shox-box.com/namibia-to-receive-90-4-million-to-fight-hiv-aids-epidemic/ The United States will contribute US $ 90.4 million in 2022 to step up Namibia’s efforts to achieve control of the HIV epidemic, an increase from US $ 89 million in 2021. The funds are provided through the US President’s Emergency Plan for AIDS Relief (PEPFAR). “Namibia has made progress in the fight against HIV […]]]>

The United States will contribute US $ 90.4 million in 2022 to step up Namibia’s efforts to achieve control of the HIV epidemic, an increase from US $ 89 million in 2021.

The funds are provided through the US President’s Emergency Plan for AIDS Relief (PEPFAR).

“Namibia has made progress in the fight against HIV and is a world leader in the fight against the epidemic. PEPFAR is supporting a number of different interventions that will bring Namibia closer to tackling the epidemic and strengthen the Namibian health system, ”Chargé Long said on Wednesday 06 October in Windhoek.

“In 2022, PEPFAR Namibia will support the Ministry of Health and Human Services (MoHSS) to further scale up interventions that began in 2021, including programs addressing the mental and emotional health of patients on antiretroviral therapy (ART) . “

Additional activities included in the 2022 investment are support for recency testing, which is a procedure that shows the healthcare professional when a person has become infected with HIV.

Funding for 2022 will also help the Department of Health and Human Services set up an SMS reminder service to send messages to patients on ART when they need to collect their medications.

PEPFAR will continue its investment to provide comprehensive support to more than 37,000 orphans and vulnerable children and adolescents in 18 districts. PEPFAR will continue to support girls to stay HIV free through the DREAMS program, which works with more than 80,000 adolescent girls and young women in nine districts.