Dominican Republic

Technical assistance and capacity building in adherence to tuberculosis treatment:

CAI works in collaboration with the Ministry of Health and the National Tuberculosis Control Program to develop the capacity and provide the tools to enable health care and community service institutions to implement evidenced-based strategies at the national, regional and local levels. The goal is to improve treatment adherence and reduce TB treatment abandonment among patients. The project is currently being implemented in the provinces of Santo Domingo, Santiago, la Altagracia, San Pedro de Macorís, La Romana, Puerto Plata, Barahona and Peravia, Dominican Republic.

Strengthening the national response to HIV/AIDS--Technical Assistance to develop the capacity for the implementation of evidence-based interventions for the prevention of HIV and other STIs in Drug Users:

The goal of the project is to develop the capacity of key institutions working with populations of drug users through technical assistance to implement evidence-based interventions to strengthen preventive activities and reduce the incidence of STIs and HIV among drug users.

This program was initiated in October 2010 and will have a duration of five years. It is financed by the U.S. Agency for International Development and is currently directed by Population Service International in collaboration with Cicatelli Associates, MEXFAM, Milk and Cookies and community organizations, faith-based organizations, NGOs, and the public sector in Guatemala, Belize, El Salvador, Nicaragua, Costa Rica and Panama. The goal is to improve access to HIV prevention interventions for Most-At-Risk populations.

The target population for this program are the populations most at risk of contracting HIV, including female sex workers, their clients and partners, men who have sex with men, trans populations (transgenders, transsexuals and travesties), and people living with HIV, in order to decrease the HIV infection incidence among these groups.

Combination prevention is defined as the strategic y simultaneous use of various prevention activities (biomedical, behavioral, social, structural) that play a role at various levels (individual, between couples, within the community, social), to respond to the specific needs of the public in particular and to the modes of HIV transmission, utilizing resources efficiently and prioritizing the collaboration and participation of the communities most affected.

The program has 4 main objectives, and CAI directly supports the development of the second objective:  “Improving the effectiveness of planned interventions to reduce the hostility in social environments that promote and tolerate homophobia, stigma and discriminatory attitudes based on sexual orientation, occupation, or status.”