The document discusses the origins and progress of the Millennium Development Goals (MDGs) in the Caribbean region. It notes that while gains were made in some areas like reducing new HIV infections, there were still shortfalls in 2015 like 20% undernourishment and 190 maternal deaths per 100,000 live births. It also mentions lagging economic growth, high debt levels, and issues of poverty, unemployment, and populations living in vulnerable areas in the Caribbean. It raises the question of awareness of the Sustainable Development Goals (SDGs) among Caribbean people.