Under PEPFAR, USAID provides financial support to the Muñoz Clinic through the APC project for the provision of HIV care and treatment for migrant populations, most of who are of Haitian descent and live in very poor communities known as bateyes.
Since October 2016, IDEV has been implementing the WHO-recommended "Treatment for All" policy which involves immediate initiation of ART for individuals newly diagnosed with HIV, regardless of their CD4 cell count.
Implementation of Test and START at the six PEPFAR/USAID-supported HIV clinics has reduced the patient treatment initiation window from 30 days in early 2017, to an average of seven days by September, extending the benefits to patients and the health system.
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.
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.
Ruby Mercenario is a 32-year-old transgender woman who receives care at the Francisco Gonzalvo public hospital in the La Romana province of the Dominican Republic. She praises the benefits of receiving services at a place free of stigma and discrimination.