Applying Lessons from Housing to Meeting the Challenge of Water and Sanitation for the Urban Poor

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Abstract
The pace of investments in water and sanitation lags far behind urban population growth in Latin America and the Caribbean. The health consequences of this shortfall amount to hundreds of thousands of deaths annually. This article suggests that a sociotechnical strategy is required, based on the housing experience of the past few decades, to reduce costs of producing sanitation and to minimize the risk of disease. The strategy involves fundamentally altered assumptions about state responsibility for water and sanitation. Concomitantly, beneficiaries must do more to build, operate, and maintain water and wastewater systems.

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