Clinica de Familia was established to serve as a comprehensive family care clinic that provides quality care to people throughout La Romana province. Over the past year, work with DR has focused on potential revenue generating models that could be used by CdF to support its overall cost structure. The first project developed recommendations on imaging equipment. The second focused on the profitability of a gastroenterological clinic and a third looked at adding dental services to the new clinic.
Clinica de Familia (Cdf) is a community-based comprehensive health organization located in Dominican Republic. With the goal to graduate from international donor support to financial self-sustainability, the healthcare team worked with CdF to find new ways to increase revenue, thereby supporting the provision of HIV services toward the care of those in vulnerable populations. WDI also developed a Business 101 crash course to assist CdF in building knowledge around what it means to create a sustainable business model in addition to developing the business case and investor pitch for a prospective dermatology clinic.
This white paper is a modest contribution to the existing body of knowledge on potential revenue benefits from taxation of “bads” in low- and middle-income countries (LMICs). We seek to provide orders-of-magnitude responses to the questions, “For 16 LMICs, what amount of additional government revenue could have been generated in 2016 if higher excise tax rates had been imposed on tobacco, alcohol, and sugar-sweetened beverages?”, and “How does this additional government revenue compare to select national economic indicators?”.
As part of the the Sustaining Health Outcomes through the Private Sector (SHOPS) Plus USAID-funded project led by Abt Associates, WDI provided diagnostic and consultative services on revenue generation and operational efficiency for four HIV-focused NGOs in the cities of La Romana and Santo Domingo in the Dominican Republic. These four organizations had historically received a significant portion of their funding from the President’s Emergency Plan for AIDS Relief (PEPFAR) and were preparing for transition to sustainable social enterprise models. WDI’s onsite diagnostic and related technical assistance was highly customized to the business models and needs of the individual organizations. The WDI team developed actionable recommendations for the NGO decision makers on how they could modify their strategies and/or operations to work towards financial sustainability. Return visits were made to assess progress and provide additional assistance to the organizations. WDI also provided consulting services to one of the NGOs, Clinica de Familia, for the development of a sustainable business model for its new dermatology clinic.