Dominican Republic health issues
The Centers for Disease Control and Prevention (CDC) in the Dominican Republic has four disease impact goals: 1) eliminate transmission of HIV from pregnant mothers to babies, 2) prevent new cases of adult HIV among high-risk populations, 3) reduce the prevalence of tuberculosis, and 4) reduce the impact of infectious disease outbreaks. To achieve these goals, CDC works closely with the ministry of health (MoH) and non-governmental partners to conduct epidemiology and surveillance; strengthen laboratory systems; implement HIV prevention; and conduct outbreak response. CDC is a member of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and U.S. Global Health Initiative country teams.
Epidemiology and Surveillance
CDC works with the MoH to strengthen surveillance systems in the Dominican Republic, including a new national electronic reportable disease surveillance system; a project co-funded with CDC’s Global Fund to develop an electronic reporting system for tuberculosis; a project with PAHO/WHO to develop an electronic HIV hospital reporting system; and a sentinel surveillance system for sexually transmitted infections.
CDC is collaborating on several large population surveys: two behavioral surveillance surveys among populations that are at high risk of HIV/AIDS and a demographic health survey.
The Field Epidemiology Training Program (FETP) with 6-month basic, 9-month intermediate and 2-year advanced levels underpins all of CDC’s epidemiology and surveillance portfolio by building human resource capacity within the Ministry of Health at the local and national levels to detect and respond to health threats.
Impact in Dominican Republic
- Launched a national laboratory accreditation program and strengthened laboratory capacity
- Assisted MoH to plan and implement a national strategy for prevention of mother-to-child transmission of HIV and syphilis
- Conducted HIV prevention interventions among men-who-have-sex-with-men, drug users, and mobile populations
- Supported FETP to increase capacity at basic, intermediate, and advanced levels
- Global Disease Detection supported MoH to reduce the impact of the cholera epidemic in 2010/2011