Successive cycles of the Basic Needs Trust Fund (BNTF) Programme of the Caribbean Development Bank (CDB) have invested in Early Childhood Development (ECD), including construction and refurbishment of daycare facilities, preschools and primary schools, and provision of grants to community groups and ministries with responsibility for ‘Social Development’ and ‘Education’. Lessons learned from these interventions indicate that there is need to strengthen the enabling environment to promote and sustain positive childhood development.