This project aims to widen Dominican Republic's coverage with health education campaigns and with the promotion of healthy lifestyles that would help to break the vicious cycle of the expression of the risk factors and therefore, of Cardiovascular Diseases. FUNDACION HOSPITEN PROSALUD will reach the populations affected by these Cardiovascular Diseases and cover 2,500 low income cardiovascular patients per year.
CGI has been an important catalyst to put this idea into practice. By placing this initiative under the umbrella of CGI FHP will be better able to attract the required strategic partners in order to develop the initiative to its full extension. These partners include, but are not limited to, public bodies, international organizations, and private corporations who will cooperate in the mobilization of the resources to improve the low income population's quality of life.
An execution strategy will consist of a strategic alliance between FUNDACION HOSPITEN PROSALUD and the private Hospital 'Hospiten Santo Domingo'. The FUNDACION will be the directing entity of the project and 'Hospiten Santo Domingo' the executing party in the health services delivery to the lower income population. Potential patients will be screened through the Social Work department of FUNDACION HOSPITEN PROSALUD in order to efficiently focus the resources to the population in most need of the services.
Poverty and inequality in the Dominican Republic represent the main challenges to overcome in the beginning of the 21st century and therefore it is a high priority on the agenda of the Dominican Republic's government, its civil society, and international organizations. Although there has been improvement in health service coverage for the Dominican population, there are still a considerable number of unprotected people. It is estimated that only 66.8% of the population is covered by the national institutions. This coverage deficit is more important in chronic and degenerative pathologies like cardiovascular (34.2% of registered deaths), neoplasia (13.2% of registered deaths) and big traumatisms (15% of registered deaths), all of which represent 63.1% of all deaths registered in years 1999 and 2000.
Cardiovascular and Circulatory Diseases have a considerable weight in the diseases that affect the Dominican population. Estimations show that between 1989 and 1992 these pathologies represented 1,318,508 DALYs (Disability-adjusted life years). This represents 15.62% of the total and in 1994 cardiovascular diseases represented the first group in death diagnostics with 79.4 deaths per 100,000 people. Within this group of pathologies, high blood pressure and cardiac insufficiency were the two main causes of hospitalization. Even so, access to specialized health services to address these pathologies remains limited, especially for the low income population.
In order to constantly be able to improve and widen the coverage of the health services, there is a need for funds, patient redirection /filtering, and improved access to materials.
In order to achieve these needs FHP aims to reach partnership agreements with the Dominican Government and its agencies, with donors, with local NGOs that detect and direct affected population and with private medical companies that provide prosthesis and other systems in order to improve and lower the cost of the cardiac surgery and the diagnostic tests.