This document discusses water and sanitation in rural India. It notes that while access to improved water supply increased to 84% by 2008, access to improved sanitation was only 21%. Responsibility for water and sanitation lies with state governments, while the central government regulates policy. Approaches to rural sanitation and water supply focus on decentralization, community participation, and cost recovery. However, low tariffs and subsidies continue to hamper full cost recovery and financial sustainability.