Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014

Details for Mechanism ID: 14721
Country/Region: Dominican Republic
Year: 2012
Main Partner: Fundacion Genesis
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USDOD
Total Funding: $0

The Dominican Republic Armed Forces (FFAA) population falls within the other vulnerable populations at risk for STIs and HIV. Fundacion Genesis will provide technical assistance to support military capacity to administer HIV program activities in Sexual Prevention, Testing and Counseling, Strategic Information, Adult Care and Health System Strengthening. Prevention emphasis will be on expansion and enhancement of existing combination prevention programs. FFAA members will be provided the necessary skills to change behaviors, engage in safe sex practices, decrease other risk behaviors and learn their HIV status. Fundacion Genesis will strengthen the capacity of the FFAA to provide accessible, confidential, and quality testing and counseling (TC) services. Efforts will be made to integrate TC services into existing medical health services and routine medical care through provider-initiated testing and counseling (PITC). Fundacion Genesis will strengthen the capacity of the FFAA to plan, manage, and implement HIV programs. Referral networks and service integration will be strengthened for HIV/STI/TB diagnosis, care and treatment. Strategies for improving partnerships with other governmental organizations, NGOs, and private entities working on HIV and health will be emphasized. The program will aim to incrementally increase the financial and human resource contributions of the FFAA. Fundacion Génesis will assist and strengthen the service delivery within the FFAA along the continuum of HIV prevention, treatment and care.

Funding for Care: Adult Care and Support (HBHC): $0

Fundacion Génesis will assist and strengthen the service delivery within the FFAA along the continuum of HIV prevention, treatment and care. Referral networks and service integration will be strengthened for HIV/STI/TB care and treatment. Strategies for improving partnerships with other governmental organizations, NGO, and private entities working on HIV and health will be emphasized. Specifically, the partner will work with both military testing and counseling sites and Ministry of Health care service delivery sites to improve linkage to services for military dependents not eligible for care under the military health care system or outside the geographic area for follow-up with military specific treatment facilities in the capitol.Fundacion Génesis will continue to build the capacity of the Dominican FFAA to strengthen their monitoring systems for HIV positive patients, utilizing information captured during visits for decision making and improvements in the provision of quality care and treatment.

Funding for Strategic Information (HVSI): $0

Activities will encourage partner militaries to review and utilize data to improve the military healthcare system, direct policies, and improve the quality and cost-effectiveness of HIV prevention, treatment, and care and support services in militaries. Continued support for building capacity will be provided in the areas of monitoring and evaluation and the use of strategic information.Short-term technical assistance and periodic on-site training and mentorship will be provided in data collection, utilization of program monitoring data. Strategic Information activities with the partner military will also help to inform policy. Military personnel will be trained in M&E of military-specific HIV operational plans to identify needs and gaps related to programs.

Funding for Health Systems Strengthening (OHSS): $0

This activity will strengthen the capacity of the FFAA to plan, manage, and implement HIV programs. Referral networks and service integration will be implemented for HIV/STI/TB care and treatment. Specific strategies to be implemented for improving partnerships with other governmental organizations, NGO, and private entities working on HIV and health will be developed.Program activities will secure FFAA leadership support of interventions addressing integration of prevention programs into military training. Those integrated trainings will address gender norms and behavioral changes that support the adoption of healthy lifestyles. In addition FFAA will incorporate resources for program success and sustainability. Mechanisms for leveraging additional resources and creating greater resource efficiencies will be developed.

Funding for Testing: HIV Testing and Counseling (HVCT): $0

FY12, activities will strengthen the capacity of the FFAA to provide accessible, confidential, and quality testing and counseling services. Efforts will be made to integrate Testing and Counseling (TC) services into existing medical health services and routine medical care through provider-initiated testing and counseling (PITC).TC opportunities for military personnel will be expanded (i.e. on bases, pre/post deployment, and temporary assignment) and activities will link with other prevention activities as well as provide access to other support services. TC activities will link with prevention sensitization activities to educate participants and access other support services. As the military increase their capacity for managing TC activities, couples TC will be promoted among military personnel and their partners in order to identify serodiscordant couples and encourage safe sex practices and other preventive behaviors. Fundacion Genesis will work with military health and national supply chain mechanisms to ensure TC sites have sufficient supplies, adequate and secure storage facilities, as well as inventory monitoring and tracking systems for HIV test kits.TA in the provision of quality HIV TC services will be provided to military TC providers. Counseling will be performed in accordance with national guidelines and will include targeted prevention messages, emphasizing the reduction of risk behaviors, and address issues surrounding stigma and discrimination.Building on previously funded trainings, training and refresher training of counselors will begin to focus on management and supervision and advanced TC skills such as posttest counseling that works with individuals to develop specific risk reduction plans.A monitoring and evaluation system will be implemented through i.e. standardized logbooks, client data forms, monthly reporting forms, and other methods that comply with the national reporting systems and requirements.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

The goal of the prevention program is to decrease new HIV infections in the FFAA. Strategies to accomplish this goal include: 1) Increase coverage and quality of behavior change communication (BCC) messages. 2) Support the provision of HIV prevention messages beyond abstinence and faithfulness for MOD/military members. 3) Capacity building of Commanding officers for leadership support and integration of HIV prevention education and training within routine military training and schedules 4) production and dissemination of information, education and communication (IEC) materials focusing on HIV/AIDS prevention, consistent and correct condom use.Key prevention activities include:Develop military specific prevention information, education and communication materials on issues such as stigma reduction, gender norms, condom availability and use, STIs, the influence of excessive alcohol use on risk taking behaviors and the promotion of healthy living and health seeking behaviors. Such information will also be made available during national and international days such as World AIDS Day, TB Day, National Testing Day and Military Days.Further training on gender and HIV/AIDS and male norms initiatives will be conducted with FFAA personnel.Support FFAA participation in regional military HIV/AIDS conferences to share best practices and lessons learned and other scientific meetings to share the evaluations of their interventions and programs.Leadership of the MOD will be consulted and involved in planning, implementation and monitoring and evaluation of the program.