Watery sanitation and the millennium development goals.
Lenton, Roberto ; Lewis, Kristen ; Wright, Albert M. 等
Increasing access to domestic water supply and sanitation services,
while at the same time improving water resources management and
development, are catalytic entry points for efforts to fight poverty and
hunger, safeguard human health, reduce child mortality, promote gender
equality and manage and protect natural resources. They are, therefore,
a critical component to the achievement of the Millennium Development
Goals (MDGs)--the integrated set of eight goals and eighteen
goal-specific, time-bound targets. The MDGs were adopted at the United
Nations Millennium Summit with the objective to make real progress in
tackling the most pressing issues facing developing countries. (1) The
seventh Millennium Development Goal focuses on environmental
sustainability, and one of the three specific targets within this goal
is Target 10: to cut in half, by 2015, the proportion of people without
sustainable access to safe drinking water and basic sanitation. (2)
This article summarizes the work of the United Nations (UN)
Millennium Project Task Force on Water and Sanitation--one of the ten
task forces of the UN Millennium Project--and their three-year effort to
identify the best strategies for meeting the MDGs established by UN
Secretary General Kofi Annan in 2002. (3) The task force focused
primarily on how the world can join together to meet MDG Target 10 and
to optimize the role of water management and development in meeting the
MDGs as a whole. This article also provides some insights and
reflections on developments since the work of the Task Force on Water
and Sanitation completed in 2005. Section one summarizes and highlights
the important task force findings, including a focus on Target 10 of the
MDGs, issues related to water as a resource for achieving the entire set
of MDGs and the role of global support mechanisms. This section also
presents the critical importance of sanitation and the role of
institutions in water and sanitation. Section two outlines the task
force's recommendations and highlights key events and policies that
have transpired since the publication of the original report.
I. TASK FORCE REPORT: SUMMARY AND HIGHLIGHTS
Meeting Target 10: Identifying and Addressing the Key Obstacles
Some 2.6 billion of the world's 6.5 billion people lack access
to even basic sanitation facilities, and about 1.1 billion people lack
access to safe drinking water. (4) Halving the proportion of the
population without safe drinking water and basic sanitation between the
baseline year of 1990 and the target year of 2015, as called for by
Target 10, presents formidable challenges, particularly for sanitation.
While global targets are important, what matters most is reaching
the MDGs country-by-country through massive expansions of service into
unserved remote rural areas and densely populated urban slums. In order
to fulfill the dream of universal access to improved water supply and
sanitation, the focus must be on sub-Saharan Africa and Asia. Within
these areas, priority must be given to the ranks of the poor, therefore
setting resource allocation parameters within countries.
What's Holding Us Back?
To develop effective strategies to meet the water and sanitation
goals, it is best to start by discussing some of the political,
institutional, financial and technical obstacles that have constrained progress to date. (5)
Political Constraints
Perhaps the most important political constraint curtailing progress
in many countries is the lack of political leadership and government
commitment to allocating sufficient national resources to meet the needs
of the poor. The reasons for this lack of political will vary from case
to case, but can include the capture of institutional processes by
powerful political interests and the failure of specialists to make a
compelling case about the benefits of water and sanitation. Furthermore,
the kinds of changes needed to improve services to poor households can
threaten the substantial benefits currently conferred on politically
influential groups.
Furthermore, political leaders sometimes do not adequately grasp
the different ways that poor water supply and sanitation services thwart
development goals. In this case, information dissemination and awareness
creation through concrete data can help in overcoming political
resistance and providing the ammunition needed to make a case for
prioritizing the sector. Reducing political interference in the
day-to-day operations of water and sanitation agencies often requires
broad policy and institutional reform.
Institutional Constraints
The lack of appropriate institutions at all levels, and the chronic
dysfunction of the few institutions that do exist, are generally the key
institutional constraints to expanding water and sanitation services. In
many countries, sanitation has no institutional home per se, which
creates a policy vacuum and low prioritization in decisionmaking.
Among existing institutions involved in the extension, operation
and maintenance of water supply and sanitation services--both formal and
informal--persistent constraints include: (1) inadequate capacity; (2)
perverse incentives; (3) lack of accountability; and, (4) the absence of
a transparent and sound regulatory system. For women, squatters and slum dwellers, legal barriers to owning and inheriting land can also limit
their access to water and sanitation services, as can their status as
renters of dwellings with absentee owners. A critical constraint,
therefore, is the failure to align institutional mechanisms to the
specific needs of the poor. This includes failure to adopt pro-poor
governance approaches.
Financial Constraints
Ensuring access to water and sanitation services requires money,
and thus it is no surprise that poverty from household to national
levels is a principal barrier to expanding coverage. Some households
simply cannot afford the costs of improved services without outside
assistance, while many poor countries simply do not have the money to
meet the costs of providing and sustaining water services. (6)
Investment can be derived from national or subnational government
tax revenues, user charges, output-based aid, cross-subsidies from users
who can afford to pay, private-sector investment or official development
assistance (ODA). Yet, each of these sources of finance in low-income
countries is problematic. For example, annual private sector investment
in water supply and sanitation for developing countries has declined
every year since its peak in 1997. Trends in ODA indicate that support
for water and sanitation infrastructure is very modest and not directed
to those countries that need it most. Furthermore, support for such
infrastructure is hampered by the prerequisite condition that certain
reforms need to be in place to ensure effective and accountable use of
funds. (7)
Technical Challenges
While experience over the last several decades has shown that
non-technical factors--such as financing and institutions--are often the
most important explanations for the persistent lack of access to water
and sanitation services, it is important not to overlook the role of
technical challenges in expanding services to poor communities.
A wide range of technologies are available to water supply and
sanitation services. In poor countries, a key issue is the development
and adoption of cost-saving designs, which would enable more unserved
households to be reached for a given investment.
Optimizing Water Resources for the MDGs
As emphasized earlier, sound water resources development and
management underpins attainment of virtually all the Millennium
Development Goals. Investments in water resources development and
management can contribute to meeting the MDGs as a whole, both through
broad interventions designed to promote sustainable development on an
area basis--such as multipurpose river basin development and aquifer management--and through targeted actions addressing one or more
particular goals in a specific location, such as watershed management
within degraded areas farmed by poor families.
Meeting the MDGs will require a two-prong strategy, involving
investment in water resources development and management as well as an
integrated approach. Integrated Water Resources Management (IWRM)--an
approach that promotes the coordinated development and management of
water, land and related resources in ways that are efficient, equitable
and environmentally sound--offers a means of doing this. (9)
The availability of freshwater resources can be disaggregated into
four principal dimensions: quantity, quality, spatial variability and
temporal variability The requirement for freshwater resources also has
goal-specific dimensions, meaning that the nature of the water resources
actions needed to meet the MDGs will vary from goal to goal. For
example, to meet the poverty goal, countries will need to use water for
productive purposes to ensure livelihoods in water-dependent sectors
such as agriculture, industry, energy, transportation and fisheries.
They will also need to control water variability since households living
at the brink of survival can easily be devastated by a single extreme
water-related event, such as a flood or drought.
The specific actions that a particular country or region should
take to improve water resources management depend on the relationship
between the supply and requirement for water resources, as well as
socioeconomic, political and historical circumstances. Clearly, natural
endowments give countries and regions different starting points
vis-a-vis development and management of water resources, but countries
that start from behind--with high variability and low per capita freshwater availability--can overcome these constraints through
appropriate investments and management arrangements. Also, given the
complex relationship between water resources and poverty, hunger, gender
and environmental sustainability, coordinated water management will have
to be a fundamental component of any national strategy to attain the
Millennium Development Goals.
The Johannesburg Plan of Action that emerged from the 2002 World
Summit on Sustainable Development called for all countries to develop
IWRM and water efficiency plans by 2005. (10) The 2005 Task Force Report
concluded that, if properly designed, national processes and strategies
resulting from these plans could establish an enabling framework that
encourages the kind of pro-poor water management and service delivery
mechanisms required for MDG achievement.
Since the release of the task force report, progress has been
mixed. An informal survey released by the Global Water Partnership (GWP)
in March 2006 at the 4th World Water Forum in Mexico suggested that, of
the ninety-five countries that responded, twenty already had water
plans, strategies or a process well underway that incorporated an IWRM
approach, while a quarter of the responding countries had taken only
initial steps towards preparing water plans or strategies. In 2007, at
the recommendation of the UN Secretary General's Advisory Board on
Water and Sanitation, the Secretary General requested that all countries
report officially on their progress towards the World Summit on
Sustainable Development (WSSD) target at the next session of the
Commission on Sustainable Development, to be held in May 2008. (11)
Further Challenges: The Daunting Reality of Sanitation
Largely as a result of the efforts of the UN Secretary
General's Advisory Board on Water and Sanitation (UNSGAB), the UN
General Assembly has declared this year, 2008, the International Year of
Sanitation, in which the stated goal is to put the global community on
track to achieve the sanitation MDG. (12) In particular, the
International Year of Sanitation aims to increase awareness and
commitment from actors at all levels; mobilize governments (from
national to local) and their national and international partners; and
secure real commitments to review, develop and implement effective
action to strengthen and scale up sanitation programs and policies. An
action plan has been prepared to outline the contributions of the United
Nations agencies and partners to the International Year of Sanitation,
which includes such activities as raising awareness, releasing new and
updated publications, advocacy, monitoring access and commitments,
advancing implementation, strengthening capacities and evaluating costs
and benefits. (13) Several national and international agencies and
institutions, active in water supply and sanitation, are reassessing
their programs and according higher priority to sanitation activities.
The Special Case of Sanitation
Behind the polite term "lack of sanitation" is this grim
reality: men, women and children with no choice but to defecate in
plastic bags, buckets and open pits, alongside roads and railway tracks,
in agricultural fields and public spaces. More than 2.5 billion
people--42 percent of the world's population--lack a private, safe
toilet. Imagine, for a moment, being left with no choice but to defecate
behind a tree outside the workplace or school, or in plain view of
one's neighbors and friends. This is the reality for literally
billions of people.
If this is the reality, why is sanitation such a forgotten subject?
The reasons are many, including the strong taboos against discussing
human wastes, the fact that the poor have less of a voice in determining
national or community priorities and often have more pressing concerns,
and the reality that, in many developing countries, women who generally
place a much higher priority on sanitation than do men--have limited
political and personal power. But this is often compounded by the lack
of a national-level institution for promoting sanitation and by the
ongoing debate regarding the proper allocation of responsibilities for
improving and managing sanitation.
Greater human health gains accrue from the provision of sanitation
than from the provision of safe water. The sanitation crisis is the
bigger problem and solving it would have bigger payoffs. Yet, sanitation
and hygiene receive substantially less attention, funding and priority
than water supply. Without a sharp acceleration in the rate of progress,
many countries will miss the sanitation target. (14)
Global Institutional Mechanisms for Supporting Water and Sanitation
While action to meet the MDGs should take place principally at
national and subnational levels, these efforts need to be supported by
action at the global level, and especially by the UN system and related
networks and partnerships. Currently, some twenty-four UN organizations,
and a smaller number of global networks and partnerships, are involved
in water supply and sanitation and water resources management. However,
there is no single lead agency for water in the way that the Food and
Agriculture Organization (FAO) of the United Nations is for agriculture
and the World Health Organization (WHO) is for health. This means that
ensuring coordinated and effective MDG-focused action is problematic--a
challenge exacerbated by a reduced emphasis within the system on water
and sanitation, wide gaps between mandated responsibilities and delivery
capacity and a resulting inability to provide intellectual and practical
leadership. Partly as a result, several international networks and
partnerships have emerged in the last couple of decades, such as the
Water Supply and Sanitation Collaborative Council (WSSCC), the Global
Water Partnership (GWP) and the World Water Council (WWC), as well as
faith-based organizations and nongovernmental organizations like
WaterAid. (15) This diversity of actors--all active in technical
analyses, knowledge-sharing and advocacy--adds to the strength of
support and advocacy efforts, but also creates new coordination
challenges.
At the global level, provision of leadership and strategic guidance
to the international community are essential. UN system organizations,
key operational actors and others involved in water and sanitation must
be involved in this through a clear mechanism, which should build on
each organization's strengths and comparative advantages and reduce
duplication. One important development since the task force report was
published is the increased mandate and widened participation of
UN-Water--the entity that brings together all the UN agencies working on
water issues. In particular, there have been recent efforts to provide
UN-Water with the necessary funds and staff, which are helping this body
to become a stronger advocate for global action on water and sanitation
and to lead, strengthen and support national scaling-up efforts. A
second important development is the leadership role being played by the
UNSGAB. Its role in establishing the Water Operators Partnerships,
launching the International Year of Sanitation and getting countries to
report on progress towards IWRM illustrates the way in which this body
is providing strategic direction, identifying critical obstacles to
progress and making recommendations for overcoming them. A further
example of global leadership efforts is the decision by the United
Nations Development Program (UNDP) to focus its Human Development Report
of 2006 on water and sanitation. This report argues that "prospects
for human development are threatened by a deepening global water crisis
and that poverty, power and inequality are at the heart of the
problem." (16) The report called for a concerted drive to achieve
water and sanitation for all through national strategies and a global
plan of action. Finally, the decision by the organizers of the 4th World
Water Forum in Mexico to focus on local-level action and on access to
water and sanitation and IWRM also sent a strong message on the need to
advance local-level action in these two vital areas. (17)
II. HOW TO MAKE THE GOALS A REALITY
Based on the above analyses, the task force concluded that,
although reaching the water and sanitation target will not be easy,
particularly in the very poorest parts of the world, it is possible to
meet the target and to optimize water resources management for the
entire set of MDGs. The critical question is, how? Specifically, what
are the actions that are essential to meeting the MDGs?
To answer this question, the task force set the stage by first
identifying five urgent and critical preconditions, without which the
MDGs simply cannot be achieved. Specifically, the task force stated that
the water and sanitation target will not be reached unless there is: (1)
deliberate commitment by donors to increase and refocus their
development assistance and to target sufficient aid to the poorest
low-income countries; (2) commitment by governments of middle-income
countries that are not aid-dependent to reallocate their resources such
that they target funding to the unserved poor; (3) activities to create
support and ownership for water supply and sanitation initiatives among
both women and men in poor communities; (4) recognition that basic
sanitation, in particular, requires an approach that centers on
community mobilization and actions that support and encourage that
mobilization; and, (5) agreement that the MDGs as a whole will not be
met unless there is deliberate planning and investment in sound water
resources management and infrastructure. (18)
Meeting the water and sanitation target by 2015 will require a
dramatic scaling-up of efforts--dramatic in terms of both the extent of
action required and the speed with which these actions must be
undertaken. Scaling-up will require significant investments, both in
infrastructure as well as institutional strengthening and reform. The
task force identified ten actions that together provide the basis for
doing so. These actions are summarized in Box 1.
Box 1: Ten critical actions for achieving the water and sanitation
target and fostering the sound management of water resources for all
the MDGs
Action 1
Governments and other stakeholders must move the sanitation crisis
to the top of the agenda.
Action 2
Countries must ensure that policies and institutions for water supply
and sanitation service delivery, as well as for water resources
management and development, respond equally to the different roles,
needs and priorities of women and men.
Action 3
Governments and donor agencies must simultaneously pursue investment
and reforms for improved water supply, sanitation and water
management.
Action 4
Efforts to reach Target 10 must focus on sustainable service delivery,
rather than construction of facilities atone.
Action 5
Governments and donor agencies must empower local authorities and
communities with the authority, resources and professional capacity
required to manage water supply and sanitation service delivery.
Action 6
Governments and utilities must ensure that users who can pay do pay
in order to fund the operation, maintenance and expansion of
services. They must also ensure that the needs of poor households
are met.
Action 7
Within the context of national MDG-based poverty reduction
strategies, countries must elaborate coherent water resources
development and management plans that will support the achievement
of the MDGs.
Action 8
Governments and their civil society and private sector partners
must support a wide range of water and sanitation technologies
and service levels that are technically, socially, environmentally
and financially appropriate.
Action 9
Institutional, financial and technological innovation must be
promoted in strategic areas.
Action 10
The United Nations system organizations and their Member States
must ensure that the UN system and its international partners
provide strong and effective support for the achievement of the
water supply and sanitation target and for water resources
management and development.
Updates and Reflections
The Millennium Development Goals were agreed upon in the year 2000,
and the Millennium Project Task Force on Water and Sanitation concluded
its work in early 2005. Three years later, it is useful to take stock of
what has happened since that time.
One important milestone event since the Task Force Report is, of
course, the World Summit that was held in September 2005. The UN
Millennium Project's overall report, as part of which the task
force report was prepared, was launched in early 2005 as a major
intellectual input to the summit. (19) While comprehensive in scope, its
central argument was that all developing countries should adopt and
implement comprehensive national development strategies to achieve the
MDGs, while rich countries should substantially increase their
development assistance to make implementation of these strategies
feasible. The summit itself essentially adopted this two-prong approach
to a global strategy and partnership to achieve the MDGs. Moreover, the
summit's outcome document not only endorsed the need to ensure
access to safe drinking water and basic sanitation as already provided
for in MDG Target 10, but also emphasized the need for assisting
developing countries' efforts to prepare IWRM and water efficiency
plans as part of their national development strategies. Thus, the
immediate objective of influencing the outcome of the World Summit was
certainly achieved.
Beyond the 2005 World Summit, it is possible to identify at least
three areas highlighted in the task force's recommendations where
there has been important progress at the global level since the report
was issued. The UN General Assembly declaration of 2008 as the
International Year of Sanitation, noted earlier, has already gone a long
way towards mobilizing governments and other stakeholders to "move
the sanitation crisis to the top of the agenda" (Action 1). The
Secretary General's request to all countries to report officially
on their progress towards the WSSD target on IWRM at the 2008 session of
the Commission on Sustainable Development is likewise supportive of the
call for countries to "elaborate coherent water resources
development and management plans that will support the achievement of
the MDGs" (Action 7). Also, the increased mandate and widened
participation of UN-Water--as well as the leadership role being played
by the UNSGAB--constitute important initial responses to the need for
the UN system to "provide strong and effective support for the
achievement of the water supply and sanitation target and for water
resources management and development" (Action 10).
Finally, it is important to reflect on the impact that the
agreement of a specific target on water and sanitation within the set of
Millennium Development Goals has had in and of itself. Certainly, no
other decision since the 1981-1990 International Drinking Water and
Sanitation Decade has done more to increase recognition of water and
sanitation as an issue of fundamental development significance. But this
huge step forward has also had an unintended side effect in that other
hugely important roles of water in development--such as being a factor
of production in agriculture and other economic activities that provide
livelihoods for poor people--have been perhaps overshadowed. One key
remaining challenge, therefore, is for countries not only to pursue the
attainment of Target 10, but also to identify the role of water
resources in the achievement of each of the MDGs and ensure that the
needed investments in water resources infrastructure and management are
included in their national development plans.
NOTES
(1) The UN Millennium Development goals:
http://www.undp.org/mdg/goallist.shtml and
http://www.un.org/-millennium/summit.htm.
(2) Tracking the Millennium Development Goals:
http://www.mdgmonitor.org/goal7.cfm.
(3) The full analysis, as well as all necessary reference
information, can be found in the Final Report of the Task Force, of
which the authors of this article were the lead authors. The full
reference for this report is UN Millennium Project Task Force on Water
and Sanitation, Final Report, "Health, Dignity and Development:
What Will it Take?" (London and Sterling, Va.: Earthscan
Publications Ltd, 2005).
(4) Unless otherwise indicated, all data in this section are drawn
from WHO/UNICEF Joint Monitoring Program for Water Supply and Sanitation
(World Health Organization and United Nations International
Children's Emergency Fund Joint Monitoring Program), "Meeting
the MDG Drinking Water and Sanitation Target: A Mid-Term Assessment of
Progress" (2004). Data on water supply and sanitation are usually
described using the term "improved" rather than
"safe" or "basic," since data are collected by
defining a specific set of technologies that are categorized as
"improved."
(5) See also the barriers cited in the UNDP Human Development
Report (2006), which include national policy, behavior, perception,
poverty, gender and supply. Importantly, many of the root causes of the
constraints to water and sanitation lie outside the sector itself,
http://hdr.undp.org/en/reports/global/hdr2006.
(6) Guy Hutton and Jamie Bartram, "Global Costs of Attaining
the Millenium Goals for Water Supply and Sanitation," Bulletin of
the World Health Organization 81, no. 1 (January 2008). They have
estimated that total spending required in all developing countries,
excluding program costs, is $4 billion per year to meet the water target
and $14 billion per year to meet the sanitation target. However, the
critical question is how much it will cost to meet the targets within
particular countries. The Millennium Project has developed a
methodology, for carrying out such national-level needs assessments; see
UN Millennium Project at http://www.unmillenniumproject.org.
(7) See Development Assistance Committee (DAC) of the OECD,
"Aid for Water Supply and Sanitation," from "Water for
the Poorest" (International Water Academy Seminar, The World Water
Week, Stockholm, Sweden, 19 August 2004).
(8) UN Millennium Project Task Force on Water and Sanitation, 2005.
(9) Global Water Partnership Technical Advisory Committee,
"Integrated Water Resources Management" (Background Paper no.
4, Stockholm, Sweden: March 2000),
http://www.gwpforum.org/gwp/library/Tacno4.pdf.
(10) See UN Department of Economic and Social Affairs, Division for
Sustainable Development,
http://www.un.org/esa/sustdev/documents/WSSD_POI_PD/English/POIToc.htm.
(11) Global Water Partnership, "Setting the Stage for
Change" (second informal survey by the GWP network giving the
status of the 2005 WSSD target on national integrated water resources
management and water efficiency plans, February 2006).
(12) United Nations Secretary General's Advisory Board on
Water and Sanitation, "Hashimoto Action Plan: Compendium of
Actions," March 2006.
(13) See International Year of Sanitation, http://esa.un.org/iys.
(14) WHO/UNICEF Joint Monitoring Program for Water Supply and
Sanitation, "Meeting the MDG Drinking Water and Sanitation Target:
A Mid-Term Assessment of Progress," 2004.
(15) WaterAid at http://www.wateraid.org.uk; Global Water
Partnership at http://www.gwpforum.org; World Water Council at
http://www.worldwatercouncil.org; and Water Aid at
http://www.wateraid.org.uk.
(16) United Nations Development Programme, "Beyond Scarcity:
Power, Poverty and the Global Water Crisis," (UNDP Human
Development Report: 2006).
(17) National Water Commission 2006 Mexico (Comision Nacional del
Agua), http://www.conagua.gob.mx.
(18) United Nations Millennium Project, 2005.
(19) UN Millennium Project, "Investing in Development: A
Practical Plan to Achieve the Millennium Development Goals,"
(United Nations Development Programme: January 2005).
Table 1a
MDGs and Relevant Contributions of Contributions of
Targets Domestic Water Supply Sound Water Resources
and Sanitation Management and
Development
Poverty Household livelihood Water is a factor of
To halve the security rests on the production in
proportion of the health of its agriculture, industry
world's people whose members; adults who and other economic
income is less than are ill themselves or activities that
$1/day who must care for provide livelihoods
sick children are for poor people.
less productive.
Hunger Healthy people are Water is a direct
To halve the better able to absorb input to irrigation
proportion of the the nutrients in food for expanded food
world's people who than those suffering production.
suffer from hunger from water-and-
sanitation-
related diseases.
Primary Education Improved water and Improved water
To ensure that sanitation service management reduces
children everywhere relieve girls from the incidence of
complete a full water-fetching catastrophic events
course of primary duties, allowing them like floods that
schooling to attend school. interrupt educational
attainment.
Gender Equality Reduced time, health, Community-based
To ensure girls and and care-giving organizations for
boys have equal burdens from improved water management can
access to primary water services give improve social
and secondary women more time for capital of women
education productive endeavors, through leadership
adult education, and networking
empowerment opportunities and
activities, leisure. solidarity building.
Girls' toilets and
latrines in secondary
schools help keep
adolescent girls in
school.
Child Mortality Improved sanitation, Well-managed water
To reduce by safe drinking water resources help poor
two-thirds the death sources, and greater people make a decent
rate for children quantities of living and reduce
under five domestic water for their vulnerability
washing reduce infant to shocks, which in
and child morbidity turn gives them more
and mortality. secure and fruitful
livelihoods to draw
upon in caring for
their children.
Table 1b
MDGs and Relevant Contributions of Contributions of
Targets Domestic Water Supply Sound Water Resources
and Sanitation Management and
Development
Maternal Mortality Accessible sources of Improved nutrition
To reduce by water reduce labor and food security
three-fourths the burdens and health through better water
rate of maternal problems resulting management reduces
mortality from water portage, susceptibility to
reducing maternal diseases that can
mortality risks. complicate pregnancy.
Major Disease Safe drinking water Improved water (and
To halve, halt and and basic sanitation wastewater)
begin to reverse the help prevent management in human
spread of HIV, water-related settlements reduces
malaria, other major diseases, including transmission risks of
diseases diarrheal diseases, mosquito-borne
schistosomiasis, illness like malaria
filariasis, trachoma and dengue fever.
and helminthes.
Environmental Adequate treatment Improved water
Sustainability and disposal of management, including
To stop the excreta and pollution control and
unsustainable wastewater contribute water conservation,
exploitation of to less pressure on is a key factor in
natural resources freshwater resources. maintaining
ecosystems integrity.
To cut in half the Inadequate access to Slum settlements are
proportion of people safe water and often built on sites
without sustainable inadequate access to particularly
access to safe sanitation and other vulnerable to
drinking water and infrastructure are water-related
basic sanitation two of the five disasters, which can
defining be reduced through
To improve the lives characteristics of a better water
of 100 million slum slum. management and
dwellers by 2020 development.
Develop Global Promotion of Transboundary water
Partnerships for partnerships in the resources development
Development field among NGOs, often entails global
governments, partnerships.
bilaterals, and
regional and
international banks.