Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 11975
Country/Region: Dominican Republic
Year: 2010
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

In FY 2010, the USG will continue to strengthen MCH services to support PMTCT services including early infant diagnosis (EID) in at least ten "Centers of Excellence" hospitals and 26 hospitals in regions V and VII. TA, on-site training and support will be provided at the hospital level to integrate HIV/AIDS prevention and treatment services with wrap-around services in reproductive health, tuberculosis, nutrition and immunizations, referrals strengthening, improved HIV counseling and diagnostic services strengthen, including the supply of quality test kits, CD4 and EID testing.

Health care providers will be trained in EID, dry blood sampling and referrals. A revised logistics system will transport samples to the National Reference Laboratory and results will be communicated to the appropriate hospital departments in a timely manner. Opt-out testing will be implemented as a pilot program in selected facilities. NGOs will be integrated into the system to assure linkages between hospitals and their communities.

With PFIP FY 2009 additional funding and FY 2010 budget, USG will strengthen and scale up the access to and quality of CT activities in MOH hospitals; training will include DAF and NGO personnel, especially those in Border provinces. This intervention will seek to improve laboratory ability to provide quality test results in a timely manner. USG will also continue to support NGOs, CBOs and PLWA organizations to mobilize communities to encourage preventive behaviors and seek quality CT, provide counseling and testing in the communities, and facilitate active referrals for care and treatment, while also reducing barriers to CT such as stigma and discrimination.

USG will continue to support trained PLWA to provide emotional support and links to community based support groups. HIV+ individuals will be referred to TB testing as appropriate. Individuals with negative test results, either in clinics or a mobile unit will be provided with prevention information, including contact information for prevention and other community programs. USG will continue to support routine testing and counseling via organizations that work with sex workers, such as COIN and CEPROSH, linking these organizations to service delivery networks so they can work together. A mass media campaign to promote CT services targeting health personnel and individuals will be developed.

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

With MOH approval, USG will implement a pilot project "VCT Centers of Excellence" to demonstrate the feasibility of provider-initiated testing and opt-out possibilities. USAID will design a new mechanism to implement CT Centers of Excellence in 12 sites (10 in public hospitals, two in NGOs clinics).

Assuming the opt-out pilot is successful, USAID plans to provide TA to scale-up to 120 public CT and NGO services, design a mass media campaign to promote CT services and fund networks of persons living with HIV/AIDS to provide counselors and linkages to services

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $0

Improve quality of PMTCT services (including e.i.d.) in at least 5 hospitals the first year to complete ten in the second year of activity (including Armed Forces).

Subpartners Total: $0
Ministry of Health - Ukraine: NA
Cross Cutting Budget Categories and Known Amounts Total: $0
Human Resources for Health $0
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Child Survival Activities
Mobile Populations
Safe Motherhood
Family Planning