Despite significant progress in water and sanitation much still remains to be done. This report shows how the world has changed since 1990. It provides an assessment of progress towards the MDG target and insight into the remaining challenges. Section A provides an overview of progress against the parameters specified in the MDG target for water and sanitation in both urban and rural areas. It presents data for the world as a whole and compares progress across regions. The report goes on to examine trends over the MDG period by region and by level of service. It pays particular attention to the numbers of people who have gained the highest level of service in drinking water supply - piped water on premises - and those with no service at all who use surface water for drinking and practice open defecation. In order to understand the nature of progress it is important to look carefully at the way improvements in water and sanitation have benefited different socioeconomic groups. This report sheds light on equality gaps between urban and rural dwellers and between the richest and poorest segments of the population. It presents several new ways to visualize progress on extending service to the poor designed to reveal the nature of inequalities and give the reader insight into the great challenge that still exists in ensuring that progress reaches everyone. The JMP was established in 1990 and is celebrating its Jubilee Year in 2015. Section B provides a retrospective analysis of the evolution of water sanitation and hygiene monitoring over the past 25 years.

'This is surely the most impressive and important publication to come out of the UN system for many years.' Peter Adamson, founder, New Internationalist, and author and researcher of UNICEF's The State of the World's Children from 1980 to 1995 The world's governments agreed at the Millennium Summit to halve, by 2015, the number of people who lack access to safe water. With rapidly growing urban populations the challenge is immense. Water and Sanitation in the World's Cities is a comprehensive and authoritative assessment of the problems and how they can be addressed. This influential publication by the United Nations Human Settlements Programme (UN-HABITAT) sets out in detail the scale of inadequate provision of water and sanitation. It describes the impacts on health and economic performance, showing the potential gains of remedial action; it analyses the proximate and underlying causes of poor provision and identifies information gaps affecting resource allocation; it outlines the consequences of further deterioration; and it explains how resources and institutional capacities - public, private and community - can be used to deliver proper services through integrated water resource management.

By 2025, two thirds of the world’s population will be living in water stressed conditions. Meanwhile, the degradation of water ecosystems is occurring at alarming rates. Water utilities and water regulators that choose to play an active role in catchment management with nature based solutions (NBS) are uniquely positioned to help. Building a robust knowledge base and supporting opportunities for cross-sector collaboration are fundamental to the mainstreaming of NBS. The International Water Association (IWA) and The Nature Conservancy (TNC) are working together to encourage and facilitate active utility involvement in NBS, as well as promoting stronger connections between water utilities and regulatory bodies. Implementation of NBS involves multiple, interdependent stakeholders at various governance levels, and consequently regulators a key role in creating the enabling environments for these interactions and negotiations. This publication taps into diverse geographies and contexts, delving into case studies for a richer conversation that addresses the variety of challenges and elements for success for integrating NBS into water utility operations and planning. By publicizing successful case studies, the IWA/TNC partnership fulfils a dual purpose of endorsing these efforts and providing actionable guidance for other water utilities striving to improve their sustainability and resiliency.

It argues that it is the trade-off between the irregular, chaotic dynamics at the population level and the spatio-temporal organization of the system as a whole, that shapes ecological systems. Such a trade-off is mediated by the effects of positive feedback that link populations across time and space.

Sustaining High Performing Public Enterprises presents steps taken by National Water and Sewerage Corporation of Uganda, a typical public enterprise, to sustain a high performance momentum after over 15 years of successful utility reforms. Specifically, the author pinpoints key achievements during the period 2013–2018 including growth in geographical coverage from 23 to 240 towns, increase in connections from 310,000 to about 600,000; revenues growing more than three times and network growth improving from 80kms per year to over 2000kms per year. The concept of new public management (NPM) is used to set the scene for a case description of various initiatives and innovations implemented. A balanced scorecard framework is used to characterize the various activities. The book highlights a shift from over-emphasis on positive cash-flows alone to a balanced approach to ‘water for all’ citizens. The need to balance technical work and political aspirations is highlighted. Also featured is the nexus between utility operations and environmental protection to ensure sustainable water supply. The cardinal role of aligning staff needs to organizational needs and working for win-win solutions is also highlighted. Sustaining High Performing Public Enterprises presents strong lessons and conclusions for utility leaders and policy makers intending to reform their utilities to create value for citizens. It is also of value to academicians and researchers for scholarly studies in water and sanitation governance and management.

As the human population grows-tripling in the past century while, simultaneously, quadrupling its demand for water-Earth's finite freshwater supplies are increasingly strained, and also increasingly contaminated by domestic, agricultural, and industrial wastes. Today, approximately one-third of the world's population lives in areas with scarce water resources. Nearly one billion people currently lack access to an adequate water supply, and more than twice as many lack access to basic sanitation services. It is projected that by 2025 water scarcity will affect nearly two-thirds of all people on the planet. Recognizing that water availability, water quality, and sanitation are fundamental issues underlying infectious disease emergence and spread, the Institute of Medicine held a two-day public workshop, summarized in this volume. Through invited presentations and discussions, participants explored global and local connections between water, sanitation, and health; the spectrum of water-related disease transmission processes as they inform intervention design; lessons learned from water-related disease outbreaks; vulnerabilities in water and sanitation infrastructure in both industrialized and developing countries; and opportunities to improve water and sanitation infrastructure so as to reduce the risk of water-related infectious disease.

First Published in 2008. Routledge is an imprint of Taylor & Francis, an informa company.