The Caribbean Development Bank’s (CDB) Borrowing Member Countries (BMCs) are confronting unprecedented social and economic challenges. Notwithstanding social gains achieved over the past four decades, poverty levels have remained relatively high in many BMCs and in some instances have risen in the wake of the global economic crisis. The global crisis also imposed significant fiscal hardships, exacerbating already large deficits and high debt, and pushing public debt to unsustainable levels in many BMCs. The acute socioeconomic and fiscal challenges confronting most of the BMCs reinforce the case for continued technical and financial assistance, particularly concessionary resources from development partners. This support is important to help countries consolidate socioeconomic progress already achieved and to reduce the risks of regression, so as to ensure that most of the Millennium Development Goals (MDGs) are met.