The integration of the medicine and medical supply systems of the Dominican Republic’s various disease control programs into a unified management system has led to improvements in estimating needs and in programming purchases, while enhancing distribution chain efficiency. The President’s Plan for AIDS Relief (PEPFAR) has supported the Dominican Republic’s Integrated Management System for Pharmaceuticals and Medical Supplies (SUGEMI), which offers a holistic solution to the supply
problems facing the country. The result is a significant reduction in the shortage of antiretrovirals in health facilities throughout the country.