The investments needed to deliver sustainable water and sanitation services, including the funds that are needed to operate and maintain the infrastructure, expand their coverage and upgrade service delivery to meet current social and environmental expectations, are huge. Yet, most systems are underfunded with dire consequences for water and sanitation users, especially the poorest. Providing sustainable drinking water supply and sanitation services requires sound financial basis and strategic financial planning to ensure that existing and future financial resources are commensurate with investment needs as well as the costs of operating and maintaining services. 
Some of the key messages of this report are:

WSS generate substantial benefits for the economy 

Investment needs to generate these benefits are large in both OECD and developing countries 

Tariffs are a preferred funding source, but public budgets and ODA will have a role to play, too 

Markets-based repayable finance is needed to cover high up-front capital investment costs 

Strategic financial planning and other OECD tools can help Governments move forward