# Dominican Republic healthcare system development > Live situation record from CLSTR: https://clstr.news/situations/dominican-republic-healthcare-system-development > Updated: 2026-08-09T00:45:58.000Z. Sources: 4. Developments: 2. The Dominican Republic is addressing various aspects of its healthcare system, ranging from structural network assessments to facility-level infrastructure and hygiene issues. In the Cibao Sur region, the Ministry of Public Health reported that the Integrated Health Service Networks (RISS) have reached a 49% overall maturity level. This assessment, supported by the Pan American Health Organization (PAHO) and the World Health Organization (WHO), identified a 56% score for territorial organization of care, while highlighting ongoing challenges in governance, sustainable financing, and resource management. At the facility level, healthcare infrastructure shows mixed progress. While the Salvador Bienvenido Gautier University Teaching Hospital has commenced comprehensive remodeling of its emergency area, other facilities face criticism. The Ramón Matías Mella Provincial Hospital in Dajabón has drawn complaints from families regarding hygiene and a lack of cleaning staff, leading to calls for the National Health Service (SNS) to intervene to ensure sanitary conditions. ## Timeline ### 2026-08-09: Dominican Republic hospitals face renovation and hygiene challenges Dominican Republic hospitals face varying conditions: the Salvador Gautier hospital has begun essential renovations, while the Ramón Matías Mella hospital in Dajabón faces hygiene complaints. 2 sources. https://clstr.news/cluster/dominican-republic-hospitals-face-renovation-and-hygiene-challenges ### 2026-08-06: Dominican Republic health ministry reports 49% maturity in Cibao Sur integrated health network Dominican Republic's health ministry, with PAHO support, reported a 49% maturity level for Cibao Sur's integrated health service network, noting progress and challenges in governance and financing. 2 sources. https://clstr.news/cluster/dominican-republic-health-ministry-reports-49-maturity-in-cibao-sur-integrated-health-network --- Cite as: Dominican Republic healthcare system development. CLSTR, https://clstr.news/situations/dominican-republic-healthcare-system-development