Participants at the 2008 Caribbean Health Disaster Coordinators meeting rallied around the idea of developing the Health Sector Self-Assessment Tool for Disaster Risk Reduction to evaluate key aspects of disaster risk management. As an internal tool for use by the health sector, it will aid in determining priorities for a national health sector risk reduction or disaster management program and as a monitoring tool for measuring changes over time. To be effective, it requires objective responses from Health Disaster Coordinators and other relevant health sector stakeholders. The Tool has an element of subjectivity and will likely be adjusted/updated as it is applied and new things are learned. Even within this limitation, it is recognized as maybe the best system available to rapidly provide a snapshot picture of the status of preparedness and mitigation in the country’s health sector.