Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 11956
Country/Region: Dominican Republic
Year: 2012
Main Partner: Ministry of Health - Dominican Republic
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $0

Goal: Assure an adequately trained laboratory work force that provides quality of laboratory services for HIV and other diseases of public health importance, such as Hepatitis B, Hepatitis C, Tuberculosis, Sexual Transmission Infections (STI) and other Opportunistic Infections (OI)Objectives:Continue strengthening the capacity of MOH lab Middle Management to train Lab Staff. Assure 20 selected lab hospitals from the MOH have the capacity to perform quality rapid HIV testing following the national algorithm.Assure 20 selected MOH labs have personnel trained in Syphilis Rapid Test as part of the national strategy for eliminating congenital Syphilis.Improve capacity of dried blood sample collection for HIV proviral DNA taken from newborns of HIV positive mothers in 20 selected hospitals.Assure 20 selected MOH labs are implementing correctly the Standardized HIV Logbook.Geographic Coverage & Target Population: Laboratory personnel from nine (9) health regions in the Dominican Republic. The target population to be trained is laboratory personnel from 20 selected hospitalsCost Effectiveness: Training of personnel at local sites where services are offered avoids costs from travel to distant laboratories and best assures adequate coverage of training. Local training also allows for training of laboratory managers and supervisor which is essential for effective service provision.Strategy to Transition: The MOH is establishing a permanent, sustainable training system to continue providing this service after funding expires.M&E Plans: The plan includes conducting pre and post testing during each training session as well as hands-on feedback. Regional impact assessment will also be conducted.

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?

Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHVOP SESPAS 75000 Counseling and TestingHVSI SESPAS 125000 HIV and STI Surveillance & M&E ActivitiesHVTB SESPAS 45000 People living with HIV and TBOHSS SESPAS 60000 Staff training

Funding for Laboratory Infrastructure (HLAB): $0

USG/CDC will continue to work with Ministry of Health (MOH) to increase the number of laboratory personnel trained in HIV and related testing, as well as testing for other diseases of public health importance including Hepatitis B, Hepatitis C, Tuberculosis, Sexual Transmission Infections (STI) and other Opportunistic Infections (OI). The scope of activities will include the training of laboratory personnel from thirty (30) provinces within the nine (9) health regions in the Dominican Republic. The target population to be trained includes 600 laboratory personnel. This includes management training for laboratory managers and supervisors, using the Laboratory Management training package

The objectives of these trainings are to improve the quality in HIV testing and other testing for diseases of public health importance. Besides the HIV Rapid Test training package, it will also emphasize the application of guidelines for the selection and carrying out of HIV testing and the implementation of the national HIV algorithm published in December 2010 with USG/CDC technical assistance and support. This algorithm addresses the HIV conditions in the country and follows international guidelines. The trainings will also include: Syphilis Rapid Test as part of strategy for eliminating the transmission of congenital Syphilis, improve dried blood sampling for HIV proviral DNA taken from newborns of HIV positive mothers, and improve biosafety packaging and sending of CD4 test for HIV positives during clinical monitoring

The activities to be performed will be coordinated with other CDC cooperative agreement recipients, organizations and institutions conducting laboratory training. We will also coordinate with the National Laboratory and other organizations and institutions conducting local validation of HIV rapid tests, implementation of quality assurance program in laboratories, and assessing of biosafety in HIV/STI/TB Laboratories. A biosafety assessment will be conducted to inform the laboratory training activities.

Key Issues Identified in Mechanism
Child Survival Activities
Military Populations
Mobile Populations
Tuberculosis