134
DOMINICAN REPUBLIC COUNTRY PRIVATE SECTOR DIAGNOSTIC
131 For example, apart from those MNCs that arrange the provision of these services internally (within their
international group, if not within the local manufacturing facility), there is only one company—Cosmed
Group—that provides contract sterilization services. In addition, these two articles discuss the market: U.S.
International Trade Association, “Medical Devices Market in the Dominion Republic,” June 26, 2019, https://
www.trade.gov/knowledge-product/medical-devices-market-dominican-republic, and L. Vásquez-García
et al., “Analysis of the Supply Chain of Medical Devices in the Dominican Republic,” Journal of Medical Systems,
May 2020, DOI: 10.1007/s10916-020-01587-9.
132
Blair Lapres, “The Cluster Competitiveness Group 2020: Report on Cluster Potential and Strategies:
Medicine, Pharmaceutical, and Biotechnology” (World Bank, Washington, DC, 2020).
133
Market Research Future, “Healthcare BPO Market,” 2021, https://www.marketresearchfuture.com/reports/
healthcare-bpo-market-1335.
134
See American Association of Medical Colleges (AAMC), https://www.aamc.org/news-insights/press-
releases/new-findings-confirm-predictions-physician-shortage.
135
Capitation is a payment arrangement for health care services in which an entity (such as a physician or
group of physicians) receives a risk-adjusted amount of money for each person attributed to it, per period of
time, regardless of the volume of services that person seeks. Remote patient monitoring systems are used
for chronic patients to reduce the amount of services (that is, hospital visits).
136
Organisation for Economic Co-operation and Development (OECD), “Production Transformation Policy
Review of the Dominican Republic,” 2020.
137
UNCTAD, World Investment Report 2019: Special Economic Zones, https://unctad.org/system/files/ocial-
document/wir2019_en.pdf.
138
See UNCTAD, World Investment Report 2019: Special Economic Zones for a recent and comprehensive
overview of these debates and the available evidence.
139
World Bank, Dominican Republic—Country Economic Memorandum: Sustaining Economic Growth (English)
(Washington, DC: World Bank, 2023).
140
Tensie Whelan et al., “ESG and Financial Performance: Uncovering the Relationship by Aggregating Evidence
from 1,000 plus Studies Published between 2015-2020” (New York University Stern School of Management,
2021), https://www.stern.nyu.edu/sites/default/files/assets/documents/NYU-RAM_ESG-Paper_2021%20
Rev_0.pdf.
141
IFC, “Green Buildings: A Financial and Policy Blueprint for Emerging Markets,” 2019.
142 World Bank, “Circular Economy in Industrial Parks: Technologies for Competitiveness” (World Bank,
Washington, DC, 2021).
143
Analytica, “Zonas Francas: Oportunidades Para Todos,” 2021.
144 PROCOMER, “Impacto del Régimen de Zona Franca en Costa Rica 2014-2018,” 2019, https://www.procomer.
com/noticia/segun-estudio-del-sector-comercio-exterior-aportes-de-zonas-francas-impulsan-desarrollo-
del-pais/.
145
Analytica, “Zonas Francas: Oportunidades Para Todos.”
146 World Bank, Dominican Republic—Country Economic Memorandum.
147
Eduardo Ereno Blanchet et al., Paving the Way for Prosperous Cities and Territories: Urbanization and Territorial
Review of the Dominican Republic (English) (Washington, DC: World Bank, 2022).
148
The AIIB is a multilateral development bank established in 2015 with the aim of promoting economic
development in Asia through infrastructure projects. One of its core areas of focus is financing industrial
parks, which it sees as crucial for the region's economic growth. To achieve this goal, the AIIB oers long-
term loans with competitive interest rates, as well as technical assistance and advisory services to help
ensure the projects are successful. See https://www.aiib.org/en/index.html.
149
BNDES oers loans with maturities of up to 30 years, which can help reduce the risk of financing such
projects. The bank also provides other forms of support, including technical assistance and equity financing.
150
Superintendencia de Bancos, SIMBAD, available at https://simbad.sb.gob.do/.
151
Monetary and Financial law Number 183-02, Article 47 (a). According to the Central Bank’s resolution number
5 of December 19th of 2016 this limit can be increased to 20 percent if admissible guarantees are provided
152
Junta Monetaria, Prudential norms of capital adequacy, art. 21, 2004.
153 Junta Monetaria, Prudential norms of capital adequacy, art. 21, 2004.
154 IFC, “Central America, Colombia, and Mexico Nearshoring Analytical Report,” 2022.
155 CPSD team calculations based on Susan Lund et al., Risk, Resilience and Rebalancing in Global Value Chains
(McKinsey, 2020) global nearshoring estimates of US$4.4 trillion and assumption that the DR can capture
its current share of global export (0.06 percent) of these flows.
156
CPSD team calculations based on short- and medium-term nearshoring flows for the Dominican Republic
estimated by the IDB suggest approximately US$1.6 billion. See the IDB news release, June 7, 2022, at https://
www.iadb.org/en/news/nearshoring-can-add-annual-78-bln-exports-latin-america-and-caribbeanInter-
American Development Bank – 2021.
157
Based on the current SEZ export-to-industrial areas ratio of US$191 per square feet.
158 The CNZF does not dispose of a breakdown by sector of the areas but has indicated that the majority of the
3.3 million square feet dedicated to manufacturing corresponds to the tobacco sector.