The Puente Model

Throughout the Dominican Republic, 1.6 million people lack access to safe drinking water. Without a source of clean water, individuals and children in particular are susceptible to diseases, parasitic infection, and diarrhea as a result of drinking contaminated water. Using Puente software, we are able to identify the households throughout the D.R. that rely on contaminated tap water as their main access to drinking water; we also track medical conditions that might be related to the consumption of contaminated water. Our water filters project seeks to supply a clean water source to these families to improve health outcomes: a ceramic water filtration system removes contaminated materials from tap water, resulting in clean and safe drinking water. In addition to a water filter, families also receive sanitation and health education in order to provide them with the building blocks needed to lead a healthy life in all aspects.

Only half of the population across the Dominican Republic has access to running water; the remaining half, most likely to be concentrated in rural parts of the country, experience intermittent and unreliable water service. Without consistent access to water, it is difficult to practice hand-washing and properly disinfect common areas. As a result, communities with a systemic deficit of water are more susceptible to contract preventable diseases. Through our data collection, Puente pinpoints households with limited access to water. These same households receive a rainwater collection system, designed to filter and store up to 400 gallons of rainwater at a time. As a result, families are able to store and use clean rainwater to fulfill routine household tasks, such as hand-washing, bathing, and cleaning, enabling them to improve health outcomes.

Dirt floors make people sick, and yet 300 million families worldwide live in homes built directly on the ground. Parasitic and respiratory illnesses spread easily in homes with dirt floors, and germs stay put, simply because it is impossible to clean dirt surfaces. Replacing dirt floors with cement significantly improves individuals’ quality of life, particularly children: the World Bank found that paving dirt floors with cement leads to a 78% reduction in parasitic infestations in kids. Through Puente software, we are able to identify which households lack proper flooring, as well as have health conditions such as chronic diarrhea that are linked back to dirt floors. When a community experiences significant rates of dirt flooring, we implement project plans to construct cement floors in order to improve the health outcomes of families in the community.

Without a reliable water source, many households across the Dominican Republic are unable to consistently and correctly practice hand-washing. This is important, because the Center for Disease Control and Prevention estimates that washing hands with soap and water can reduce diarrheal-related deaths by up to 50%. Using the Puente app, we are able to identify households that do not have reliable access to water: we know that without running water, these families may lack the necessary water supply to wash their hands regularly. We then install our signature hand-washing station. On water supply days, recipient households use a large container to collect and store water specifically for hand-washing, and a convenient nozzle releases a slow water stream so that individuals can wash their hands with soap and water as necessary. Project recipients also receive educational training so that they are equipped with knowledge of proper hand-washing techniques.

Introduced in 2023, the Maternal Health Program nurtures healthier mothers and children through culturally grounded, evidence-based care. 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. By pairing accessible education with compassionate accompaniment, Puente helps families lay the groundwork for stronger, healthier futures.

Puente’s operativos are mobile 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 pop-up 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 on nutrition and chronic-disease management. Beyond immediate treatment, operativos serve as a bridge to ongoing programs such as Casa a Casa and Maternal Health, linking short-term care to sustainable progress. In every setting, these clinics reflect Puente’s commitment to access, partnership, and long-term community wellness.