The paper presents the situation in the Dominican
Republic in terms of pandemic preparedness, the
policies implemented to respond to it, the achievements
made, and the challenges for the future. The COVID-19
pandemic found the Dominican Republic unprepared
to deal with it, with significant deficiencies in the areas
of prevention, early detection and notification, rapid
response and mitigation, compliance with international
standards, risk environment and health system strength.
The country had the most infections in the entire
Caribbean region and one of the most important in
Latin America, however, the policies implemented were
appropriate and the country faced lower rates of both
serious illness and mortality, compared to the rest of
the region. The health system, so far, has been able to
respond, without exceeding the installed capacity in
terms of beds and intensive care units. The worst part
of the response preparedness is the weakness of the
first level of care and its underfinancing, concluding on
the necessity of investing adequately in strengthening
the first level of care, implementing the population
assignment using geographical criteria, developing
payment for results mechanisms to increase quality and
efficiency and putting in place the unified electronic
medical record, in order to make it feasible to establish
a prevention strategy.