Water in all accounts

$400 million*

Minimum Requirement for American Leadership

Clean drinking water, adequate toilets, and hygiene services play a critical role advancing both the humanitarian and strategic interests of U.S. foreign policy.

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Justification for Funding

  • One third of the world’s population still lives without a toilet inside their home.
  • One in nine people do not have a source of safe drinking water near their home.
  • As many as 842,000 deaths from diarrheal diseases each year could be prevented by improved water, sanitation and hygiene. 
  • Every day 1,000 children die from illnesses like diarrhea, dysentery, and cholera caused by dirty water and unhygienic living conditions.
  • Basic hygienic practices by birth attendants can reduce the risk of infections, sepsis and death for infants and mothers by up to 25%.
  • Investments in water and sanitation sector services, governance and capacity building, would accelerate the rate of transition of developing countries from donor dependence.

Cost of Cuts Below $400 Million

President and Congress Budget Comparison

       Congressional Budget   

       President's Budget Request (Base + OCO)

  • Many countries important to the US strategic interests will face higher risk of instability and state failure because of water issues, experience exacerbated regional tensions, and will be distracted from working with the US on critical policy objectives in security and economic growth.
  • Globally, women and girls already spend as much as 200 million hours every day collecting water. And in Asia and Africa, women walk an average of 3.7 miles per day to collect water. This time spent away from school and earning an income could very well increase if the U.S. reduces funding.
  • Without funding WASH services, healthcare workers and communities are at risk for outbreaks of Ebola and many other infectious diseases.


$660 million

Opportunity to Catalyze American Leadership


Justification for Additional Funding

  • Investments in water and sanitation sector services, governance ,and capacity building would  accelerate the rate of transition of developing countries from donor dependence.
  • As of 2015, funding for Water in All Accounts has provided more than 7.6 million people with  improved access to drinking water supply, more than 4.3 million people with improved sanitation, and more than 3.1 million people with the benefits of improved agricultural water management. 
  • This investment, in turn, enhances U.S. national security by preventing pandemic disease, conflict over water resources, and regional instability. Support for WASH and addressing related governance issues, opens new markets for U.S. exports, aligns market access, and promotes U.S. job creation.

Impact of 60% More Funding

$222.9 billion
Total cost to the global economy due to lack of access to sanitation in 2015, up from $182.5 billion –an increase in cost of 22% from 2010.

  • In order to achieve the intermediate-term goal of $660 million in annual water appropriations by FY2021, increases of approximately 20%, or $86.7 million, each year is needed. With this funding, USAID would be able to reach an estimated 867,000 additional people with safe drinking water and sanitation.
  • According to World Bank economists, capital investments in safe water and sanitation will need to be tripled to a global total of $114 billion per year to reach universal access by 2030. This requires increased domestic resource mobilization by developing countries, public-private partnerships in both the developing countries and the developed nations, and assertive leadership from the United States.

*Enacted FY18 Omnibus Appropriation

For more information, please contact: Soshana Hashmie, shashmie@interaction.org

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