Bulletin of the World Health Organization

Global costs of attaining the Millennium Development Goal for water supply and sanitation

Guy Hutton, Jamie Bartram

Volume 86, Number 1, January 2008, 13-19

Table 1. Summary of spending on water and sanitation to meet Millennium Development Goals (MDGs) under different scenarios

Scenario Water (US$ billion)
Sanitation (US$ billion)
Water and sanitation (US$ billion)
New Totala New Totalb New Totalc
Base case 42 364 142 358 184 722
1. All HC 71 393 256 472 327 865
2. High unit costs 79 401 245 461 324 862
3. All HC & high unit costs 142 464 522 738 665 1203
4. All non-HC 23 345 113 329 135 673
5. Low unit costs 37 359 57 273 94 632
6. All non-HC & low unit costs 20 342 68 284 88 626
7. No rural/urban MDG target 46 368 162 378 208 746
8. All population increments categorized as unimproved 121 397 220 401 341 799
9. Programme costs, add 10% 46 400 156 394 202 794
10. Programme costs, add 20% 50 437 170 430 221 866
11. Programme costs, add 30% 54 473 185 465 239 938

HC, house connection (water and/or sanitation); non-HC, other improvements outlined in text.a In scenarios 1–7, this is the sum of new coverage column plus US$ 322 billion for existing facilities. For scenarios 8–11, the cost of existing facilities is different.b In scenarios 1–7, this is the sum of new coverage column plus US$ 216 billion for existing facilities. For scenarios 8–11, the cost of existing facilities is different.c In scenarios 1–7, this is the sum of new coverage column plus US$ 538 billion for existing facilities. For scenarios 8–11, the cost of existing facilities is different.