Caribbean Region

  • 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

  • Members of the Virgin Islands National Guard hand out food and water to civilians at a distribution point on St. Croix after Hurricane Irma, September 22, 2017


    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

  • A newborn baby rests beside his mother at the Ana Betancourt de Mora Hospital in Camaguey, Cuba, June 19, 2015, the week the World Health Organization declared Cuba the first country in the world to eliminate the transmission of HIV and syphilis from mother to child


    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

  • Would-be emigrants launch a makeshift boat into the Straits of Florida towards the U.S., on the last day of the 1994 Cuban Exodus in Havana, September 13, 1994


    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

  • A woman receives treatment for cholera after Hurricane Matthew at a hospital in Les Anglais, Haiti, October 12, 2016


    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

  • commander of JTF-Haiti asks a few Haitians about the living conditions at the internally displaced persons camp


    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

    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

    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

  • Congressional Briefing Podcast


    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

  • News Release

    News Release

    Rebuilding Haiti Requires New State-Building Strategy

    Haiti's future prosperity and peace depend on its ability to build a more resilient state, one capable of providing public services like education and health care as well as responding effectively to natural disasters.

    Aug 13, 2010

  • Multimedia

    Keith Crane and Laurel Miller Discuss Building a More Resilient Haitian State

    RAND Senior Economist Keith Crane and RAND Senior Political Scientist Laurel Miller discuss developing a Haitian state-building strategy. They identify the main challenges to more capable governance and suggest ways the influx of aid money can be used for long-term improvements, as well as offer other insights from their latest report, Building a More Resilient Haitian State.

    Aug 13, 2010

  • Research Brief

    Research Brief

    Building a More Resilient Haitian State: Key Recommendations and Priorities

    Haiti's future prosperity and peace require building a more effective, resilient state. RAND researchers identified Haiti's main challenges and recommended a set of state-building priorities that are necessary, feasible, and sustainable.

    Aug 12, 2010

  • Aftermath of earthquake in Haiti


    Rebuilding Haiti Requires New State-Building Strategy

    Haiti's future prosperity and peace depend on its ability to build a more resilient state, one capable of providing public services like education and health care as well as responding effectively to natural disasters.

    Aug 6, 2010

  • Journal Article

    Journal Article

    Reflections on the Initial Multinational Response to the Earthquake in Haiti

    Expert panel discussion of the emergency response in Haiti concluded that rigorous, objective after-action reports are needed both to improve ongoing operations in Haiti and to enhance future responses to large-scale population emergencies.

    Jun 1, 2010

  • Commentary


    A Month After the Earthquake: Opportunities Slipping Away

    Previous efforts by the international community to stabilize Haiti have met with little or only short-term success. This time, following the earthquake, the U.S. response could actually leverage the response and recovery opportunities into a broader international plan, write Agnes Gereben Schaefer and Anita Chandra.

    Feb 24, 2010

  • Testimony


    Reconstructing Haiti

    In testimony presented before the Senate Foreign Relations Committee, James Dobbins discusses the current international disaster relief operation in Haiti and how it is affected by a preexisting post-conflict reconstruction mission, which he considers ultimately more important.

    Jan 26, 2010

  • Commentary


    Skip the Graft

    The latest disaster to befall Haiti creates the opportunity to combine bipartisan accord on Haiti in Washington with keen and perhaps sustained American public interest, writes James Dobbins.

    Jan 17, 2010