Vulnerable Children of the Dominican Republic Affected by AIDS/ Global Orphan Project (Promundo)

Dates: 2001-2004

Country: Dominican Republic

Client(s): USAID

Services: Assessment, Program Development

Technical Expertise: Newborn and Child Health , HIV


In the Dominican Republic, with an escalating HIV/AIDS seroprevalence of 2.2 to 2.5% among the total adult population, the HIV epidemic is having a significant impact on vulnerable children and families.

The JSI Global Orphan Project (Instituto Promundo) studied the impact of HIV on children ages 0 to 14 in collaboration with the Presidential Commission on AIDS (COPRESIDA) and the MOH National AIDS Program (DIGECITSS). The study used the previously published Global Orphan Project "Three-Stage Risk of Displacement Model" to estimate the number of children living in families with a mother who is HIV-positive, asymptomatic (primary stage risk of displacement), children living in families with a mother living with AIDS, symptomatic (secondary stage risk of displacement), and those children already orphaned (tertiary stage risk of displacement).
In addition, the Project worked to estimate the number of children who are at risk of displacement and are also HIV-positive.

Additional project activities included a legal/policy analysis, community-level dissemination and social mobilization, and a small grants program. JSI's work mobilized the involvement of local communities, NGOs, the private sector, and government agencies on this important issue affecting Dominican children.