Despite being blessed with a high water availability per capita ratio Belize faces the challenge of formulating and implementing a national water management policy that will be mindful of the effects of climate change on the this vital resource. Five key adaptation actions are presented including the establishment an executing agency for integrated water resources management; strengthening the existing institutional and human resources capacities in the water sector for improved management practice, formalising the legal mandate and operations of the National Climate Change Committee, strengthening the trans-boundary relationships to cover the impacts of climate change on the water sector and increasing public awareness and education in water culture and climate change.