30/39 Report of the Special Rapporteur on the human right to safe drinking water and sanitation
Document Type: Final Report
Date: 2015 Aug
Session: 30th Regular Session (2015 Sep)
Agenda Item: Item3: Promotion and protection of all human rights, civil, political, economic, social and cultural rights, including the right to development
Human Rights Council Thirtieth session
Agenda item 3
Promotion and protection of all human rights, civil,
political, economic, social and cultural rights,
including the right to development
Report of the Special Rapporteur on the human right to safe drinking water and sanitation
Summary
Access to affordable water and sanitation services is crucial for the realization of the
human rights to water and sanitation. Yet, the issue of affordability does not always receive
the attention it deserves. The present report seeks to address this gap and to define
affordability from the perspective of human rights. It discusses the importance of setting
concrete standards to determine affordability, including for those populations that do not
receive formal services. It puts affordability in the broader context of ensuring
environmental and economic sustainability, and discusses the impact of disconnections as a
result of inability to pay. The report discusses who benefits from public financing in current
practice, and then considers a variety of different mechanisms to ensure affordability of
services for all through public financing and devising appropriate tariff schemes, including
their advantages and challenges. Finally, the report discusses the importance of regulating
and monitoring affordability before providing conclusions and recommendations.
Contents
Page
I. Introduction ...................................................................................................................................... 3
II. Costs associated with water, sanitation and hygiene ........................................................................ 5
A. Different types of costs ............................................................................................................ 5
B. Costs of corruption .................................................................................................................. 6
C. The cost of poor governance .................................................................................................... 7
D. The price of inaction ................................................................................................................ 7
III. Understanding affordability ............................................................................................................. 8
A. Defining affordability and setting standards ............................................................................ 8
B. Reconciling affordability with environmental and economic sustainability ............................ 9
C. Disconnections as a result of unaffordable services ................................................................ 10
IV. Mechanisms for ensuring affordability in practice ........................................................................... 10
A. Public finance for water, sanitation and hygiene: who benefits and who does not? ................ 11
B. Ensuring that public financing benefits the most disadvantaged ............................................. 13
C. Challenges in targeting ............................................................................................................ 14
D. Subsidies based on income, geographic location and types of access ..................................... 15
E. Social protection floors ............................................................................................................ 16
F. Ensuring affordability through tariff schemes ......................................................................... 16
G. Participation ............................................................................................................................. 18
V. Regulation and Monitoring .............................................................................................................. 19
A. Regulating service provision for affordability ......................................................................... 19
B. Monitoring affordability .......................................................................................................... 20
VI. Conclusion and recommendations .................................................................................................... 21
I. Introduction
1. The present report is submitted in accordance with Human Rights Council resolution
24/18. Access to affordable water and sanitation services is crucial for the realization of the
human rights to water and sanitation. Where water or sanitation services are available but
not affordable, people will not be able to use sufficient amounts of water and adequately
maintain latrines, or will turn to cheaper, unsafe sources or practices, or will compromise
the realization of other human rights such as food, housing, health or education. However,
the issue of affordability does not always receive the attention it deserves. As people will
go to great lengths to pay for water to ensure their survival and health, there is often an
assumption that people will obtain the water they need even without State support.
Similarly, monitoring practices sometimes assume that people have access without
considering whether they can actually afford services. The results of this neglect on
people’s lives, well-being and human rights are devastating.
2. Ensuring affordability is complex and requires different interventions in different
contexts. People’s capacity to pay for water and sanitation differs depending on their socio-
economic situation, as well as the method of service delivery. States must find ways of
guaranteeing affordability, especially for the most disadvantaged individuals and
communities, while also ensuring overall sustainability of services.
3. This report considers the affordability of water and sanitation at the household level.
The State’s obligations to ensure affordable access to water and sanitation in institutions –
such as schools, health centres and prisons – or at work and in public spaces is also
essential, but is beyond the scope of this report. State obligations in institutional contexts
are different and may require direct provision. In any case, affordability should never be a
barrier for children, women and men to accessing water and sanitation when they are
outside the home.
4. From the perspective of human rights, the starting point for State decision-making
on public financing and policy for water and sanitation service provision is that water and
sanitation must be affordable to all. This differs starkly from the purely economic
perspective. The focus in the context of water and sanitation services tends to be on cost
recovery, whether full or partial. Economic perspectives and human rights perspectives are
not impossible to reconcile, but human rights require ensuring affordable service provision
for all, regardless of ability to pay, and economic instruments must be (re-)designed to
achieve this objective.
5. While the human rights framework does not prescribe the concrete measures for the
realization of human rights, it does set important parameters. When comparing water and
sanitation with the realization of other socio-economic rights, different models of financing
become apparent. Some countries use public funding for health care systems, while systems
in other countries rely on individual contributions. The realization of the human right to
food usually relies on individual sourcing to a significant extent, while the human rights
framework requires States to provide assistance to individuals who need it, and States may
fix pricing for essential foodstuffs, to ensure that these remain affordable for all. For the
realization of the right to education, the International Covenant on Economic, Social and
Cultural Rights specifically requires States to ensure that primary education is free to all
and to progressively introduce free education for secondary and higher education, hence
relying on public financing for education. The realization of the human rights to water and
sanitation is most likely to rely on a mix of sources of financing. From an environmental
perspective, charging for the use of water is one means of discouraging wasteful
consumption. On the other hand, the public health dimension of water and sanitation
suggests a significant role for public financing. Sanitation, in particular, not only affects the
individual’s right to access a toilet or latrine, but also other people’s human rights,
including the right to health (see the Special Rapporteur’s reports on sanitation
(A/HRC/12/24), paras. 23-29, and on wastewater (A/68/264). The State therefore has a
significant role to play in ensuring that the necessary funding is available for service
provision, and for using public financing where services would otherwise be unaffordable.
6. The human rights framework does not, however, rule out tariffs and user
contributions for water and sanitation provision. Water and sanitation do not necessarily
have to be available free of charge. The human rights framework recognizes that revenues
have to be raised in order to ensure universal access to services. If everyone obtained water
and sanitation free of charge, that could actually harm low-income households by depriving
governments and service providers of the revenue needed to expand and maintain the
service, posing a risk to the overall economic sustainability of the system or to the State’s
capacity to protect and fulfil other human rights. Moreover, where a policy provides free
water distributed through utility networks, this tends only to benefit those who have access
to a formal water supply. As the majority of poor and marginalized individuals and groups
in developing countries do not enjoy access to a formal water supply, they will not be able
to access free water provided by utilities. From a human rights perspective, public funds
need to be directed towards extension of services for the most disadvantaged and for
ensuring that such services are affordable.
7. Where people face an inability to pay, the human rights framework indeed requires
free services that must be financed through sources other than user contributions. To ensure
both affordability and financial sustainability, States must look beyond tariffs toward a
broader system for financing water and sanitation services, including taxes and transfers,
and cross-subsidization through public finance or tariff systems (see the Special
Rapporteur’s report on financing (A/66/255)).
8. The human rights to water and sanitation also have important implications as to how
payment for services is raised. Human rights call for safeguards in the process of setting
tariffs and determining subsidies, both in procedural and substantive terms, which include
the human rights principles of transparency, access to information, participation and
accountability. They oblige States to ensure that the cost of accessing water and sanitation
is affordable and meets the needs of marginalized and vulnerable individuals and groups.
The aim of ensuring financial sustainability at the macro level must never lead to situations
in which individuals are unable to afford services. Affordability assessments must consider
the totality of rights and the expenses people face to realize their human rights. This is all
the more important in the context of austerity measures that have resulted in the significant
overall burdening of people. 1 Particularly during times of economic and financial crises,
decisions to introduce or raise tariffs need to be carefully considered. Where price rises
happen concurrently with rising unemployment and social spending reductions, they leave
many unable to afford essential services.
9. Deciding on the most effective system to ensure affordability will often require
focused studies that examine all of the above variables, from assessing the types of services
to which individuals have access, to considering how public financing can be used most
efficiently. In an attempt to improve affordability of service provision in France, as part of
the Economic Commission for Europe (ECE) Protocol on Water and Health, France is
1 See European Parliament, Directorate-General for Internal Policies, “The Impact of the Crisis on
Fundamental Rights across Member States of the EU - Country Report on Ireland,” 2015, available at
http://www.europarl.europa.eu/thinktank/en/document.html?reference=IPOL_STU(2015)510016,
p. 65.
carrying out a study using a range of different tariff and subsidy systems to determine how
affordability can best be assured. 2
10. Discussions on affordability often focus on tariffs in the context of networked
supply. While there are important challenges, this ignores that many people living in
disadvantaged areas and within marginalized communities do not benefit from public
networks, but rely on on-site or communal, often informal, sanitation and water solutions. It
has been estimated that up to 25 per cent of the urban population of Latin America and
almost 50 per cent of the urban population in Africa relies on small-scale informal
providers to some extent. 3
11. In many instances, these communities pay high prices for low-quality services –
adding another layer of complexity to discussions on affordability. As informal service
providers by definition tend not to be regulated for quality or affordability, they charge
prices determined by what the market will bear or by price-fixing between providers
(including cartel-like structures). For people in disadvantaged communities, paying for
formal service provision is often a welcome opportunity to have a more regular and better-
quality service, often at a lower price. These dimensions need to move centre stage in the
discussion on finding solutions for ensuring affordable service provision for all.
12. Against this background, the present report presents an overview of the various costs
that individuals and households must pay for water, sanitation and hygiene. It seeks to
define affordability from the perspective of human rights and discusses the importance of
setting concrete standards to determine affordability. It puts affordability in the broader
context of ensuring environmental and economic sustainability, and discusses the impact of
disconnections as a result of inability to pay. The report discusses who benefits from public
financing in current practice, and then considers a variety of different mechanisms to ensure
affordability of services for all through public financing and devising appropriate tariff
schemes, including their advantages and challenges. Finally, the report discusses the
importance of regulating and monitoring affordability before providing conclusions and
recommendations.
II. Costs associated with water, sanitation and hygiene
13. This section considers the various costs associated with water, sanitation and
hygiene, not only direct costs, but also time costs, as well as the additional burdens that
corrupt practices and inadequate governance may cause. It concludes by considering the
costs of inaction.
A. Different types of costs
14. In order to assess and ensure affordability, States need to look into the overall cost
of delivering service that can have implications to the user’s payments. These include not
only those regularly occurring costs such as operation and maintenance, but also the entire
“life-cycle” costs of services, which include construction and rehabilitation (where
2 Ministry of Ecology, Sustainable Development and Energy – France, “Expert group on equitable
access to water and sanitation”, 2015, available from
http://www.unece.org/fileadmin/DAM/env/documents/2015/WAT/05May_11-
12_Paris/Meunier_FranceMEDD_ExperimentationSocialTariffs.pdf. 3 Laura Sima and Menachem Elimelech, “The informal small-scale water services in developing
countries”, in Water and sanitation-related diseases and the environment: Challenges, interventions,
and preventive measures, Janine M. H. Selendy (ed.) (Wiley-Blackwell, 2011), p. 231.
necessary). This life-cycle cost is particularly relevant for sanitation, considering the
management of wastes. Once the costs for service delivery have been estimated, a different
discussion is how to recover them. This can include a variety of sources, from tariffs to
external public financing and, more important to the aim of this report, how to share the
revenues from different users. On this last point, affordability needs to be a key
consideration in order to avoid excessively compromising the expenses of people living in
poverty.
15. For water, costs range from construction, operation and maintenance, in the case of
networked provision, to costs of construction and maintenance of on-site solutions such as
wells or boreholes. Connection charges are often a significant barrier for those living in
extreme poverty. Household contributions for water services in rural areas and in informal
settlements can differ quite substantially from household contributions for piped water
provision. Beyond the option of buying water from public or private suppliers, individuals
may need to cover the costs of the construction, operation and maintenance of communal or
individual household provision (such as a rainwater cistern 4 ), the cost of purchasing
containers to store water, and the treatment of water. Even where water is safe at the source,
by the time it has been transported and stored for future use, there is a high risk that it will
become contaminated, which leads to extra costs for household water treatment.
16. In relation to sanitation, associated costs for households range from construction of
the toilet within the home and tariffs in the case of networked provision, to costs of on-site
solutions such as the construction or maintenance of pit latrines and septic tanks. On-site
technologies generally require regular cleaning and maintenance, including the emptying of
pits or septic tanks, and the proper management and disposal or re-use of wastewater and
excreta. Sanitation systems that require water for flushing, such as sewerage systems, will
generally imply extra costs for the water needed for flushing toilets.
17. While often overlooked, the use of hygiene facilities and services also has costs. The
main expenses, other than installation of a handwashing station, are for water and soap for
handwashing and personal hygiene, for water and cleaning products for domestic and food
hygiene, and for sanitary napkins or other products for menstrual hygiene management.
18. In addition to material costs of service provision, the time spent on collecting water
and accessing sanitation facilities outside the home must also be valued. As women and
girls are largely responsible for collecting water, maintaining and cleaning sanitation
facilities, and for ensuring the hygienic management of the household, these time costs
have an important gender equality dimension.
B. Costs of corruption
19. Studies have shown that corruption within the water sector is common.5 Even where
services are nominally affordable to people, corruption may increase the cost of accessing
services above official pricing. There may be a lack of transparency in decisions relating to
4 On rainwater harvesting, see Uende A. F. Gomes, Léo Heller and João L. Pena, “A National Program
for Large Scale Rainwater Harvesting: An Individual or Public Responsibility?” Water Resources
Management, vol. 26, issue 9 (2012), pp. 2703-2714.
5 United Nations Development Programme (UNDP), Human Development Report 2006: Beyond
scarcity: power, poverty and the global water crisis (New York, 2006); Transparency International,
Dieter Zinnbauer and Rebecca Dobson (eds.), Global corruption report 2008: Corruption in the
water sector (Cambridge University Press, Cambridge, 2008); J. Davis, “Corruption in public service
delivery: experience from South Asia’s water and sanitation sector”, World Development, vol. 32,
No.1 (2004), pp. 53–71.
the choice of technology or service provider, which can result in inappropriate – often more
costly – choices being made. Corruption also affects prices directly when bribes have to be
paid for repair work, connection or reconnection. On a larger scale, there can be corruption
within tendering processes for the delivery of services. Corruption tends to
disproportionately affect poor and disadvantaged individuals and groups, as they lack the
necessary power to oppose the vested interests of elites, and do not have the necessary
resources to pay bribes. 6
20. Limiting corruption requires focused efforts by States, regulatory bodies and service
providers. Introducing a strong legal structure based on human rights can provide for anti-
corruption measures such as strengthening transparency and accountability mechanisms. 7
For instance, one city in South-east Asia recognized the importance of addressing corrupt
practices in order to increase access to water and sanitation for the poor, and instituted
specific measures, including focused training for employees, the establishment of public
offices so that customers could pay their bills directly rather than going through bill
collectors, and the introduction of meters for all connections. 8
C. The cost of poor governance
21. Poorly managed service provision can also have a significant impact on the cost of
service provision. States must work to ensure that the right incentives are in place such that
providers improve the management of water and sanitation services, including through
appropriate organizational structure, optimized running costs, efficient service delivery (e.g.
low water losses), among other measures. It also includes strengthening the human rights
principles of participation, access to information and accountability in governance
structures and decision-making processes. 9 Further, where the provision of services is
intended to provide profits for the provider or shareholders (whether publicly or privately
owned), this imperative to extract profits can also increase costs for the user beyond levels
of affordability, and prevent the company from reinvesting in the service (see Special
Rapporteur’s mission report for Brazil (2014), A/HRC/27/55/Add.1, para. 68).
D. The price of inaction
22. The costs of ensuring access to water and sanitation may be high. Yet, the price of
not investing is even higher. The lack of access to safe water, sanitation and hygiene
underlies severe human costs such as poor health and high mortality rates, as well as major
economic losses – globally, an estimated $ 260 billion is lost yearly due to lack of access to
sanitation alone. 10
In developed nations, advances in life expectancy and child mortality
accompanied economic growth only after governments began making substantial
investments in water supply and, more importantly, sanitation. 11
6 See Transparency International, Global corruption report 2008 (footnote 5 above), p. 6. 7 Ibid. 8 Ibid. p. 48. 9 WaterAid, Reforming public utilities to meet the Water and Sanitation MDG (2006), pp.5-7.
10 World Bank, “WB Confronts US$260 Billion a Year in Global Economic Losses from Lack of
Sanitation”, 19 April 2013, available from http://www.worldbank.org/en/news/press-
release/2013/04/19/wb-confronts-us-260-billion-a-year-in-global-economic-losses-from-lack-of-
sanitation.
11 UNDP, Human Development Report 2006 (footnote 5 above), pp. 28-31.
23. Studies have shown evidence of a positive cost-benefit ratio. One analysis estimated
that for each dollar invested in achieving universal access to basic drinking water at home,
the average return is $4. For universal access to basic sanitation at home, the estimated
benefit is $3, while the return on eliminating open defecation in rural areas is $6 per dollar
spent. 12
The safe management and treatment of wastewater has received less attention in
cost-benefit analyses. While requiring large initial investments, in the long term the price of
inaction is far greater than the cost of ensuring adequate wastewater management. Studies
on the economic returns of sanitation interventions show that both septic tanks with
treatment as well as sewerage networks with treatment have a positive cost-benefit ratio, for
instance about 1:4 in the Philippines 13
and about 1:3 in Vietnam. 14
24. Although sometimes monetized in economic analyses, interventions provide some
intangible benefits related to time saved, dignity gained and diseases and deaths prevented.
The particularly positive impact for women and girls of investing in water and sanitation is
crucial for achieving gender equality. Environmental benefits are also significant, given that
improving water and sanitation services helps combat contamination and environmental
degradation.
III. Understanding affordability
A. Defining affordability and setting standards
25. Affordability, as a human rights criterion, requires that the use of water, sanitation
and hygiene facilities and services is accessible at a price that is affordable to all people.
Paying for these services must not limit people’s capacity to acquire other basic goods and
services guaranteed by human rights, such as food, housing, health, clothing and education.
Affordability standards must be considered together with standards of an adequate quantity
and quality of water and sanitation to ensure that human rights standards are met.
26. Affordability provisions in water and sanitation laws are quite common. For
instance, in Namibia, the Water Resources Management Act requires ensuring “that all
Namibians are provided with an affordable and a reliable water supply that is adequate for
basic human needs”.15 In many instances, the challenge is to translate general provisions
into concrete affordability standards. Such standards are essential to ensure that tariffs are
set in a way that is affordable to people and to ensure accountability. Generally, people are
prepared to pay a high price for water because it is essential for so many aspects of a
person’s life, but this does not justify a high affordability threshold. Willingness-to-pay
studies therefore often deliver limited results in terms of people’s actual capacity to pay.
27. A number of countries have set standards for affordability. For instance, a regulation
in Indonesia explains that “Tariff shall meet the principle of affordability... if domestic
expense on the fulfilment of the standard of basic need for drinking water does not exceed
12 Guy Hutton, Laurence Haller and Jamie Bartram, “Global cost-benefit analysis of water supply and
sanitation interventions”, Journal of Water and Health (5 April 2007), pp.481-502.
13 World Bank, Water and Sanitation Program, “The Economic Returns of Sanitation Interventions in
the Philippines”, Research Brief (Jakarta, 2011), p. 4.
14 World Bank, Water and Sanitation Program, “The Economic Returns of Sanitation Interventions in
Vietnam”, Research Brief (August 2011). Available from http://www-
wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2011/10/05/000020953_2011100
5094020/Rendered/PDF/647750wsp0viet00Box361544B00PUBLIC0.pdf.
15 Namibia, Water Resources Management Act No. 24 2004, article 26.1.
4% (four per cent) of the income of subscribers”.16 For some households, however, even a
small proportion of their expenditure will be too much, and water and sanitation must be
available for free in these instances.
28. It is impossible to set a generally applicable affordability standard at the global
level. Any such standard would be arbitrary and cannot reflect the challenges people face in
practice and the context in which they live, including how much they need to spend on
housing, food and the realization of other human rights. The affordability of water and
sanitation services is highly contextual, and States should therefore determine affordability
standards at the national and/or local level. The human rights framework stipulates
important parameters for the process of doing so, in particular in terms of participation. 17
B. Reconciling affordability with environmental and economic
sustainability
29. When seeking to ensure affordability in practice, measures to implement human
rights often need to be reconciled with broader considerations of ensuring environmental
and economic sustainability. “Social sustainability” in the form of affordable access must
not be jeopardized in favour of measures that aim to secure economic and environmental
sustainability. To be environmentally sustainable, there must be sufficient water resources
of good quality available to serve existing and future users. Water tariffs should be
designed to allow for access to sufficient water for essential purposes but, where necessary,
to limit use for luxuries. Water resources must be protected from pollution, which means
that sanitation services must include appropriate collection, transport, treatment and
disposal of wastewater to protect both public health and the environment. However,
sanitation tariffs must not be so high that people avoid using the service, which could put a
strain on public health.
30. To ensure economic sustainability, some have argued for full cost recovery through
tariffs, i.e. for water and sanitation service providers to charge full operational costs (and in
some cases also construction and rehabilitation) to existing and future users. Where there
are sufficient numbers of well-off people compared to those who are unable to pay the full
cost of a service, full-cost recovery may be possible, with some cross-subsidization
between the former and the latter. However, even in countries with a relatively well-off
population, for sanitation services in particular, governments frequently provide significant
amounts of public funding in order to make the service financially viable and to protect
public health. 18
31. In many developing countries, there are insufficient numbers of people who are
well-off to provide a cross-subsidy. In these situations, full cost recovery only through
tariffs will not be a feasible option. Public finance may be needed in such instances to
ensure affordability for all households. To make such financing available and achieve
affordability for all, as a first step States should make better use of budgets already
allocated for water and sanitation, specifically to reduce inequalities in access to services.
16 Indonesia Minister of Home Affairs, “Technical guidance and procedures for regulating tariff of
drinking water in regional administration-owned drinking companies”, regulation No.23/2006, 3 July
2006, Article 3.2, available from http://faolex.fao.org/docs/pdf/ins67962.pdf.
17 For interesting insights of participatory process to decide on their own poverty lines, see Asian
Coalition for Housing Rights, “Housing by People in Asia” No. 19, September 2014, available from
http://www.achr.net/upload/downloads/file_16102014142111.pdf .
18 International Water and Sanitation Centre report 2015, available from
http://www.publicfinanceforwash.com.
C. Disconnections as a result of unaffordable services
32. The affordability of water and sanitation services and disconnections are
inextricably linked, as in many instances the failure to pay for services leads to
disconnection.
33. Disconnection of services due to an inability to pay for the service is a retrogressive
measure and constitutes a violation of the human rights to water and sanitation (Committee
on Economic, Social and Cultural Rights, General Comment No. 15 (2002)
(E/C.12/2002/11), para. 44a). Disconnections are only permissible if it can be shown that
households are able to pay but are not paying. The South African 1997 Water Services Act
states that disconnections may not result in a lack of access to services for non-payment
where the individual is unable to pay for basic services. 19
More recently, France adopted
the Brottes Law, which prohibits disconnections for inability to pay. 20
34. In some instances, disconnections have taken place on a large scale. For instance,
the Detroit Water and Sewerage Department has been disconnecting water services with no
consideration of whether people are able to pay or not. This led the former Special
Rapporteur to state, “when there is genuine inability to pay, human rights simply forbids
disconnections”, and to demand the residents’ immediate reconnection.21
35. Pre-paid water meters are suggested as an option for service providers to ensure that
households and individuals pay for the water that they use, as they require payment in
advance. 22
This may lead to “silent disconnections” due to lack of ability to pay, and can be
a violation of the human rights to water and sanitation. Therefore, plans to use pre-paid
meters must be carefully examined before they are installed. Some pre-paid water meters
will allow for access to a limited quantity of water even where the individual or household
has not paid. The quantity, continuity and quality of water would need to be carefully
assessed for human rights compliance.
IV. Mechanisms for ensuring affordability in practice
36. To ensure affordability for all and a sustainable system, States must develop
appropriate pricing, tariff and subsidy structures. In the following section, the report
explores how public financing is allocated, and who is likely to benefit from this. The
report then seeks to discuss how financing mechanisms can be used to effectively target
those groups who rely on these mechanisms to ensure the affordability of services.
19 South Africa, Water Services Act, art. 4 (3)(c). 20 France, Loi n° 2013-312 (15/04/2013), art. 19, which modifies the Code de l’action sociale et des
familles, art. L115-3, available from
http://www.legifrance.gouv.fr/affichTexte.do?cidTexte=JORFTEXT000027310001&fastPos=1&fast
ReqId=760965938&categorieLien=cid&oldAction=rechTexte (in French).
21 Press statement by the Special Rapporteur on the human right to safe drinking water and sanitation
and others, “Detroit: Disconnecting water from people who cannot pay – an affront to human rights,
say UN experts”, 25 June 2014, available from http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=14777.
22 Coalition Against Water Privatisation, “The struggle against silent disconnections – Prepaid meters
and the struggle for life in Phiri, Soweto” (2004), pp. 4-5, available from
https://www.citizen.org/documents/Phiri.pdf.
A. Public finance for water, sanitation and hygiene: Who benefits and who
does not?
37. Almost all large-scale water and sanitation systems receive some level of public
financing. For sanitation in particular, while it has long been known that the costs of not
having access far exceed the actual cost of providing access, it has been hoped that private
sector participation would be sufficient to improve access to sanitation. However, more
recently, research by the World Bank and others is beginning to show that it is unrealistic
for the private sector to fill the service gap alone. 23
States must be the driving force in
investments in sanitation, in particular to cover the costs of constructing and maintaining
infrastructure, and in some cases also for operation, for example where pit-emptying is
prohibitively expensive.
38. In many instances, however, public financing is unequally distributed. Middle-class
households often benefit from subsidies, both direct subsidies and “hidden” subsidies.
Direct subsidies include tax breaks or financial incentives for constructing a toilet, which,
when poorly targeted tend to benefit middle-income families. Subsidies are “hidden” when
public financing is used to construct infrastructure and services that are intended to be used
by all, but in fact are only available to middle- and high-income households.
1. Public finance for networked provision
39. Public finance is very common in large-scale piped water and sewerage systems,
with governments (and other funders, such as multilateral and bilateral donors) investing
significantly in networks, water treatment plants, wastewater treatment plants and trunk
sewers. Provided that all households within a city are able to connect to use these services,
this may be an efficient approach to ensuring that public finances are used well for water
and sanitation service provision, even if it also results in subsidizing service provision for
those who would not need such support to ensure affordability.
40. In the majority of developing countries, piped water and sewerage systems are
accessible only to a minority of those living in urban areas – and to very few of those living
in rural areas. 24
Focusing public finance on networked provision thus disproportionately
benefits comparatively better-off households, unless specific action is taken to extend
networked provision to all residents.
41. Public finance may also be provided for the maintenance and extension of water and
sanitation services and facilities, including for connection charges. Where extensions are
expected to reach all households, they can be an appropriate form of providing support to
low-income households, as they will ensure more affordable and regular charges for water
and sanitation than charges of informal provision.
23 World Bank, Keynote Speech at the 2014 Sanitation and Water for All High Level Meeting by Shanta
Devarajan, Chief Economist, World Bank, April 11th 2014, available from
http://sanitationandwaterforall.org/?download=663; Guy Norman, Catarina Fonseca and Sophie
Trémolet (2015), “Domestic public finance for WASH: what, why, how?” Finance Brief 1, Public
Finance for WASH, available from
http://www.publicfinanceforwash.com/sites/default/files/uploads/Finance_Brief_1_-
_Domestic_public_finance_for_WASH.pdf .
24 World Health Organization (WHO)/United Nations Children’s Fund, Joint Monitoring Programme,
“Progress on Sanitation and Drinking Water 2015 Update and MDG Assessment” (Geneva, 2015),
pp. 8-9.
2. Communities in informal settlements
42. Residents of informal settlements often do not enjoy formal service provision,
receiving their services from a range of different, often informal and/or small-scale
providers or through self-supply. For water services, this can include water kiosks, water
vendors that come to a user’s home, as well as piped water delivered to the household. For
sanitation, there is an even larger range of types of service, from no service at all through
substandard pit latrines (seldom emptied and often overflowing) to shared or community-
level toilets, to connections to a rudimentary sewage system, where wastes are not treated,
to small-scale sewage systems with adequate treatment plants. Given this range of services
that exists outside the formal system, any pricing, subsidy or tariff system can seem
irrelevant to an often substantial part of the population. In many cities, tariff structures,
subsidy systems or other special measures are only accessible for households with a formal
address or to a registered household or individual.
3. Communities relying on self-supply
43. Local governments often lack the capacity to support sustainable access to water and
sanitation services, in particular in rural areas. As a result, donors and local governments
have often turned to promoting community management approaches. Unfortunately, there
continues to be a high rate of failure under community management. One study estimated
that an average of 30 per cent of rural hand pumps in sub-Saharan Africa are not working,
with the figure rising to as high as 65 per cent in some countries. 25
Explanations for these
situations include a lack of local technical skills, management capacity, spare parts, or
funds to pay for the necessary repairs. Further, as people are understandably unwilling to
pay for services that are unreliable, there is inadequate funding for repairs. Institutional
reform, developing communities’ capacity, and increased financial and human resources
are therefore required to realize the human rights to water and sanitation in rural areas. 26
44. On the other hand, significant inroads have been made through Community-Led
Total Sanitation in expanding access to sanitation. Recognizing that improving sanitation
relies to a large extent on practicing safe and hygienic sanitation, the approach focuses on
mobilizing communities to analyse and improve the situation with regard to open
defecation. 27
Community-Led Total Sanitation is in principle opposed to the provision of
subsidies based on the premise that subsidized sanitation often does not align with people’s
preferences and that such solutions have often been unsustainable by creating a culture of
dependency. 28
45. The approach, or its implementation in particular cases, has encountered some
criticism from the perspective of human rights, 29
including concerns about the affordability
of adequate sanitation for the most disadvantaged due to the lack of subsidies. Without
external support, people living in extreme poverty may only be able to build very basic
25 Tom Slaymaker and Catarina Fonseca, “Framing paper JMP post-2015 Working Group on Water” (2012), available from http://www.wssinfo.org/fileadmin/user_upload/resources/post-2015-Water-
Working-Group-Framing-Paper-v3.pdf. 26 See Organization for Economic Cooperation and Development/Development Co-operation
Directorate Secretariat and World Water Council, Donor profiles on aid to water supply (2008),
available from http://www.oecd.org/dac/stats/41752319.pdf. 27 See Kamal Kar and Robert Chambers, Handbook on Community-Led Total Sanitation, (Plan UK and
Institute of Development Studies, London and Brighton, 2008), p. 7.
28 Ibid, p. 8.
29 See Jamie Bartram and others, “Commentary on the Human Right to Sanitation: Should the Right to
Community-wide Health be won at the Cost of Individual Rights?” Journal of Water and Health, vol.
10, No. 4 (2012), pp. 499-503.
latrines and do not always have the means to afford maintenance and improvements. 30
Some variants of Community-Led Total Sanitation are open to using external subsidies for
the most disadvantaged in communities. Some suggest a sequencing approach to the use of
public finance. While the initial investments in hardware are expected to be made by the
community, public finance should be used in the long term to create the enabling
environment for sustainable sanitation and ensuring public health, for instance for
maintenance and pit emptying, or through public health interventions that promote
sanitation and good hygiene practices. 31
Some schemes have provided microfinance for the
construction of latrines, which is then paid off over a two- or three-year time frame. This
can be an effective way of spreading the cost, but affordability concerns will remain for the
poorest households.
46. More generally, Community-Led Total Sanitation encourages community support
and assistance from better-off households to people living in greater poverty. Yet many
communities are not a coherent whole; there are entrenched power asymmetries and
inequalities. People not only experience different levels of poverty and deprivation, but
may be marginalized on grounds of ethnicity, caste or other factors. There may be instances
where community support is not forthcoming. In other instances, people may feel that they
have to rely on the charitable benevolence of others rather than feel entitled to the
realization of their right to sanitation.
47. In such instances, as in other contexts of self-supply, the human rights framework
stresses that States have an obligation to support people in the realization of their human
right to water and sanitation, where needed with financial assistance. States may not
absolve themselves of their human rights obligations by relegating responsibilities to
communities. 32
What must be ensured is that sanitation and water services are affordable to
even the most disadvantaged member of a community.
B. Ensuring that public financing benefits the most disadvantaged
48. The current reality is that public financing for water and sanitation largely benefits
better-off parts of society. Public finance is largely used for large-scale infrastructure in
urban areas, which is enjoyed predominantly by middle- and high-income households.
49. The first step to ensuring that public financing is targeted toward the most
disadvantaged is to acknowledge the inherent inequalities and biases in the current
distribution of public financing. On that basis, States must adopt measures to reach the
people who rely on public finance to ensure the affordability of water and sanitation
services for all and to reduce inequalities in access. States need to reallocate resources to
the most disadvantaged. Reallocating current public resources may mean extending access
for all to citywide systems in urban areas or shifting from high-cost interventions that serve
30 Mary Galvin, “Talking shit: is Community-Led Total Sanitation a radical and revolutionary approach
to sanitation?” Wiley Interdisciplinary Reviews: Water, vol. 2, issue 1 (January/February 2015), pp. 9-
20.
31 For instance, see Global Sanitation Fund, Progress Report 2014, p. 4, available from
http://www.wsscc.org/sites/default/files/publications/global_sanitation_fund_progress_report_2014_
web.pdf.
32 See the Special Rapporteur’s report on financing (A/66/255), para. 53; see also Galvin, “Talking shit”
(footnote 30 above), p. 17.
limited numbers of people to low-cost interventions that provide services to more people,
particularly those who most need assistance. 33
50. One option is seeking to develop truly universal systems that include everyone. Any
such universal system for distributing public finance would include people who do not need
such funding to access services. This raises questions in terms of the most appropriate use
of available resources. Yet this needs to be carefully balanced against the risk of being
under-inclusive and leaving out parts of populations that do rely on subsidies to ensure the
affordability of services. Any type of targeting risks not reaching the people who are most
in need. As a general principle, from the perspective of human rights, unintended exclusion
is far more serious than unintended inclusion.
51. Research suggests that some governments have succeeded in effectively using
public funding for increasing access to sanitation. For instance, Thailand achieved nearly
universal access to sanitation in the late 1990s due to sustained funding over decades based
on a comprehensive programme. The Government has provided subsidies through
revolving funds as well as funding for specific activities, with villages having flexibility in
allocating funds to those most in need. 34
52. Recent projects in Dar es Salaam (United Republic of Tanzania), Blantyre (Malawi),
Chinhoyi (Zimbabwe) and Kitwe (Zambia) driven by slum or shack dweller federations
seek to develop citywide sanitation provision in situations where households can only
afford $3-$4 per month. They look into choices for low-income households, loan financing
and the crucial role of engagement with local authorities from the outset. 35
53. Where States choose to adopt universal systems for subsidizing service provision,
they need to ensure that these are truly universal rather than reaching only as far as
networked provision does. Financing for universal access, and indeed the universal
realization of human rights, does not necessarily require one universal system. On the
contrary, in many countries it will mean additional approaches that are targeted to reach
people beyond utility networks.
C. Challenges in targeting
54. Where States adopt targeted measures, this also poses challenges. In practice,
unfortunately, such measures often fail to reach the target population for a variety of
reasons, including:
(a) Target groups are not informed of the availability of subsidies or financial
support;
(b) There is excessive paperwork or a requirement for specific pieces of
documentation that low-income or marginalized people may not have;
(c) The target groups are not involved in the design of the mechanism;
33 See Kavita Wankhade, “Urban sanitation in India: key shifts in the national policy frame”,
Environment and Urbanization, vol. 27, No. 2 (2015), pp. 1-18. 34 WaterAid and Sanitation and Hygiene Applied Research for Equity, “Evaluating the effectiveness of
public finance for sanitation: A synthesis report”, 2013, pp. 6-7, available from
http://www.wateraid.org/what-we-do/our-approach/research-and-publications/view-
publication?id=a2a29c88-b69b-46b0-8578-b0fb80ac6ae6.
35 Evans Banana and others, “Sharing reflections on inclusive sanitation”, Environment & Urbanization
vol. 27(1) (2015), pp. 19–34.
(d) In most countries where subsidies are applied through tariff systems, these
are only available to people connected to networks, thus excluding those who rely on
kiosks, standpipes or public toilets;
(e) Often, due to an increasing block tariff structure, consumption subsidies do
not benefit large families or multiple households sharing one water connection;
(f) Public financing is available only to those who have secure land tenure, thus
excluding those living outside the formal legal system;
(g) Those who are responsible for allocating public funding engage in corrupt
practices;
(h) Those who are connected to water supply services but not to sewerage
networks are often disadvantaged by cross-subsidies between water and sanitation services.
This subsidy results in persons who have a water connection but no sewerage connection
subsidizing better-off people or households that have such a connection;
(i) In many instances, subsidies for water are targeted towards commercial or
industrial users. Where such subsidies benefit users that do not actually rely on them for
their livelihoods, they should be eliminated or reduced to free up resources for the benefit
of the population in need.
55. In all cases, it is critical that any sort of public financing is transparent, clearly
explained and widely promoted to ensure that those entitled to it receive it, to reduce the
scope of corruption, and to analyse whether the mechanism has been effective.
D. Subsidies based on income, geographic location and types of access
56. In different contexts, different mechanisms have been used with the aim of targeting
financial support at those individuals and groups who rely on it to ensure the affordability
of services. Subsidies could apply to low-income households, to areas populated
predominantly by low-income communities, or to small-scale services likely to be used by
those living in poverty or on a low-income.
57. Targeted subsidies can be provided at the household level based on income. In many
cultures, however, there is significant stigma attached to the receipt of subsidies, in
particular where the application for the subsidy becomes publicly known. In a country in
Africa, for example, there are subsidies available for a range of social services, but many
people choose not to register even where they are eligible reportedly due to the stigma
attached. One way to overcome such stigmatization would be to adopt ways of distributing
subsidies that do not publicly expose people. Beyond this, however, broader cultural
changes are needed in the perception of subsidies to overcome the often internalized shame
and stigma of relying on public subsidies.
58. Targeting schemes that are based on levels of household income or expenditure may
be costly, requiring administratively labour-intensive surveys to assess who is eligible,
except when this is available information for other administrative needs such as taxes.
Targeting is especially difficult where there is a large informal economy. More generally,
such targeting is often imprecise. Even sophisticated social security systems can exclude
significant numbers of the poorest residents, particularly those living in rural areas, where it
may be difficult to keep people informed of their entitlements.
59. In some cases, household income or expenditure data is not available. In such cases,
other indicators such as the type of access (for example, whether a small-scale facility is
used), property value, size of the residence or geographical location can be used to evaluate
the economic capacity of users.
60. While being easier and cheaper to administer, they have the drawback of not always
being able to differentiate between people living in poverty, who may be able to pay a small
amount, and people living in extreme poverty, who cannot afford to pay more than a
nominal sum or anything at all. In many instances, it may be useful to utilize a mixture of
mechanisms. For example, a comparison of schemes of subsidies in Chile (based on
household means) and in Colombia (based on categories of socio-economic status and
socio-geographic context) suggests that means-tested subsidies are more effective at
identifying poor households than geographically targeted schemes. 36
For example, it may
be beneficial to provide subsidies automatically in low-income areas, but to permit people
outside such areas to apply for subsidies on the basis of their low income. Moreover, where
an income supplement is provided, households that are not connected to a network,
including those living in rural areas, could also be eligible.
E. Social protection floors
61. A broader mechanism for achieving access to water and sanitation services for
people living in poverty is to put in place “social protection floors”. These are nationally
defined basic social security guarantees that ensure access to essential services, including
water and sanitation, as well as providing basic income security to those in need. 37
Human
Rights Council resolution 28/12 of 9 April 2015 acknowledged “that social protection
floors may facilitate the enjoyment of human rights… safe drinking water and sanitation, in
accordance with the human rights obligations of States” and encouraged “States to put in
place social protection floors as part of comprehensive social protection systems”
(A/HRC/RES/28/12, paras. 6 and 8). Social protection floors can be particularly relevant
for achieving gender equality and protecting marginalized or disadvantaged individuals and
groups. At the national level, for instance, Cambodia has made support for sanitation and
water in times of emergency and crisis a key intervention under the National Social
Protection Strategy for the Poor and Vulnerable. 38
In Mexico, the federal budget for social
spending, which contributes to building a social protection floor, includes water supply and
sewerage. 39
F. Ensuring affordability through tariff schemes
62. Other types of mechanisms to ensure the affordability of services can be built into
tariff schemes. Different tariff systems have different potentials but also limitations to
ensure the affordability of services. These are generally only relevant to those connected to
piped water and sewerage systems.
1. Flat rate
63. Flat rates are commonly used where meters are not installed, where a charge based
on a certain volume of water used or sewage discharged would be impossible to implement.
Some countries use property taxes as the basis for charging unrelated to consumption.
Differentiated flat rates could be used that rise or fall depending on such criteria as
36 Andrés Gómez-Lobo and Dante Contreras, “Water subsidy policies: a comparison of the Chilean and
Colombian schemes”, The World Bank Economic Review, vol. 17, No. 3 (2003), pp. 391-407.
37 International Labour Organization (ILO), “Social Protection Floors Recommendation”
recommendation No. 202, 2012.
38 UNDP and ILO, Sharing Innovative Experiences, Successful Social Protection Floor Experiences
(2011), p. 125.
39 Ibid., p. 299.
household size, income and property value, among others, with care taken that marginalized
and vulnerable individuals and groups are not being charged an unaffordable rate.
2. Uniform volumetric tariff
64. Uniform tariff approaches depend on a metered system, where households pay a
fixed rate for each unit that they use. Such systems will generally be cheaper to administer
than a differentiated system. However, they do not take account of households’ size or
ability to pay, or whether a household has particular needs that will require more water,
such as dialysis or other health needs. They will almost invariably lead to better-off
households having access to more water or paying lower bills than poorer residents. Where
poorer households access larger quantities of water to meet their requirements, services
may become unaffordable without additional safeguards.
3. Differential pricing
65. Differentiated tariffs, which intend to provide a lower tariff targeted at poorer
households or communities, may be more complex to administer but may help to ensure
affordability even for disadvantaged households. Yet, difficulties remain in ensuring that
they actually reach the target groups. In the United States, several municipalities have
adopted differential pricing with the aim of higher-income households subsidizing lower-
income households. Recently, the Philadelphia City Council passed legislation to establish
a low-income programme to ensure that water bills are affordable in relation to income. To
ensure that residents are aware of the programme, the bill places an affirmative obligation
on the city to refer them to the programme.
66. Increasing block tariffs is a common model for differential pricing in which
differing quantities of water (or sewage) are charged at different rates. The first “block”
may be set at a “lifeline” tariff – a sufficient quantity for the average household – at a low
rate, generally below the cost of providing the service. Once this first “block” has been
used, there is an increase in price so that households using water beyond their basic
domestic and personal needs will pay comparatively more.
67. To ensure affordability for all households, it is imperative that the blocks are set
appropriately. If the first block is too small, or the tariff is too high, poor families will not
be able to afford to buy sufficient quantities of water. However, if the first block is too
large, or the tariff too low, then people who do not actually need the lowest rate will
benefit, which may put the overall financial sustainability of the system at risk.
68. One problem with this system is that often poorer households have more household
members or share their connection with other households, and will therefore reach the
maximum quantity for the “lifeline” tariff, and be forced to pay a higher rate, as is the case
in Jordan (see Special Rapporteur’s report, mission to Jordan (A/HRC/27/55/Add.2), para.
24). In Portugal, the regulator has therefore proposed that municipalities and providers
ensure a particular tariff for people living in larger households, 40
as has Los Angeles. 41
40 Water and Waste Services Regulation Authority (Portugal) Recommendation No. 01/2009 “Tariff
formation for end-users of drinking water supply, urban wastewater and municipal waste management
services” (“Tariff Guidelines”), para. 1.2, available from
http://www.ersar.pt/Website_en/ViewContent.aspx?SubFolderPath=%5CRoot%5CContents%5CSite
EN%5CMenu_Main%5CDocumentation%5CERSAR_OtherDocuments&Section=Menu_Main&Boo
kTypeID=5&FolderPath=%5CRoot%5CContents%5CSiteEN%5CMenu_Main%5CDocumentation&
BookCategoryID=2&BookID=2077.
69. A particular model, which can be part of increasing block tariffs, involves the
provision of a first block free of charge. Cities and countries such as South Africa with the
Free Basic Water Policy, some Colombian cities and the minimum provided by the Delhi
Jal Board are examples of such policies. Still, the same challenges remain in terms of
setting the amount of free water at the right volume to ensure the overall financial
sustainability of the system. The key challenge is that households connected to the formal
network are likely to benefit more from such policies than households relying on informal
service provision. Even where utilities or municipal authorities provide for additional water
services through truck deliveries in informal areas, huge disparities in terms of the quantity
and accessibility of water remain.
70. Differential pricing can also be used for different sectors, for instance using higher
tariffs for industrial, commercial and public users to cross-subsidize residential users. In
practice, however, such cross-subsidization is often discouraged and agricultural and
industrial water use may be highly subsidized. Where such public financing is not
necessary to secure livelihoods and is not directly related to the realization of human rights,
existing pricing and subsidy policies should be revised to use the maximum amount of
available resources for the realization of human rights.
4. Connection charges
71. Charges to a household to connect to a service can be a barrier to gain access to an
existing networked service. Some countries have decided to remove these charges for all or
some households in order to reduce the barriers. The costs of extending the services are
then financed by incorporating them into standard service charges. Historically, many
countries have used surcharges on existing users to finance the extension of the network in
rural areas. Removing the connection charge is particularly relevant for low-income
households to gain access to a sewerage network, as the connection charge is often a
significant barrier to affordable sanitation.
G. Participation
72. In determining mechanisms for allocating public financing and setting tariffs,
participation, access to information and an active role in decision-making are essential.
Such decisions translate into the prioritization of resource allocation. Most important from
the perspective of human rights is that such participation includes the most marginalized
and disadvantaged individuals and groups to ensure that measures are taken that actually
reach the ones most in need of public financing. This relates to decisions at the national
level concerning overall resource allocation as well as decisions at the local level, including
on the prioritization between different parts of a municipality to ensure citywide service
provision, including in informal settlements.
73. At a broader level, communities have used participatory wealth rankings as a way of
assessing poverty to determine how to target measures within their communities.
Determining relative poverty in a community allows for targeting on that basis. Such
participatory processes can provide detailed insights on local poverty and often include
access to water as an indicator in the analysis. 42
41 Sonia F. Hoque and Dennis Wichelns, “State-of-the-art review: designing urban water tariffs to
recover costs and promote wise use”, International Journal of Water Resources Development, vol. 29,
No. 3 (2013), pp. 472–491.
42 See e.g. James Hargreaves and others, “‘Hearing the Voices of the Poor’: Assigning Poverty Lines on
the Basis of Local Perceptions of Poverty. A Quantitative Analysis of Qualitative Data from
74. Participatory budgeting is increasingly common in municipalities across the world,
enabling residents to agree on the budget priorities of local government. Such processes
have often contributed to improving basic service provision, including water and
sanitation. 43
V. Regulation and monitoring
75. The discussion on ensuring affordability has repeatedly pointed out the crucial role
of regulation and monitoring.
A. Regulating service provision for affordability
76. Ensuring the affordability of water and sanitation services requires an effective legal
and policy framework, which includes a strong regulatory system. The International Water
Association Lisbon Charter recognizes the importance of regulation, recommending that
regulators “supervise tariff schemes to ensure they are fair, sustainable and fit for purpose;
promoting efficiency and affordability”.44
77. Once a tariff system that meets affordability standards has been developed, the body
responsible for regulating service providers should be able to ensure both that the tariff
system is correctly applied, and that it is having the desired impact on affordability levels
for all users. Likewise, a regulatory body, in collaboration with the relevant government
department, can ensure that public financing is adequately targeted. Complaints
mechanisms, put into place by service providers or regulators, can support these processes.
78. Particular challenges arise for regulation in the context of small-scale and informal
provision, as governments often do not have any control over the operation of these
providers. Governments may formalize the informal sector while keeping the small-scale
nature of the provision through effective regulation, such that the small-scale providers
serve as contractors to the government. This is the strategy that is being initiated in Nairobi,
Kenya, where water kiosks in informal settlements are supplied by and registered with the
utility, and the tariff is fixed by the regulatory body. However, this tariff is not always
complied with. 45
Where households rely on informal service provision, governments should
also provide support in terms of management and technical support to increase the quality
and affordability of their services. A similar approach is taken in Maputo, Mozambique,
where the regulator supports informal service provision in the absence of the capacity of the
utility, in the short-to-medium term, to deliver services to all residents. 46
79. Above all, regulation of informal and small-scale service provision should assist in
increasing access to water and sanitation for poor and marginalized households, and not
Participatory Wealth Ranking in Rural South Africa”, World Development, vol. 35, No. 2 (February
2007), pp. 212–229.
43 Yves Cabannes, “Contribution of Participatory Budgeting to provision and management of basic
services: Municipal practices and evidence from the field”, Environment and Urbanization, vol. 27(1)
(September 2014) pp. 257–284.
44 International Water Association, The Lisbon Charter: Guiding the Public Policy and Regulation of
Drinking Water Supply, Sanitation and Wastewater Management Services, art. 4.2.
45 See “Statement by the United Nations Special Rapporteur on the human right to water and sanitation
(Visit to Kenya, 22-28 July 2014)”, available from
http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=14912&LangID=E.
46 Catarina de Albuquerque, Realising the human rights to water and sanitation: A handbook by the UN
Special Rapporteur, booklet 4 (Portugal, 2014), p. 49.
hinder such access. Formalization and regulation of informal service provision must pay
due attention to the impact of this process on levels of access, affordability and quality of
service provision. Where States seek to replace informal service provision with formal
providers, they must ensure that people can actually afford these alternatives and do not
experience retrogression in the realization of their human rights.
B. Monitoring affordability
80. Monitoring affordability is essential for assessing whether standards are being met,
and whether people in fact have access to affordable services. Unless efforts are made to
monitor whether services are affordable for all, States and service providers alike will
struggle to provide appropriate support to individuals and households that may have
difficulties in paying for services.
81. However, monitoring affordability is not a straightforward process. Accurate and
meaningful monitoring of affordability is extremely complex. If carried out on the basis of
an affordability standard, the necessary parameters for calculating affordability – the
expenses for accessing water and sanitation in comparison to overall household
expenditure, and the real income of a household – are difficult to measure. Monitoring
whether a household’s expenditure on water and sanitation exceeds a specific proportion of
its income in a specific context is not easily done, given the precarious incomes of many
low-income households, and the many different types of expenses for water and sanitation
services in informal settlements, where affordability concerns are most acute. Given these
difficulties, States often use an “average” or a “lowest” income level, and an assumed
acceptable volume of water to set appropriate service charges. However, such
generalizations hide whether individuals can actually afford services in their particular
context, which may involve a large household, or individuals with specific health problems.
82. Other approaches to monitoring affordability take a different starting point. Rather
than relying on an absolute affordability threshold, they look at the impact that the cost of
water and sanitation services has on the enjoyment of other human rights. Human rights
monitoring can greatly contribute to qualitative, more contextualized monitoring. For
instance, treaty bodies can provide details on the impact of the lack of affordability on
people’s lives, including through disconnections, the challenges people face, and the inter-
linkages with the realization of other human rights.
83. The ECE Protocol on Water and Health has developed an Equitable Access
Scorecard, which assists States to monitor whether services are affordable. This scorecard
looks beyond the affordability of tariffs to other measures that Member States may employ
to ensure affordability. This includes monitoring the inclusion of affordability concerns in
water and sanitation policy, the affordability of self-provision, whether public funding is
made available to address affordability concerns, how much public funding has actually
been spent on affordability concerns, and whether social protection measures are effective
in ensuring affordability. 47
84. In terms of global monitoring, there are heightened challenges due to data gathering
and comparability. The proposed goal 6.1 of the Sustainable Development Goals explicitly
refers to achieving affordable drinking water for all, hence calling for including the
criterion of affordability in global monitoring.
47 ECE/WHO Protocol on Water and Health, Equitable Access Scorecard 2014, chapter 4, available
from http://www.unece.org/?id=34032.
85. For households that receive water and sanitation through utilities, data is available
through the International Benchmarking Network for Water and Sanitation Utilities, which
includes data on water tariffs charged by a significant number of utilities. 48
Beyond such
existing initiatives, a review of potential indicators demonstrates the complexity of
monitoring affordability. 49
Determining and monitoring the costs of non-networked supply
and including them into measures of affordability is particularly challenging, but essential
from the perspective of human rights. Focusing solely on utility tariffs bears the risk of
severely underestimating expenses and would paint an overly positive picture of
affordability that only captures the better-off, while neglecting the very real challenges that
the most disadvantaged people and communities face in accessing water and sanitation.
This review shows that monitoring affordability in its complexity (including water,
sanitation and hygiene access expenditure) is feasible, but would require a combination and
analysis of data from different sources. 50
The Special Rapporteur encourages States and
international organizations to explore these options further to ensure more comprehensive
monitoring of the affordability of access to services.
VI. Conclusion and recommendations
86. Affordability is key for the realization of the human rights to water and
sanitation. Ensuring affordable service provision for all people requires a paradigm
shift – starting from the perspective of human rights. Economic sustainability and
affordability for all people are not impossible to reconcile, but human rights require
rethinking current lines of argumentation and redesigning current instruments. The
main challenge is to ensure that targeted measures and instruments do, in fact, reach
the people who rely on them most. For instance, tariffs must be designed in such a way
that the most disadvantaged of those connected to formal utilities receive the
assistance they need. It also requires ensuring that public finance and subsidies reach
the most marginalized and disadvantaged individuals and communities, who are often
not (yet) connected to a formal network, who may live in informal settlements without
any formal title or in remote rural areas where self-supply is common, and who are
often overlooked or deliberately ignored in current policymaking and planning.
87. The Special Rapporteur offers the following recommendations. States should
take the following measures:
(a) Assess what financing mechanisms and subsidies are in place, including
hidden subsidies, and who benefits from them;
(b) Ensure transparency about existing and planned financing mechanisms
and subsidies;
(c) Consider establishing national legislation requiring that service
providers and subnational governments include affordability concerns in policies and
in service provision;
(d) Set affordability standards at the national and/or local level, based on a
participatory process, involving in particular people living in poverty and other
48 International Benchmarking Network for Water and Sanitation Utilities, Tariffs Map, available from
http://www.ib-net.org/en/tariffs_map.php.
49 Guy Hutton, “Monitoring ‘Affordability’of water and sanitation services after 2015: Review of global
indicator options”, 20 March 2012, available from
http://www.wssinfo.org/fileadmin/user_upload/resources/END-WASH-Affordability-Review.pdf.
50 Ibid.
marginalized and disadvantaged individuals and groups, that consider all costs
associated with water, sanitation and hygiene;
(e) Consider affordability standards together with other standards,
particularly for availability and quality, to ensure that people can afford to pay for
the services based on human rights standards;
(f) Ensure participation in the process of decision-making on determining
mechanisms for allocating public financing and setting tariffs;
(g) Use public financing to support access for people living in poverty and
those who are marginalized or discriminated against and eliminate inequalities in
access to water and sanitation services;
(h) Give careful thought particularly to ensuring the affordability of
sanitation provision, where costs are frequently underestimated;
(i) Focus on ensuring affordability for the most disadvantaged, including
communities in informal settlements and communities that rely on self-supply, and
explore different mechanisms to achieve this;
(j) Consider the impact of mechanisms adopted to ensure affordability,
whether universal systems are actually universal in scope and reach beyond
networked supply, and whether targeted systems (whether based on income,
geographic location, type of access or other factor) in fact reach the intended
beneficiaries;
(k) Put into place strong regulatory frameworks and bodies for ensuring
affordability of service provision that covers all types of services;
(l) Address corrupt practices that add to the cost of service provision;
(m) Prohibit disconnections that result from an inability to pay;
(n) Monitor affordability of water and sanitation service provision through
focused studies that examine income levels in different settlements, considering all
costs relating to access to water and sanitation, including hygiene and menstrual
hygiene requirements;
(o) Where prepaid water meters are considered, ensure that households that
face an inability to pay are not disconnected from water supply and that quantity,
continuity and quality of water meet human rights standards.
88. In addition, the Special Rapporteur encourages the treaty bodies and other
human rights monitoring mechanisms to pay increasing attention to the affordability
of water and sanitation service provision in the particular contexts people live in.
89. The Special Rapporteur encourages States and international organizations to
further explore options for global monitoring that allow for more comprehensive
monitoring of affordable access to services.