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)XQGHG N\ POH 8B6B 3UHVLGHQP·V (PHUJHQŃ\ 3OMQ IRU $HG6 5HOLHI 3(3)$5 POURXJO POH 8B6B $JHQŃ\ IRU HQPHUQMPLRQMO GHYHORSPHQP (USAID), this publication was produced by

Advancing Partners & Communities (APC), a five-year cooperative agreement under agreement no. AID-OAA-A-12-00047, beginning October 1, 2012.

The authors' views expressed in this publication do not necessarily reflect the views of USAID or the United States Government.

DOMINICAN REPUBLIC

ADVANCING PARTNERS & COMMUNITIES

In the Dominican Republic (DR), HIV prevalence among the general population has remained stable at 0.8 percent.1 On

the contrary, HIV prevalence among key populations is significantly higher³ranging from 1.7 percent to 6.3 percent

among sex workers, 3.9 percent to 6.5 percent among men who have sex with men (MSM), and 1.3 percent to 4.8

percent among drug users.2 This is considered a concentrated epidemic since HIV is largely confined to high-risk

subpopulations. The disproportion in prevalence shows that key populations³MSM, transgender persons, drug users,

and sex workers³in the DR remain severely underserved due to large gaps in coverage and access to HIV prevention

and treatment services, along with stigma and discrimination barriers.

USAID·6 6833257

Advancing Partners & Communities (APC) is a five-year centrally-funded USAID project implemented by JSI Research &

Training Institute, Inc. In the DR, APC·V JRMO LV PR ŃRQPULNXPH to a sustainable reduction in HIV transmission among key

populations and to promote an improved quality of life for people living with HIV (PLHIV). APC has been operating in 15

provinces in the DR since late 2013 to improve access to integrated, high-quality, comprehensive HIV prevention and

care services for vulnerable populations such as sex workers and their clients, transgender persons, MSM, residents of

bateyes, and PLHIV. As APC enters its third year of implementation, it will focus on scaling-up services in five priority

provinces.

WHAT HAVE USAID AND ITS PARTNERS ACHIEVED?

Through grant awards and technical assistance, APC has strengthened the technical and organizational capacity of local

nongovernmental organizations (NGOs) that promote the implementation of high-impact practices to improve the reach

and quality of HIV services. Additionally, APC has been working closely with national and regional health system

managers and community-based organizations (CBOs) supporting HIV service delivery implementation and the adoption

of anti-discrimination policies. APC and its grantees have achieved impressive results during the two years of

implementation. These results include: reaching over 61,000 people from key populations with HIV prevention

packages, improving adherence to antiretroviral treatment (ART) rates as compared to baseline measurements in six

APC-funded clinics, and supporting the Ministry of Public Health to identify and implement measures that allow the

Dominican health system to address the HIV and AIDS needs of its key populations in a sustainable manner.

NEXT STEPS

In FY16, APC will continue to integrate technical, organizational, and human rights elements to improve and scale the

quality of HIV services based on the care cascade for PLHIV and key populations, with a particular focus on the five

priority provinces. APC will support a network of private andpublic clinics, and CBOs to increase the uptake and quality

of community-friendly HIV testing and counseling (HTC) and sexually transmitted infection (STI) services.

1 Encuesta Demografia de Salud (ENDESA) and Centro de Estudios Sociales y Demográficos (CESDEM) Santo Domingo, Dominican

Republic 2014.

2 Integrated Biological and Behavioral Surveillance Survey (IBBSS) 2012.

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