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The report identifies significant climate risks in the Yaque del Sur watershed, where high exposure to hurricanes, floods, and droughts intersects with high poverty and low adaptive capacity. Modelling suggests that by 2050, the annual water deficit could reach 519 million m3, threatening key crops like maize and tomatoes. While the Dominican Republic has established disaster risk and climate change frameworks, the report finds a lack of coordination between these structures and deficiencies in data sharing. Recommended priority actions include shifting to drought-resilient crops (sorghum and mangoes), increasing irrigation efficiency from 20% to 45%, and implementing payment for ecosystem services to promote reforestation in the upper watershed.