Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 14703
Country/Region: Dominican Republic
Year: 2012
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USAID
Total Funding: $300,000

The National AIDS Program (DIGECITSS) initiated the provision of PMTCT services in four hospitals in the year 2002 with the support of the Elizabeth Glaser Foundation, USAID/DR, UNICEF and the Spanish Rioja Cooperation which provided the supplies of Nevirapine. Actually, there are 138 hospitals in the country providing PMTCT services and approximately 30 of these hospitals are provided with technical assistance and support either through The Centers of Excellence Project implemented by ABT Associates or the Strengthening HIV/AIDS Services Project, now implemented by FHID360. PMTCT services were provided by a health team contracted and supervised by DIGECITSS and which did not responds to the hospital authorities. As a result, opportunities to provide quality services to mother and child are lost. This situation is changing with the implementation of the Health Sector Reform Law and MOH authorities are in the process of integrating PMTCT and Maternal and Child Health services with the technical assistance and support of MCHIP, ABT and FHI D360. With the agreement signed between GODR and PEPFAR to strengthen and expand PMTCT services in the ten largest hospitals, USAID/DR has decided to include HIV/AIDS funds into this activity in order to expand the technical assistance and support provided by MCHI.

Funding for Care: Pediatric Care and Support (PDCS): $100,000

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $200,000

This activity is based on the 2006-2009 BASICS experience in four regional hospitals and the recent experience of providing technical assistance in the area of newborn health to the ten hospitals supported by the Centers of Excellence In FY 2012 FY2013, MCHIP will scale-up the intervention for quality improvement of prevention and treatment of newborn sepsis in the COE as part of the regional strategy to improve newborn health and implement quality improvement activities, as well as management of newborn sepsis. MCHIP will also strengthen the implementation of a Family Centered Maternity and Kangaroo Mother Care Strategies in the ten largest hospitals providing PMTCT services in coordination with FHI D360, and will provide technical assistance to integrate, family planning, PMTCT and HIV and AIDS care and treatment. It is expected that MCHIP will establish alliances with partners promoting newborn health and implement the "Helping Babies Breathe" (HBB) Curriculum for newborn resuscitation in the ten largest maternity hospitals.

Key Issues Identified in Mechanism
Child Survival Activities
Safe Motherhood
Family Planning