Baseline Assessment of Sample Referral Networks in Vertically Managed Disease Control Programs for HIV and TB in the Dominican Republic
(2015; 28 pages)

George A, Valdez C, Moquete E, Barillas E. 2015. Baseline Assessment of Sample Referral Networks in Vertically Managed Disease Control Programs for HIV and TB in the Dominican Republic. Submitted to the US Agency for International Development by the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. Arlington, VA: Management Sciences for Health.

Abstract

At the end of 2013, the Ministry of Health (MoH) in the Dominican Republic (DR) deemed of paramount importance evaluation and development of the supply chains within the referral networks for HIV and tuberculosis (TB) laboratory samples, in an effort to advance its efforts to control the spread of both diseases.

The results presented in this technical report have been adapted from a pioneering, evidence-based assessment that took place in the DR in 2014, which collected data around the country, at all levels of public health laboratories, regarding the performance of the referral networks of vertically managed disease control programs for HIV and TB. Data were collected during two weeks of surveys that consisted of a series of quantitative and qualitative questions and register reviews.

These results strongly indicate a profound need for systems strengthening through integration and pooling of resources of vertically managed disease control programs, standardization of procedures, and extensive supply chain–related capacity building.

 
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