No entity is specifically in charge of sanitation and there is no policy on sanitation. According to a 2006 evaluation for USAID, the Dominican Republic is one of the few countries in Latin America where sanitation is managed by a Public Health State Secretariat that is not coordinated with the rural potable water programs. This, together with the weakness of the Environmental Health Directorate in the Public Health Secretariat, has caused latrine and sanitary education programs to be weak or abandoned.