Program to improve health care services directly benefiting nearly 900,000 people
The Inter-American Development Bank (IDB) has approved a $100 million loan to boost health care in the Dominican Republic through investments designed to increase the efficiency and effectiveness of spending in the sector and improving the quality of services aimed at the country’s poorest people. This financing is part of a credit line for investment projects that could be increased to as much as $300 million.
The goal is to improve service-management capability by expanding a results-based financing model to the “0” health region (Santo Domingo, Monte Plata and the National District). The program will benefit directly nearly 900,000 people of modest resources, who account for nearly 29 percent of the poor in the Caribbean nation.
This model of financing will enhance coverage and the quality of health care services in the Dominican Republic, with emphasis on primary level care and preventive care. An estimated 33 percent of ambulatory care in the Dominican Republic is delivered at this level, whereas the World Health Organization recommends that it should be around 80 percent. Additionally the financing will help improve the supervisory capacity of the Ministry of Health and Social Assistance, especially in the areas of regulation and health intelligence.
This operation is in line with the National Development Plan of 2010–2030 and the Multi-Year Public Sector Plan of 2013–2016. The main goals of the latter include providing universal access to health care, developing assistance networks and strengthening the supervisory role of the Ministry of Health and Social Assistance and regional health services, including guaranteed access to quality medicines and the consolidation of a health care information management system.
The loan is over 16.5 years with a grace period of 14 and has an interest rate pegged to the LIBOR.