Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2016

Details for Mechanism ID: 13334
Country/Region: Dominican Republic
Year: 2013
Main Partner: Population Services International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $600,000

Goal: To strengthen the capacity of the Dominican Republic to provide HIV/STI/TB prevention and risk reduction interventions among Mobile Populations.

Objectives:

Increase the opportunity, ability and motivation of mobile populations to adopt safer sexual behaviors.

Strengthen the capacity of the GODR and partners to deliver HIV/AIDS services to mobile populations.

Improve the supply and availability of affordable, high quality condoms among mobile populations.

Geographic Coverage: The target populations include construction and agricultural workers, truckers and street vendors. Will work in partnership with three experienced local non-government organizations; MOSCTHA, BRA Dominicana and CEDESCO. MOSCTHA will work in the city of Santo Domingo, the eastern provinces of La Romana, Higuey (Municipality of Verón) and Dajabón (on the border with Haiti); BRA Dominicana will work in Villa Mella, Santo Domingo and in the provinces of Pedernales (SW border with Haiti), Sanchez Ramirez (central) and Monte Plata (central) and CEDESCO will work in the provinces of Independencia (on the southern border area with Haiti), Bahoruco (southern) and Pedernales.

Transition Strategy: PSI/DR will work with subcontractors to build their technical, administrative, reporting and management capacity.

Cost Effectiveness: Partner organizations will provide services and referrals using existing public health clinics, organizational offices and mobile clinical units.

M&E: Monthly visits to the Integrated Care Units (UAI), treatment centers, and the mobile clinics are planned as part of routine supervisory and monitoring activities for this project. In addition, regular interactions with peer educators will be conducted each quarter to moni

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $600,000

Population Services International (PSI/DR) will focus on the provision of prevention interventions and services for construction workers, agricultural workers, and street vendors. The main goals are to address the gaps in access to effective HIV, TB and STI prevention interventions and access to health care services to reduce the incidence of HIV and other STIs in these populations.

PSI/DR will use evidence-based interventions that have shown effectiveness in similar populations in other countries, but adapted to the Dominican context, including approaches using Popular Opinion Leaders (POL) which have been effective in high-risk populations in the US. PSI/DR partnered with three local organizations: MOSCTHA will target construction and street vendors in Santo Domingo, the eastern provinces of La Romana, Higuey and the northwestern province of Dajabón (on the border with Haiti); BRA Dominicana will work with street vendors and agricultural workers in Villa Mella, Pedernales (southwestern border with Haiti), Sanchez Ramirez (central) and Monte Plata (central); and CEDESO will work with street vendors and agricultural workers in the provinces of Independencia (southern border area with Haiti), Bahoruco (south) and Pedernales (southwestern border with Haiti).

PSI will also work with these organizations to gradually build their technical, administrative, reporting and management capacity in collaboration with the MOH. Health care providers working in facilities were PSI and its contracting organizations are located will be targeted for training to improve access to prevention interventions, service provision and referral linkages for mobile populations.

Over the next three years PSI plans to reach 10,989 mobile populations and their sub-groups with individual and/or small group evidence based interventions; aiming to have increased HIV testing by 15% and reduced the percent of persons who have two or more partners by 5% below the baseline estimates and increase by 150 the service outlets that offer socially marketed condoms aimed at mobile populations. PSI will be using existing mobile units to extend access to HIV, TB and STI clinical services for hard to reach mobile populations.

Subpartners Total: $0
BRA Dominicana: NA
MOSCTHA: NA
Cross Cutting Budget Categories and Known Amounts Total: $100,000
Human Resources for Health $100,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Mobile Populations
Safe Motherhood
Tuberculosis