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This roadmap focuses on achieving people-centered and self-sustaining regional impact-based MHEWS that ensure participation from gender groups, community leaders, vulnerable groups, and the private sector. It is centered around ten strategic initiatives which, implemented together, can help transform national and regional delivery of the MHEWS required for the Caribbean to thrive. 

Recommendations from the report include:

• The region needs to further harmonize activities aimed at strengthening the regional MHEWS.
• Further synchronization of regional and international cooperation should be viewed as essential for societies to get timely access to high-quality, actionable information.
• Climate-related health impacts, including those from extreme heat, should be integrated into impact-based MHEWS.
• The policy and regulatory environment will need to progress together with technical advances in implementing the roadmap to build a stronger impactbased MHEWS
• Data policy development is challenging yet it is crucial to impact-based MHEWS delivery and should therefore be pursued relentlessly