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This book reviews the access to services, investment needs, tariffs, and efficiency of fifteen Caribbean countries across five infrastructure sectors (telecommunications, electricity, water and sanitation, maritime transport and ports, and airports and air services). Benchmarks are established to compare Caribbean countries with each other, and with similar countries. The study highlights several key policy findings and recommends changes that have the potential to help Caribbean governments overcome some of their inherent disadvantages of scale to provide better, cheaper infrastructure services.