Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012

Details for Mechanism ID: 7559
Country/Region: Dominican Republic
Year: 2012
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $0

USAIDs MCH Centers of Excellence project contributes to the achievement of Goal Area 3: Promotion and Prevention, by improving the quality of MCH services, including integrating PMTCT and early infant diagnosis into the standard provision of care. Abt has chosen ten hospitalsbased on birth volume and epidemiologic data, three provincial health directorates, and three regional health administrations to be direct beneficiaries of this project. During the final year of the project, these select hospitals are expected to reach out to neighboring hospitals to replicate trainings and interventions, thus creating cost efficiencies and sustainability. The project will leverage host country systems at the hospital, provincial, and regional levels to report on both outputs and outcomes.

Funding for Health Systems Strengthening (OHSS): $0

A core component of the project is to improve the biosecurity measures taken in Dominican hospitals. Critical to this process has been the buy-in of hospital staff at all levels, from the hospital director to the janitor. A focus in the final year of the project will be to ensure the sustainability of biosecurity as a priority. This includes commodity security (e.g. biohazard bags and safety boxes) and working with local government to ensure a safe final disposition of waste.In its final year of implementation, the Centers of Excellence Project will focus on replicating successful and sustainable health systems models to hospitals throughout the country. The models chosen will be informed by an evaluation to be conducted in the first semester of 2012. Models currently being implemented include: Customer Service Units to improve patient records; Biosecurity committees to reduce hospital-acquired infections and drug resistance; and proper storage and tracking of hospital commodities, among others. The project will continue to better integrate HIV commodities and personnel into the wider health systems activities.

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

An expected outcome of this project is to improve the quality of MCH and PMTCT services. This program expects to reach 25,241 pregnant women with HIV testing and counseling services during FY 2012 compared to the 13,566 women recorded at the 2008 baseline. The project will achieve this by better integrating PMTCT services into routine MCH services, training health providers, strengthening the referral network and improving supervision.

Key Issues Identified in Mechanism
Safe Motherhood