This report summarizes the findings of the Transition Readiness Assessment for the Dominican Republic carried out by Aceso Global and APMG Health, with financial and technical support from the Global Fund to Fight AIDS, Tuberculosis and Malaria. It aims to support the Dominican Republic to undertake transition planning as the Global Fund winds down its financial support for the national tuberculosis and HIV/AIDS responses.

Specifically, the report: 1) summarizes the Global Fund’s financial and non-financial support to the country; 2) describes the epidemiological situation as well as the national response in the Dominican Republic; 3) provides a background on the institutional and enabling environments, human rights and gender situation; 4) overviews the Dominican Republic’s health system and analyzes healthcare financing and fiscal space issues; 5) analyzes delivery system enablers and barriers to transition, including supply chain, information systems and the health workforce; and 6) assesses the current and future role of civil society organizations in the national disease responses. The report concludes with recommendations on the pathway forward to facilitate a smooth and sustainable transition.