Dominican Republic

Dominican Republic - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Dominican Republic - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

PEPFAR made significant progress in HIV/AIDS programming and policy development in the Dominican Republic over the past year and will galvanize and expand on these gains in FY 2009. PEPFAR successfully engaged with the Government of the Dominican Republic on key policy issues in HIV testing and community-based care and support. In FY 2008, 45,599 individuals received counseling and testing in addition to 20,030 pregnant women receiving counseling & testing for PMTCT, both of which represent significant increases from FY 2007. There has also been important collaboration with Haiti on bi-national efforts.

In FY 2009, using recent data, PEPFAR will refine its strategic approach to focus prevention interventions on the regions with the highest HIV prevalence as well as target MARPs and mobile populations. Prevention efforts will focus on providing technical assistance to improve policies and expand the provision of VCT and PMTCT services, as well as expand comprehensive prevention programs including behavior change communication, community-based peer education and condom social marketing. Innovative approaches will be employed regarding involvement of the private sector in policy development and comprehensive prevention activities. PEPFAR will advocate and provide technical assistance for a National Condom Policy, in addition to improving referrals between prevention, testing, care, and treatment programs.

In FY 2009, PEPFAR will continue to provide care and support services and strengthen community support networks, implement a model of care for OVC and support a pediatric AIDS pilot project to provide early diagnosis, care, and treatment to children born of HIV-positive mothers. PEPFAR will provide training to improve the quality of care and services provided to OVC and PLWHA. Post-test counseling and referrals for HIV/AIDS-related services on both sides of Haitian/Dominican border will be improved. In addition, PEPFAR will continue to provide assistance to the Dominican Republic in the improvement of HIV/AIDS treatment norms and protocols as well as training of laboratory staff and procurement of supplies.

Bi-national efforts in FY 2009 with Haiti will also include developing twinning and patient care information sharing programs for hospitals across the Dominican-Haitian border. PEPFAR will work with the Dominican government to pursue a DR/Haiti bi-national agreement providing a framework for improved prevention, care and treatment of populations crossing the border in either direction.

SI activities will include assisting the National AIDS Program with the development of a long-term national epidemiological surveillance plan, HIV/AIDS case reporting, and support for epidemiological and behavioral information gathering. PEPFAR also plans to implement a behavioral surveillance survey in mobile populations in order to better understand the determinants of the epidemic.

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