In the face of declining donor funds to fight against AIDS, the Dominican Republic has assumed greater financial responsibility, yet gaps remain. HIV service delivery organizations are at risk if they do not diversify their sources of revenue to cover their costs while efficiently serving populations most in need. The project aims to transition select organizations to a sustainable business model to ensure service delivery to priority populations.
In the Dominican Republic, donors responding to a concentrated HIV epidemic have targeted funds to focus on populations with the highest prevalence rates. The majority of people living with HIV are in four groups: men who have sex with men, transgender people, female sex workers, and Haitian migrants. These groups face common barriers to accessing HIV-related services, including widespread provider stigma and a limited number of public and private sites that deliver services in ways that meet their needs. Sustainability of private organizations best suited to reach priority populations is an important step for HIV epidemic control and will require strategies that can secure long-term financing of services across the continuum of care.
SHOPS Plus is supporting local private sector organizations serving priority populations that could transition to social enterprise business models. Social enterprises use a market-driven approach while maintaining a focus on supporting social good. SHOPS Plus is delivering comprehensive technical assistance programs to strengthen the organizations’ abilities to sustainably and efficiently provide HIV-related services.