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Title page

Contents

Acknowledgments 8

Executive Summary 9

Abbreviations 13

1. Introduction 14

1.1. Structure of This Report 16

2. Water and Sanitation Policy 17

2.1. Analytical Foundations 17

2.2. Lessons Learned from Practice 17

3. Water and Sanitation Institutions 21

3.1. Analytical Foundations 21

3.2. Lessons Learned from Practice 22

4. Water and Sanitation in an Intergovernmental Context 27

4.1. Analytical Foundations 27

4.2. Lessons Learned from Practice 27

Note 32

5. Water and Sanitation Financing 33

5.1. Analytical Foundations 33

5.2. Lessons Learned from Practice 33

Note 37

6. Water and Sanitation Regulation 38

6.1. Analytical Foundations 38

6.2. Lessons Learned from Practice 38

7. Resilience of Water and Sanitation Services 43

7.1. Analytical Foundations 43

7.2. Lessons Learned from Practice 43

Notes 49

8. Conclusion 50

8.1. Collect data on the impact of PIR on water and sanitation services 51

8.2. Link investments and projects to PIR reforms 51

8.3. Promote collaborative leadership 51

Appendix A. Background on PIR and Aligning Institutions 52

References 56

Glossary 60

TABLE 8.1. Overview of Key Messages by Chapter 50

FIGURE 1.1. Challenges to Achieving Good Water Management according to Water Leaders 14

FIGURE 1.2. The Policy, Institutions, and Regulation Concept 15

FIGURE 1.3. A "Fishbone" Analysis of Sanitation Service Challenges in Zambia before Reforms 15

FIGURE 3.1. Incentives for Improving the Contribution of Informal Service Provision 23

FIGURE 3.2. Typology of Collaborative Leadership in the WSS Sector 25

FIGURE 4.1. A Framework for Assessing the Intergovernmental Context of Decentralized Water Supply and Sanitation 28

FIGURE 6.1. Evolution of Water and Sanitation Regulatory Reforms in Colombia 42

Boxes

BOX 2.1. Bosnia and Herzegovina: Example of an Effective Policy Dialogue Platform 18

BOX 2.2. How a Water Law Can Trigger Shifts in the WSS Sector 19

BOX 3.1. Leveraging Public and Private Institutions to Improve Water Services in Urban Areas of Niger 26

BOX 4.1. Understanding Political Economy Tensions in Decentralized Water and Sanitation Services 29

BOX 4.2. Funding Local Water and Sanitation Infrastructure and Provision: South Africa's Experience 31

BOX 5.1. Performance-Based Water Supply and Sanitation Grants 36

BOX 6.1. Kenya-WASREB's Pro-Poor Key Performance Indicators 40

BOX 6.2. The Positive Impact of Regulation on WSS Outcomes 41

BOX 7.1. PIR Lessons from Wastewater Reuse to Enhance Water Security 44

BOX 7.2. Collaborative Leadership for Improving Resilience: The Cape Town and Sava Experiences 47

BOX 7.3. Adjusting Rural WSS Institutional Reforms in Benin 48

FIGURE A.1. Main Trends in Public Sector Reform Since World War II 52

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