HIV and AIDS

In the Dominican Republic and in Guyana, HIV prevalence rates among key populations are significantly higher than those in the countries’ general population. This disparity highlights the disproportionate vulnerability of populations such as female sex workers (FSW), men who have sex with men (MSM), transgender (TG), migrant and mobile populations to HIV. High HIV prevalence among these key affected populations also suggests the potential for continued spread of the virus. In both the Dominican Republic and Guyana, Advancing Partners & Communities’ (APC) efforts are geared towards contributing to a sustainable reduction in HIV transmission among key populations and an improved quality of life for people living with HIV. By strengthening the technical and organizational capacity of NGOs and community-based organizations through sub-grants, monitoring, and mentoring, APC enables grantees to establish the foundations for increasing the quality of HIV services and reduce stigma and discrimination. APC provides technical and organizational capacity building for USAID-supported NGOs implementing HIV prevention, counseling and testing (HCT) and care and support programming, as well as technical assistance (TA) to the Ministry of Health (MoH).

Photo credit: This child is HIV-positive and has come to the Muranga District Hospital in Kenya for treatment from a USAID-backed program run by the International Center for AIDS Care and Treatment Programs, Columbia University School of Public Health. Photo credit: Casey Kelbaugh, International Center for AIDS Care and Treatment Programs, Columbia University School of Public Health

Below are select resources related to key issues within HIV and AIDS.

HIV and AIDS

Pilotaje RIE República Dominicana
August 2016 | Publication

Lecciones aprendidas de una estrategia de colaboración entre la Dirección Regional de Salud V, organizaciones comunitarias, organizaciones nogubernamentales, y la sociedad civil.

DIAGNÓSTICO DE LAS NECESIDADES DE SALUD DE LAS POBLACIONES TRANS DE LA REPÚBLICA DOMINICANA
August 2016 | Study

En la República Dominicana, la epidemia del Virus de Inmunodeficiencia Humana (VIH) se caracteriza por estar concentrada en poblaciones como la de hombres que tienen sexo con hombres (HSH) y las mujeres trans. La prevalencia del VIH en HSH es de un 5.2 % , mientras que en algunos estudios en poblaciones trans, el VIH oscila entre 12 y 17 % .

Webinar: Strategies to Increase Male engagement in eMTCT of HIV and Syphilis
May 2016 | Webinar

Please join WHO and the Human Reproduction Programme on June 10, 2016 from 1530-1700 (Geneva Time) / 9:30-11:00 (Washington Time) for a webinar discussion on Strategies to Increase Male engagement in eMTCT of HIV and Syphilis.

This is the first instalment of a new RHR Webinar series focusing on male engagement in SRHR.

Understanding and Challenging HIV and Key Population Stigma and Discrimination: Caribbean Facilitator's Guide
February 2015 | Guide

Developed by the USAID- and PEPFAR-funded Health Policy Project, this guide is a training tool that provides a standard for stigma reduction. It is a resource for facilitators seeking to train participants to reduce HIV and key population stigma and discrimination, and for leaders of community dialogue and policy development in this area. The guide has been piloted in the Caribbean and other settings and can be readily adapted for other contexts.

Delivery of Integrated Family Planning and HIV Testing and Counseling Services by Community-Based Health Workers
October 2014 | Brief

To increase access to and use of HIV testing and counseling (HTC), FHI 360 and the Uganda Ministry of Health developed an innovative model to add HTC services to the family planning services provided by government-endorsed community health workers, known as village health teams (VHTs), in two districts in Uganda. 

Policy brief: Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations
July 2014 | Brief

This policy brief provides an overview of key findings, data and figures of the new consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations. In addition, it offers an overview of the comprehensive package on interventions and a table summarizing WHO recommendations concerning key populations.

Abriendo Puertas: Feasibility and Initial Effects of a Multi-Level Intervention among Female Sex Workers Living with HIV in the Dominican Republic
February 2014 | Study

This study aims to assess the feasibility and initial effects of an integrated prevention and care model for female sex workers (FSW) living with HIV called Abriendo Puertas and to assess the feasibility of engaging the male regular partners of FSW living with HIV in prevention and care services.

AIDSTAR-One Project Highlight: Integrating and Mainstreaming HIV Services
December 2013 | Series

This project highlight combines key resources from AIDSTAR-One related to the Global Health Initiative and the U.S. President’s Emergency Plan for AIDS Relief priority of integrating and mainstreaming HIV services to improve access to prevention, testing, treatment, and care.

Exploring the Positive Health, Dignity and Prevention (PHDP) Needs of Female Sex Workers, Men Who Have Sex with Men and Transgender Women in the Dominican Republic and Swaziland
March 2013 | Report

This report describes the current social and structural context of FSW, MSM, and TW in the DR and Swaziland, particularly as it relates to stigma and discrimination among PLHIV. It also examines the specific PHDP needs of FSW, MSM and TW who are living with HIV, including challenges to accessing ongoing prevention, treatment, care and support service. Finally, it identifies ways in which PHDP interventions and services can be tailored to meet the needs of FSW, MSM, and TW, including specific program models and communication messages.

A Global HIV Stigma Reduction Framework Adapted and Implemented in Five Settings in India
January 2013 | Report

This report synthesizes the lessons learned from the process, including the feasibility and relevance of the framework for use by the NACP and other global stakeholders in informing stigma reduction interventions and measurement.

Below you will find links to resources created by APC and other organizations.

APC Resources

Pilotaje RIE República Dominicana
August 2016 | Publication

Lecciones aprendidas de una estrategia de colaboración entre la Dirección Regional de Salud V, organizaciones comunitarias, organizaciones nogubernamentales, y la sociedad civil.

DIAGNÓSTICO DE LAS NECESIDADES DE SALUD DE LAS POBLACIONES TRANS DE LA REPÚBLICA DOMINICANA
August 2016 | Study

En la República Dominicana, la epidemia del Virus de Inmunodeficiencia Humana (VIH) se caracteriza por estar concentrada en poblaciones como la de hombres que tienen sexo con hombres (HSH) y las mujeres trans. La prevalencia del VIH en HSH es de un 5.2 % , mientras que en algunos estudios en poblaciones trans, el VIH oscila entre 12 y 17 % .

Dominican Republic Results: October 2015 to March 2016
June 2016 | Project Highlight

In the Dominican Republic (DR), APC project serves populations with the highest HIV prevalence by expanding coverage and improving the quality of HIV-prevention, care, and support services.

CHW Central - A Global Resource For Community Health Workers
April 2016 | Website

CHW Central, launched in 2011, is an online community of practice managed by Initiatives Inc. that provides a forum for online discussions and exchanges with public health professionals and program managers, policy makers and CHWs in the U.S. and across the globe.

FACT
June 2015 | Video

FACT (Family, Awareness, Consciousness, and Togetherness) is an NGO that supports the entire family. Ms. Annette Jaundoo, Executive Director and her dedicated team are proud of FACT’s accomplishments in strengthening families. Since January, FACT has assisted over 500 families.

Hope For All
May 2015 | Video

Hope for all is located in Region 2 at lot 6 Belfield Suddie, Essequibo Coast. Hope for all offers HIV testing and counseling and care and support services, as well as STI, gender-based violence, and substance abuse counseling and information in a professional and comfortable environment and operates with the highest level of confidentiality.

Peace Corps Maternal and Newborn Health Training Package
February 2015 | Toolkit

This training package introduces Peace Corps Volunteers to the fundamentals of maternal and newborn health and exposes them to key concepts and global trends. The training package highlights the latest evidence-based practices that can be implemented by Volunteers and their counterparts at the community level to improve maternal and newborn health outcomes. These modules were developed with support from APC.

The Local Capacity Initiative
December 2014 | Fact Sheet

The Local Capacity Initiative (LCI) was established by the U.S. Government in 2013 to strengthen sustainability of national HIV and AIDS responses through increased advocacy capacity of local civil society organizations (CSOs).

Local Capacity Initiative Facilitated Discussion and Capacity Assessment Tool: Facilitator’s Manual
December 2014 | Manual

The purpose of this manual is to help determine technical assistance needs and to conduct an assessment of an organization’s policy, advocacy, and organizational systems capacity. The assessment consists of a facilitated self-assessment as well as optional stakeholder interviews. The tool is divided into five major sections (LCI outcome areas); four of these areas focus on critical elements for advocacy and one focuses on overall organizational capacity. Additionally, there are in-depth domains associated with each larger outcome, which can be used to further review capacity.

External Resources

Webinar: Strategies to Increase Male engagement in eMTCT of HIV and Syphilis
May 2016 | Webinar

Please join WHO and the Human Reproduction Programme on June 10, 2016 from 1530-1700 (Geneva Time) / 9:30-11:00 (Washington Time) for a webinar discussion on Strategies to Increase Male engagement in eMTCT of HIV and Syphilis. This is the first instalment of a new RHR Webinar series focusing on male engagement in SRHR.

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Agape Network began their work to combat the spread of HIV/AIDS in the community of Sophia in Georgetown, Guyana. Agape Network takes a family centered approach, offering care and support services to people living with HIV (PLHIV) and their families. Separate services are available for orphans and other vulnerable children (OVC) such as home-based care, after school program support, and counseling. Adults receive psychological and nutritional counseling services, social support, and referrals.

Artistes in Direct Support is a non-profit, community-based organization focused on HIV/AIDS and sexually transmitted infection (STI) education. Volunteers and staff educate at-risk populations through the performing arts, media, and peer education. With the additional funding from USAID, Artistes in Direct Support has expanded their scope of work to include community mobilization, capacity building, voluntary counseling and testing (VCT), and outreach services for men having sex with men (MSM) and female sex workers (FSW).

The Asociación Dominicana de Planificación Familiar (ADOPLAFAM) is a non-governmental organization (NGO) focused on improving family planning and HIV/AIDS services in Provinces throughout the Dominican Republic. ADOPLAFAM aims to build HIV service delivery capacity in the Dominican Republic, ensuring universal access to care and support, prevention, and treatment services for key populations. They partner with other local organizations including Clínica de Familia la Romana, Grupo Este Amor, and Clínica Esperanza y Caridad.

The Centro de Promoción y Solidaridad Humana (CEPROSH) is an HIV/AIDS awareness and prevention organization based in the northern region of the Dominican Republic that works to improve regional capacity to deliver quality HIV services to key populations.

Comforting Hearts is an NGO focused on supporting families affected by HIV/AIDS through physical, social, spiritual, and psychological care and support services and education. The organization offers services for people living with HIV (PLHIV) and orphans and other vulnerable children (OVC). The OVC component provides nutrition, health, education, and shelter services in addition to the general care and support services. The program addresses socioeconomic empowerment and illiteracy among key populations as an avenue to increase clients’ personal and fiscal autonomy.

The Centro de Orientación e Investigación Integral (COIN) is a private organization conceived as a result of the emergence of HIV/AIDS and human trafficking in the Dominican Republic. COIN implements HIV prevention programs and health care services for key populations throughout the region. COIN works with surrounding communities in the process of identifying their needs and problems to address key issues and reduce stigma.

Family Awareness Consciousness Togetherness (FACT), an NGO based in Corriverton, Guyana, focuses their efforts on the effects of HIV on family units. FACT seeks to bridge gaps in HIV service delivery by collaborating with other service providers, government agencies, faith-based organizations, NGOs, community leaders, and all stakeholders.

As the only NGO in Region 2 of Guyana, Hope For All serves the area’s most vulnerable populations through three departments. The organization offers voluntary counseling and testing (VCT), prevention services, and care and support for individuals infected with or affected by HIV. The care and support division of the NGO houses community, home, and palliative care as well as programs for orphans and other vulnerable children (OVC).

The Hope Foundation provides community-based health and social services in support of Guyana’s national goal to reduce the spread of HIV. The organization reaches out to key populations through educational programs and services. Based in Bartica, the Hope Foundation provides services in Cuyuni-Mazaruni (Region 7) of Guyana.

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June 27, 2017 | General News

Advancing Partners & Communities hosted a luncheon and health discussion session for transgender pageant participants in Guyana. 

April 12, 2017 | General News

Artistes in Direct Support (Artistes), a non-profit supported by Advancing Partners & Communities (APC) presented an HIV-focused skit for a downtown crowd in Georgetown, Guyana.

January 19, 2017 | Announcement

APC is partnering with the Guyana Telephone and Telegraph Company in Guyana to reach people living with HIV through mobile technology.

November 18, 2016 | Announcement

On November 17th, 2016, Advancing Partners & Communities (APC) signed a ground breaking Memorandum of Understanding (MOU) with partners in Guyana to strengthen services for members of key populations.

August 19, 2016 | Event

On August 9th, 2016 the PEPFAR/USAID funded Advancing Partners & Communities (APC) project held an event in San Pedro de Macorís, Dominican Republic to celebrate the handover of the Respuesta Integral Expandida (RIE) strategy to the Health Region V Office.

July 18, 2016 to July 22, 2016
| Event

Nicholas Persaud of Advancing Partners & Communities Guyana is presenting an abstract at this year's International Aids Conference in Durban, South Africa.

June 29, 2016 | Announcement

The Advancing Partners and Communities project is helping 16 health facilities in Uganda to integrate family planning into HIV services.

March 23, 2016 | Announcement

The Eastern Regional Health Services Department celebrated the reopening of the HIV Comprehensive Care Clinic at the Dr. Teófilo Hernández Hospital in El Seibo Province, Dominican Republic, on Tuesday, March 15th, 2016. Claudia Allers, Director of the Advancing Partners and Communities (APC) project in the Dominican Republic, led the ceremony with the Regional Director of Health, Dr. José Rodriguéz.

February 24, 2016 | Event

Join STOP AIDS NOW!, the International HIV/AIDS Alliance, and UNAIDS for Communities Deliver: The Critical Role of Communities in Ending The AIDS Epidemic, on Wednesday, February 24, 2016 from 10:00 am - 12:00 pm at the Organization of American States. Please RSVP to Simret Teame at teames@unaids.org.

December 03, 2015 | Event

On Friday, November 4, The Advancing Partners & Communities (APC) project is hosting a dissemination meeting to present to key partners the findings and recommendations from an assessment of the health and social needs of trans persons in the Dominican Republic. The assessment was carried out in collaboration with the Center for Integrated Training and Research (COIN) with academic support from the Iberoamericana University (UNIBE), and the active participation of community-based organizations representing trans communities in the Dominican Republic.

The meeting will include work group sessions to encourage partners to use the assessment findings and begin planning follow up activities. Approximately 75 representatives from government, civil society, and donor agencies are expected to attend the event.

Join us as we work to integrate the needs of trans people into the national agenda.

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May 2014 | Video

This video highlights Advancing Partners & Communities (APC) and the Guyana Business Coalition against HIV and AIDS (GBCHA) campaign intended to help cultivate partnerships between local businesses and NGOs in Guyana to fight HIV. The campaign aims to encourage a broader range of partnerships by increasing the visibility of NGOs responding to HIV/AIDS while keeping the business sector informed of successes.

November 2014 | Video

This media blast aims to increase the Business Sector’s awareness of gender-based violence (GBV) in Guyana and what businesses can do to end GBV. 

Shane Paul

Shane's journey as a peer educator for HIV began after attending an HIV education session in 2008.

Antonio Paul

Antonio, better known as ‘Sir Paul,’ is one of the few openly gay men in his rural community, serving as an advocate for members of the LGBT community in Guyana.

Yodalki

Yodalki, a health advocate who has worked for Grupo Este Amor in Eastern Dominican Republic for 14 years, uses his training in community counseling and support to fight for the rights of the LGBTI community and people living with HIV.

Through partnership with local government and lower health centers, WellShare International is offering community-based HIV counseling and testing services through outreaches and is integrating family planning alongside other services.

CEPROSH staff

Since October 2016, Advancing with Partners and Communities has been supporting implementation of Test and START in three provinces of the Dominican Republic. The Centro de Promoción y Solidaridad Humana (CEPROSH) HIV comprehensive care clinic in Puerto Plata is one of the clinics making a difference.

counselling group

Aashish is a 43 year old men who have sex with men (MSM), an alcoholic, and a chain smoker. On his initial visit to FACT, Aashish was enrolled in a support group for MSM. In group discussion, he was educated on the benefits of consistent condom use as well as the importance of good nutrition and healthy food choices.

Manuel

Clínica de Familia’s HIV clinic in La Romana province of the Dominican Republic is helping gay men like Manuel get tested for HIV.

two women talking in the steet

The HKN program is modeled after a door-to-door sales approach for a line of health products including condoms and oral contraceptives pills. The HealthKeepers go the last mile—right to the doorstep—to sell the basic health-promoting products, especially for women and children.

Regional Health Service personnel going over the satisfaction survey with a patient in the Hospital Doctor Antonio Musa, in San Pedro de Macoris.

Key populations in the Dominican Republic have HIV prevalence rates that are six to twelve times higher than the national average of 0.8 percent. Although there are multiple players committed to tackling the concentrated HIV epidemic, large gaps in coverage and access to HIV prevention, care and treatment services remain.

In the Dominican Republic (DR), transgender (trans) persons experience stigma and discrimination in many different ways and are denied the same opportunities as other Dominicans. In recent years, more efforts have been directed at improving the quality of life for the trans community. However, these initiatives focus mainly on HIV prevention and treatment, ignoring the multiple socioeconomic and health needs of these marginalized individuals.

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