# Santo Domingo community advocacy and grievances > Live situation record from CLSTR: https://clstr.news/situations/santo-domingo-community-advocacy-and-grievances > Updated: 2026-10-27T03:03:58.000Z. Sources: 4. Developments: 2. Community organizations in Santo Domingo Este have initiated a national campaign titled ‘Tu firma es tu voz’ (Your signature is your voice) to advocate for the construction of a ‘Ciudad Sanitaria’ (Health City). This proposed $746 million high-complexity hospital complex aims to provide 2,000 beds across ten specialized units to address medical infrastructure deficits for the municipality’s 1.25 million residents. In broader metropolitan areas, community leaders and transport workers have escalated demands for government action regarding socio-economic issues. In Santo Domingo Este, residents reported utility problems including high electricity bills, frequent blackouts, and inadequate street lighting, while also alleging corruption involving repair crews. In Santo Domingo Norte, transport leaders criticized the inequitable distribution of fuel subsidies and rising costs for basic goods, alongside concerns regarding unemployment and increasing local insecurity. ## Timeline ### 2026-10-27: Community leaders in Santo Domingo demand government action Community leaders in Santo Domingo Este and Norte are demanding solutions for electricity failures, fuel subsidies, high living costs, and rising insecurity. 2 sources. https://clstr.news/cluster/community-leaders-in-santo-domingo-demand-government-action ### 2026-10-21: Santo Domingo Este community launches campaign for $746 million health city Community leaders in Santo Domingo Este are collecting 250,000 signatures to fund a $746 million specialized hospital complex to address local healthcare deficits. 2 sources. https://clstr.news/cluster/santo-domingo-este-community-launches-campaign-for-746-million-health-city --- Cite as: Santo Domingo community advocacy and grievances. CLSTR, https://clstr.news/situations/santo-domingo-community-advocacy-and-grievances