. . .The country suffers from marked income disparity; the poorest half of the population receives less than one-fifth of GNP, while the richest 10% enjoys nearly 40% of the national income. Greater than 42% of the population lives below the poverty line (2008)*.
The north coast of the Dominican Republic, while considered one of the most economical and popular international vacationing spots on the island, is also home to a growing population of urban poor, who live in marginalized barrios and squatter settlements on the outskirts of the city. The families of these neighborhoods face considerable economic and social difficulties, including little or no access to quality medical care. There is a great need for humanitarian services and health prevention education.
Infectious diseases of all types are present in poor areas. Close contact among persons sharing housing and limited sewage and waste treatment means that infections can spread more easily, including infections spread by insects.
Individuals living in poor areas often lack preventive health care or the means to manage chronic diseases.
Children and adults who live in poverty may have poor nutrition, including vitamin deficiencies and protein-calorie malnutrition, which can affect mental functioning and physical well-being.
*CIA fact book 2007
