In small developing states, fiscal policy is rarely made under calm or predictable conditions. Governments must manage narrow revenue bases, high debt, and limited room to respond to shocks. In the Caribbean, those pressures are magnified by hurricanes, commodity price swings, and external financing needs. These realities framed a recent hybrid workshop on strategic fiscal planning and Medium-Term Fiscal Frameworks (MTFFs), facilitated by the Caribbean Regional Technical Assistance Centre (CARTAC) and hosted by the Government of Grenada. The workshop gave regional practitioners space to look beyond immediate crises and focus on building stronger, more forward-looking fiscal frameworks.
The workshop underscored a simple point that in a region exposed to frequent natural hazards, thin fiscal buffers, and persistent structural vulnerabilities, an MTFF is not a luxury, it is a stabilizing tool. An MTFF sets out how governments will manage revenue, spending, deficits, and debt over a three-to-five-year period. It combines a fiscal strategy with macroeconomic projections and expenditure ceilings, helping annual budgets reflect longer-term priorities rather than short-term pressures.
Why MTFFs Matter in the Caribbean

A sound MTFF provides a multi-year roadmap for fiscal policy and links annual budgets to national priorities. By setting binding expenditure ceilings before the budget is prepared, it helps control overspending, reduce political pressure for mid-year expansions, and improve policy discipline. For small Caribbean economies with limited buffers, these ceilings are vital guardrails against fiscal slippage. Stronger credibility can also lower borrowing costs and support debt sustainability, which is especially important across the Caribbean Community (CARICOM)[1], where many countries still face high debt (Figure 1) and depend on external financing.
Grenada offers a success story for small developing states. After adopting its Fiscal Responsibility Act (FRA) in 2015, which introduced legislated fiscal rules and independent fiscal oversight, and the adoption of an MTFF in 2017, fiscal performance improved significantly (Figure 2). Public debt fell by 26 percentage points cumulatively over the decade ending 2024, aided also by debt restructuring and relatively strong economic growth. The country authorities project that the debt-to-GDP ratio will reach the FRA’s target of 60 percent before the target year of 2035. Grenada’s experience grounded the regional training in practical evidence. It shows that a credible MTFF backed by clear fiscal rules, independent oversight, and sustained political commitment can strengthen policy discipline and improve fiscal outcomes, even in a small, shock-prone economy. The Grenada lessons are highly relevant not only for the Caribbean, but for other small states, including those in the Pacific that face similar vulnerabilities. Peer learning across CARICOM shows that, while MTFFs are adopted, results often fall short because implementation is weak. Common problems include poor enforcement of fiscal ceilings, fragmented public financial management (PFM) systems, limited data, and weak links between medium-term plans and annual budgets. These constraints are compounded by political pressures for short-term spending, exposure to shocks, capacity limitations, and incomplete coverage of state-owned enterprises and other fiscal risks. What is needed next is a practical implementation agenda. At a minimum, governments should use simple Excel-based frameworks that are tailored to the country context (homemade and uncomplicated rather than off the shelf), strengthen macro-fiscal forecasting and data systems, integrate MTFF targets into the annual budget cycle, improve fiscal risk management (including for climate shocks), and deepen coordination between ministries of finance and line ministries. Where possible, MTFFs should be anchored in law or clear policy guidance. Just as important, governments need to communicate fiscal choices clearly to policymakers, citizens, and markets. Regional experience suggests that credibility improves when MTFFs are tied to clear targets, supported by early cabinet engagement, and embedded in transparent systems that small teams can actually use. With continued regional cooperation and technical assistance, Caribbean governments can strengthen the fiscal policy, forecasting, risk analysis, communication, and PFM systems needed to sustain credible MTFFs. If implementation discipline holds, these frameworks can become more than a technical reform, but provide a practical foundation for stability, resilience, and stronger development outcomes for Caribbean women, men, boys, and girls. [1] The Caribbean Community (CARICOM) is a grouping of twenty-one countries, 15 Member States and six Associate Members, view list at: https://caricom.org/member-states-and-associate-members/. Grenada’s Experience Shows the Value of a Credible MTFF
Why Implementation of MTFFs in the Caribbean Still Falls Short
What Needs to Happen Next