The public sector in the Caribbean : issues and reform options

Abstract

The public sector's performance in the Caribbean varies, in reducing poverty and in creating an enabling environment for growth. Barbados and the Bahamas have been the high performers, Guyana and the Dominican Republic have been sluggish, and the other Caribbean countries fall in between. In the Caribbean region, the public sector is now the predominant provider of tertiary education and health services (university education and hospital-based curative care), which mainly benefit the nonpoor. Attempts must be made to recover costs from high-income users and use that revenue to improve the quality and quantity (as appropriate) of basic services. Lessons from experience suggest that most Caribbean countries need to encourage the private sector to participate more in providing infrastructure and need to provide a better regulatory framework. The good news: this is already taking place in many countries.Health Monitoring&Evaluation,Public Health Promotion,Public Sector Economics&Finance,Decentralization,Environmental Economics&Policies,Public Sector Economics&Finance,Health Monitoring&Evaluation,Poverty Assessment,National Governance,Inequality