The Global Fund in the Dominican Republic: accomplishments & challenges

Vladimir Encarnación Jáquez
In the Dominican Republic, initiatives financed by the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) fall under the framework of the National Response to HIV, TB and malaria. After years of direct interventions focused on the prevention, control and treatment of these diseases, stakeholders consider the contribution of the Global Fund as a significant benefit to thousands of Dominicans. For Nicomedes Castro, Secretary of the Dominican Country Coordinating Mechanism (CCM): "The resources provided by the Global Fund have allowed for the acquisition and supply of medications, saving thousands of lives, and have also contributed with the implementation of successful practices regarding HIV, TB and malaria." In addition the "Support of the Global Fund contributed to the drafting of the National Strategic Plan and the strengthening of civil society," says Castro. Read more 

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  1. In the Dominican Republic, with an escalating HIV/AIDS seroprevalence of 2.2 to 2.5% among the total adult population, the HIV/AIDS epidemic is having a significant impact on vulnerable children and families. The JSI Global Orphan Project (Instituto Promundo) is studying the impact of the HIV/AIDS epidemic on children ages 0 to 14 in collaboration with the Presidential Commission on AIDS (COPRESIDA) and the MOH National AIDS Program (DIGECITSS). The study uses the previously published Global Orphan Project "Three-Stage Risk of Displacement Model" to estimate the number of children living in families with a mother who is HIV positive asymptomatic (primary stage risk of displacement), children living in families with a mother living with AIDS symptomatic (secondary stage risk of displacement), and those children already orphaned (tertiary stage risk of displacement). In addition, the Project is working to estimate the number of children who are at risk of displacement and are also HIV-positive. Additional phases of this project include a legal/policy analysis, community-level dissemination and social mobilization, and a small grants program. This work is intended to mobilize the involvement of local communities, NGOs, the private sector, and government agencies on this important issue affecting Dominican children.