The epidemiological profile of the country shows a trend towards a higher incidence of non-communicable diseases due to the ageing of the population and challenges to promote preventive health and healthy lifestyles more effectively. The country has designed a health model that prioritizes prevention and primary care. Likewise, in 2023, the Ten-Year Health Plan was drawn up, which is an instrument to accelerate the achievement of this goal.

For the DR, noncommunicable diseases are one of the main integral health challenges, with negative effects on the quality and longevity of people in environments with scarcity of access to basic services, human development and their ability to participate in economic and social life.

A trade-off associated with the pressure exerted on health insurance policies and social security schemes for populations throughout the life cycle has been identified.

Its approach has an impact on goals associated with decent work and economic growth, productive employment, education and training for unemployed youth and a reduction of inequalities, thereby also contributing to the political and economic participation and autonomy of women.

The country has prioritized pre-university education and instruments to increase technical-vocational skills and education for the first job, considering that close to 50% of the Dominican population is concentrated in the youth and adult cycle. The number of educational centres with secondary and technical levels has doubled in the last four years. This goal constitutes an effective response to social and economic insertion for youth in poverty and vulnerability that face gaps in access to an academic offer that facilitates the effective transition from the end of school to the labour sector.

Progress in this area contributes substantially to human development opportunities and is connected to advancements in priority goals in the country's development agenda, such as quality education at all levels, skills development and equal opportunities for women, employability for decent work and income generation and sustainable enterprises, generation of knowledge for the protection of natural capital, among others.

The achievement of this goal generates a commitment to create better mechanisms to promote entrepreneurship, banking and access to infrastructure and digital opportunities thereby 'leaving no one behind'.

At the present time, it is essential to promote a more sustainable and inclusive industrialization, fostering innovation to generate greater productivity in labour markets in the Dominican Republic. 

In the DR, micro-, small and medium-sized enterprises represent more than 90% of the business fabric. To promote it structural, digital and sustainable transformation requires eliminating barriers, such as formalization costs, administrative barriers to expand supply, digital divide, linkages with large value chains and access to knowledge for innovation that constitute productivity losses for competitiveness. 

These acceleration efforts should consider the transformation of to sustainable business models and the promotion of green jobs, which allows for a clean industrial development that does not compromise natural habitats, biodiversity and, in essence, future generations.

The Dominican Republic is a small island developing State (SIDS), with a high probability of being affected by storms and hurricanes, where 38.2% of households live in areas of high (25.1%) or intermediate(13.1%) risk of being impacted by a hydro-meteorological event.

The country has made progress in integrating risk management and climate change adaptation strategies into public institutional strategic plans through initiatives such as the Territorial Approach Strategy for Disaster Risk Management and the Damage Collection and Assessment System, as well as into private companies and school curricula.

This target has broad repercussions and opportunities for synergies with 80 SDG targets. It has great importance for public policy and poverty reduction and for the promotion of Sustainable Human Development due to the severity of the impact of climate events that in short periods of time reverse development achievements reached in decades.

The country has made progress in transparency and accountability with the vision of developing a more robust justice system. In addition to strong institutions, a substantive element of effective governance is the capacity for agency and empowerment of people to recognize and demand their rights. 

In the last three years, the country has prioritized citizen security as a key axis for democratic governance and the rule of law. Work has been carried out on police reform to strengthen protection capacities, the effective exercise of rights and monitoring and the follow-up of security indicators for public policy. 

Significant progress has been made in reducing violent incidents, however, these persist in the most vulnerable areas. We know that significant challenges remain to achieve greater security in certain communities and neighborhoods, for example, by December 2022 there was an increase of 2.0 percentage points in the homicide rate compared to the previous year. It is important to highlight the importance of social cohesion (Target 10.2) to have greater citizen participation and thus create opportunities for upward mobility with greater inclusion.

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