Dominican Republic’s Public Pharmacies Face Crisis: Low Pay, Drug Shortages, and Calls for Reform
The Dominican Republic’s public pharmacy system, operated under the Programa de Medicamentos Esenciales y Central de Apoyo Logístico (Promese/Cal), is facing mounting pressure. The Asociación Farmacéutica Dominicana (AFD) has publicly denounced low salaries, precarious working conditions, and reported shortages of essential medications within the Farmacias del Pueblo network.
A Wage Crisis for Pharmacists
A central grievance is the significantly low pay for pharmacy supervisors. Despite many having over 15 years of service, these professionals currently earn approximately RD$26,000 (Dominican Pesos) monthly. This figure falls far short of agreed-upon salary scales established in 2023, which proposed wages between RD$60,000 and RD$65,000. The AFD is urgently requesting a meeting with José Luis López Pérez, the director of Promese/Cal, to address these discrepancies.
The situation is compounded by the recent suspension of fuel allowances for supervisors since December 2025, adding a financial burden and hindering their ability to perform essential supervisory duties across various locations.
Infrastructure Decay and Medication Scarcity
Beyond wages, the physical state of many Farmacias del Pueblo is deteriorating. Reports indicate issues with leaks, lack of investment, damaged furniture, and malfunctioning air conditioning systems. These conditions threaten the proper storage and preservation of medications, potentially compromising their quality and efficacy.
Simultaneously, a surge in demand for essential medications, particularly those addressing flu-like symptoms and pain relief, is exacerbating existing shortages. Patients are reporting difficulties obtaining crucial drugs like aspirin, certain antibiotics, and anti-hypertensive medications.
Staffing Shortages and Qualification Concerns
Recent retirements – approximately 35 pharmacy professionals from both the Farmacias del Pueblo and the public health system – have created staffing gaps. The AFD is advocating for the immediate replacement of these skilled professionals.
Further concerns have been raised regarding the designation of a professional with a background in accounting to lead the Dirección Técnica Farmacéutica within Promese/Cal. The AFD argues that this position requires a qualified pharmacist with specialized technical knowledge.
Potential for Escalation
The AFD has attempted to engage in dialogue with José Luis López Pérez on at least three occasions without success. They are formally requesting a meeting to discuss their concerns and the medication supply issues. The association has warned that if a response is not received within approximately one week, they may consider further action.
The Role of Promese/Cal
Promese/Cal plays a vital role in providing affordable medications to the Dominican population. José Luis López Pérez, the current director, has a long history in the medical field, having graduated as a Doctor in Medicine in 1987 and holding various positions within the public health system. His leadership is now under scrutiny as the AFD seeks to address the systemic issues plaguing the pharmacy network.
FAQ
- What is Promese/Cal? It’s the Programa de Medicamentos Esenciales y Central de Apoyo Logístico, responsible for providing essential medicines and logistical support.
- What are the main concerns raised by the AFD? Low salaries, poor working conditions, medication shortages, and improper staffing designations.
- Who is José Luis López Pérez? He is the current director of Promese/Cal and a medical doctor by training.
- What action is the AFD considering? If their concerns are not addressed within a week, they may accept further action.
Pro Tip: Staying informed about healthcare developments in the Dominican Republic is crucial for both residents and those involved in the pharmaceutical industry. Regularly check official sources and news outlets for updates.
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