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Convenient access to safe water is central to human health and development. Water-borne disease remains a major cause of mortality and morbidity in the world, much of which could be eliminated by a combination of better water, sanitation and hygiene (WaSH). The WHO estimates that around 502 000 deaths a year in low and middle income countries from diarrheal disease are attributable to unsafe water, and that over 1 000 children under 5 die each day from diarrheal disease caused by inadequate WASH. UNWomen estimates that in Sub-Saharan Africa alone, women and girls spend 40 billion hours a year collecting water, the time valued at around $20 billion a year. Sustainable development goal no. 6 ‘ensure availability and sustainable management of water and sanitation for all’ creates a framework for tackling the challenge of mobilizing the large investments required and making WaSH available at affordable prices. The purpose of the study on which this report is based is to analyze, capture and synthesize lessons learned from closed GPOBA water projects in order to evaluate the impact of the subsidy schemes and inform the scale-up and replication of OBA approaches. These lessons offer insight to successes and failures of project design and implementation as well as solutions to more complex projects and/or less tested environments.

This report, developed for policy makers and sector development partners, highlights the manner in which the domestic private sector is successfully participating in the delivery of water and sanitation services in Niger. It outlines the factors for success as well as the challenges that need to be addressed to harness private sector resources and motivation for improved and sustainable services.There is a need to further strengthen the capacities of various rural water supply stakeholders, particularly communes, which contract and supervise the work of the operators. The capacities of operators and users’ associations also need to be developed to pursue ensure the operational sustainability of the systems.The technical assistance (TA) described in this Note has, over the past five years, supported the sector’s stakeholders’ efforts to work in synergy to foster the participation of domestic private entities in the management of rural water supply systems (RWSSs).The purpose of the TA hasbeen to ensure improved operational policy applicationof the PPP frameworks in the context of water supplyand urban sanitation in rural and small towns , which hasnot evolved much over time in relation to urban waterservices. The TA program consisted of training activities,market assessments, and options development studiesto inform decision-making and consensus-building ofdifferent stakeholders on resolving some challenges facingthese subsectors.Opportunities exist for the Government to promote the emerging domestic private operators with a view to raising their level of professionalism for better service delivery.

Provision of safe drinking water is a basic necessity and has been a major topic for key political discourses in the country over the last decade. The Government of India has been focusing on safe drinking water since 1972-73 when it introduced the Accelerated Rural Water Supply Program (ARWSP) to assist States and Union Territories to accelerate the coverage of drinking water in the country. Despite increased outlays since then, access to safe drinking water in India remains a challenge. Apart from access, water quality and sustainability of resources (water points and infrastructure developed) are issues of major concern. The National Rural Drinking Water Program (NRDWP), which is supplementing the efforts of the State Governments by providing technical and financial assistance, is looking at rural drinking water from a holistic viewpoint. The Ministry has shifted its focus from hand pumps to piped water supply systems with the aim of providing monitored clean water and is focusing on those States which have low levels of piped water supply. The Water and Sanitation Program has compiled an excellent collection of success stories and best practices from the States of Kerala, Karnataka, Maharashtra, Gujarat, Jharkhand, Punjab and Uttarakhand which address these key constraints. Some of these success stories, such as the Asoga village intervention in Karnataka which showcases a unique demand driven approach to facilitate participatory decision making leading to community ownership, the Bidholi piped water supply scheme in Uttarakhand which manages and recovers 100 per cent operation and maintenance costs from the community, the Shikayat Nivaran Kendra experiment in Punjab which uses information technology for online web enabled centralised complaint redressal and the Water and Sanitation Management Organisation experiment in Gujarat where the registered body acts as a facilitator in developing water and sanitation facilities owned and managed by communities, are all outstanding examples of how to address various challenges and shortcomings the program is facing.

Reliable evidence on the quality of current WSS service conditions is scarce and consumer experience and views and voices are not systematically collected and used for policy development. International experience suggests that poor drinking water and sanitation services can cause households to incur high costs for dealing with this situation. However, in Uzbekistan and other Central Asian countries, there is a lack of data on service quality and on such coping costs. Together with limited feedback from consumers to those that design WSS policies and programs this makes it difficult to design effective reform measures and assess their ex-ante impact on households, in particular for those at the bottom of the income distribution. This study assesses consumer experiences with current WSS services across a range of selected sites in Uzbekistan and determines consumer readiness for reform. First of all, the study analyses how surveyed consumers currently meet their drinking water and sanitation needs and what proportion of their household budget is spent on meeting their WSS needs. Second it assesses the interaction between consumers and service providers. Third it examines stakeholder views and positions on service modernization needs and assesses consumer willingness to pay for quality networked WSS services. Comparisons are made across consumers in a selection of cities, small towns and rural areas, between consumers that are connected to a networked service and those that are not, and between households in the bottom 40 percent and top 60 percent of the income distribution (as estimated through a wealth index).

This paper is organized into three main sections. Section one presents the background, objectives, scope, and limitations of the study. It also provides a general definition of OM and presents prototypical OM arrangements for rural CDD and community-based subprojects. Section two presents the detailed case studies for the seven selected projects. Section three summarizes the conclusions from the review and recommends steps for moving ahead. Five annexes provide extra background information, including the complete list of projects from which the seven main case studies were selected, as well as: examples of maintenance requirements for rural infrastructure; considerations for task teams planning for OM design and implementation; sample OM measures and timelines; and links to OM materials.

The Government of Punjab, through Government of India’s (GoI) Department of Economic Affairs (DEA) had requested the World Bank to provide non-lending technical assistance (NLTA) to provide high quality basic urban civic amenities to the residents of cities of Ludhiana and Amritsar in the areas of: water supply, sewerage, storm water drainage, solid waste management, and modern urban transport system. The study is expected to recommend measures and technologies to overcome the existing problems and transform the cities in to modern cities with substantially developed urban civic amenities. Capacity building, institution, and legal reforms will also be the component of the project report. After initial discussions with sector officials, a Bank team visited both Amritsar and Ludhiana cities to identify priority service level innovations and institutional challenges that have to be addressed under this NLTA for achieving desired transformative change. Currently, water supply is drawn from hundreds of unprotected bore wells across length and breadth of the city - which supply polluted water through an unplanned haphazard network. Utility, fully owned by the municipal corporation, will have operational autonomy to manage water and waste water services, whilst still be accountable to the corporation. Financial position will become clear, it can focus on becoming financially self-sustaining. The utility will make long term plans for water supply and sewage; and with government support may also be able to mobilize resources through this is unlikely in the short term in Amritsar.

Professionalization contracts are a new concept. The aim of these contracts is to enlist the support of specialized private firms in turning public water utilities into competent professional operators. This report looks at how the business model for such contracts may work. This report builds on fieldwork and consultation in India. The model described in this report reflects two weeks of meetings with water sector stakeholder in India, including a workshop held at the World Bank country office in Delhi on 22 March 2011. The report gives introduction in section one. It describes briefly the need for professionalization contracts in India, and the target market section two. It then summarizes what the contractor will do, and how this differs from traditional capacity building, as well as from traditional public private partnership (PPP) concepts such as management contracts section three. The report then describes the complementary policy and institutional reforms that will be needed at the state and local government levels to make professionalization contracts successful section four. Section five looks at the political economy of professionalization contracts, identifying risks, and how these risks can be mitigated through design of the institutional reforms and the business model. Section six then turns to the true business model aspects by describing indicative costs of the professionalization contract and the complementary investments required. Section seven considers what the sources of funding for these costs would be, and section eight goes on to explain how the contractor will be paid, and hence the incentives under which it will operate. Section nine looks at the market of potential contractors, and examines their incentives to participate. Finally, section ten sets out some considerations for developing the concept.

This report analyzes the progress and challenges of 16 countries in the Danube watershed in delivering sustainable water and wastewater services to all, while meeting the European Union environmental acquis communautaire. After putting the services that are being delivered into context, the report analyzes the organization of services in the region and the level of access to services, that is, how well countries are doing in terms of providing access to water and wastewater services for the entire population. It then looks at the performance of the sector, including the quality of services provided and customer satisfaction with it. It also draws a picture of the efficiency of services, including whether they reflect accepted good practices. Finally, it analyzes the financing of services, looking at whether the financing of operation, maintenance, and investments is secured and affordable. The report draws largely from existing public data sources at the national and regional level, and consolidates them into a coherent, regional narrative, and analysis. The methods of analysis include horizontal comparisons among countries at a given point in time and trends within the countries or the region over a given period of time. Given shortcomings in the availability and comparability of data across 16 countries, the report seeks to encourage and inform a policy dialogue around sector challenges rather than provide a definitive set of policy recommendations.

To evaluate and reflect the sustainability of services in the region, an overall sector sustainability assessment was done taking into account four main dimensions: access to services, quality of services, efficiency of services, and financing of services. Each of these dimensions is measured through three simple and objective indicators. For each indicator, best practice values are established by looking at the best performers in the region, and the countries closest to those best performers are deemed to have a more mature sector. A more complete description of the methodology to assess sector sustainability is included in the annex of the state of the sector regional report from the Danube Water Program. The outcomes of this assessment for the Croatia water sector are displayed in Figure 9, which also shows average and best practices in the Danube region. The Croatian sector sustainability score is 72, which is above the Danube average sustainability of 64. The assessment shows that on average, the country performs well in terms of access to piped water and flush toilets, continuity of service, nonrevenue water and customer satisfaction. The main deficiencies of the Croatia water sector identified through the sector sustainability assessment are the wastewater treatment coverage and the operating cost ratio. The main challenges are: financing compliance with the European environmental acquis; ensuring affordability of future tariffs; implementing successfully the aggregation reform; and strengthening regulation in the water sector.

In order to evaluate the sustainability of services in the region, an overall sector maturity assessment was done taking into account four main dimensions: access to services, quality of services, efficiency of services, and financing of services. Each of these dimensions is measured through three simple and objective indicators. For each indicator, best practice values are established by looking at the best performers in the region, and countries closest to those best performers are deemed to have a more mature sector. A more complete description of the methodology to assess sector maturity is included in the annex of the state of the sector Regional Report from the Danube Water Program. The outcomes of this assessment for the Bosnia and Herzegovina water sector are displayed in Figure 10, which also shows average and best practices in the Danube region. The BiH sector maturity score is 57, which is close to the Danube average maturity of 64. The assessment shows that, on average, the country performs well in terms of access to piped water and flush toilets, and customer satisfaction. With regard to the BiH water sector, the main deficiencies identified through the sector maturity assessment are level of investment, staffing level, and wastewater treatment coverage.

In order to evaluate and reflect the sustainability of services in the region, an overall sector sustainability assessment has been established taking into account four main dimensions: access to services, quality of services, efficiency of services, and financing of services. Each of these dimensions is measured through three simple and objective indicators. For each indicator, best practice values are established by looking at the best performers in the region, and countries closest to those best performers are deemed to have a more mature sector. A more complete description of the methodology to assess the sector sustainability is included in the Annex of the State of the Sector Regional Report from the Danube Water Program. The outcomes of this assessment for the Montenegro water sector are displayed, which also shows average and best practices in the Danube region. As a result, the Montenegro sector sustainability score is 59, which is below the Danube average sustainability of 64, and is among the lower scores in the region. The assessment shows that, on average, the country performs well in terms of access to piped water and flush toilet, continuity of service and affordability. The main deficiencies of Montenegro’s water sector identified through the sector sustainability assessment are the operating cost ratio, staffing level, and wastewater treatment coverage.

To evaluate and reflect the sustainability of services in the region, an overall sector maturity assessment was done taking into account four main dimensions: access to services, quality of services, efficiency of services, and financing of services. Each of these dimensions is measured through three simple and objective indicators. For each indicator, best practice values are established by looking at the best performers in the region, and countries closest to those best performers are deemed to have a more mature sector. A more complete description of the methodology to assess the sector maturity is included in the annex of the state of the sector regional report from the Danube Water Program. The outcomes of this assessment for the Austrian water sector are presented, which also shows average and best practices in the Danube region. The Austrian sector maturity score is 96, which is significantly higher than the Danube average maturity of 64, and the highest score in the region. The assessment shows that, on average, the country performs very well in terms of access to piped water and flushes toilet, wastewater treatment coverage, customer satisfaction, continuity of service, wastewater compliance, collection ratio, and nonrevenue water.

The overview over the next pages summarizes key themes and findings from on-going technical assistance provided to the Kenyan water sector by the Water and Sanitation Program (WSP) of the World Bank’s Water Global Practice. Kenya’s new Constitution (Constitution of Kenya 2010) came into effect in 2013, declaring water supply and sanitation services a basic right and devolving key water and sanitation functions to the county level. Key legislation, including the County Government Act of 2012 and the Urban Areas and Cities Act of 2011, have provided the framework for far reaching changes. As these changes took shape before and after the new constitution came into effect, WSP’s TA programs have been providing specific advice at the national level1 to align the sector’s legal and institutional frameworks to the new decentralized constitution. The engagement and support to counties to adopt the new frameworks has been stepped up substantially since mid-2013. This is evidenced by the progress of the transition process under the Transition Authority and Commission for the Implementation of the Constitution. This note seeks to briefly highlight priorities and practical suggestions to pursue those priorities in order to support counties as they navigate the process of devolution.

Over the past 25 years, Uganda has experienced sustained economic growth, supported by a prudent macroeconomic framework and propelled by consistent policy reforms. Annual Gross Domestic Product (GDP) growth averaged 7.4 percent in the 2000s, compared with 6.5 in the 1990s. Economic growth has enabled substantial poverty reduction, with the proportion of people living in poverty more than halving from 56 percent in the 1992 to 23.3 percent in 2009. However, welfare improvements have not been shared equally; there is increasing urban rural inequality and inequality between regions. Revitalizing economic growth and tackling persistent poverty will require addressing a number of challenges. These include alleviating infrastructure bottlenecks; increasing agricultural productivity; managing land, water and other natural resources; addressing demographic challenges; and confronting governance issues. The development and management of water resources is intimately linked to Uganda's continued development ambitions. Water can be both a positive force-providing productive input to agriculture, industry, energy and tourism, and sustaining human and environmental health-as well as a destructive one-to which the devastating consequences of floods and droughts can attest. The National Water Resources Assessment (NWRA) estimates that Uganda's total renewable water resources are about 43 million cubic meters (MCM), less than was estimated in the Ministry of Water and Environment's (MWE's) Sector Investment Plan (SIP) in 2009. About 13 percent of this is sustainable groundwater (5.67 MCM) and the balance is surface water (37.41 MCM). About one half of all districts in Uganda experience annual rainfall deficits-the difference between evapotranspiration and rainfall-ranging from slightly above zero to 400 mm. The frequency of rainfall anomalies below normal (or long-term annual average) is significantly greater than the frequency of rainfall anomalies higher than normal. The Uganda water Country Assistance Strategy (CAS) aims to assist the Government of Uganda (GoU) in identifying priority actions for building on successful outcomes, tackling remaining challenges, and exploiting opportunities in Uganda's water sector. The objective of the water CAS is to define the World Bank's strategic role in supporting GoU to better manage and develop its water resources. The recommendations of the water CAS are complementary to the World Bank Uganda Country Assistance Strategy (CAS) 2011-15 priorities for Uganda and consistent with the country's development objectives as defined in the National Development Plan (NDP) and water and related sector plans and strategies, which form the foundation of the World Bank Uganda CAS.

The involvement of the rural private sector in water supply in Cambodia is unique to the country. The presence of this private sector allows other entities to respond to new demands from people living in the larger villages for household water supply, which the State is not yet able to address. These entrepreneurs operate on a merchant basis, lacking an institutional structure which is still being created. Their business is most often based on pushcart delivering water barrels at the house of villagers or more recently on small piped networks usually distributing raw surface water. Service is rough; the water quality is uncertain, but the users are satisfied with this service, because for them, it constitutes another alternative to the already considerable choice of water supplies available-ponds, wells, boreholes, and rivers. Their demands focus more on a practical objective (a supply in the household) than on a sanitary one, even if surveys show that villagers have a good understanding of health risks associated with water. Through the implementation of 14 small scale water supply systems, the goal was to enhance a qualitative improvement of the water service in some Cambodian small towns through the transformation of rough and informal merchant services to a basic water service supplying drinking water to an extended population under a formal institutional arrangement. The MIREP (Mini Reseaux d'Eau Potable - Small Scale Piped Water Supply System) program, launched in 2001 to transform these very basic initiatives into basic services, began as a pilot project supporting one entrepreneur in the implementation of a small piped water system. In order to move forward, the MIREP program made a choice, in particular linked to its proximity to the Ministry of rural development, to assist the nascent involvement of communes in decentralization, to strengthen provincial power through the process of decentralization, and to respect the cultural heritage of those who devised and financed the project.

This study is a product of the Africa Infrastructure Country Diagnostic (AICD), a project designed to expand the world's knowledge of physical infrastructure in Africa. The AICD provides a baseline against which future improvements in infrastructure services can be measured, making it possible to monitor the results achieved from donor support. It also offers a solid empirical foundation for prioritizing investments and designing policy reforms in Africa's infrastructure sectors. The AICD is based on an unprecedented effort to collect detailed economic and technical data on African infrastructure. The project has produced a series of original reports on public expenditure, spending needs, and sector performance in each of the main infrastructure sectors, including energy, information and communication technologies, irrigation, transport, and water and sanitation. The focus of the AICD country reports is on benchmarking sector performance and quantifying the main financing and efficiency gaps at the country level. These reports are particularly relevant to national policy makers and development partners working on specific countries. This report presents the key AICD findings for Kenya, allowing the country's infrastructure situation to be benchmarked against that of its African peers. Given that Kenya is a relatively well-off low-income country that aspires to become a middle-income country, two sets of African benchmarks will be used to evaluate Kenya's situation. Detailed comparisons will also be made with immediate regional neighbors in the East African community.