July 13, 2004

A Test of Inequality:

Discrimination against Women Living with HIV in the Dominican Republic

I. Summary......................................................................................................................................................
II. Recommendations..................................................................................................................................
To the Government of the Dominican Republic.........................................................................
To the Presidential AIDS Council (COPRESIDA)......................................................................
To Donors and International Organizations.................................................................................
III. Background.............................................................................................................................................
The Dominican Republic: Economy and Health..........................................................................
Women's Status........................................................................................................................................
Women Living with HIV/AIDS......................................................................................................
Public Awareness Campaigns, Sex Education, and Condom Use.......................................
IV. Violations in Access to Work and at the Workplace...............................................................
Involuntary Testing in the Tourism Industry...............................................................................
Involuntary Testing in Free Trade Zones......................................................................................
Adverse Effects of Involuntary Workplace Testing...................................................................
Government Response.......................................................................................................................
V. Women's Rights Violations in the Health Care System...........................................................
Inadequate HIV Counseling and Testing without Informed Consent................................
Unauthorized Release of Confidential HIV Test Results.........................................................
Medical Procedures Withheld, Delayed, or Administered Under Pressure........................
Government Response.......................................................................................................................
VI. Conclusion............................................................................................................................................
Acknowledgments.....................................................................................................................................