This document summarizes the key issues around water supply and sanitation in India. It notes that a team led by Mr. Ajay Kumar Keshari prepared the report. The main problems are identified as lack of access to water and sanitation in both rural and urban areas, poor water quality due to contamination, low cultural prioritization of hygiene, lack of education on sanitation, and poverty exacerbating all other issues. Coverage of water supply and sanitation remains inadequate in both rural and urban regions of India.