03292nas a2200265   4500000000100000008004100001260002100042653001700063653000900080653004400089653001300133653004000146653001500186653003900201653001200240653001900252100001300271700001300284700001500297245013300312856009400445300000700539520246900546022001103015       2017                            d  bWorld Bank Group10aWater Supply10aWASH10aTanzania WASH Poverty Diagnostic (TWPD)10aTanzania10aSustainable Development Goals (SDG)10aSanitation10aNeglected tropical diseases (NDTs)10aHygiene10aDrinking water1 aJoseph G1 aHaque SS1 aAyling SCE00aReaching for the SDGs : the untapped potential of Tanzania’s water supply, sanitation, and hygiene sector - executive summary.  uhttps://openknowledge.worldbank.org/bitstream/handle/10986/28435/120166sum.pdf?sequence=4  a133 a<p>Tanzania is the fourth most populous country in Sub-Saharan Africa, home to more than 55.6 million people. The country’s macroeconomic outlook is positive, with GDP growth of 6.5 percent per annum over the past fifteen years and significant reductions in poverty since 2007.</p>

<p>Despite this progress, 40 percent of its population, some 21 million people, lack access to improved drinking water and more than double that figure, almost 43 million people, lack access to improved sanitation. The country recently fell a long way short of reaching its Millennium Development Goal (MDG) targets for water and sanitation, which was “to halve the proportion of people without improved drinking water and sanitation in 1990 by 2015.” Now, the new Sustainable Development Goals (SDG) aim to reach <em>universal </em>access to safe water and sanitation by 2030, an aspiration that appears even more daunting.</p>

<p>“Too Low and Too Slow: The Unfulfilled Potential of Water, Sanitation, and Hygiene in Tanzania” is a summary report of the findings of the Tanzania WASH Poverty Diagnostic (TWPD) study led by the World Bank’s Water and Poverty Global Practices team. TWPD identifies the nature of challenges of water supply, sanitation, and hygiene (WASH) access in Tanzania and proposes ways to prioritize those challenges in moving forward to meet the new SDGs. It concludes that WASH must improve not only for the sake of the sector itself, but also because of the broader knock-on effects that it has on crucial dimensions of human development and poverty reduction.</p>

<p>TWPD discusses the country’s current development and poverty context before moving on to the ways in which poverty and WASH overlap. It then examines the different dimensions of WASH deficiencies in the country, and how these differ along economic and geographic lines. Next, it delves into specific linkages between WASH and human development, with a focus on stunting—a nutrition issue of immense importance in the Tanzanian context. It then provides an overview of the bottlenecks in the institutional and policy context that thus far have been constraining greater progress in the sector. Finally, the report offers recommendations on how to speed progress toward national and global objectives with a focus on the bottom 40% poor (B40).</p>

<p>This Executive Summary provides an overview of the key messages and recommendations of the work conducted.</p>
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