A recent survey of 100,000 facilities found that more than half lack simple necessities, such as running water and soap – and they are supposed to be healthcare facilities. The result is more infections, prolonged hospital stays and sometimes death.
Against this backdrop, UN Secretary-General António Guterres launched the International Decade for Action on ‘Water for Sustainable Development’ (2018-2028) on March 22. In his remarks on the occasion, he said: “Without effective management of our water resources, we risk intensified disputes between communities and sectors and even increased tensions among nations.”
Population pressure and increasing water competition in a changing climate require us to take stock of the availability and use of water across scales. Water availability not only influences farmers’ commercial prospects but also irrigation-related enterprises and agri-businesses. Greater water scarcity could jeopardize irrigation and agricultural markets while excessive water use can lead to declining ecosystems, water quality and soil health. IWMI advises development partners and the public and private sectors on all aspects of water resource availability and use through a variety of advanced modeling and remote-sensing products and tools, including 
The ability of farmers to engage in or expand irrigation depends on the prevailing socioeconomic, ecological and political contexts, which are often complex, non-linear and changeable. Overcoming systemic barriers to farmer-led irrigation development while taking advantage of existing opportunities 
A lack of affordable credit, particularly for women and resource-poor farmers, is one of the main barriers to expanding farmer-led irrigation in low- and middle-income countries. But 
Scaling farmer-led irrigation requires strengthening human capacity and knowledge exchange among all actors and stakeholders involved. IWMI takes an action research approach, working with national and international research institutions, governments, extension agents and public and private organizations to co-develop the scaling ecosystem and strengthen capacity to drive scaling networks and collective action. We support the
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