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Caribbean Region

Commentary
What Can FEMA Learn from the Historic 2017 Hurricane and Wildfire Seasons?
When a hurricane comes ashore or a wildfire ignites, most of a community's vulnerability to disaster is already set. Emergency managers including FEMA, states, and localities could do much more to identify statewide risks and build community resilience before an event makes headlines.
Feb 3, 2020
Journal Article
Developing Pilot Interventions to Address Food Insecurity and Nutritional Needs of People Living With HIV in Latin America and the Caribbean: An Interinstitutional Approach Using Formative Research
Documenting high levels of food insecurity and overweight among people with HIV in Latin America and the Caribbean and highlighting food gaps have important implications for interventions, since prior efforts to address food insecurity among people with HIV have focused on underweight and wasting.
Dec 12, 2019
Journal Article
"It Was as Though My Spirit Left, Like They Killed Me": The Disruptive Impact of an HIV-Positive Diagnosis Among Women in the Dominican Republic
A qualitative approach was used to explore the impact of an HIV diagnosis on women in the Dominican Republic and coping strategies after diagnosis. We conducted in-depth, semistructured interviews with a purposive sample of women living with HIV.
Oct 15, 2019
Blog
Hurricane Dorian, Al Qaeda, Veterans' Health: RAND Weekly Recap
This weekly recap looks at Hurricane Dorian recovery, al Qaeda 18 years after 9/11, veterans' mental health care, and more.
Sep 13, 2019
Commentary
Hurricane Recovery in the Bahamas: Turning Good Intentions into Good Decisions
Recovery in the Bahamas will have to be a balancing act. Plans will need to allow for transition toward long-term strategic goals for the nation, but also be mindful of not perpetuating inequities.
Sep 6, 2019
Commentary
When Are Economic Sanctions Worthwhile?
For American policymakers, economic sanctions are too often the soft choice between doing nothing and taking effective but risky or expensive action. Yet, before they inflict years, perhaps decades of impoverishment and worse on entire populations, they should ask if their efforts are likely to succeed and are worth punishing an entire people to do so.
Apr 15, 2019
Announcement
Statement About Edward Gonzalez, RAND Consultant and Expert on Cuba
Edward Gonzalez, a longtime RAND resident consultant and political science professor at UCLA who spent decades studying Fidel Castro's Cuba and its relations with the United States and the former Soviet Union, has died. He was 85.
Oct 9, 2018
Commentary
Now's the Time to Act on Guantanamo
Most of the 41 terror suspects who remain confined at Guantanamo Bay are unlikely to be released from custody any time soon. But the possibility that new detainees may soon be sent to the facility argues for early action to accelerate the legal proceedings against those already being held.
Apr 16, 2018
Periodical
RAND Review: January-February 2018
This issue highlights RAND research on life inside the Islamic State and on the economic returns of early childhood investments, plus lessons for the U.S. from Britain's approach to free child care.
Jan 3, 2018
Blog
RAND Researchers Visit Puerto Rico After Hurricane Maria
A small team of RAND researchers went to Puerto Rico two weeks after the island was struck by Hurricane Maria. They are compiling their observations into a series of studies for the Army, with recommendations to smooth its response to future disasters.
Dec 19, 2017
Commentary
Doing More with Less: Lessons from Cuba's Health Care System
High U.S. health care costs do not yield corresponding health outcomes for its citizens. But Cuba, for less than a tenth of U.S. costs, has attained comparable outcomes on many indicators, such as life expectancy and infant mortality. Cuba prioritizes primary care and prevention and addresses social determinants of health.
Oct 6, 2017
Commentary
A Changing Cuba May Create Risks for Maritime Border Security
A changing Cuba may contribute to less secure maritime borders for the United States. The U.S. should plan accordingly to stop mass movements of both drugs and people.
Nov 5, 2016
Commentary
Cholera in Haiti: No Surprise This Time Around
When Hurricane Matthew swept across Haiti, it left a resurgence of cholera in its wake. Tackling cholera head-on should be on the short list of health priorities for disaster relief in the island nation.
Oct 27, 2016
Report
The U.S. Military Response to the 2010 Haiti Earthquake
Luck, serendipity, and longtime relationships fostered success in Haiti relief efforts, though actual performance is impossible to measure because metrics and plans were not in place before the earthquake hit. U.S. Department of Defense policy on humanitarian assistance and disaster relief needs to be updated.
Oct 29, 2013
Journal Article
Reducing Quality-of-Care Disparities in Childhood Asthma: La Red De Asma Infantil Intervention in San Juan, Puerto Rico
The objective of this study was to describe our experience in reducing quality-of-care disparities among Puerto Rican children with asthma by adapting 2 existing evidence-based asthma interventions.
Mar 1, 2013
Journal Article
Are There Differences in the Medicare Experiences of Beneficiaries in Puerto Rico Compared with Those in the U.S. Mainland?
The authors compare the experiences of elderly Medicare beneficiaries in Puerto Rico with their English-preferring and Spanish-preferring Medicare counterparts in the U.S. mainland.
Mar 1, 2012
Periodical
RAND Review: Vol. 35, No. 3, Winter 2011-2012
Stories discuss world demographic trends, Afghan peace prospects, U.S. health care spending, California prisoner reentry, Latin American inequalities, global health, veterans' mental health, highway investments, teacher bonuses, and charter schools.
Jan 13, 2012
Periodical
A Year After the Earthquake in Haiti, the Key to Stability Is to Build the State
It has been a year since the devastating earthquake. The question now is how to use international aid and assistance wisely. This RAND Review cover story describes actions that could yield positive outcomes in Haiti in three to five years.
Jan 6, 2011
Multimedia
Rebuilding Haiti
In this October 2010 Congressional Briefing, RAND experts discuss how the billions of dollars in aid pledged to help Haiti rebuild after the January earthquake can be used to create a resilient state that is capable of responding effectively to natural disasters and providing public services like education and health care.
Oct 18, 2010
Report
Building a More Resilient Haitian State: French translation of summary
Ce rapport passe en revue les défis auxquels est confrontée la République d'Haïti, ainsi que les projets de réforme envisagés, afin d'identifier les priorités les plus nécessaires, réalisables et durables dans le domaine de la construction étatique.
Aug 24, 2010

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Homeland Security Operational Analysis Center

Researcher Spotlight

Charles P. Ries

Adjunct Senior Fellow

Ambassador (Ret.) Charles Ries is an adjunct senior fellow at the RAND Corporation. His research focuses on the economics of development, trade, transatlantic, and Middle East affairs. Previously, Ries served as vice president, International at RAND (2012–2020). Earlier, while on a leave of…
Marielena Lara

Senior Physician Policy Researcher

Marielena Lara is a senior physician policy researcher at the RAND Corporation, leading program initiatives to improve the health and social well-being of vulnerable communities. She has spearheaded interdisciplinary teams and multisectoral partnerships in action-oriented implementation and…

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