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The Dominican Republic occupies two-third of the Island of Hispaniola, which it shares with the Republic of Haiti. The country is facing an immigration situation in which 73% of migrants come from its neighbor, Haiti. Comprised mainly of young adult men, this population group places demands on health services, overloading the networks in municipalities where they concentrate for employment reasons. The 2010 population was 9,927,320. Poverty in the Dominican Republic is highly heterogeneous with the greatest concentration of households and people living in poverty found in the provinces of Santo Domingo, Santiago, San Cristobal and the National District. The Dominican Republic is one of the countries of the Hemisphere with the highest disparities in income distribution. In 2002, even before the economic crisis, the wealthiest 20% of the population received 53% of the country’s gross income, while the most disadvantaged 40% of the population received only 14%. The Human Development Index score of the Dominican Republic ranks it at 98th in the world and the Gini coefficient is 48.4. In 2002, public health expenditure represented 1.9% of GDP, decreasing to 1.7% in 2003, and to 1.2% in 2004, which explains the country’s high out-of-pocket expenditures in health.
The Dominican Republic has had one of the best-performing economies in the Latin American and Caribbean region in terms of GDP growth over the past 20 years. Despite this high growth rate, a large percentage of the population continues to live in poverty. The Country is lagging significantly behind in education, health, employment and other human development indicators.
Faces Voices and Places Dominican Republic
Communities in the Dominican Republic:
The Faces, Voices and Places initiative is taking place in Montecristi and Elias Pina, two of the poorest, most remote provinces of the Dominican Republic located along the border with the Republic of Haiti. The most vulnerable populations of the two provinces were selected. These farming communities feature significant mobility on the part of Haitians who move around internally depending on crop varieties and employment opportunities.