Data Collection Form
Information About the
Entity (2 or 3 Sentences
with information about
the founding of the
organization and a brief
description of the type
of work that it does):
Founded in 1999 by Dr. Stephen W. Nicholas, a pioneer in
providing medical care to children with HIV and their families,
Clínica de Familia La Romana is a Dominican non-profit
organization providing comprehensive health services to
vulnerable populations in and around La Romana, Dominican
Republic. It operates in collaboration with the Dominican
Ministry of Public Health.
Legal Name:
Clinica de Familia La Romana
Acronym:
n/a
Country of Origin:
Dominican Republic
Address:
Calle Gregorio Luperon, Esq. Calle Gaston Fernando Deligne
No. 168, La Aviacion, La Romana, Dominican Republic
Telephone:
809-813-2934
Website:
www.clinicadefamilia.org.do
Facebook:
Clinica de Familia La Romana
Twitter:
In Progress
Contact Name:
Maria Consuelo Perez
Position:
Director of Public Relations
Telephone:
809-813-2934 ex. 106
Email:
mariaconsuelo@clinicadefamilia.org.do
Type of Organization:
o
o
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o
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o
Community Group
Educational Institution
Governmental Entity
International Organization
Non-Profit Organization
Private Company
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Data Collection Form
o Religious Organization
o Other:
Management Team (Names, Positions and Email Addresses):
Mina Halpern, Executive Director
Leonel Leobours, Assistant Director
Ana Zapata, Adminstrator
Bernardo Rosario, Comptroller
Luz Messina, Director MAMI
Members of the Board of Directors (Names, Positions, and Email Addresses):
Marta Victoria, President and Treasurer
Patricia Duran, Secretary
Ana Jimenez, Vocal
Hilda Peguero, Vocal
Cecilio de la Rosa, Vocal
Mildred Ferry, Vocal
Operations:
RNC:
430-107-565
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Data Collection Form
Years of Operation:
Number of Employees:
Number of Shareholders/Members:
Number of Volunteers:
Sources of Funding:
Since 1999
89
n/a
Adolescent Peer Education Team: 40
International Volunteers: 5 - 10
1) Revenue from provision of general
clinical services.
2) International Grants from entities
including USAID, CONAVIHSIDA,
Planned Parenthood of Greater
Northwest, Rotary Club, Elizabeth
Taylor Aids Foundation, Columbia
University, Global Fund, and
anonymous private donors.
3) Premio Brugal 2013.
1)
2)
3)
4)
Products and Services Offered to Public:
Total Expenses for the Last Fiscal Period:
Total Income for the Last Fiscal Period:
Geographic Area(s) of Operation (may select
more than one):
Comprehensive Care for HIV;
Camp for Children with HIV;
The Women’s Program;
Maternal Child Health Annex or
Modulo Anexo Materno Infantil
(MAMI);
5) Clinical Services for the Community;
6) Center for Global Studies;
7) T Shirts, Hats and Shoulder Bags
with Clinica de Familia Logo.
US$1,153,140
US$1,094,532
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National Territory
Azua
Bahoruco
Barahona
Dajabón
Distrito Nacional
Duarte
El Seibo
Elías Piña
Espaillat
Hato Mayor
Hermanas Mirabal
Independencia
La Altagracia
La Romana
La Vega
María Trinidad Sánchez
Monseñor Nouel
Monte Cristi
Monte Plata
Pedernales
Peravia
Puerto Plata
Samaná
San Cristóbal
San José de Ocoa
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Data Collection Form
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Type and Quantity of Beneficiaries:
San Juan
San Pedro de Macorís
Sánchez Ramírez
Santiago
Santiago Rodríguez
Santo Domingo
Valverde
1600 patients with HIV/SIDA
1000 sex workers
2000 participants in MAMI
10,000 clinical services patients
Area(s) of Focus (may select more than one):
o
o
X
o
o
o
o
X
o
o
X
o
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o
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Animal Rights
Arts and Culture
Children and Youth
Community Development
Corporate Social Responsibility
Disasters and Conflicts
Economic Development
Education
Environment and Energy
Food and Agriculture
Gender Issues
Governance and Transparency
Health
Housing and Infrastructure
Human Development
Human Rights
Water, Sanitation and Hygiene (WASH)
Other
Mission Statement/Vision:
Mission: To improve the health of families in the Eastern region of the Dominican
Republic, including vulnerable people, through comprehensive health services,
education and research.
Vision: To have a community where all families have access to health services in order
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Data Collection Form
to enjoy a good quality of life.
Values: We are committed to working with dedication, respect, confidentiality,
empathy and love.
Primary Programs and Projects:
1. Comprehensive Care for HIV. Clinica de Familia La Romana uses a familycentered approach to provide free medical care, antiretroviral treatment, and
preventative services for children and adults with HIV. In addition to these
services, the clinic offers psycho-social support through its psychology,
counseling, social services and community outreach departments.
2. Camp for Children with HIV. Clinica de Familia La Romana started Camp Home
and Joy for kids with HIV. The campers are children and adolescents that come
from disadvantaged backgrounds in the Eastern Dominican Republic. Camp
Hope and Joy offers the campers an opportunity to have fun during a oneweek camp, by engaging in activities that boost their confidence and selfesteem. The camp provides a safe environment where children with HIV can
receive support, love, affection, and respect.
3. The Women’s Program. The Women’s Program, or Programa de la Mujer,
provides services for sex workers in the Eastern Dominican Republic. Sex
workers travel to Clinica de Familia La Romana for monthly exams. In addition
to medical services provided at the clinic, these vulnerable clients receive
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Data Collection Form
education and counseling on preventing sexually transmitted infections
through educational sessions given at the clinic and at the brothels where they
work. This program has been extremely successful at lowering HIV prevalence
in La Romana’s sex worker population.
4. The Maternal Child Health Annex. The Maternal Child Health Annex, or
Modulo Anexo Materno Infantil (MAMI), houses the adolescent unit of La
Romana’s provincial public hospital, and is supported directly by Clinica de
Familia La Romana. MAMI offers specialized services for adolescents, including
prenatal care, family planning, gynecology, pediatrics, young men’s clinic, and
comprehensive sex education programs in schools and the community.
5. Clinical Services for The Community. Clinica de Familia La Romana offers high
quality medical services throughout the community. These services include
general medical care, obstetrics, gynecology, pediatrics, family planning,
psychology and counseling. Additionally, the clinic offers ultrasounds and
laboratory testing. Prices are affordable and staff are highly trained to offer
these services to the community.
6. Center for Global Health. The Center for Global Health is a collaborative
program with Columbia University for health sciences students. Since 2002,
this program has received about 300 international and Dominican students
who have gained numerous profesional skills as they complete clinical
rotations and public health projects. Research is an important aspect of the
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Data Collection Form
clinic’s work, and has helped improve the clinic’s services as well as produced
relevant information at the local, national and global level. Our research has
included HIV prevalence studies among pregnant women and a male
circumcision study intended to reduce HIV transmission rates.
Classified Ads: What Your Entity Needs and What It Has To Offer (For each item please
include a brief description, contact name and email and/or telephone number, any relevant dates, and
a photo):
1. Financial Assistance for the provision of Social Services. US$25 covers
medication and prenatal vitamins for pregnant women with HIV. US$70
ensures that a client with HIV receives all necessary laboratory tests. US$350
covers the complete cost for a youth with HIV to attend Camp Hope and Joy.
US$600 provides comprehensive sexuality education programs in three
schools. US$1170 guarantees nutritional support to youth and adults who
suffer from malnutrition.
2. Summer Camp Volunteers. During the first two weeks of August, volunteers
are needed to staff Camp Hope and Joy. Must be at least 18 years of age with
a working knowledge of Spanish. Room and Board are covered, but
volunteers must provide own transportation to the Dominican Republic and a
donation of US$1000 to help sponsor participating children.
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Data Collection Form
Important Events and Activities of Your Entity (For each event or activity please include a brief
description, location, date, start and end time, contact name and email or telephone number, and a
PDF file with an image of the invitation):
Camp Hope and Joy, first two weeks of January
Please attach the following documents to include on the website:
 Media Resources (press releases, newspaper articles, photos, videos, etc.)
Download from website
 Financial and Other Entity Documents Download from website
 Logo (PDF format) Download from website
Person providing information (if different than the contact person identified previously):
Name:
Mina Halpern
Relationship to Entity:
Executive Director
Email:
mina.halpern@gmail.com
Telephone:
809-813-2934
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