The document discusses the poor condition of rivers in India, specifically the Yamuna River. It notes that while river action plans have been in place for 22 years, the quality of the rivers remains poor. The Yamuna River fails to meet standards for bathing in several stretches due to high levels of fecal coliform and low dissolved oxygen. Despite sewage treatment plants being built, untreated sewage continues to be discharged into drains leading to the river. A new approach is needed that focuses on reducing water usage and waste, treating sewage closer to the source, and reusing treated water.