The Caribbean Regional Fund for Wastewater Management (CReW) has realized that simply providing funds may not be enough to solve the challenges participating countries face in managing wastewater treatment. Therefore, CReW has commissioned this report to analyze this issue more closely. This report helps the CReW Project understand if the participating countries currently have access to wastewater funding, and if so, under which conditions. It also analyzes whether or not the countries have the organizational and absorptive capacity to effectively use the available funding. The report concludes by describing a proposed approach on how to help countries in the Caribbean achieve their objectives in the wastewater sector.