In February 2012, the Government of Jamaica entered into a 27-month Stand-By Arrangement with the International Monetary Fund (IMF). This agreement was needed to buffer the economic challenges of the global financial crisis. Many of these challenges resulted from structural weaknesses including a public sector deficit of 13 percent of GDP during the 2009/2010 FY. To address this issue, the IMF’s austerity measures target Public Sector Reform (PSR) as a key component. To inform the reformation process, CaPRI conducted a comprehensive review of PSR in a number of countries drawing lessons from Jamaica’s past failed attempts. Findings suggest that PSR is as much about attitudinal and cultural change as it is about changing organizational structures and cutting costs. An exercise aimed at developing a public service ethic must therefore accompany the reform.