Using a social enterprise model to build sustainable organizations

Two lab technicians entering data manually at La Clinica de Familia.
Two lab technicians entering data manually at La Clinica de Familia. | Photo credit: SHOPS Plus

In the Dominican Republic, donor funding has been on the decline, creating uncertainty about sustaining advances in addressing HIV. While the prevalence rate of HIV has declined in the general population to 0.8 percent per the 2013 Demographic and Health Survey, HIV rates among key populations continue to increase. 

To address the issue of decreasing donor funds in the face of increasing prevalence among key populations, SHOPS Plus works with three organizations that provide HIV servicesLa Clinica de Familia, COIN, and CEPROSHto help improve their sustainability by using a social enterprise model. These organizations scored the highest on an assessment that looked at service delivery, financial capacity, and entrepreneurship. 

First floor reception and waiting area atone of the selected organizations, La Clinica de Familia.
Three organizations, including La Clinica de Familia, were identified as capable of transitioning to a social enterprise model. | Photo credit: SHOPS Plus

The project supports the organizations by providing on-site technical assistance to management and clinic leadership to implement strategies that reduce cost, and look at new revenue generation opportunities. The project is exploring access to social health insurance to ensure organizations can be reimbursed for HIV and other primary care services, and to generate additional revenue for clinic operations.

Learn more about our work in Dominican Republic. 

Health Area



Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.

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