The Puente Model
Bringing evidence-based, sustainable, and compassionate healthcare directly to families in Constanza, Dominican Republic.
Puente Health is Puente's community health arm, delivering ongoing care and education to underserved families in and around Constanza, Dominican Republic. While Puente's infrastructure projects address environmental barriers to health, like unsafe water and sanitation, Puente Health addresses the human side: the patients, families, and communities who need consistent, trusted care.
Our health programs are designed to meet people where they are, literally. Through monthly home visits, mobile clinics, and maternal care groups, Puente Health brings healthcare to communities where distance, cost, and system complexity too often stand in the way.
Health disparities in rural Dominican communities are significant and preventable.
49%
of adults in the DR have hypertension
1.5× higher than the US124
Maternal Mortality Rate per 100,000 in the DR
7× higher than the US22
Neonatal Mortality Rate per 1,000 in the DR
6× higher than the USWe have developed three ongoing initiatives, each designed with input from local community leaders and grounded in evidence-based practices.
Monthly Home Visits
“House to House” · Launched 2019
Launched in 2019, Casa a Casa (“House to House”) brings consistent health monitoring directly to those most in need. Puente’s trained health promoters visit at-risk patients each month, offering free blood-pressure and glucose checks, education, and early detection of complications related to chronic conditions such as hypertension and diabetes. Today, Casa a Casa supports more than 300 patients a month across multiple communities, helping them manage their health with dignity and consistency. By combining compassionate personal outreach with reliable data collection, the program strengthens long-term outcomes and reduces preventable hospital visits, one household at a time.
Prenatal & Postnatal Care
Introduced 2023
Introduced in 2023, the Maternal Health Program nurtures healthier mothers and children through culturally grounded, evidence-based care and education. It empowers women with practical knowledge, emotional support, and a strong sense of community, ensuring that every pregnancy is met with dignity, confidence, and well-being.
Each group includes 12-15 women, and to date, the program has supported more than 50 mothers in Constanza. Each course includes hands-on cooking and nutrition information, prenatal and birth guidance, domestic violence education, and family planning. Through this program, Puente helps families lay the groundwork for stronger, healthier futures.
Mobile Community Clinics
Several times per year
Puente’s operativos are community clinics that bring essential healthcare to families in and around Constanza. Conducted several times a year in partnership with local hospitals, health authorities, and community leaders, these events provide free medical consultations, medications, screenings, and health education to residents who otherwise face barriers to care.
Each operativo transforms a school, church, or community center into a fully functioning clinic staffed by health care professionals and students from the Dominican Republic and the United States. Patients receive services ranging from primary care and pediatrics to women’s health, dentistry, and preventive education in nutrition and chronic disease management. Beyond immediate treatment, operativos serve as an entry point to ongoing programs such as Casa a Casa and Maternal Health, linking short-term care to long-term support. In every setting, these clinics reflect Puente’s commitment to access, partnership, and long-term community wellness.
Some patients in our Casa a Casa program require a level of care that goes beyond our standard monthly visits: individuals managing complex chronic conditions who need more intensive monitoring, medication support, or specialist referrals.
Our Special Patient Program provides this elevated, individualized care.
300+
Active Casa a Casa Patients
50+
Mothers Supported
300+
Patients Seen at Operativos
For Students & Professionals
We work with pre health students, researchers, public health and medical professionals, and anyone interested in supporting our mission. Whether you want field experience, data analysis work, or to just make a difference in the world, there's a meaningful role for you.
For Donors & Partners
Your contribution keeps our work going, house by house, mom by mom, patient by patient. Donations fund our key programs that serve hundreds of families each year.