In the Cayo District in Belize, you will find a lot of artwork, a lot of handmade items, household goods, and furniture. You’ll find locally made furniture because Belize is noted for its lumber; furniture from mahogany, teak, rosewood--beautiful!
The gift shops are divine. You’ll find jewelry, t-shirts, and household items. When I go to Belize and I want to pick a gift item, locally made top-of-the-line Cayo is where I go.
There are individual shops based on whatever you need, so you're not going to find clothing and you would find items you would find in an American mall. You're going to find local clothing that’s printed, tie-dyed; handmade stuff based on the Mayan culture, mostly. You’ll also find a flare for Caribbean styles, so you’ll find very bright colorful clothing.
If you want items made in the US, of course, you'll have to shop online. But I can tell you that the best cotton I find comes from Guatemala, so you could just go to Guatemala and a lot of the items you could buy you would find later in the US. In fact, if you read the label on many of your shirts you will see “Made in Mexico,” or, “Made in Guatemala.” So, you could get good quality clothing, but it's not going to be in a mall setting where you have food and drinks and you walk in an air conditioned building. You're going to be outdoor shopping.