Despite a high per capita income relative to most of the developing world, the Dominican Republic (DR) suffers from high income disparities and poverty rates, as well as poor health and education outcomes. The DR has among the highest rates of adolescent pregnancy, child marriage, exportation of sex work, gender-based violence, and femicide in the region. It also has high rates of maternal mortality and diabetes. Society for Family Health/Dominican Republic (SFH) is based in the country’s capital, Santo Domingo. Its program interventions are executed at both the national and community levels and it employs 42 local staff and a board of directors.
PSI/Dominican Republic estimates that in 2015, its products and services helped avert 23,140 DALYs, including, by health area:
- 18,306 HIV DALYs
- 4,834 FP DALYs
PSI/Dominican Republic’s family planning programs also provided 104,805 couple-years of protection.
Sexual and Reproductive Health Services and Products
Society for Family Health Health/Dominican Republic (SFH) was established as a local nonprofit organization in the Dominican Republic in 2014, but has operated in the country as PSI/Dominican Republic since 2003. SFH is dedicated to improving the availability of, access to, and use of health information, products and services for vulnerable groups. By leveraging social marketing and behavior change communication strategies, while working in alliance with the public and private sectors and other nongovernmental organizations (NGOs), SFH has a legacy of implementing successful sexual and reproductive health (SRH) interventions. These include the prevention of HIV and sexually transmitted infections (STIs), prevention of unwanted pregnancy and gender-based violence (GBV), and promotion of SRH rights, information, products and services among vulnerable populations (including women and children, adolescents and youth, mobile populations) and the general population. In 2015, SFH initiated its work in the area of non-communicable diseases by training healthcare providers in the prevention, detection and treatment of diabetes. SFH also opened Red Segura Clinic, its first community health center focused on women, children and their families – to offer high-quality, affordable primary healthcare services, including youth-friendly SRH services. This clinic is the first step in proving a model with the longer term vision of clinical franchising of Red Segura across Central America and the Dominican Republic that aims to bring primary health care to scale through a sustainable structure.
Currently, SFH in partnership with the US Centers for Disease Control and prevention, implement mobile units that focus on HIV testing, effective linkage to treatment, and provision of integrated care. The program seeks to identify most at risk populations and migrants in order to ensure quality HIV testing, cared and treatment is provided. Also, in 2016, SFH launched a Zika prevention program in collaboration with USAID, as part of a regional effort to reduce the rate of Zika transmission with special focus on pregnant women.
Some of the products marketed and sold by the SFH include:
- Panté condoms
- Sexual and reproductive health products (oral contraceptives, injectable, implants, intrauterine devices) and
- Clínica Médica Red Segura (Red Segura Clinic)
SFH’s incorporation as a local nonprofit in 2014 strengthens the organization’s capacity to work more closely with the populations it serves and its collaboration with other local NGOs. At the same time, as an integrated member of PSI’s global network, SFH continues to benefit from PSI’s expertise and technical assistance, including in: social marketing, social behavior change communication and health intervention areas; research, monitoring and evaluation; and management, including financial management. This reinforces SFH’s capacity to develop, implement, monitor and evaluate health interventions according to the highest standards.
- U.S. Agency for International Development (USAID)
- International Family Planning Organizations 2 (SIFPO2)
- U.S. Centers for Disease Control and Prevention (CDC)
- Private individuals and foundations such as Maverick Collective.
- Dominican Ministry of Health (MOH)
- División Materno Infantil y Adolecentes (DIMIA)
- Consejo Nacional para la Prevención del VIH/SIDA (CONAVIH/SIDA)
- NGO AIDS Coalition
- Alianza ONG
- Over 15 local NGOs
- Reproductive Health Supplies Coalition
- Foro LAC
- Pan American Social Marketing Organization (PASMO)
- 2012 Mid Year Region and Country Dashboards, Latin America and the Caribbean
Mid-year Latin America and the Caribbean region and country impact dashboards for 2012
- Using GIS to Support Public Health Interventions
Many of PSI's country offices now actively use GIS to support a range of public health interventions, including STI and HIV testing, prevention, and treatment, reproductive health service provision, prevention and treatment of malaria and TB, maternal and child health, and safe water systems.
Inside are just a few examples of how international non-profit organizations such as PSI can benefit from maps and GIS technology, be it for resource allocation, monitoring and reporting of interventions at the national level, or targeting and planning field activities in communities.
- 2011 Region and Country Dashboards, Latin America and the Caribbean
Latin America and the Caribbean region and country impact dashboards for 2011
- Can Follow-Up Study Questions About Correct and Consistent Condom Use Reduce Respondent Over-Reporting Among Groups at High Risk? an Analysis of Datasets From Six Countries
This study sought to determine whether including two types of questions in surveys administered via face-to-face interview can contribute to more accurate measures of correct and consistent condom use among populations at risk for HIV.
- Evaluation of a Condom Prevention Program Among Bateyes Residents in the Dominican Republic, 2006-2008
PSI is operating in the Dominican Republic since 2003. It has since implemented a series of programs, with support from the German Development Bank (KfW), aiming to increase safer sexual behaviors among people living in the Bateyes (settled communities of Haitian migrant workers in sugar cane plantations on the border with Haiti).
- Evaluation of a Condom Use Program among Female Sex Workers in Dominican Republic
The program aims to increase safer sexual behaviors among female sex workers in the DR. Through an integrated behavior change communications (BCC) strategy based on peer education model and social marketing (SM) approach, the aim is to improve access to and availability of male condoms and water-based lubricants. PSI collaborates with other local non-governmental organizations and the government to implement inter-personal communication interventions (IPC).
- Impact December 2009