Information for Patients
Health services in Dominica are financed largely by general taxes. Primary care services are provided at no cost at 7 health centers and 44 clinics around the country. Princess Margaret Hospital is the main hospital. There is a smaller hospital at Portsmouth and cottage hospitals at Marigot and Grand Bay. There is some commercial outpatient care provided by private practitioners. Tertiary care is mostly provided outside the country. People under the age of 17 years old, pregnant women, the indigent, and those suffering from communicable diseases are exempt from medical care charges. There are six ambulances operated by the fire department.
Information for Health Care Professionals
Dominica doesn’t offer an exclusive work visa, but a work permit. Work permits are valid for one full year and can be renewed annually. In order to qualify for the work permit applicants must submit a number of documents, among others, job offer/letter from employer confirming position and accepting responsibility for applicant, health record and police record from applicant’s home city. Foreign Health Care professionals who wish to work in Dominica need to transfer their credentials based on the standards there, which may require tests.
Information for Travelers
Travelers need to make sure they have adequate travel health insurance and accessible funds to cover the cost of any medical treatment abroad and repatriation. Nevertheless hospitals and clinics may not accept medical travel insurance as payment for treatment and may expect payment in cash. In that case, travelers need to foot the bill upfront and get reimbursed by the insurer later on. Serious medical problems will require air evacuation to a country with state-of-the-art medical facilities. Some vaccinations are recommended based on the season and current epidemiologic situation.
Ministry of Health: http://health.gov.dm/ (website is currently under development)