Caribbean Small Island Developing States (SIDS) are characterized by small sizes and limited resources for development. There was an unsustainable sectoral approach to the management of their watershed and coastal resources. This resulted in the degradation of the environment and overexploitation of natural resources. Problems included diminishing freshwater supplies, degraded freshwater and coastal water quality, inappropriate land use, and poor sanitation. SIDS were, as such, a priority for the introduction of integrated watershed and coastal areas management approaches.