Globalization and the dominance of neoliberal policies have weakened the role of states in providing and regulating water and sanitation services, which at times has negatively impacted the human rights to water and sanitation. Accountability requires clearly defining who is accountable, who can hold actors accountable, and what actors are accountable for. It also involves the three dimensions of answerability, where actors provide justifications for their actions; enforceability, where sanctions ensure corrective actions; and participation, where communities can access information and file complaints. However, challenges to accountability remain, such as economic barriers, lack of access to mechanisms, low public trust, and issues of justiciability.