The Dominican Republic is country of around ten million people located on the east side of the island of Hispaniola. Like the rest of the Caribbean, the geographic location of the Dominican Republic makes it extremely vulnerable to earthquake, tropical storms, and hurricanes. The risk of natural disaster has worsen recently due to climate change. The natural vulnerability of the country combined with high levels or rural poverty, poor use of national resource, and social exclusion have left a significant part of the population with inadequate access to water which translate in the propagation of water-related illnesses. For instance, from October 2010 to December 2011 21,592 cases of cholera were registered and 371 death related to cholera were reported. This is a considerable number for a country of only ten million people.