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This paper presents a review of the support provided by the ECLAC Subregional Headquarters for the Caribbean to small island developing States in the Caribbean for the further implementation of the Mauritius Strategy for Implementation of the Barbados Programme of Action. This report forms part of the MSI+5 Review and addresses structural support through the establishment of the Regional Coordinating Mechanism and the Technical Advisory Committee, and the applied research conducted by ECLAC which is intended to lead to policy implementation.