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A priority for Small Island Developing States (SIDS) is effective planning and financing of actions to address the impacts of climate change. This paper examines the vital role that regional institutions play in sharing SIDS relevant approaches and knowledge, and in delivering specialist skills and knowledge to support national efforts. It goes on to highlight the work of the Climate Resilient Islands Partnership, which links the Caribbean, Indian Ocean and Pacific Regions, and is working to rapidly scale-up cost-effective services to SIDS through inter-regional cooperation and exchange.