Practical systems approaches to realise the human rights to water and sanitation: results and lessons from Uganda and Cambodia

The 2010 legal recognition of the human rights to water and sanitation (UNGA 2010) shaped approaches of many actors working to improve access to water, sanitation and hygiene (WASH). Persistent challenges of poor WASH sustainability, scale and inclusion are increasingly being tackled through systems thinking and system strengthening. However, little has been written about how participatory system analysis and monitoring can equip and empower WASH actors to apply systems thinking, self-assess and course-correct in their own work to improve sustainable WASH for all. WaterAid's Sustainable WASH Services at Scale (SusWASH) programme applies a systems approach, underpinned by human rights principles. In this paper, we share perceptions of local stakeholders, engaged in empowerment evaluation in Cambodia and Uganda, and lessons learned for future initiatives that seek to catalyse WASH system improvements for the realisation of the human rights to water and sanitation. We argue that a systems approach, underpinned by human rights principles, can help advance progress towards inclusive and sustainable WASH for all. Working in this way fosters inclusive, locally led decision-making about how system blockages can be overcome, strengthening local ownership of a shared vision for change and the capacities and skills required to achieve it.