CDC Division of Global HIV & TB country profile : Dominican Republic
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CDC Division of Global HIV & TB country profile : Dominican Republic

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    The U.S. Centers for Disease Control and Prevention (CDC) Dominican Republic (DR), through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), has three main goalsrelated to HIV and tuberculosis (TB): increase the detection, treatment, and retention of people living with HIV (PLHIV) to reduce mortality and HIV transmission and reach the Joint United Nations Programme on HIV/AIDS (UNAIDS) 95-95-95 targets to obtain epidemic control; improve the quality of HIV and TB care; and increase access to, and uptake of HIV testing and counseling and other evidence-based interventions among key and priority populations (KP/PP). The UNAIDS 95-95-95 targets are, by 2030: 95 percent of all PLHIV will know their HIV status; 95 percent of all people with diagnosed HIV infection will receive sustained antiretroviral therapy (ART); and 95 percent of all people receiving ART will have viral suppression.

    CDC’s key strategies include supporting the Government of the DR (GoDR) in the transition to Test and Start for ART initiation; implementing service delivery models that contribute to closing the treatment gap for all populations, particularly priority populations (PP); and addressing system-wide challenges in the national HIV response, such as viral load (VL) monitoring, health information management, and workforce capacity development, such as the training of laboratory staff.

    With PEPFAR support, CDC’s cornerstone approaches in the DR have included: strategically pairing local non-governmental organizations (NGOs) with public sector health facilities to foster exchanges that lead to better service quality and performance in both sectors; implementing different HIV testing and counseling modalities, including facility and community-based index client testing, which involves identifying current and former partners and household members of PLHIV; and developing differentiated models of HIV treatment, notably through mobile clinics as part of community ART distribution efforts, to ensure that migrants and other hard-to-reach PP receive comprehensive treatment in a nonstigmatizing environmentthrough the active participation of civil society and community with Community Led Monitoring conducted jointly with UNAIDS. DominicanRepublic.pdf

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