 AIDS is the leading cause of death in the Caribbean basin among adults aged 15-44 years. There are approximately 240,000 people currently living with the disease, most of them residing in the Dominican Republic DR and Haiti9. The prevalence of HIV infection in the DR is approximately 0.8 nationwide8 but it is higher in selected high-risk populations, such as among people living in the bateyes, the small towns surrounding sugar cane plantations, where the prevalence is 3.210. In pregnant women seeking prenatal care at the main hospital in the Altagracia province HIV seroprevalence is 4.5 11. One of the areas of highest prevalence 1.2 in the country is Region V of health, which includes the provinces of La Altagracia, El Seibo, Hato Mayor, La Romana and San Pedro de Macorís. Prevalence is also higher in the urban slums of the capital city, Santo Domingo. 